HomeMy WebLinkAboutPermit EL10-0918 - BACKSTORE OUTLETBACKSTORE OUTLET
17025 SOUTHCENTER PY
EL1O-0918
Parcel No.:
Address:
Tenant Name:
Cityef Tukwila
Department of Conununity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
2623049069
17025 SOUTHCENTER PY TUKW
BACKSTORE OUTLET
ELECTRICAL PERMIT
Permit Number: EL10 -0918
Issue Date: 11/12/2010
Permit Expires On: 05/11/2011
Owner:
Name: CENTER PL SHOPPING CTR LLC
Address: 810 3RD AVE SUITE 140 , SEATTKE WA 98104
Contact Person:
Name: LEONA HANSEN
Address: 9800 HARBOUR PLACE #208 , MUKILTEO WA 98275
Contractor:
Name: APOLLO NEON INC
Address: 9800 HARBOUR PLACE , SUITE 208 98275
Contractor License No: APOLLNI044OD
Phone: (425)349 -5044
Phone: 425 349 -5044
Expiration Date: 09/02/2012
DESCRIPTION OF WORK:
INSTALL (1) WALL SIGN 120 VOLT 6 AMPS
Value of Electrical Work: NRES:
$100.00 Fees Collected:
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PSE
Permit Center Authorized Signature:
$63.00
National Electrical Code Edition: 2008
Date: /( /2-/ /d
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the erformans e.4 rk. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: /l A?//o
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -9/09
ELI 0-0918 Printed: 11 -12 -2010
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City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: lutp://www.ci.tulcwila.wa.us
Parcel No.: 2623049069
Address:
Suite No:
Tenant:
17025 SOUTHCENTER PY TUKW
BACKSTORE OUTLET
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0918
ISSUED
11/12/2010
11/12/2010
1: ** *ELECTRICAL * **
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or the performance of work.
Signature:
Print Name:
(
-..
'l
Date:
(�
doc: Cond -Elec
EL 10 -0918 Printed: 11 -12 -2010
• •
CITY OF TUKA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htin://www.citukwila.wa.us
Electrical Permit No.
Project No.
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: a 6a 3o 410 7
Site Address: 1/02,S. S0. CTR povoe -tdray
Tenant Name: 5 ackS- kOr'S.. %- Akec. -k
Property Owners Name: Lf.vA.'Cx 1?V2.Ct S■NONrr■
Mailing Address: V./ O 'A7 SO ie\t v-
�a r
Suite Number:
New Tenant:
es, \vAcwilz►
City
Floor:
Yes ❑..No
wit q'b) b s
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Lo Nt4 14 A,J S f N Day Telephone: Li ZS - 3 4c1- 5o 444
Mailing Address: APO U..0 e.) COO q800 4A RAW 2 Pt,9cQ. IL 208 MUK1t.T -Eo 04 9821S
City State Zip
E -Mail Address: LEONA e. APOcd -o4 tsoN . tors Fax Number: '125- 3441- 5045
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A B \I 0 .l) 2c'r,� r ■C.
Mailing Address: 8900 )4At2130tl2_ Pty - Sofro-
Contact Person: 2vv. \
E -Mail Address: p2w■ 0elpol 0Y14AV\.CC)W \
Contractor Registration Number:, A p 0 w An 0 LOA 00
208 K11...T€O 1.0A- 419215
City State Zip
Day Telephone: (t-l�S S40.—S044
Fax Number: (Ha -S) 3 -i" - SONS
Expiration Date: q - X
Valuation of Project (contractor's bid price): $ t vo
Scope of Work (please provide detailed information): 1 N STi4L L . C1 W 4 Lt.. S 1.44.1 1 ZO 1)0t.i b ^MPS
Will service be altered? ❑ Yes ig No Adding more than 50 amps? ❑ Yes
Type of Use: L' 6 w\ N `i -
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\ApplicalionsWomms- Applications On Linet2010 Applications17 -20l0 - Electrical Permit Application.doc
bit
Page 1 of 2
No
❑ Remodel [Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: `b'- vv__ Q
Print Name: f— a'w■ (__?
Mailing Address: e 00 ?,,,A 000'r 121/4Cti _Sv tk L "e-O' , MtM\ \'\'2.o ‘AA C1 9-7S-
City State Zip
Date: 11- 10,-10
Day Telephone:
Date Application Accepted: , %;_1(0
Date Application Expires:
57/D.-la
Staff Initials: A ed
H: Applicatiom\Fortns- Applicanons On Lane \2mo Apphcationsv -2010 - Electrical Permit Appbcation.doc
bh
Page 2 of 2
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451 K'
Project: "y � Io& )t! _
Type of Inspection:
f
Address: (7i02. s 6 !
Date Called:
Special Instructions:
'S MA
Date Wanted:.
"�
am
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
Inspector:
N .
REINSPECTION FEE REOUIREli Prior to next inspection; fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectiolt.`
Date:
DY�z:5" /F
INSPECTION RECORD
a copy with permit Y
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: �G7G�i
Type of Inspection:
e°
Address: 0 o2,5".
5 , C - 7
Date Called:
Special Instructions:
i
_ /// (
514 ���
Date Wanted:
gfr5
a.m.
p.m
Requester:
Phone No:
❑ Approved per applicable codes.
0
Corrections required prior to approval.
COMMENTS:
tkeas's To 6)c
IBS of wtkI t eP %£a1T5
��lat �1 n ���
9 8 4D g
13
u REINSPECTION FEE REQUIRED. rior to next inspection. fe must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
Date:
04 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department. of Community Development Jack Pace, Director
LEONA HANSEN
9800 HARBOUR PLACE #208
MUKILTEO WA 98275
RE: Permit No. EL10 -0918
17025 SOUTHCENTER PY TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 05/11/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 05/11/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
•;,Q
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0918
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: htqx//wwwci.tuicwila.wa.us
Parcel No.: 2623049069
Address: 17025 SOUTHCENTER PY TUKW
Suite No:
Applicant: BACKSTORE OUTLET
RECEIPT
Permit Number: EL10 -0918
Status: APPROVED
Applied Date: 11/12/2010
Issue Date:
Receipt No.: R10 -02282
Initials:
User ID:
LAW
1632
Payment Amount: $63.00
Payment Date: 11/12/2010 10:54 AM
Balance: $0.00
Payee: APOLLO NEON INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 09178S
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
• •
doc: Receiot -06 Printed: 11 -12 -2010
Contractors or Tradespeople Per Friendly Page
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Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
APOLLO NEON INC
4253495044
9800 Harbour PI #208
Mukilteo
WA
98275
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601731106
Active
APOLLN 10440D
Electrical Contractor
9/4/1996
9/4/2012
Sign
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
APOLLN*061J5NEO NEON NLO
C Contractl ctor o
ntra
Sign
Unused
4/25/1994
4/25/1998
Archived
Master Electrician INFORMATION
License CARYLVM967KP
Name CARYL, VAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SCHROEDER, STEVE
Violation Amount
01/01/1980
1/7/2009
CARYL, VAN M
ELECTRICAL CITATION
01/01/1980
$250.00
SCHROEDER, STEVE
Agent
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
COLONIAL AM CAS &
SURETY OF MD
LPM4043248
09/01/1999
Until Cancelled
$4,000.00
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ECERM00440
1/7/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip p int.aspx
11/12/2010