HomeMy WebLinkAboutPermit EL10-0993 - JENNY CRAIG WEIGHT LOSSJENNY CRAIG
WEIGHT LOSS
17125 SOUTHCENTER PY
EL1O-0993
Parcel No.:
Address:
Tenant Name:
City *Tukwila
Department of Community 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
17125 SOUTHCENTER PY TUKW
JENNY CRAIG WEIGHT LOSS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0993
12/07/2010
06/05/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
CENTER PL SHOPPING CTR LLC
810 3RD AVE SUITE 140 , SEATTKE WA 98104
ROBIN RIECKS
11112 18 ST NE , LAKE STEVENS WA 98258
REX ELECTRIC SERVICE INC
Address: 11112 ST NE , LAKE STEVENS WA 98258
Contractor License No: REXELES962N4
Phone: 425 - 422 -1744
Phone: 425 - 422 -1744
Expiration Date: 08/24/2012
DESCRIPTION OF WORK:
RETROFIT 2 X 4 TROFFERS FROM T12 TO T8 LAMPS AND BALLASTS
Value of Electrical Work: NRES: $640.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $79.80
National Electrical Code Edition: 2008
Date:
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 performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name: fez
R/ ddS
Date: /2- ` 7-/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 0-0993 Printed: 12 -07 -2010
• •
PERMIT CONDITIONS
Permit No. EL10 -0993
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
ELI 0-0993 Printed: 12 -07 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. l LA 0 Q �1 c13
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.
Site Address: 17125 South Center Parkway
Tenant Name: Jenny Craig Weight Loss
King Co Assessor's Tax No.: 210,2--361-i - 90 (9 9
Suite Number: Floor: 1
New Tenant: ❑ Yes 0 ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Robin Riecks
Mailing Address: 11112 18th ST NE
E -Mail Address: rriecks @gmail.com
Day Telephone: (425) 422 -1744
Lake Stevens
City State
Fax Number: (425) 377 -1976
WA
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Robin Riecks
Mailing Address: 11112 18th ST NE
Contact Person: Robin Riecks
E -Mail Address: rriecks @gmail.com
Contractor Registration Number: 6C-f�
Lake Stevens WA 98258
City State Zip
Day Telephone: (425) 422 -1744
Fax Number: (425) 377 -1976
Expiration Date:
Valuation of Project (contractor's bid price): $ 640
Scope of Work (please provide detailed information): Retrofit 2x4 troffers from T12 to T8 lamps and ballasts
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy
❑ Seattle City Light
H:1ApplicationsTonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $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:
Print Name: Obi %) e elleS
Mailing Address: 11112 18th ST NE
Date: 12/04/2010
Day Telephone: (425) 422 -1744
Lake Stevens 98258
Zip
City
State
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Apphcatrons\Form s- Applicauoms On rane\2010 Applications \7 - 2010 - Electrical Permit Applicationdoc
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Page 2 of 2
City oPTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: //www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2623049069 Permit Number: EL10 -0993
Address: 17125 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 12/07/2010
Applicant: JENNY CRAIG WEIGHT LOSS Issue Date:
Receipt No.: R10 -02442
Initials:
User ID:
WER
1655
Payment Amount: $79.80
Payment Date: 12/07/2010 08:12 AM
Balance: $0.00
Payee: ROBIN RIECKS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 036730
ACCOUNT ITEM LIST:
Description
79.80
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
.1..... o.....,:... AC
INSPECTION 'RECORD
Retain a copy with permit
GrO -Ot%
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 12--
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project e�� 1
/10
(` I)
Type of Inspection:
100
Address:
Date Called:
Special Instructions:
/i-
Date Wanted:
C0
.m.
p.m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date: I O
n REINSPECTION:FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
• •
Electrical Contractor
A business licensed by L81 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
REX ELECTRIC SERVICE INC
4254221744
11112 18Th St Ne
Lake Stevens
WA
98258
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602423335
Active
REXELES962N4
Electrical Contractor
8/24/2004
8/24/2012
General
Unused
Master Electrician INFORMATION
License RI ECKR*966M6
Name RIECKS, ROBIN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
RIECKS, ROBIN
Agent
08/24/2004
RIECKS, ROBIN A
President
08/24/2004
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Dat(
1
CBIC
SF7476
08/17/2004
Until Cancelled
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 Summons and Complaints are not filed with the department for this
Information contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip/Print.aspx
12/07/2010