HomeMy WebLinkAboutPermit EL11-0113 - PIER 1 IMPORTSPIER 1 IMPORTS
17388 SOUThCENTER PY
EL11-0113
Cityif 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
Parcel No.: 2623049079
Address: 17388 SOUTHCENTER PY TUKW
Tenant Name: PIER 1 IMPORTS
ELECTRICAL PERMIT
Permit Number: EL11 -0113
Issue Date: 02/11/2011
Permit Expires On: 08/10/2011
Owner:
Name: KIR TUKWILA 050 LLC/KIMCO
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100 11042
Contact Person:
Name: DEAN MAYES
Address: 13650 NE WHITAKER WY , PORTLAND OR 97230
Contractor:
Name: BERGELECTRIC CORP
Address: 5650 W CENTINELA AV , LOS ANGELES CA 90045
Contractor License No: BERGEC *021K6
Phone: 503 849 -6448
Phone: 310 337 -1377
Expiration Date: 05/26/2012
DESCRIPTION OF WORK:
RELOCATE CASH REGISTER
Value of Electrical Work: NRES: $2,070.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
x.
with
Fees Collected: $136.50
National Electrical Code Edition: 2008
Date:
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe ormance 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:
A (e-c.
Date:
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
EL11 -0113 Printed: 02 -11 -2011
• 1
PERMIT CONDITIONS
Permit No. EL11 -0113
* *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
E L 11 -0113 Printed: 02 -11 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wwwcitukwila.wa.us
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 Address: ('l �S'EN t l) hCf114CP 15}--t y
Tenant Name: t�iCr 1 Tmprir+s
Property Owners Name: Ref 1 Trncr;CiS `l'1C_
Mailing Address: I Or) 'Qif r 1. -17 lac .e, r-7y -4 1A, r- h jX.
C,ty State Zip
King Co Assessor's Tax No.: 2 ct t ^ (IC) �.1
Suite Number:
New Tenant:
Floor:
❑ ...Yes
® No
TA''PE
we contact when your permit is.ready to be issue
Name: Den) inct')/ Day Telephone: -IIYh - M `1- (•9'41-1
Mailing Address: I31Da) fl \A h1tC�.kGr IAl 1 -RY-+I and t ((YL 9- 72-30
City State Zip
E -Mail Address: C r nCU'- a &Y c irC -t'ic .COY IFax Number: 5cr' z n-i 71 q
ELECTRICA;
IN'ORMATIU
Company Name:
Mailing Address:
re c_i CCA-ri Corp
1 A n5 lx1'u cy ihr -Ha.nc i
Contact Person: j -fe(4 had' it 1 t1 rYrU
E -Mail Address: hl Ay,tdmC.1.n e br reiele- 6-nt -, c
Contractor Registration Number: —6C1ZCsiEc. 02.1 klra
a. 9 7Z. 3C)
City
State
Zip
Day Telephone: f_=7)5- " I 1 c�
Fax Number: a'?-1-a--1C1 l Ot
Expiration Date: f]) 2 C.o) i Z
Valuation of Project (contractor's bid price): $ ?.O'1O • o0
Scope of Work (please provide detailed information): C;CtSh r--er, i sAttr-
Will service be altered? ❑ Yes
Type of Use: `12�A•C‘x
Type of work:
❑ New Addition
El Low Voltage ❑ Generator
Pro.e Served b :
i1 Puget Sound Energy
❑ Seattle City Light
▪ No Adding more than 50 amps? ❑ Yes No
❑ Service Change
❑ Fire Alarm
HAApplicationsiFonns- Applications On Linel20t0 Applications \7 -2910 - Electrical Permit Application.tbc
bh
Page 1 of 2
❑ Remodel 124 Tenant Improvement
Telecommunication ❑ Temporary Service
RESIDENTIAL
JVI;W 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 859.85
(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 en
!TERTVIp; OTF
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:
Vi
6 !
Print Name: _. i Q �hrr l k i dman
Date:
Day Telephone: ,3'23-1816
Mailing Address: l/ i.,Thj 3Ccth I3'y ?cc) ICLnd
City
Date Application Accepted:
D2_11 I h
OY2. 9 7Z 30
State Zip
Date Application Expires:
Staff Initials:
H Applications\Farms- Applications On Line12010 Applications \7.2010 - Electrical Permit Applicatian.doc
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Page 2 of 2
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: http://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2623049079 Permit Number: EL11 -0113
Address: 17388 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 02/11/2011
Applicant: PIER 1 IMPORTS Issue Date:
Receipt No.: R11 -00270
Initials:
User ID:
TEM
1165
Payment Amount: $136.50
Payment Date: 02/11/2011 12:58 PM
Balance: $0.00
Payee: PAUL MOSS, BERGELECTRIC CORP
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 899237
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receipt -06 Printed: 02 -11 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: p � ��1 �1�
Type ofinspection:
Address:
i7V1.5-e- Py-
Date Called:
Special Instructions:
Date Wanted:
6 // /i7
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
,COMMENTS:
(#\116ftv
Inspector: Jiti;41/41
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
S
r: •
INSPECTION RECORD
Retain a copy with permit {1,'oii3_
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
Project: Q
+�
Type of Inspection:
fart
Address:
i
Date Called:
Instructions:
'
Date Wanted:
D
73
6....
Requester:
Phone No:
ElApproved per applicable'codes.
Corrections required prior to approval.
COMMENTS:
4-04k esT Ott P t
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
Contractors or Tradespeople Peer Friendly Page
•
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
BERGELECTRIC CORP
3103371377
5650 W Centinela Ave
Los Angeles
CA
900450029
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601875985
Active
BERGEC'021K6
Electrical Contractor
5/26/1998
5/26/2012
General
Unused
Electrical Administrator INFORMATION
License ANDERTR023JD
Name ANDERSON, THOMAS R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DRINKWARD, ROBERT W
Cancel Date
01/01/1980
Bond Amount
C T CORPORATION SYSTEM
Agent
01/01/1980
8219 -65 -66
BRISCOE, DONALD L
President
01/01/1980
BRISCOE, JOHN R
Secretary
01/01/1980
HARTFORD FIRE INS
CO
BILLIG, EDWARD M JR
Vice President
01/01/1980
05/01/2010
ANDERSON, THOMAS R
Vice President
01/01/1980
WINGERNING, WILLIAM M
Vice President
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
3
FEDERAL INS CO
8219 -65 -66
05/01/2010
Until Cancelled
$4,000.00
05/06/2010
2
HARTFORD FIRE INS
CO
72sun43137173
05/18/1998
Until Cancelled
05/01/2010
$4,000.0005/06/2010
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 02/11/2011