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Home My WebLink AboutPermit EL11-0243 - BACKSTORE OUTLETBACKSTORE OUTLET 17025 SOUTHCENTER PY EL1 1 -0243 Parcel No.: Address: Tenant Name: City St 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 17025 SOUTHCENTER PY TUKW BACKSTORE OUTLET ELECTRICAL PERMIT Permit Number: EL11 -0243 Issue Date: 03/16/2011 Permit Expires On: 09/12/2011 Owner: Name: Address: Contact Person: Name: Address: CENTER PL SHOPPING CTR LLC C/0 THOMSON REUTERS PTS , 2235 FARADAY AVE SUITE 0 92008 DON COLLEY 17025 SOUTHCENTER PY , TUKVVILA WA 98188 Contractor: Name: OWNER AFFIDAVIT - DONALD A. COLLEY Address: Contractor License No: Phone: 206 575 -6755 Phone: Expiration Date: DESCRIPTION OF WORK: SIGN INSTALLATION Value of Electrical Work: NRES: RES: $50.00 $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 The granting of this permit construction • h= •erform of this pe t. �«--(1 Signature: � Date: s not p an e of work. Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: xam ed this permit and know the same to be true and correct. All provisions of law and ordinances with, whether specified herein or not. s e to give authority to violate or cancel the provisions of any other state or local laws regulating uthorized to sign and obtain this electrical permit and agree to the conditions on the back � Print Name: N 1 ` 1 This permit shall become null and vkid 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 -0243 Printed: 03 -16 -2011 al • PERMIT CONDITIONS Permit No. EL11 -0243 * *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 WAG. 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 EL 11 -0243 Printed: 03 -16 -2011 CITY OF TUKWIR Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. Project No. L- (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: /-2(9 IS Souk �.crr iU' /k (4 Tenant Name: BJes /G/ 61 -4(eyf Property Owners Name: Mailing Address: King Co Assessor's Tax No.: 21 Q ' 1 Suite Number: Floor: New Tenant: ❑ Yes No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: non (& (LL C j Mailing Address: / o Z S .Soufke,ot-�i' Vitt -t%`1 E -Mail Address: Dat'l LpIt`i 1. �O{i(AGtt' , C141Vt Day Telephone: a g-7 S (01.S-1-- 0 Z S-1-- City State Zip Fax Number: 3-12 S1 S Lo- S 3 ELECTRICAL CONTRACTOR INFORMATION Company Name: O krII "v'v M\OiCV `"r (Cj � -RA) Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please prov a detailed information): V l ILUA(etc-U a 51,- O v 1> t j (—Alt/4T_ Will service be altered? ❑ Yes trlio Adding more than 50 amps? ❑ Yes ■o Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 'Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: It Puget Sound Energy ❑ Seattle City Light HMpplications\Fonns- 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 • _!_.: ; !, ° : LE ! TRICAL CONTRACTOR: Signature: Print Name:) 1-t-Li Mailing Address:111)25— 5 + k 4 " V n V-Lit)L Date Application Accepted: Date: 3-112 - I I Day Telephone: ,PV(P S %S- 607SS City State Zip Date Application Expires: Staff Initials: H: Applications\Fortns- Applications On Line \2010 Applications \7.2010 - Electrical Permit Application.doc bh 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.: 2623049069 Permit Number: EL11 -0243 Address: 17025 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 03/16/2011 Applicant: BACKSTORE OUTLET Issue Date: Receipt No.: R11 -00503 Initials: User ID: Payee: JEM 1165 Payment Amount: $63.00 Payment Date: 03/16/2011 09:25 AM Balance: $0.00 DONALD A COLLEY, THE BACK STORE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 712401 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: 03 -16 -2011 INSPECTION NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 sz• (206) 431 -36 Permit Inspection Request Line (206) 431' -2451 INSPECTION RECORD Retain a copy with permit �U o2Y3 ERMIT NO. Projec . 'r c Wl i-r Type of Inspection: 2..490 Address: 2, .5' P Date Called: Special histructions: • Date Wanted:. ....,y/ �U 0 p.m. Requester: Phone No: 0Apprved per applicable codes. El Corrections required prior to approval. sOMMENTS: eo(cf4-Oft45 rve 144- 'Inspector: . REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. (Date: /o /03'1*/ 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 FL (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 INSPECTION RECORD Retain a copy with permit ERMIT NO. Le-4ru,-f Address: Date Called: Special Instructions: Date Wanted:. A Z' 3 Requester: Phone No: Approved per applicable codes. I Corrections required prior to approval. 9 COMMENTS: — fkrf0a /004004E2 C,Jc41 r STJP OM Co4A, Alit? S('1- F1oil r Per 1.o Orre SJJt TG4 I•AI &d cq rocAel itzclynoJ 0,14 - R,,k.a ?b 4 Si, MI I I ovr 00 t, " t_a 7 7 aN Approved per applicable codes. I Corrections required prior to approval. 9 COMMENTS: — fkrf0a /004004E2 C,Jc41 r STJP OM Co4A, Alit? S('1- F1oil r Per 1.o Orre SJJt TG4 I•AI &d cq rocAel itzclynoJ 0,14 - R,,k.a ?b 4 Si, MI I I ovr 00 t, " t_a 7 7 aN Inspector: ,1"66,0 (Date: o?' Z8ii n REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (R-- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: _ _ _ VVYpe of Inspection: Q[.j Address: 1707S ..5't 'Pi. Date Called: Special Instructions: Z -3 p.e- Date Wanted:. / 1 m Requester: Phone No: • ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 145.1-4.14./ S.41tTc4 g6 t rl-. r-o D -1 o F G,lSTA1,t, Inspector: (Date: ,a/ u I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD 6kot3 Retain a copy with permit PERMIT N0. • ' CITY OF' TUKWILA BUILDING DIVISION .6300 Southcentet Blvd., #100, Tukwila. WA 98188 (206) 431 -3 . • permit Inspection Request Line (206) 431 -2451 • INSPECT! I N NO. Project: 1-al �1_ ,.s r t� (f �Ql i�it• I Type of Inspection: el Address:_ 26.- L. Date Called: Special Instructions: j Date Wanted:. 7/07 a.m. P. Requester: Phone No: • ' Approved per applicable codes. Corrections required prior to approval. COMMENTS: CiNitt)be AtLiEsS - gox Rne.6Jx1 rok wlsPEtA-10J Inspector: — J Date: 14/07 i fl REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 08 -01 -2011 • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DON COLLEY 17025 SOUTHCENTER PY TUKWILA WA 98188 RE: Permit No. EL11 -0243 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 09/12/2011. 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 09/12/2011, 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, Bill Rambo Permit Technician File: Permit File No. EL1 1-0243 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 1 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431 -3665 E -mail: tukplancs ci.tukwila,wa.ps Permit Center /Building Division 206 431 -367o Public Works Department 206 433-0179 Planning Division 206 431 -3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ss. COUNTY OF RING ) / c/ rtYl Q , states as follows: [please print name] PERMIT NO: 3/1— D /9 eLu 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons malting electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. s F r`tij -� i 3p fat . s0 ass s' , li% ;:ivo, ill .4:17.:?: it.:! %%%%%%%%%%%%%%%%%%%%%%%%%% Owner /Owner's Agea Sr and sworn to before me this 1 day of I AcOr ) , 20 • 1 ,ex= NOTARY PUBLIC in and for the State of Washington Residing at K 1 b , County Name as commissioned: (4,-S6(4 h &'C My commission expires: Iry 19-(3'6/1