HomeMy WebLinkAboutPermit EL11-0283 - SAVERS/VALUE VILLAGESAVERS/VALUE VILLAGE
16700 SOUTHCENTER PY
EL1 1-0283
Parcel No.:
Address:
Tenant Name:
City &Tukwila
t
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
2623049128
16700 SOUTHCENTER PY TUKW
SAVERS/VALUE VILLAGE
ELECTRICAL PERMIT
Permit Number: EL11 -0283
Issue Date: 03/28/2011
Permit Expires On: 09/24/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
PARKWAY SQUARE
C/O ROSEN PROPERTIES , PO BOX 5003 98009
TRACI ADAMS
1743 FIRST AV S , SEATTLE WA 98134
Contractor:
Name: GUARDIAN SECURITY SYSTEMS INC
Address: 1743 1 AV S , SEATTLE WA 98134
Contractor License No: GUARDSS233K5
Phone: 206 331 -6206
Phone: 206 622 -6545
Expiration Date: 09/30/2012
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE 110V ELECTRICAL OUTLET FOR FIRE PANEL WIRELESS TRANSMITTER
Value of Electrical Work: NRES: $200.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service Provided by: PUGET SOUND ENERGY
Fees Collected: $63.00
National Electrical Code Edition: 2008
Permit Center Authorized Signature: Date:
I hereby certify that I have read and; exa ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli : d wit whether specified herein or not.
The granting of this permit does not p
construction or the perf ce of work.
of this permit.
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
31Z07-0
Print Name:
T (L.vac∎ AO►\ A .
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
E L11 -0283
Printed: 03 -28 -2011
PERMIT CONDITIONS
Permit No. EL11 -0283
* *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 1-0283 Printed: 03 -28 -2011
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. EEL-t\ 1..-1)
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.: 2L02 �JCM— 61 _t
Site Address: / C0700 Sou4hceNk-ec Suite Number: Floor:
Tenant Name:
Property Owners Name: QOSe Pc'o'pe..0 \2 S
Mailing Address: P. 0 130" 5003
New Tenant: ❑ Yes
t 1j. R>✓lCHSTE-Iry
ELc.f.v wA
City
State
CONTACT PERSON -Who do we contact when your permit is ready to be issued:
Name: 'TR /,O AYVn. S
Mailing Address: /7'13 F /2.ST Ave • Sou4\n
Day Telephone: ZO(a - 331 - GoZ O Co
City
w is 9813'4
State Zip
E -Mail Address: t ZLD24 vin $ oz.r6124•- • Secvc'A.1 , OW- Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: G vz.c6 ltA AJ SeCV
Mailing Address: 17,-13 Firs+ Avf • Sov-E -
Contact Person:
E -Mail Address:
Contractor Registration Number:
Il r 1)912r
Sea +44.e-
City
Day Telephone:
Fax Number: A
Expiration Date: 1, I ( Z
W cttsl t/
State Zip
Valuation of Project (contractor's bid price): $ ZOC)
Scope of Work (please provide detailed information): 1IV s4 za // 11 ioq
� 1 e c-E r . c ( 0 u-f• I e+ c-o i- re Pa-1.)e\
low Vol +toe (/kV
wire 1 ess - YZ.v...) s rv. \lies .
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes kNo
Type of Use: ` \
Type of work:
❑ New 16 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
`Low Voltage ❑ Generator K.Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:Wpplications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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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 -
IDate Application Accepted:
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 TRICAL CONTRACTOR:
Signature:
Print Name: T(Z'{ L\ 1%,9AAA
Date: 3 /Z If /ZO f
Day Telephone: (26 G1 33 — (P2-0
Mailing Address:
City
miv.-4 if
State
Zip
Date Application Expires:
H:\Applications\Forms - Applications On Line\2010 Applications \7 -2010 - Electncal Permit Application.doc
bh
Page 2 of 2
Staff Initials-
•
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.: 2623049128 Permit Number: EL11 -0283
Address: 16700 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 03/28/2011
Applicant: SAVERS/VALUE VILLAGE Issue Date:
Receipt No.: R11 -00594
Payment Amount: $63.00
Initials: JEM Payment Date: 03/28/2011 12:51 PM
User ID: 1165 Balance: $0.00
Payee: GUARIDAN SECURITY SYSTEMS INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 99073 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 03 -28 -2011
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INSPECTION NO.
INSPECTI1ON RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: t 'A
v Lair 1A-LAfo"
Type of Inspection:
a/04)
Addres : h
/ "v ... a 7/*/ Cfa:'7il1 -1. /
Date Called:
PA
Special Instructions:
Date Wanted a.m.
y%% p.m.
Requester:
Phone No:
Approved per applicable codes.
- Corrections required prior to approval.
C9MMENTS:
Q(L
Inspecto
i::1/0/ 4- 22,va7"
Date:
n REI PECTION FEE REQUIRED. Prior to next inspection, fee must be
pai at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy withpermit
6t4 oz
INSPECTION NO. MIT NO.
CITY OF TUKWILA BUILDING DIVISION 'f'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
Type of Inspection:
pao
UPDPett Piet• Du Lt"
Address:
r�7Oos -c- Pl.
Date Called:
Special Instructions: •
:::::::d
()p.m
f !
Phone No:
ElApproved per applicable codes.
EglCorrections required prior to approval. IS
COMMENTS:
► �,,��
�- ,4ciADC P� C6c 4 7,
1 DtL cvknP RAJ oL
UPDPett Piet• Du Lt"
Inspector: �J � ( tti\
Date: n f y II)
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
:14 �1��� L�47Rii.•'a�.x",��`9Y`a1'A� _- rp��i'p•461.Z:•.. .. .
•fie :+:C - 1ax4 ,Zis+ar 's6--+F ailt 1 �W�.'31tt¢v�°
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
—D
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION Ilk—
(206) 431 -367
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project: I
S j11,. riti
Type of Inspection:
��
Address: /000 5.c... ft,
Date Called:
Special Instructions:
Date Wanted:
q
m
p9
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
4\1
kedS5
�C- c�ctA/ n49 Af4
Inspector: c,/
Date:
❑ REINSPECTION FEE REQUIaED. Prior to next inspection. fee must be
paid at 6300 Southcenter 131 d., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Paler 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
GUARDIAN SECURITY SYSTEMS INC
2066226545
1743 1St Ave S
Seattle
WA
98134
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600189667
Active
GUARDSS233K5
Electrical Contractor
5/25/1977
9/30/2012
Limited Energy
Hvac /Rfrg Ltd Energy
Master Electrician INFORMATION
License CLOSEF *9730H
Name CLOSE, FRANK A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLOSE, FRANK A
Cancel Date
01/01/1980
Bond Amount
DUNHAM, JOHN R
8
01/01/1980
72BSBFT5007
DWTR &J CORP
Agent
11/05/2007
ELECTRICAL CITATION
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
8
HARTFORD FIRE INS
CO
72BSBFT5007
06/11/2010
Until Cancelled
19.28.271 RCW
ELECTRICAL CITATION
$4,000.0006/18/2010
$500.00
7
OHIO CAS INS CO
3 610 465
06/11/2003
Until Cancelled
09/02/2010
EVANS00410
$4,000.0006/16/2003
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
ESHA000351
10/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EMEHU03697
2/11/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$500.00
ENASE00306
1/26/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EVANS00410
12/16/2009
WAC 296 -46B -990
ELECTRICAL CITATION
Satisfied
$500.00
EVANS00403
12/16/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$4,000.00
EVANS00404
12/16/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
E47321
5/6/2005
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EBRIC00564
9/7/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 03/28/2011