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HomeMy WebLinkAboutPermit EL11-0465 - GOLDEN HORSE SHOEGOLDEN HORSE SHOE 13985 INTERURBAN AV S EL1 1 -0465 !■•13—k 101 Ze so t1)% =0, tot 1908 Parcel No.: Address: Tenant Name: Citylif 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 3365900230 13985 INTERURBAN AV S TUKW GOLDEN HORSE SHOE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0465 05/23/2011 11/19/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: DAO TRANG T H 3840 33RD AVE SW , SEATTLE WA 98126 WILLIAM MILLHOLLIN Phone: 360 945 -2787 1345 GULF RD , POINT ROBERTS WA 98281 ADT SECURITY SERVICES INC Phone: 425 - 893 -3668 Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011 Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2011 DESCRIPTION OF WORK: INSTALL SECURITY SYSTEM Value of Electrical Work: NRES: RES: $500.00 Fees Collected: $75.60 $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 an exa governing this work will be compli National Electrical Code Edition: 2008 Date: F174 II 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 p construction or the performance of work. of this permit. Signature: Print Name: 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 Date: 5703/ �) 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 1-0465 Printed: 05 -23 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0465 * *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 L11 -0465 Printed: 05 -23 -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 Nu. Project No. ELll�lt� (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: 13985 INTERURBAN AVE S Tenant Name: GOLDEN HORSE SHOE Property Owners Name: ASH BUILDING Mailing Address: same as site King Co Assessor's Tax No.: 336590 -0230 Suite Number: Floor: New Tenant: ❑ .....Yes ❑..No TUKWILA City WA 98188 State Zi p CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: William Millhollin Day Telephone: 360- 945 -2787 Mailing Address: 1 345 GULF RD Point Roberts City E -Mail Address: William @flWpemit.COm Fax Number: WA 98281 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Mailing Address: 11824 NORTH CREEK PKWY #105 BOTHELL Contact Person: William MIIIhOIIIn E -Mail Address: William @nwpermit.com Contractor Registration Number: ADTSES103205 Expiration Date: 09/25/2011 WA City State Day Telephone: 360- 945 -2787 Fax Number: 98011 Zip Valuation of Project (contractor's bid price): $ 500.00 Scope of Work (please provide detailed information): INSTALLING SECURITY SYSTEM Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes © No Type of Use: Retail Store Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: K. Puget Sound Energy ❑ Seattle City Light RECEIVED 05- 23 -'11 15:03 FROM - H: Wppoeau 00 >W01 w >-nppucauuu> vu Lwow -euui - raes1110m r 011111 hppmau 011.000 TO- publicworks /dcd P001/003 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added /altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added /altered without service change $50.00 (up to 5 circuits) ❑ Circuits added /altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured /mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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: Mailing Address: IDate Application Accepted: 13L1 S -mo `V= 'rte Date: ■/Z3i Day Telephone3 )• y 5- Z -0 A G0 City State Zip Date Application Expires: RECEIVED 05- 23 -'11 15:03 FROM - Fr:. Appucmuou >Le 04 m > -n ppo caw 014 s .0 Lau cv' -woi - c.auucm 0011014 np)nitnuou 0014 TO- publicworks /dcd P002/003 • 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.TukwilaWA.gov RECEIPT Parcel No.: 3365900230 Permit Number: EL11 -0465 Address: 13985 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 05/23/2011 Applicant: GOLDEN HORSE SHOE Issue Date: Receipt No.: R11 -01045 Payment Amount: $75.60 Initials: JEM Payment Date: 05/23/2011 03:17 PM User ID: 1165 Balance: $0.00 Payee: NORTHWEST PERMIT INC, ADT ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1557 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 05 -23 -2011 .rte r•. INSPECTION RECORD Retain a copy with permit ha 19 PERMIT 0. CITY OF TUKWILA BUILDING DIVISION (206) 431 -367 INSPECTION NO. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: 461/v64 140_5(5 Type of Inspection: 2./00 Address:' 311c ` A ! Date Called: Special Instructions: 50frAxt frti Date Wanted: 4/0 7 a Requester: Phone No: 514 Approved per applicable codes. D Corrections required prior to approval. FOMMENTS: K 4A, Date: ❑ REINSPECTION EE REQUIRED. rior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: .J 1 INSPECTION RECORD • t� Retain a copy y with permit H PO i INSPECTION NO. ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 lie, (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 4 poe4e5oeype of Inspection: • Address: / 3 )5 ! Date Called: Special Instructions: ,�f 9 [F�f'.'J 1 Date Wanted: 6 0p p• . Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Acte95 EcPt(ii.J ndv i0J15* nccE55 Inspector: Date: 46 y r7 REINSPECTION' FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page 1 Page 1 of 3 Electrical Contractor A business licensed by Lai 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 ADT SECURITY SERVICES INC 4254023356 11824 North Creek Pkwy N #105 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601636830 Active ADTSESI03205 Electrical Contractor 9/25/1997 9/25/2011 Limited Energy Hvac /Rfrg Ltd Energy Other Associated Licenses icense License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO Electrical Contractor Limited Energy Unused 6/9/1972 1/31/1990 Archived Master Electrician INFORMATION License BEARDGE963LS Name BEARD, GERALD E Status Active Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 01/01/1980 SNYDER, MICHAEL President 01/01/1980 MONROZE, M BRIAN Secretary 06/15/2006 FLANIGAN, TIMOTHY E Secretary 06/15/2006 ABROMEIT, RICHARD H Treasurer 08/21/2003 BOGGESS, JERRY R Secretary 01/01/1980 06/15/2006 DOHERTY, BERNARD J Secretary 01/01/1980 06/15/2006 RUZIKA, STEPHEN J Secretary 01/01/1980 06/15/2006 BECK, JAN S Secretary 01/01/1980 06/15/2006 DINIUS, DAVID Secretary 01/01/1980 06/15/2006 FINNEY, P GRAY Vice President 01/01/1980 06/15/2006 https: / /Iiortress.wn.uov /lni /bbip /Print.aspx 05/23/2011