HomeMy WebLinkAboutPermit EL11-0490 - CHA CHA THAICHA CHA THAI
375 STRANDER BL
EL1 1 -0490
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
2623049064
375 STRANDER BL TUKW
CHA CHA THAI
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0490
06/01/2011
11/28/2011
Owner:
Name: REGENCY CENTERS LP
Address: C/O PROPERTY TAX DEPT , PO BOX 790830 78279
Contact Person:
Name: JEFF BRUSSARD Phone: 425 - 244 -1445
Address: 17607 84 AV NE , ARLINGTON WA 98223
Contractor:
Name: BARRIER FIRE & SECURITY LLC
Address: 17607 84TH AVE NE , ARLINTON WA 98223
Contractor License No: BARRIFS931MC
Phone: 425 244 -1445
Expiration Date: 06/26/2011
DESCRIPTION OF WORK:
INSTALL (6) A/V DEVICES, (2) PULL STATIONS, (1) HOOD CONNECTION, (1) BOOSTER
PANEL, FIRE ALARM
Value of Electrical Work: NRES: $2,000.00 Fees Collected:
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
,J
$115.50
National Electrical Code Edition: 2008
Date: ti9 I' ( I
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:
Date: C,' I f 1 1
Print Name: �-5 r r s°'rn.c,
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
EL1 1-0490 Printed: 06 -01 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0490
* *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
EL 11 -0490 Printed: 06 -01 -2011
CITY OF TUKW LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. Lt 1 0 LO 0
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:
Tenant Name:
37 5-- 5-T2n,o,�Erz y3Lv f]
c -iP\ C.NA T)+A)
King Co Assessor's Tax No.: (Da -3��-I O 1-4
Suite Number: Floor:
New Tenant: LI Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: f_FF i2_,.66prz,,
Day Telephone: He.,- zit r-1 /1145"
Mailing Address: )`loo `32`-I "r c4 Avl; tJr AZ.L.,N)c.._ioty t,3A 9S122_3
City State Zip
E -Mail Address: f3P./MI.1 F2¢ 112..F 4 re oNrr1 t=om ■ CO w, Fax Number: 3L'Q t05b r�4 37
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
�P221�fL Plate. A 5(C- vrL ,Ty
.LLt
17 bco7 ce-c-i ? µ
'5 - Pf-
A 241 N) c-T ori.
City
E-Mail Address: BPd9-12 -1t?29 ‚as:. Q fiZpi -Tft1 . ,LQr-
Contractor Registration Number: A212.-51- sl 3 )
uA S ,z23
State Zip
Day Telephone: -12'' Z'-1 t4 ,c-f1-1
Fax Number: 3l0o (o) c) if 37
Expiration Date: 44)
Gt
Valuation of Project (contractor's bid price): $ Zoo
Scope of Work (please provide detailed information): w Ai l)tivle --S. 2' l
r, r e .' k t civet atm) 5-1-e- /Pc.na l i tz PN LA 2Yy\
, 1
on 5„
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 1E1 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Apphcahons\Fcrms- Applications On Line\2010 Applications \7-2010 - Electrical Permit Application.doc
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Page 1 of 2
IDate Application Accepted:
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 $1 1.55 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:
Print Name:
Mailing Address:
—2 GAD '61-114 Avg /'J
Day Telephone:
Date: ( l 1 / 11
L,2Ci 24-1-1 )4,-t 5-
A2t_l N C- TQ k,'DA (9S27--r-
City State
Zip
Date Application Expires:
Staff Initials:
H,'.Applications\Forms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application. doc
bh
Page 2 of 2
1
•
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
Parcel No.: 2623049064
Address: 375 STRANDER BL TUKW
Suite No:
Applicant: CHA CHA THAI
RECEIPT
Permit Number: EL11 -0490
Status: PENDING
Applied Date: 06/01/2011
Issue Date:
Receipt No.: R11 -01096
Initials: WER
User ID: 1655
Payment Amount: $115.50
Payment Date: 06/01/2011 11:13 AM
Balance: $0.00
Payee: BARRIER FIRE & SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 7129 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt-06 Printed: 06 -01 -2011
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3
INSPECTION NO.
INSPECTION RECORD , _ n -4
Retain a copy with permit
P RMIT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: aot C el---1 �
t (
Type of Inspection:
CI
Address: 3 ?S
Date Called:
Special Instructions:
Op,
Date Wanted:
Vol
��a,.� -ac?:
Requester:
Phone No:
Approved per applicable codes.
aCorrections required prior to approval:
COMMENTS:
Ookficitopi, rv)44>(
Inspector:
Date:
i
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be.
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:: .
•
•
-
INSPECTION RECORD
•
Retain a copy with permit
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: 64 ,
Type of Inspection:
[0 `,
Address: J
�,
Date Called:
Special Instructions:
(A-
Date Wanted:
a
Requester:
Phone No:
ElApproved per applicable codes.
COMMENTS:
Corrections required prior to approval. -`
IIK
— kak-55
�Et,a�V AJD Paft E itcc-r-SS
Inspector: //
I'7
Date: `
.042-1 f
t.
❑ REINSPECTION FEE REQUIRED. Prior to next inspection,, fee must
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:
•d
1
INSPECTION .RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION tZ
6300 Southcenter Blvd., #100, Tukwila. WA 98188 !,. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
eutottio
Project: e AA CIA-4 .....•- ti ki
Type of Inspection:
Address: 37 60440(1\
Date Called:
Special Instructions:
Fik
Date Wanted:
/
a:m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval. r:
14159411 a-4e CoJcic inl kiTiL- 4{io 1/E
tAlo►tE,vs geST 2oal
Rccar..- ncr1511/4 Fte.EWiWnE;tir
-4t
Inspector:
--1;7661detc
Date: t z 3/if
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prater Friendly Page
1
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
BARRIER FIRE & SECURITY LLC
4252441445
17607 84Th Ave Ne
Arlington
WA
98223
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602737876
Active
BARRIFS931MC
Electrical Contractor
6/26/2007
6/26/2011
Limited Energy
Unused
Master Electrician INFORMATION
License BROSSJB951L7
Name BROSSARD, JEFFREY B
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROSSARD, JEFFREY B
Partner /Member
07/03/2007
BROSSARD, LISA N
Partner /Member
07/03/2007
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
1
AMERICAN STATES INS
CO
6506427
06/26/2007
Until Cancelled
$4,000.00
06/26/2007
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
EHOUD00364
6/1/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 06/01/2011