HomeMy WebLinkAboutPermit EL11-0658 - SAVERS/VALUE VILLAGESAVERS/VALUE VILLAGE
16700 SOUThCENTER PY
EL1 1 -0658
City oOi'ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 2623049128
Address: 16700 SOUTHCENTER PY TUKW
Project Name: SAVERS/VALUE VILLAGE
ELECTRICAL PERMIT
Permit Number: EL11 -0658
Issue Date: 07/21/2011
Permit Expires On: 01/17/2012
Owner:
Name: PARKWAY SQUARE
Address: C/0 ROSEN PROPERTIES , PO BOX 5003
Contact Person:
Name: RICKE SMITH
Address: 403 SW 41 ST , RENTON WA
Contractor:
Name: NISCAYAH INC
Address: 1100 BLDG SUITE 500 , 2400 COMMERCE AV
Contractor License No: NISCAI *929NO
Phone: 206 -708 -3339
Phone: 678 - 474 -1720
Expiration Date: 07/24/2012
DESCRIPTION OF WORK:
INSTALL SECURITY SYSTEM, PREWIRE ROUGH -IN AND TRIM OUT DEVICES
Value of Electrical: NRES: $3,000.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$136.50
2008
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 pe : ce of work. I am authorized to sign and obtain this electrical permit.
Signature: r Date: 7�P/��
Print Name:
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 -4/10
EL11 -0658 Printed: 07 -21 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0658
* *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 -4/10
EL 11 -0658 Printed: 07 -21 -2011
CITY OF TUKWItik
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. Gil ` 6 i0
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.: (p 3v t-(� L)-a
l
Site Address: 6 70 0 Sl�lrt7 /V12 Piaiy Suite Number: Floor:
Tenant Name: fM"elVS 4//23 /C /uC. -VG(/ / New Tenant: ® Yes ❑..No
Property Owners Name:
Mailing Address:
(A/i/vvzvn/
d4W%Uvcwn/
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: /Tl CU $m /T7d-
Mailing Address: 1-(03 S CA/ 4 Stt •
E -Mail Address: ('/ of6,5112/.ny 2/1 /SLf4 e US
Day Telephone: ).060, - 707 ' 3 339
City
Fax Number:
State
.2(z- a(,3 -n5 y/
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: /24S (4-//J� U3/4
Mailing Address: Glo3 ($ -t/ 11) Sr
Contact Person: ride- -C , 'J 7'i79
E -Mail Address: /'/ . 507/771
Contractor Registration Number: /2/ S Cc?/ `9a9r0
City
State Zip
Day Telephone: -)OG 707'5'35'7
Fax Number: 2-o e, a /3- 0?Llt/
Expiration Date: /a/30/
Valuation of Project (contractor's bid price): $ ,FOOD
Scope of Work (please provide detailed information): /N74 % e ey $ f 723YY1 ,Qhe. lJZ.� £ AI
77Lim a «r ,4-i c - j
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
11:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
Adding more than 50 amps? ❑ Yes [ No
11 Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDEN'T'IAL 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 EL■CTRICAL CONTRACTOR:
I/
Signature: %i Date: -2/a��l
Print Name: t
de-1 S 44 1%9- Day Telephone: %% X F-333 lc
Mailing Address:_ Y"'_ .S L✓ ! 151— 5r— <b f`" 5S0S-:7
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
I S'.1Applications`Sorms- Applications On Line \20I0 Applicalions17 -2010 - Electrical Permit Application doc
Revised: May 2011
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Page 2 of 2
•
J wq City of Tukwila
sy
Department of Communi ' Develo P ment
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.: 2623049128 Permit Number: EL11 -0658
Address: 16700 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 07/21/2011
Applicant: SAVERS/VALUE VILLAGE Issue Date:
Receipt No.: R11 -01530
Initials:
User ID:
WER
1655
Payment Amount: $136.50
Payment Date: 07/21/2011 09:58 AM
Balance: $0.00
Payee: RICHE SMITH
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 026608
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: 07 -21 -2011
INSPECTION RECORD �p
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Ia. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
a
Project` �Cilittokie
)ov
Type of Inspection:
Address: // w S. t7
Date Called:
Special Instructions:
5(CA Ill
Date Wanted:.
05 d m.
�
Requester:
Phone No:
Approved per applicable codes. lCorrections required prior to approval.
COMMENTS:
1i( rdpa,
Inspector:
'Date: 0
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6-11-aq
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: 4 !
etS G Vitme,i,
Type of Inspection:
Ott
Address:
/(7 5C•Pf
Date Called:
--.
Special Instructions:
Date Wanted: .
47
%i•-*
Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
ktIseaciDkc 6:A Y/4.3
Inspector:
Date: 09/21111
❑ REINSPECTION FEE REQUIREIi. 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
64-0657
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 14„ (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Projec5wa J v
' i eType
V
of Inspection: /f�
Address:
Date Called:
Special Instructions:
Date Wanted:.
td
a.m.
P.m
Requester:
Phone No:
ElApproved per applicable codes. ® Corrections required prior to approval.
COMMENTS:
gkkif L ALa 5 iT C-e t 64) - gawk
49.\ L-W l»I' ■iektAcAllohil
•
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
Contractors or Tradespeople Prier Friendly Page
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Page 1 of 2
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
NISCAYAH INC
6784741720
Bldg 1100 Ste 500
2400 COMMERCE AVE
Duluth
GA
30096
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601802666
Active
NISCAI *929N0
Electrical Contractor
7/24/2008
7/24/2012
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty
Specialty 2
Ef Date Effective
Ex Date on
Status
PINKESI010JH
PINKERTON
SYSTEMS
INTEGRATION
Electrical
Contractor
Limited
Energy
Unused
4/8/1999
4/8/2001
Archived
OMEGAC *077NB
OMEGA
CORPORATION
Electrical
Contractor
Limited
Energy
Unused
8/2/1993
10/15/1999
Archived
SECURSS97205
SECURITAS
SECURITY SYS USA
INC
Electrical
Contractor
Limited
Energy
Unused
9/25/2003
9/25/2009
Out Of
Business
PINKES1010LS
PINKERTON SYS
INTEGRATION INC
Electrical
Contractor
Limited
Energy
Hvac /Rfrg
Ltd Energy
6/10/1999
6/10/2005
Out Of
Business
Electrical Administrator INFORMATION
License DIETSME948N2
Name DIETSCH, MICHAEL E
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
NATIONAL REGISTERED AGENTS INC
Agent
08/20/2008
LOHNE, BJORN
President
08/20/2008
MANEE, ROBERT
Treasurer
08/20/2008
LOBDELL, KEVIN
Vice President
08/20/2008
https://fortress.wa.gov/lniThbip/Print.aspx
07/21/2011