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Permit EL11-0754 - FOUR SEASON BEAUTY SUPPLY
FOUR SEASONS BEAUTY SUPPLY 1083 ANDOVER PK E EL1 1 -0754 City ofikukwila 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.: 2623049106 Address: 1083 ANDOVER PK E TUKW Project Name: FOUR SEASON BEAUTY SUPPLY ELECTRICAL PERMIT Permit Number: EL11 -0754 Issue Date: 08/12/2011 Permit Expires On: 02/08/2012 Owner: Name: PROLOGIS TLF ANDOVER LLC Address: 2235 FARADAY AVE #O , CARLSBAD CA Contact Person: Name: WILLIAM MILLHOLIN Address: 1345 GULF RD , POINT ROBERTS WA Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N # 105 , BOTHELL WA Contractor License No: ADTSESI032O5 Phone: 360- 945 -2787 Phone: 425 - 893 -3668 Expiration Date: 09/25/2011 DESCRIPTION OF WORK: INSTALL BURGLAR ALARM SYSTEM Value of Electrical: NRES: $1,177.00 RES: $0.00 Type of Fire Protection: unknown Electrical service provided by: PUGET SO Permit Center Authorized Signature: ER Fees Collected: National Electrical Code Edition: Dat $115.50 2008 I hereby certify that I have read and examined t . s permit 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. Signature: Print Name: Date: $' ).2 — I This permit shall become null and void if the work of 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 EL11-0754 Printed: 08 -12 -2011 0 • PERMIT CONDITIONS Permit No. EL11 -0754 * *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 EL11 -0754 Printed: 08 -12 -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. et., 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: 1083 Andover Park E Tenant Name: Four Seasons Beauty Supply Property Owners Name: Prologis TLF Andover LLC. Mailing Address: same as site King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ .....Yes ❑..No TUKWILA City WA 98188 State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: William Millhollin Day Telephone: 360 -94'55 -2787 Mailing Address: 1345 GULF RD Point Roberts WA 98281 E -Mail Address: William @nwpemit.com City State Zip Fax Number: 360- 945 -2091 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Security Services Mailing Address: 11824 NORTH CREEK PKWY #105 BOTHELL Contact Person: William Millhollin E -Mail Address: William @nwpermit.com Contractor Registration Number: ADTS ES 103205 WA 98011 City State Zip Day Telephone: 360- 945 -2787 Fax Number: 360- 945 -2091 Expiration Date: 09/25/2011 Valuation of Project (contractor's bid price): $ 1177.00 Scope of Work (please provide detailed information): Install a burglar alarm system Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes © No Type of Use: Commercial 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 FRECEIVED 08- 12 -'11 12:20 FROM — E1:1Appitutuaoustr VI UI!'- elppul:aUVU VU LWCW-LVV / -Li ClLIIIYY YOIU11 ■pplC atom VV TO- publicworks /dcd PO01/003 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: Date: Print Name: Day Telephone: Mailing Address: Date Application Accepted: City RECEIVED 08- 12 -'11 12:20 FROM - W ppu0au 01 e 0•m u"- nppu0uwux vu LW ew -e00r - LICl011a1 re us xyµIL au 011.000 State Staff Initi 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.aov RECEIPT Parcel No.: 2623049106 Permit Number: EL11 -0754 Address: 1083 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 08/12/2011 Applicant: FOUR SEASON BEAUTY SUPPLY Issue Date: Receipt No.: R11 -01754 Initials: TLS User ID: 1670 Payment Amount: $115.50 Payment Date: 08/12/2011 12:38 PM Balance: $0.00 Payee: NORTHWEST PERMIT IN ADT ACCOUNT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1831 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: 08 -12 -2011 INSPECTION RECORD Retain a copy with permit 1- D791 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tz- (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Projects c ,� _ 5 j jp�- Type of Inspection: POO Address: �,,�? tin A l3 /fJcdt - Date Called: Special Instru tions: itcrec ID : 00 atprtti S atrc Date Wanted:. 1• es Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: • / r1 Inspector: Date: 01)/2-2/1 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri, r Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by Lt*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 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 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://fortress.wa.gov/lni/bbip/Print.aspx 08/12/2011