HomeMy WebLinkAboutPermit EL11-0773 - TARGETTARGET
301 STRANDER BL
EL1 1 -0773
City okukwila
•
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.: 2623049005
Address: 301 STRANDER BL TUKW
Project Name: TARGET
ELECTRICAL PERMIT
Permit Number: EL11 -0773
Issue Date: 08/18/2011
Permit Expires On: 02/14/2012
Owner:
Name: TARGET CORPORATION T 0627
Address: C/O PROPERTY TAX/TPN 0950 , PO BOX 9456
Contact Person:
Name: JOHN GRIBBEN Phone: 360 - 970 -6980
Address: 6715 NE 56 AV , VANCOUVER WA
Contractor:
Name: INTELLIDWELLING
Address: 6715 NE 56 AV , VANCOUVER WA
Contractor License No: INTELL * *910KN
Phone: 360- 635 -5333
Expiration Date: 05/23/2013
DESCRIPTION OF WORK:
INSTALL DATA, TELEPHONE AND NETWORK DEVICES. INSTALL WIRING (COAX AND CAT5) FOR
VIDEO SYSTEMS. RACK AND SWITCH INSTALLATION.
Value of Electrical: NRES: $14,000.00
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:
$333.30
2008
Date: 9-le -(1
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 perfo . • ce of work. I am authorized to sign and obtain this electrical permit.
Signature%
Print Name:
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 -4/10
EL11 -0773 Printed: 08 -18 -2011
• PERMIT CONDITIONS
Permit No. EL11 -0773
* *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 -0773 Printed: 08 -18 -2011
CITY OF TUKWIL4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permil'No.
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
1 � Jr ing Co Assessor's Tax No.:
Site Address: �O \ Ck✓`` (:..J�A��� W `lcis*Suite Number: Floor:
Tenant Name: CLV
New Tenant:
Property Owners Name: —M7 34
Mailing Address: ( Sri c( ( A- g
City
❑ Yes ja. No
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Mailing Address: 67( 5
E -Mail Address:
Day Telephone: 3t'70 - 970 - 69 C
\AIX �' (
City State Zip
Fax Number: (933) 93.2 32
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: 7'7L'3 t i E .Av�
Contact Person: Lc- V`- Ott
■
coct\c s itIk g'iC1-�
,e-i11ti15tLd�ti
Contractor Registration Number: A* e q
` ' 1(0 V---k-)
E -Mail Address:
qti•C-OvOleC W c6
City State Zip
Day Telephone: 6 0 635- 5333
Fax Number: 503 22— 23) \
Expiration Date: CV 23/ 2.013
Valuation of Project (contractor's bid price): $ I L 1 O (D
Scope of Work (please provide detailed information): ,►nS-A
d,ov Cc.cx x cu
Cot- cuv.ck
Will service be altered? ❑ Yes -No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
EL Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
aPuget Sound Energy
❑ Seattle City Light
H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
•
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 ELECTRICAL CONTRACTOR:
Signature'
Print Name:
Date: (U A DW
\-0/L. Day Telephone: 360 q70 6`(
Jcte\-- a ebb
City
Mailing Address: 6°7 [ 5 J _ AJ6
State Zip
Date Application Expires:
Staff Initials:
H:1Applications\Forms- Applications On Line1201 0 Applications17.2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 2 of 2
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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.: 2623049005 Permit Number: EL11 -0773
Address: 301 STRANDER BL TUKW Status: PENDING
Suite No: Applied Date: 08/18/2011
Applicant: TARGET Issue Date:
Receipt No.: R11 -01792
Initials: WER
User ID: 1655
Payment Amount: $333.30
Payment Date: 08/18/2011 09:56 AM
Balance: $0.00
Payee: INTELLIDWELLING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1096 333.30
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 333.30
Total: $333.30
doc: Receiot -06 Printed: 08 -18 -2011
it
•
V.
:INSPECTION RECORD
Retain a copy with permit
" INSPECTION ,o:; RMIT NO.
:.CI Y OF;TUKWILA BUILDING DIVISION
6300••Southcenter:. Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection'Request Line (206) 431 -2451
Project:
�!
Type of Inspection:
Address:
1 Stivvi 96\
Date Called:
Special, Instructions: ,.
�y�
Date Wanted:.
g' 7
a.m.
0
Requester:
Phone No:
'Approved per applicable codes. a Corrections required prior to approval. IL
O MENTS: "
Inspector:
Date:
0
11
0 REINSPECTION FEE REQUIREI3. Prior to next inspection fee must be
paid at 6300 Squthcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD) _ D
Retain a copy with permit
CITY OF TUKWILA. BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 it. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
INSPECTION NO.
PERMIT NO.
Project: /%
tr
Type of Inspection:
��
Address: 31.3 f S ,fie
j
Date Called:
Special Instructions:
Date Wanted:.
22_
a.m.
Requester:
Phone No:
•
Approved per applicable codes.
aCorrections required prior to approval.
COMMENTS:
eL'(U-Jc
kkPr AT £ a)v
� u emus
wuzc'
rr
Inspector: ` �,� nicfaidel
Date: ce/2211
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. •
Contractors or Tradespeople PriS Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
INTELLIDWELLING
3606355333
6715 Ne 56Th Ave
Vancouver
WA
98661
Clark
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601971603
Active
INTEL**910KN
Electrical Contractor
5/15/2009
5/23/2013
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
UNITEW'994L2
UNITED
WIRE
Electrical
Contractor
Limited
Energy
Unused
6/22/2001
6/22/2003
Archived
Electrical Administrator INFORMATION
License WHITENS933DA
Name WHITE, NICHOLAS SCOTT
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
WHITE, NICHOLAS S
Owner
05/15/2009
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
TRAVELERS
CASUALTY i3 SURETY
CO OF AMERICA
105274339
05/11/2009
Until Cancelled
$4,000.00
05/15/2009
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/18/2011