HomeMy WebLinkAboutPermit EL11-0895 - SAVERS/VALUE VILLAGESAVERS/VALUE YLLLAGE
16700 SOUThCENTER PY
EL1 1 -0895
City oPI'ukwila
•
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.: 2623049128
Address: 16700 SOUTHCENTER PY TUKW
Project Name: SAVERS/VALUE VILLAGE
ELECTRICAL PERMIT
Permit Number: EL11 -0895
Issue Date: 09/29/2011
Permit Expires On: 03/27/2012
Owner:
Name: PARKWAY SQUARE L L C
Address: PO BOX 5003 , BELLEVUE WA
Contact Person:
Name: KEVIN LEWIS
Address: 804 W MEEKER ST, SUITE 102 , KENT WA
Contractor:
Name: A C ELECTRIC SERVICE INC
Address: 804 W MEEKER ST STE 102 , KENT WA
Contractor License No: ACELESI025DF
Phone: 253 - 852 -0225
Phone: 253 852 -0225
Expiration Date: 03/06/2012
DESCRIPTION OF WORK:
LIGHTING CIRCUIT FOR EXTERIOR AWNING
Value of Electrical: NRES: $300.00
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:
$67.20
2008
Date: Qt `'01-g H
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 doe e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: ') re tl% 'u V 1A-6 uv
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 -0895 Printed: 09 -29 -2011
PERMIT CONDITIONS O
Permit No. EL11 -0895
* *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 -0895 Printed: 09 -29 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.qov
Electrical Permit No.
1- oB9S
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
�y C, � (� King Co Assessor' Tai No.-
Site Address: \ & C S��L1{ V \X 4j a i (1� K (KAI 1 "(°`•\ ui e Number.1 u Floor:
Tenant Name: V6Q,C \i ,\\ e__ . J New Tenant: ❑ Yes
V Property Owners Name: vc >\uE V 1 , ('_
Mailing Address: WC' -'- E\ N NA G{i \(V \ 1-■- 1(Vc,\ \C,• � �i 1 r-
y City State Zip
No
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
N t �L ?I S Day Telephone: (6S 3) KS� L1 S
�1 e� \f1ee\6_ A(eL; uf\ fl 3,)
Mailing Address:
E -Mail Address:
City c \C- c \eC0 \U \`ltt 1` Fax State G Zip
( �\ (� • Fax Number: C ds 3� � ( S 0
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 0■Q \ec \ -(z∎ Sc av ICC i k)
Mailing Address: .)-- -k ( 1 tip-! e.._ 1L)3- -
City
Contact Person:
E -Mail Address: CSC aeVC �`' \RA \ ,C a (V)
Contractor Registration Number: ! C L . \ L. `a 0c
State Zip
Day Telephone: (AS Ii 5;)
Fax Number: (-1)) 13 `j$l
Expiration Date: I 14 0 4-,
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): (.--v
C∎IZCLAiV
Will service be altered? ❑ Yes y No Adding more than 50 amps? ❑ Yes /6 No
Type of Use: C L +1i1me' Q.+ c�\
Type of work:
El New Addition ❑ Service Change
❑ Fire Alarm
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applicat ions \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
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 -
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.
1 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 O EI CTRICA CONTRACTOR:
Signature:
Print Name:
Mailing Address:
,11
S
T f2 S�'rS ' \ U; (VS() 3
City State Zip
Date:
Day Telephone: (&S3) 01 C)
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: \Applicationfforms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
o
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.: 2623049128 Permit Number: EL11 -0895
Address: 16700 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/29/2011
Applicant: SAVERS/VALUE VILLAGE Issue Date:
Receipt No.: R11 -02131
Initials: WER
User ID: 1655
Payment Amount: $67.20
Payment Date: 09/29/2011 08:29 AM
Balance: $0.00
Payee: AC ELECTRIC SERVICES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15767 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receipt -06 Printed: 09 -29 -2011
•
F.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT 0.
• CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451 114.
Project: < , /44Am
,X401-J.51 %/luiA41(
Type of Inspection:
4-9 a
40
A ddr ess: ii v 706 .
Date Called:
1
Special Instructions:
.
Date Wanted:
00 CigE7 ;
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:
//5411
ri REINSPECTION FEE REQUIRED. Prior to next inspectio . fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pry er Friendly Page
•
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 A C ELECTRIC SERVICE INC UBI No. 601858837
Phone 2538520225 Status Active
Address 804 W Meeker St Ste 102 License No. ACELESI025DF
Suite /Apt. License Type Electrical Contractor
City Kent Effective Date 3/6/1998
State WA Expiration Date 3/6/2012
Zip 98032 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License CHUTIAM960L8
Name CHUTICH, ALAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CHUTICH, ALAN
01/01/1980
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
3
NATIONWIDE MUTUAL
INS CO
7900313590
03/05/2007
Until Cancelled
19.28.010 RCW
ELECTRICAL CITATION
$4,000.0002/02/2007
$500.00
2
MERCHANTS BONDING
CO (MUTUAL)
WA 12906
03/05/2005
Until Cancelled
03/05/2007
$4,000.0002/01/2005
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
EJORP01701
9/5/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EREEB00387
8/6/2009
19.28.010 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/29/2011