HomeMy WebLinkAboutPermit EL12-0107 - BOULEVARD HOME FURNISHINGSBOULEVARD HOME
FURNISHINGS
17686 SOUTHCENTER PY
EL12 -0107
wq City ofkukwila
tiDepartment 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.: 3523049005
Address: 17686 SOUTHCENTER PY TUKW
ELECTRICAL PERMIT
Project Name: BOULEVARD HOME FURNISHINGS
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0107
02/08/2012
08/06/2012
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO
Address: PROPERTY TAX DEPARTMENT , 3333 NEW HYDE PARK STE 100
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
MARSHALL JONES Phone: 253- 561 -1233
27726 131 CT SE , KENT WA
M JONES ELECTRIC Phone: 253- 561 -1233
27726 131 CT SE , KENT WA
Contractor License No: MJONEJE90400
Expiration Date: 09/20/2012
DESCRIPTION OF WORK:
LIGHTING RETROFIT
Value of Electrical:
NRES: $4,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$157.50
2008
Date:
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 • - • ormance • f w • .. gr authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:2 ` B '-/ 2
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
EL12 -0107 Printed: 02 -08 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -0107
* *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
EL12 -0107 Printed: 02 -08 -2012
CITY OF TUKWII '1
Community Developmegpepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
i \.LLoe
Electrical Pert No. E L` )--- 0 (07
Project No.
Date Application Accepted:
Date Application Expires:
(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
—7f I King Co Assessor's Tax No.: (r70 (log Ru I lv
Site Address: I / l) (D torvP.t'liey- PPJ, Lott c Suite Number: Floor:
Tenant Name: ) QIeL,bXd Marne - E)ani:shfic.c New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name: f7 Old I e 1 d Aio(Yle. "Tld en 1s 11 it CAS
�"
Address: `...1 ogip sou+h�n'�Y' Pr 6 wa v
City: �IAIllZ1(ta State: 08_ Zip :% fig,
CONTACT PERSON — person receiving all project
communication
Company Name: m .cimes -F I G
Name: m a I/ Z on s
City: \ fit State: ken_ Zip: C oy)
Address: a, -Id l0 i1 C ( S&
Contr Reg No.: 1113o egotA OD Exp Date: ci ab ab(�
City: 1 I o ,..+ State: mei_ Zip: C
30
Phone: ' 5(0 1.12.3 3 Fax:
Email: YYl, -sones53a2beit-rnai•I.upry..,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: m .cimes -F I G
Address: a l aL° 131 %T SG—
City: \ fit State: ken_ Zip: C oy)
Phone: (953_ 1 _ 1a33 Fax:
Contr Reg No.: 1113o egotA OD Exp Date: ci ab ab(�
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 11 000
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes pi No
��
Type of Use: U1, o R l (,L
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
Adding more than 50 amps? ❑ Yes ® No
❑ Service Change ❑ Remodel
❑ Tenant Improvement
❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
•
City of Tukwila
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
RECEIPT
Parcel No.: 3523049005 Permit Number: EL12 -0107
Address: 17686 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 02/08/2012
Applicant: BOULEVARD HOME FURNISHINGS Issue Date:
Receipt No.: R12 -00552
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $157.50
Payment Date: 02/08/2012 10:28 AM
Balance: $0.00
MARSHALL JONES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 301562
ACCOUNT ITEM LIST:
Description
157.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receiot -06 Printed: 02 -08 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 F., (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Projec& ` V A7 title `
Type of Inspection:
� fOo
Address: fy
��u,'6 3.c. `
Date Called:
.,
Instructions:
O 1/ � 49R _ �
Date Wanted:.
ziSpecial
fr a
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
�f
Inspector:
LfEr. (lc
Date:
04- HiltZ■
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 Peer 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
M JONES ELECTRIC
2535611233
27726 131St Ct Se
Kent
WA
98030
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601698416
Active
MJONEJE90400
Electrical Contractor
9/20/2010
9/20/2012
General
Unused
Electrical Administrator INFORMATION
License JONESMH968P1
Name JONES, MARSHAL H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JONES, MARSHALL H
Owner
09/20/2010
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
6734467
09/16/2010
Until Cancelled
$4,000.00
09/20/2010
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 02/08/2012