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HomeMy WebLinkAboutPermit EL12-0255 - EYE INNOVATIONSEYE INNOVATIONS 16870 SOUThCENTER PY EL1 2-0255 Parcel No.: Address: City oikukwila 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 16870 SOUTHCENTER PY TUKW Project Name: EYE INNOVATIONS INC ELECTRICAL PERMIT Permit Number: EL12 -0255 Issue Date: 03/16/2012 Permit Expires On: 09/12/2012 Owner: Name: SOUTHCENTER SQUARE LLC Address: PO BOX 5003 , BELLEVUE WA Contact Person: Name: TERRY GARRISON Address: 23953 58 CT SW , KENT WA Contractor: Name: DEVCON SECURITY SVCS Address: 3880 N 28 TERRACE , HOLLYWOOD FL Contractor License No: DEVCOSS897DT Phone: 206 - 713 -3427 Phone: Expiration Date: 03/30/2013 DESCRIPTION OF WORK: INSTALL SECURITY SYSTEM WITH MOTION KEY PADS & GLASS BREAK Value of Electrical: NRES: $450.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: Permit Center Authorized Signature: I hereby certify that I have read and e governing this work I • e complie The granting of t construction or permit•• e performan es not p of wor Fees Collected: National Electrical Code Edition: 74.41 AY ', J _ _ ed t `i , ermit and know the same to be true and correct. All provisions of law and ordinances 'th, whethe •pecified herein or not. Dat $71.40 2008 sume to give a am aut • -'v thority to violate or cancel the provisions of any other state or cal laws regulating ed to ' - d obtain this electrical permit. Signature: Date: Print Name: 1 ii.-i4 v. S (, - 2vZ-K- ,+ S 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 -0255 Printed: 03 -16 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0255 * *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 -0255 Printed: 03 -16 -2012 CITY OF TUKWIIA Community Developme partment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 litip://www.TukwilaWA.gov Electrical Per No. 6,D eG Project No. Date Application Accepted Date Apphcatton Expires (For office use 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 Address: 6 CS fl.-) 6 (/I& P Tenant Name: fi y IN ks 4U AA—) S PROPERTY:P*0, Name: Address: PA-Tra-i Tt City: State: Zip: ,. CONY' : - 6936?'40 ' r project , , - 4. Ncoarrmmeu:riteatTitivit.kfcA4 .6,...2i9.,t_i?A., 0 Company Name: I f..i s Address: Address: CitY:px,c-iat-state.1-99- Zip: 9g5:37:, Phone:02_06 Zip: Phone: Fax: Email: Contr Reg No.: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: Ls 11. No ELECTRICAL CONTRACTOR , 0 ATIO Company Name: I f..i s Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Li Scope of Work (please provide detailed information): ..14...1 S741.1 c..A.ark...ir g V Srrc--f/vl bo/TIA_ nthveri c.s- 1•.--ti AoriO -6— 2,-,4-6S 13 Will service be altered? Yes EL-140"-- Adding more than 50 amps? Yes Type of Use: Type of work: O New 0 Addition 0 Service Change 0 Remodel etint hnprovement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy 0 Seattle City Light H:\Applications\Forins-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 $10.50 ea Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY TH VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY T�WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER- QII7ELECTRICA ►1 CONTRACTOR: Signature.` Print Name: \ I ✓L r9 v 1 S Mailing Address: LSO O iS a sr H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx Revised. August 2011 bh Day Telephone: /1,Z n/ City Date: 3 %L % --z- l_ c3 1 (34. ---‘3 `i-S c w r} g$ z State Zip Page 2 of 2 • • 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.: Permit Number: EL12 -0255 Address: 16870 SOUTHCENTER PY TUICW Status: PENDING Suite No: Applied Date: 03/16/2012 Applicant: EYE INNOVATIONS INC Issue Date: Receipt No.: R12 -01071 Payment Amount: $11.55 Initials: TLS Payment Date: 03/16/2012 08:23 AM User ID: 1670 Balance: $0.00 Payee: TERRY R GARRISON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 142532 ACCOUNT ITEM LIST: Description 11.55 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 11.55 Total: $11.55 doc: Receiot -06 Printed: 03 -16 -2012 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.: Permit Number: EL12 -0255 Address: 16870 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 03/16/2012 Applicant: EYE INNOVATIONS INC Issue Date: Receipt No.: R12 -01070 Payment Amount: $59.85 Initials: TLS Payment Date: 03/16/2012 08:22 AM User ID: 1670 Balance: $11.55 Payee: DEVCON SECURITY SERVICES CORP TRANSACTION LIST: Type Method Descriptio Amount Payment Check 63024 59.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 59.85 Total: $59.85 doc: Receiot -06 Printed: 03 -16 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit i :2 ft. "5 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 F (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Eve , ,ate Type of Inspection:� 11) J Address: i Date Called: Special Insl;r&tions: Date Wanted:. 7 -/if Y2 4..m: p.m. Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: 1.3,1(' Inspector: r ((gay grort9.,47 Date: REINSPEC"IION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit f14-0155- INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36k Permit Inspection Request Line (206) 431 -2451 Project: ." c L1( ,kilo I noMM Type of Inspection: 7o3 Address: I �� ��� � .�. H. Called: Special Instructions: 5a kI v1 ! Date Wanted:. 3 , 1 a.m. Requester: Phone No: [Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Jti Inspector: Date: REINSPECTION FEE REQUIRED. Prtior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prier Friendly Page Electrical Contractor A business licensed by LEt1 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 DEVCON SECURITY SVCS CORP 9549265200 3880 N 28Th Terrace Hollywood FL 33020 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603082426 Active DEVCOSS897DT Electrical Contractor 3/30/2011 3/30/2013 Limited Energy Unused Electrical Administrator INFORMATION License POLLARS895D3 Name POLLACK, ROY SHELDON Status Active Business Owner Information Name Role Effective Date Expiration Date CORP SERVICE CO Agent 03/30/2011 Bond Amount MCINTOSH, MARK M Chief Financial Officer 03/30/2011 0571584 FARENHEM, ROBERT C President 03/30/2011 MACDONALD, ANN M Vice President 03/30/2011 Hartford Fire Ins Co 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 2 International Fidelity Insurance CO 0571584 08/23/2011 Until Cancelled $4,000.00 09/07/2011 1 Hartford Fire Ins Co 57BSBFY9000 03/24/2011 Until Cancelled 11/29/2011 $4,000.00 03/30/2011 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 03/16/2012