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