HomeMy WebLinkAboutPermit EL12-0365 - MAYFLOWER OF CHINAMAYFLOWER OF CHINA
17005 SOUTHCENTER PY
EL1 2-0365
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.: 2623049069
Address: 17005 SOUTHCENTER PY TUKW
Project Name: MAYFLOWER OF CHINA
ELECTRICAL PERMIT
Permit Number: EL12 -0365
Issue Date: 04/19/2012
Permit Expires On: 10/16/2012
Owner:
Name: CENTER PL SHOPPING CTR LLC
Address: C/O THOMSON REUTERS PTS , 2235 FARADAY AVE SUITE 0
Contact Person:
Name: JENNIER BURGESS Phone: 206 774 -9499
Address: 1345 GULF RD , POINT ROBERTS WA
Contractor:
Name: ADT SECURITY SERVICES INC
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA
Contractor License No: ADTSESI032O5
Phone: 425 - 893 -3668
Expiration Date: 09/25/2013
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE BURGLAR ALARM
Value of Electrical:
NRES: $274.00
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:
I hereby certify that I have read and ex
governing this work will be complied
Date:
$67.20
2008
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres •.. to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
ti ��n^
Print Name: (V V � N V 1
11426gAfie
Date: t *-?4?
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 -0365 Printed: 04 -19 -2012
• PERMIT CONDITIONS •
Permit No. EL 12 -0365
* *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 -0365 Printed: 04 -19 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. U(2- S'
Project No.
Date Application Accepted: " l t2
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
Site Address:
Tenant Name:
17005 Southcenter Pkwy
Mayflower of China
PROPERTY OWNER
Name: JENNIFER BURGESS/NWPERMIT -AGENT
Name: Mayflower of China
City: PT. ROBERTS State: WA Zip: 98281
Address: SAME AS SITE
Email: JENNIFER @NWPERMIT.COM
City: TUKWILA State: WA
Zip: 98188
CONTACT PERSON - person receiving all project
communication
Name: JENNIFER BURGESS/NWPERMIT -AGENT
Address: 1345 GULF RD
City: PT. ROBERTS State: WA Zip: 98281
Phone: (206) 774 -9499 Fax: (888) 400 -0383
Email: JENNIFER @NWPERMIT.COM
King Co Assessor's Tax No.: 2623049069
Suite Number: Floor:
New Tenant: ❑ Yes
CONTRACTOR INFORMATION
_ELECTRICAL
Company Name: ADT SECURITY SERVICES INC.
Address: 11824 NORTH CREEK PKWY N # 105
City: BOTHELL State: WA Zip: 98011
Phone: (206) 774 -9499 Fax: 888) 400 -0383
Contr Reg No.: ADTSESI032O5 Exp Date: 09/25/2013
Tukwila Business License No.: 990( 001 ty I ei 0
Valuation of Project (contractor's bid price): $ 274
Scope of Work (please provide detailed information):
INSTALL LOW VOLTAGE BURGLAR ALARM SYSTEM.
Will service be altered? ❑ Yes
0
No Adding more than 50 amps? ❑ Yes 0 No
Type of Use: Commercial
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
m Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro.e Served b :
Puget Sound Energy ❑ Seattle City Light
H: \ApplicationsWorn s- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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Page 1 of 2
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.
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:
s
Date: 04/19/2012
Print Name: William Millhollin Day Telephone: (206) 774 -9499
Mailing Address: 1345 GULF RD PT. ROBERTS WA 98281
City
H:\ Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8.9.1 I.docx
Revised: August 2011
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State Zip
Page 2 of 2
Ci@ of Tukwila,
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: hitp: /hvww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R12 -01368
Initials: JEM
Payment Date: 04/19/2012
User ID: 1165 Total Payment: 203.70
Payee: NORTHWEST PERMIT INC
SET ID: 0419 SET NAME: NW PERMIT
SET TRANSACTIONS:
Set Member
EL12 -0365
EL12 -0366
TOTAL:
Amount
67.20
136.50
67.20
TRANSACTION LIST:
Type Method Description Amount
Payment Check 8629 203.70
TOTAL: 203.70
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 203.70
TOTAL: 203 .7 0
INSPECTION RECORD
Retain a copy with permit
-INSPECTION NO. PERMIT NO.
62-03‘(
,,.CITYOFT-UKWILA BUILDING DIVISION
000 Southcentai OK'd:, #100, Tukwila. WA 98188 ya— (206) 431-367
. Permit InspectiOn'ReqUest Line (206) 431-2451
Projectil 7Ai W i ,.. l
f
ysb , i
Type of Inspection:
Address:, ! —0-
. 05
Date Called:
Special Ins ructions: .
'
Date Wanted: ..,,,,
2-
a.m.1
691
Requester:
Phone No:
Approved per applicable codes. DCorrections required prior to approval.
COMMENTS:
At/
•
Inspector:
i Date: oy/2.3 /ft
lbrydAit -R
REINSPECTION FEE REQUIRD. Prior to next inspection, fee must be
Paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ter Friendly Page
•
Page 1 of 3
Electrical Contractor
A business licensed by LEtI 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
ADT SECURITY SERVICES INC
2067190347
11824 North Creek Pkwy N #105
Bothell
WA
98011
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601636830
Active
ADTSESI03205
Electrical Contractor
9/25/1997
9/25/2013
Limited Energy
Unused
Other Associated Licenses
License
icense
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
AMERIDT283LZ
AMERICAN DISTRICT
TELEGRAPH CO
Electrical
Contractor
Limited
Energy
Unused
6/9/1972
1/31/1990
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
Agent
01/01/1980
KOCH, JOHN B
President
09/13/2011
BLEISCH, NELSON DAVID
Secretary
09/13/2011
FAXAS, MAGIN ANTHONY
Treasurer
09/13/2011
SNYDER, MICHAEL
President
01/01/1980
09/13/2011
MONROZE, M BRIAN
Secretary
06/15/2006
09/13/2011
FLANIGAN, TIMOTHY E
Secretary
06/15/2006
09/13/2011
ABROMEIT, RICHARD H
Treasurer
08/21/2003
09/13/2011
BOGGESS, JERRY R
Secretary
01/01/1980
06/15/2006
DOHERTY, BERNARD J
Secretary
01/01/1980
06/15/2006
RUZIKA, STEPHEN J
Secretary
01/01/1980
06/15/2006
BECK, JAN S
Secretary
01/01/1980
06/15/2006
DINIUS, DAVID
Secretary
01/01/1980
06/15/2006
FINNEY, P GRAY
Vice President
01/01/1980
06/15/2006
ROBINSON,MICHAEL A
Treasurer
08/28/2001
08/21 /2003
Bond Information
https://fortress.wa.gov/lni/bbip/Print.aspx
04/19/2012