HomeMy WebLinkAboutPermit EL12-0878 - MEN'S WEARHOUSEMEN'S WEARHOUSE
16971 SOUTHCENTER PY
EL12-0878
City ofiTukwila
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.: 2623049011
Address: 16971 SOUTHCENTER PY TUKW
Project Name: MEN'S WAREHOUSE
ELECTRICAL PERMIT
Permit Number: EL12 -0878
Issue Date: 09/18/2012
Permit Expires On: 03/17/2013
Owner:
Name: SCHOFIELD LP
Address: 911 MAIN ST STE 1500 , KANSAS CITY MO 64105
Contact Person:
Name: JT BATTERSON Phone: 206 419 -4568
Address: 16825 230 AV SE , MAPLE VALLEY WA, 98038
Contractor:
Name: CEDAR GROVE ELECTRIC INC
Address: 1819 CENTRAL AVE S SP 71 , KENT WA 98032
Contractor License No: CEDARGE955BC
Phone: 253 -373 -0056
Expiration Date: 01/21/2013
DESCRIPTION OF WORK:
REARRANGE EXISTING LIGHTS (TROFFERS AND TRACKS) TO NEW FLOOR PLAN. PROJECT DONE
IN MULTIPLE STAGES.
Value of Electrical: NRES: $10,000.00
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:
$264.50
2008
Date:l ` L
I hereby certify that I have read and x ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with whether specified herein or not.
The granting of this permit does not pr a 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.
ti Date: C(- t2, —f2
Signature:
Print Name:
V"'- mA
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 -0878 Printed: 09 -18 -2012
PERMIT CONDITIONS
Permit No. EL 12 -0878
* *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 -0878 Printed: 09 -18 -2012
CITY OF TUKWI
Community Developmen. _department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
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: I ( 9 L utT1-\ C -C-1") rE4'\-
Tenant Name: 111E--"":0 S G iAr?-\-ry- S-04,S t=
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes lam•• ∎lo
3
k �m
•�����
Name: GjC�
/j1`4 \�}, �i1 )�.�.in�
/'V� V 4 //l/
Address: O (I 11(1 p'\ _ C,\_. St i � 7)
l ►`
�"f1
City: > .L�` .,
(�► , State: Mu Zip: u q toc
3
k i5
Name: TT C s„,:1'i b ;J
Address: i i4, t-25 23 b t1-1 A. u c_---
City: `;yi Lc. vA —y State: fin;,p,
Zip:
&c'/
Phone: b _LA, \ci - 4.4,-1,s. Fax:
Email: s 3 `c'( ~,,— - Y'1C,a t c !n
Company Name: ,
Address: b � � 2 3a r�+ tkv e s E—
City: ya l e- vAv-u= i State: t,N P
Zip:c:fit 3/
Ph one: F `� _ z,24 ulZtk ax: (43-
L — 411 6i-ct5
Contr Reg No.: co 6C ot55 $C Exp Date: 041113
Tukwila Business License No.; 193kg 011, rL 1L1
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): RC ,Lnr(L /S- F-4; AXIS ►1 vV l.Aeo 1ITvs
2- Try LV-S) Tb e r--SE t� t: 1 vvl∎AL C t
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: C,0 a---ti
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy ❑ Seattle City Light
it-14p icetions)Forms- Applications On Line12011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised. August 2011
bh
Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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)
❑ Camivals $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 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:
Print Name: �til C 1JJ t rJ �,A Y 1Ar)
Mailing Address:
((7 )-S 2 jc •V
HAApplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Day Telephone:
Date: qi 6(;2--b
.2-b
4, 1-5 3 2-Lk t oc/ �.
yr,APt tf Vag`/ wa 1 k @��
City 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.: 2623049011 Permit Number: EL12 -0878
Address: 16971 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/18/2012
Applicant: MEN'S WAREHOUSE Issue Date:
Receipt No.: R12 -02634
Initials: JEM
User ID: 1165
Payment Amount: $264.50
Payment Date: 09/18/2012 11:14 AM
Balance: $0.00
Payee: MEL CAMAT, CEDAR GROVE ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02350G
ACCOUNT ITEM LIST:
Description
264.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
G,(7irt-
doc: Receipt-06 Printed: 09 -18 -2012
INSPECTION RECORD i
Retain a copy with permit /Ail
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 • (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: t
i 1(4
Type of Inspection:
Address: I 6 J
177 6 -( ' Fif
Date Called:
Special Instructions:
Date Wanted:.
a.rr e
p.m.
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval..
COMMENTS:
Inspector: / p /ek
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee: must, be_:
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection
N
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
r
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 _ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
thz-
Project: (`5
Type of Inspection:
b..? �0%"
Address: tin 1 `.� U
Date Called:
J
t
Special Instructions:
MOUAI D d
Date Wanted:.
I��
��/
_a.ra�_
P.m
Requester:
/
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS
-
6i-i% (1/31A1/0AJ t i l
J
--- / e0oJNIn TO
ka
5 fri5
Inspector:
Date: /o 4/' 2—
n REINSPECTION 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
INSPECTION NO - — PERMIT NO.
:CITY OF TUKWILA BUILDING DIVISION
6300.Southcenter Blvd., #100, Tukwila. WA 98188 - (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: c
tjAiLten j56
Type of Inspection:
7a03
Address:./6 q c
Date Called:
Special Instructions:.
Date Wanted:.
/0/ft 0
a r
p.m.
Requester:
-
Phone No:
Approved. per-applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
N.7//es
,Ti
Date: 1011.04
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
z
INSPECTION;.RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 1/64 5 , jA tat (
�(j CNVVJI
Type of Inspection:
703
Address: ffQQ
1171
.5.�' p
Date Called:
._
Special Instructions:
Date Wanted:.
27
ro•
.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
rr
CeliA)6 ext/eic, 1•94A4i
Inspector:
Date: di L. I'
r7REINSPECTION 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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION QC
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
IRV
Project: /IN is , j e.
`v1/ t�f j
Type of Inspection: 7
700`
Address: 161"71 70 I e • py
Date Called:
Special Instructions:
Date Wanted:.
t
f
a.m..
(p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
yA
uJ Am./ eoJG -c
Inspector:
t;
Date: 6121 /12.-
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pryer Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
CEDAR GROVE ELECTRIC INC
4254279218
16825 230Th Ave Se
Maple Valley
WA
98038
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602254353
Active
CEDARGE955BC
Electrical Contractor
1/21/2005
1/21/2013
General
Unused
her Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
CEDARGE995DW
CEDAR GROVE
ELECTRIC
Electrical
Contractor
General
Unused
3/16/2001
3/16/2005
Archived
Master Electrician INFORMATION
License BATTEJT967C5
Name BATTERSON, J T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BATTERSON,J T
Agent
01/03/2005
Bond Amount
BATTERSON, J T
President
01/03/2005
9805393
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
Lexon Ins Co
9805393
04/29/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
54,000.0004/20/2011
5250.00
2
COLONIAL AM CAS ft
SURETY OF
MARYLAND
LPM4068727
04/29/2005
Until Cancelled
06/03/2011
$4,000.00
05/09/2005
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
EHOUD00355
3/22/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
5250.00
EMABQ03686
10/22/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 09/18/2012