HomeMy WebLinkAboutPermit EL12-0911 - HALLOWEEN CITYHALLOWEEN CITY
17500 SOTJTHCENTER PY
EL12-091 1
City olkukwila �
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.: 2623049110
Address: 17500 SOUTHCENTER PY TUKW
Project Name: HALLOWEEN CITY
ELECTRICAL PERMIT
Permit Number: EL12 -0911
Issue Date: 09/27/2012
Permit Expires On: 03/26/2013
Owner:
Name: KIR TUICWILA 050 LLC
Address: C/O KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020 11042
Contact Person:
Name: DAN MEIGS
Address: 5113 PACIFIC HY E, SUITE 113 , FIFE WA, 98424
Contractor:
Name: IDEAL SERVICES INC
Address: 5113 PACIFIC HY E #13 , TACOMA WA 98242
Contractor License No: IDEALSI011 J2
Phone: 253 - 474 -8884
Phone: 253 475 -8884
Expiration Date: 04/22/2013
DESCRIPTION OF WORK:
INSTALL ADDITIONAL EMERGENCY LIGHT FIXTURES
Value of Electrical: NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 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
construct i��rfon work. I am authorized to sign and obtain this electrical permit.
Signature: C_ Date: ( z% -( Z
Print Name: Pc IJ ► ° E 1 CCS
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 -0911 Printed: 09 -27 -2012
• PERMIT CONDITIONS •
Permit No. EL 12 -0911
* *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 -0911 Printed: 09 -27 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L_\)-- DEt `
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.
17500 Southcenter Pkwy
King Co Assessor's Tax No.:
Site Address: Suite Number: Floor:
Halloween City
Tenant Name: New Tenant: ❑ Yes ❑ ..No
:1ROPERTri OWNER
NamcDatl Meigs
Address5113 Pacific Hiway E. #113
NameHalloween City
Phone:
253) 475 -8884 Fax: (253) 475 -8886
Email:
nennits( idealservicesinc _ com
Address:
City:
State:
Zip:
CONTACT PERSON'— person receiving all project
aconinuuuLAJon .
NamcDatl Meigs
Address5113 Pacific Hiway E. #113
Cit3j ife State: WA Zip 98424
Phone:
253) 475 -8884 Fax: (253) 475 -8886
Email:
nennits( idealservicesinc _ com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Ideal Service Inc
Address: 10 pp ppre_ipicr. 140j `) - *1) 3
City: is) r'e.- State: �fr, Zip: cibitzil
Phone 5---3 _ c., 7S- gegax: 253 `f 75. ass6
Contr Reg No.: Idealsi01 1 j2 Exp Date:
Tukwila Business License No.: 10 -1796
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
4121)/ enitc— r�c� -I
1,200
l) .
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes /1g, No
Type of Use: I/
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ ✓Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:WpplicationsWorms- Applications On Linet2011 Applications \Electrical Permit Application Revised 8.9 -I I.docx
Revised: Augu >t 2011
bh
❑ Remodel
❑ Telecommunication
Page I 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
-.PERMIT A PPLICATION 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 currcnt 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.
BUILD' N(: t IWNER OR ELECTRICAL ONTRACTOR:
Signature
Print Name:
—peN.K1 Itt 1 G) GTS
Date: 9 / 2 7/1
Day Telephone: 2-53 75--e 'Et 8'
Mailing Address: 57/ PA C) /) G )7 0 e 4-113 Fi (4v/4 48�
State Zip
H: \Applications \Funny- Applications On Line \2011 Applications\Electrical Permit Application Revisal 8 -9 -1 I do x
Revised: August 20I I
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City
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.: 2623049110 Permit Number: EL12 -0911
Address: 17500 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/27/2012
Applicant: HALLOWEEN CITY Issue Date:
Receipt No.: R12 -02713
Initials: WER
User ID: 1655
Payment Amount: $115.50
Payment Date: 09/27/2012 09:15 AM
Balance: $0.00
Payee: IDEAL SERVICES INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5010 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 09 -27 -2012
INSPECTION RECORD
Retain a copy with permit
INS ECTION 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
kof
Project: v lAk / p_
Type of Inspection:
Address:
1790 5rt • Pi-
Date Called:
Special Instructions: •
Date Wanted:.
p�
( (}
02.--
a:rrl;
(rill.
m'
Requester:
Phone No:
gApproved per applicable codes.
ElCorrections required prior to approval.
COMMENTS: (7
-MA toisi migx
Inspector:
UI�16c;J�skiS
Date:
/0
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD t
wi Retain a copy with permit (/
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: 44,40 d _ / t
Type of Inspection:
V
Address: "
!7SOD.Sc.
Date Called:
Special Instructions:
Date Wanted:.
r� /��
a.m:
Requester:
Phone No:
F sfrt�
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
(t)
- 1"111241/41 k5 *JP r1
F sfrt�
136
: - r,JSrApt.. 464 -ic1(t.Jb c,
'5
Inspector:
Date:
olo
• I
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 D ll
0 Washington State Department of
Labor & Industries
Contractors or Tradespeople Detail
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About Electrical Contractor
Page 1 of 4
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 IDEAL SERVICES INC
Phone No. (253) 475 -8884
Address 5113 Pacific Hwy E
Suite /Apt. #13
City Tacoma
State WA
Zip 98424
County Pierce
Business Type Corporation
Parent Company
UBI No. j 601905187
Status j) Active
License No. IDEALSI011J2
License Type , j j Electrical Contractor
Effective Date 4/22/1999
Expiration Date 4/22/2013
Suspend Date
Specialty 1 jq General
Specialty 2 jj Unused
Master Electrician INFORMATION
License SALZERD979M2
Name SALZER, RAY D
Status Active
® Business Owner Information a Hide All
Name Role Effective Date Expiration Date
MENDOZA, CURRAN
Agent
01/01/1980
SALZER, RAY
President
01/01/1980
SALZER, CATHY A
Secretary
06/01/2007
SALZER, CATHY
Treasurer
01/01/1980
LAMBERT, MARCIA
President
01/01/1980
12/30/2002
https://fortress.wa.gov/lni/bbip/Resultaspx
09/27/2012