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HomeMy WebLinkAboutPermit EL12-1038 - SEARSSEARS 18340 OLYMPIC AV S EL1 2-1038 City 4/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 Parcel No.: 7888900155 Address: 18340 OLYMPIC AV S TUKW Project Name: SEARS ELECTRICAL PERMIT Permit Number: EL12 -1038 Issue Date: 10/31/2012 Permit Expires On: 04/29/2013 Owner: Name: C/O EPROPERTYTAX INC Address: DEPT #207 , PO BOX 4900 85261 Contact Person: Name: DAVID M PHIPPS Address: 5774 SW ARTIC DR , BEAVERTON OR, . 97005 Contractor: Name: FIRE PROTECTION SERVICES INC Address: 5573 SW ARCTIC DR , BEAVERTON OR 97005 Contractor License No: FIREPPS963NS Phone: 506 590 -3732 Phone: 203 590 -3732 Expiration Date: 08/10/2014 DESCRIPTION OF WORK: INSTALL LOW VOTLAGE FIRE ALARM Value of Electrical: NRES: $22,000.00 Fees Collected: $470.90 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie National Electrical Code Edition: 2008 Date: 09 2 ed 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 pre • • e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performanc of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: �Q �� b ✓2 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 -1038 Printed: 10 -31 -2012 PERMIT CONDITIONS Permit No. EL 12 -1038 * *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 -1038 Printed: 10 -31 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov I —eOe— 431 — b(0rl fd 7`Bq Electrical Permit No. ELI ' L O 21 Project No. Date Application Accepted: PI 22k,�, �-- 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 King Co Assessor's Tax No.: 1 C S ! 10 — OE Site Address: 18340 Olympic Ave S. Suite Number: Floor: Tenant Name: Sears New Tenant: Yes ❑ ..No PROPERTY OWNER Name: David M. Phipps Address: 5774 SW Arctic Drive Name: Sears Phone: (503) 590 -3732 Fax: (503) .628 -6214 Email: phipps @fpsnw.com Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: David M. Phipps Address: 5774 SW Arctic Drive City: Beaverton State: OR Zip: 97005 Phone: (503) 590 -3732 Fax: (503) .628 -6214 Email: phipps @fpsnw.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Fire Protection Services, Inc. Address: 5774 SW Arctic Drive City: Beaverton State: OR Zip: 97005 Phone: (503) 590 -3732 Fax: (503) 628 -6214 Contr Reg No.: firepps963ns Exp Date: 08/10/2014 Tukwila Business License No.: boo (D 1 Oa.° 1. L kt rY\F, K N O Valuation of Project (contractor's bid price): $ of Work (please provide detailed information): . i1C *ll Low f/oX r�i ie:c Ark) rl . Will service be altered? Type of Use: Type of work: ❑ New ig Addition ❑ Service Change • Low Voltage ❑ Generator , , ❑ Fire Alarm Pro rt Served b : Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line\2011 Apptications\Electrical Permit Application Revised 8 -9 -1 l.docx Revised: August 2011 bh 1 Adding more than 50 amps? ❑ Yes J No ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page I 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 follpwing 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: i4/1) ( Lk f A t` PjS 1 PRS4e'id Mailing AddressS5 /13 &O /TKCJ/C 04-il V 6 &Eh 1,46/21 a' 1 Date: lQ %30/1 A Day Telephone: 5b3'S! O `3'73c- 97 ns City H:\Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -I l.docx Revised: August 2011 bh 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 Parcel No.: 7888900155 Address: 18340 OLYMPIC AV S TUKW Suite No: Applicant: SEARS RECEIPT Permit Number: EL12 -1038 Status: APPROVED Applied Date: 10/31/2012 Issue Date: Receipt No.: R12 -03013 Initials: JEM User ID: 1165 Payment Amount: $470.90 Payment Date: 10/31/2012 11:43 AM Balance: $0.00 Payee: FIRE PROTECTION SERVICES, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 12695 470.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 470.90 Total: $470.90 dor.• RPraint -116 PrintMri• 1(1- 31 -9M9 INSPECTION NO. INSPECTION .RECORD Retain a copy with permit PERMIT NO: fug io3g CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431-2451 Project: 5 Type of Inspection:., /O Address: g13410 V �i l ' F f fe., Date Called: Special Instructions: rf' + Date Wanted: ..m. Requester: Phone No: MApproved per applicable codes. COMMENTS: Corrections required prior to. approval. Li I Inspector: --1..- [1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must lie paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr *er Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company FIRE PROTECTION SERVICES INC 5035903732 5573 Sw Arctic Dr Beaverton OR 97005 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602411893 Active FIREPPS963NS Construction Contractor 8/10/2004 8/10/2014 Fire Protect System Unused Business Owner Information Name Role Effective Date Expiration Date PHIPPS, DAVID MICHAEL President 08/10/2004 Amount FOSTER - PHIPPS, YVONNE MARIE Secretary 08/10/2004 CNT016969 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 1 CBIC PD7242 07/22/2004 Until Cancelled $6,000.00 08/01/2004 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 Red Shield Ins CNT016969 12/11/2011 12/11/2012 $1,000,000.0012 /12/2011 3 CEOD SHIELD INS CNT012896 12/11/2009 12/11/2011 $1,000,000.00 12/08/2010 2 RED SHIELD INSURANCE CO CNT012896 12/11/2004 12/11/2009 $1,000,000.00 04/25/2008 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 10/31/2012