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
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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