HomeMy WebLinkAboutPermit EL13-0588 - TOYS R US - REMODELTOYS R US
17501 SOUTHCENTERPY
ELi 3-0588
City oilrukwila a
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.: 2623049067
Address: 17501 SOUTHCENTER PY TIIKW
Project Name: TOYS R US
ELECTRICAL PERMIT
Permit Number: EL13-0588
Issue Date: 06/19/2013
Permit Expires On: 12/16/2013
Owner:
Name: CLPF-TIIKWILA LP
Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #901 98004
Contact Person:
Name: MIKE HEALY
Address: 625 NW 45 ST , SEATTLE WA, 98107
Contractor:
Name: BEACH ELECTRIC LLC
Address: 625 NW 45 ST , SEATTLE WA 98107
Contractor License No: BEACHEL960JL
Phone: 206 781-5551
Phone:
Expiration Date: 04/13/2014
DESCRIPTION OF WORK:
DISCONNECT AND RECONNECT FIRE HVAC UNITS ON ROOF (RELATED TO PERMIT M13-088)
Value of Electrical: NRES: $2,900.00
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:
Date:
$136.50
2008
I hereby certify that I have read and ex. a •i this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, wh - ther 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
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
This permit shall become null and void if the works 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
EL13-0588 Printed: 06-19-2013
PERMIT CONDITIONS I
Permit No. EL 13-0588
**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
EL13-0588 Printed: 06-19-2013
CITY OF TUKWIiii
Community DevelopmeWidepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Pelt
Project No.
Date Application Accepted:
Date Application Expires:,
0 -W27-tea
i
(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 Address:
Tenant Name:
King Co Assessor's Tax No.: L
-75 0 ( _v v ><Gt p �� is r (9) -Tu 1w Suite Number: Floor: db Ol
Toy r R t4',.r New Tenant: ❑ Yes No
PROPERTY OWNER
Name:
/ k /-(,- 4 iy
Name:
CLP,F --741( 14/.114.
2_P
Address: t O 6 5 5 itis I,
q p/
City: /4tate:
Zip: ,,,g. Oa
CONTACT PERSON — person receiving all project
communication _
Name:
/ k /-(,- 4 iy
Address: c. 25 /74c,..- It, q 767 5--[
t/Yl
Address: e 2_5- ,- _ Gc
TLi f f
city:se A/ State:
Zip: ? %U
Phone:
n66 75 5/Fa%
�9 5°h-77,f—d'fa
Email: / _ / % `
`j/Jt < �1coe/ri `C.-_(C.t et• --
3
ELECTRICAL CONTRACTOR INFORMATION
Company Name: n e m c G " --7,c f✓t ‘C_
Address: c. 25 /74c,..- It, q 767 5--[
Cit tom/ Stater„ /, Zip:9 8.7 0.
P4 t
Phone:
7r( F5.5/ ?66 '7,1'44g O
Con
b�.�/i�LJ6OT L Exp Date: OA (?'
l �-1
Tukwila Business License No.; (Lt n c.- vly2.4
Valuation of Project (contractor's bid price): $ 2_900 e
Scope of Work (please provide detailed information): did- c o rlr/i e U7 �3 H d fr e C o i s f
(Vii C 6(m./ kr- O t/j iro -P
Octttohrc6 % fc-kw�i— M/3 — ® r y
Will service be altered? ❑ Yes ja No Adding more than 50 amps? ❑ Yes , No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
X
Puget Sound Energy 0 Seattle City Light
o tM P— C (1 a. 1
0 Service Change
❑ Fire Alarm
H:\Applications\Forms-Applications On Line\201 I Appiications\Electncal Permit Application Revised 8-9-11.docx
Revised: August 2011
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❑ Remodel
0 Telecommunication
❑ Tenant Improvement
0 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
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
O 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
O Meter/mast repair $68.25
O 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:
n„,4,1„
Date: 19 / 3
Print Name: Ah- - /(e-4 ( Day Telephone: 206
Mailing Address:1 Z 5 4 `f S 7-4 f c_re 9 /Te t'v-4
City
H:\Applications\Forms-Applications On Line\201 I Applications\Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
bh
Fe( -I2`�`y
Zip
State
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.: 2623049067 Permit Number: EL13-0588
Address: 17501 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 06/19/2013
Applicant: TOYS R US Issue Date:
Receipt No.: R13-01912
Payment Amount: $136.50
Initials: JEM Payment Date: 06/19/2013 07:51 AM
User ID: 1165 Balance: $0.00
Payee: MICHAEL T HEALY, BEACH ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 03899G
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
a,.,.. o,...,.:..� nc
Printed OR -19-2013
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1rz (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: g -, f
Y5
Type of Inspection:
2
Address: j79) 5 -lam/1 Pj.
f•
Date Called:
Special Instructions:
Date Wanted:
Ebt
6n.
Requester:
Phone No:
Approved per applicable. codes. Corrections required prior to approval.
COMMENTS:
r
t#Akc
7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 03(01 (t 3
Contractors or Tradespeople Prater Friendly Page
•
Electrical Contractor
A business licensed by LEt1 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
BEACH ELECTRIC LLC
2067845551
625 Nw 45Th St
Seattle
WA
98107
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602372562
Active
BEACHEL960JL
Electrical Contractor
4/13/2004
4/13/2014
General
Unused
Master Electrician INFORMATION
License HEALYM'971Cl
Name HEALY, MICHAEL
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
VAN DYKE, VIRGINIA
Partner/Member
04/13/2004
Bond Amount
HEALY, MIKE
Partner/Member
04/13/2004
2066291
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
FEDERATED MUTUAL
INS CO
2066291
04/13/2010
Until Cancelled
$4,000.0004/09/2010
2
DEVELOPERS SURETY
& INDEM CO
790926C
02/04/2008
Until Cancelled
$4,000.00
01/30/2008
1
RLI INS CO
SRS1017420
03/11/2004
Until Cancelled
04/30/2008
$4,000.0004/13/2004
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 No records found for the previous 6 year period
httns://fortress.wa.gov/lni/bbip/Print.aspx 06/19/2013