HomeMy WebLinkAboutPermit EL16-0467 - BURLINGTON COAT FACTORY - COMMUNICATION CABLINGBU NGTON COAT
FACTORY
17480 SOUTHCENTER PKWY
EL16-0467
City of Tukwila
• Department of Community Development
• 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.Rov
ELECTRICAL OTC PERMIT
Parcel No:
2623049110
Permit Number: EL16-0467
Address:
17480 SOUTHCENTER PKWY
Issue Date: 5/23/2016
WA Cities Electrical Code:
2014
Permit Expires On: 11/19/2016
Project Name:
BURLINGTON COAT FACTORY
2014
Owner:
2012
WA State Energy Code:
Name:
KIR TUKWILA 050 LLC
2012
Address:
3333 NEW HYDE PARK RD #100 C/O
KIMCO REALTY CORP, PO BOX 5020
NEW HYDE PK, WA, 11042
Contact Person:
Name:
TERRI MACDONALD
Phone: (360) 403-8782
Address:
13009 208 ST NE, ARLINGTON, WA,
98223
Contractor:
Name:
ROADS WEST INC
Phone: (360) 403-8782
Address:
PO BOX 263 13009 208 ST NE,
ARLINGTON, WA, 98223
License No:
ROADSWI871RU
Expiration Date: 12/31/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALLATION OF COMMUNICATION CABLING (CAT 5 -
CAT 6)
Valuation of single family: $0.00
Fees Collected: $545.58
Valuation of mf/comm: $23,442.00
Type of Work:
LOW VOLTAGE
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: HIGHLINE,TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
Date:
I hearby 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 construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit. / /
Signature: Date:.5 z5 G F�
Print Name:
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: 'ELECTRICAL PERMIT CONDITIONS'
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKH I
Community Development Department
• Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.Rov
Electrical Permit No. t L I W— 0,4 (0 7
Project No.
Date Application Accepted:
Date Application .Expires:
use
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.:
Site Address: / �OlrTflCfit.)T�iQ pxv t/ Suite Number: Floor:
Tenant Name:_DUM/g1670AJ OAT �AC70�ZIj/ New Tenant: C'...Yes ❑..No
PROPERTY OWNER
Name:KIP1 C O /ZeA47'y
Address: u Q A ZZl $1• A-vr, &ri
City: —5/wmm,, S /`/ State: A JA Zip:9� U"j
CONTACT PERSON — person receiving all project
communication
Name: -Zl FR4&J.44,0
9 Tbf ST AJ6
Address: / , 0Q f Z 0
City: ARI -1416,r I/
State: IAS jA Zip: 9 frzz.3
Phone: 3h0 yo3' -7 V7
Fax: C3Loy7e/_ 17V
Email:
rogolSSoveSf/,C. CoIq
ELECTRICAL CONTRACTOR INFORMATION
Company Name:rOA05
,5y. AJe �kMad1CA
Address: Q
2,63
City:State:
1&,1tUGTo�
Zi
h)q p IBZZ
Phone: 3W 3' 5i7$
ax: 6&7• /
Contr Reg No.- VA bsk r 97
beg Exp Date:
Tukwila Business License NClAir o.; 9004,L4.9
Valuation of Project (contractor's bid price): $ 7 3.14W. 71
Scope of Work (please provide detailed information):
141S r4l t AT/JN OF C aN1MNAU1C A-t-i0A1 C At
Will service be altered? ❑ Yes R No
Type of Use:
Type of work:
�/ Id2�' ' ❑ 'Addition El Service Change
p--i-vc�'P67iage ❑ Generator ❑ Fire Alarm .
Property Served by:
❑ Puget Sound Energy [7f Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationslElectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bb
CAT 5 -
Adding more than 50 amps? ❑ Yes 2" No
[Remodel ' ' . ❑ ''Teliant`IJriprovement
[k"Telecommunication.." ❑ 'Temporary Service
Pagel 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
$65.00
❑
(no added/altered circuits)
$80.90
❑
Service change with added/altered circuits.................$81.90
$86.25
number of added circuits .......................$11.55
ea
❑
Circuits added/altered'without service change ............
$54.60
(up to 5 circuits)
$10.80 ea
❑
Circuits added/altered without service change ............
$54.60
(6 or more circuits)...............................................$7.65
ea
❑
Meter/mast repair .............^.........,.......'........................$68.25
❑
Low voltage systems ...r .........................'.................!.$59.85
(alarm, furnace thermostat) ,
PERMIT APPLICATION NOTES -
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑
Temporary service (residential) ..................................
$65.00
❑
Temporary service (generator) ...................................
$80.90
❑
Manufactured/mobile home service ...........................
$86.25
(excluding garage or outbuilding)
❑
Carnivals....................................................................
$80.60
Number of concessions'.....'..' ..............
$10.80 ea
'Each ride and generator truck. ...............
•
$10.80 ea
***EFFECTIVE JANUARY 1, 2014
' EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
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. , A
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. Y ,
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:
Signa
Print
Mailing Address: P Q • 5X G
5
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
�NGTaAu
City
Date: �SVZ3 /4
ie: 1(00) '103— b 7V2'
k)A 5f(ZZ3
State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
1
$545.58
EL16-0467 Address: 17480 SOUTHCENTER PKWY Apn: 2623049110
$545.58
ELECTRICAL
$519.60
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$519.60
TECHNOLOGY FEE
$25.98
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R8S39
$25.98
$545.58
Date Paid: Monday, May 23, 2016
Paid By: TRAVEL CARD 3
Pay Method: CREDIT CARD 144988
Printed: Monday, May 23, 2016 12:07 PM 1 of 1
(r-11 �SY57EM5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
Project:ID4 �
xU r4' '
Type of Inspection:
Address: f 71
Date Called:
Special Instru tions:
Date Wanted: (a. mo
®M.
Requester:
Phone No:
I paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule 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) 438-9350
Project: � r
Type of Inspection
Address: 7
Date Called:
Special Instructions:
rf�
7
Date Wanted:Z� a:m
p.m.
Requester:
Phone No:
,Approved per applicable codes. L, Corrections required prior to approval.
I V /ILI,I, - Nolle/N
Date: 07/23
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ROADS WEST INC
1-I0DIe Espahol Contact
Safety & Health
Aft Washington State Deparhnent of
CALabor & Industries
ROADS WEST INC
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Owner or tradesperson PO BOX 263
13009 208th ST NE
Principals ARLINGTON, WA 98223
LUNDBERG, KIRBY L, PRESIDENT 360-403-8782
STROTZ, GEORGE T, PRESIDENT SNOHOMISH County
STROTZ, GEORGE T, AGENT
Doing business as
ROADS WEST INC
WA UBI No. Business type
601 916 982 Corporation
Governing persons
GEORGE T
T
STROTZ
KIRBY L LUNDBERG;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
ROADSWI871 RU
Effective — expiration
12/31/2013-12/31/2017
Bond
.................
Old Republic Surety Co
$4,000.00
Bond account no.
YL1263252
Received by L&I
Effective date
12/31/2013
09/21/2007
Expiration date
Until Canceled
Savings
_
... ............... _...
No savings accounts during the previous 6 year period.
License Violations
................._................................_.
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
572,518-01
............. ...................
https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=601916982&LIC=ROADSWI871RU&SAW= 5/23/2016