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Permit EL19-0254 - CASUAL MALE XL - INSTALL OF BUILDING BURGLAR ALARM SYSTEM.
CASUAL MALE XL 17401 SOUTHCENTER PKWY 141 ELI 9-0254 Parcel No: Address: e 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.gov ELECTRICAL OTC PERMIT 2623049120 Permit Number: EL19-0254 17401 SOUTHCENTER PKWY 141 Project Name: CASUAL MALE XL Issue Date: 3/26/2019 Permit Expires On: 9/22/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WINNERS 3 LLC 117 E LOUISA ST #230 , SEATTLE, WA, 98102 JACOD MCWHIRTER 23117 39TH AVE , BOTHELL, WA, 98188 SIMPLE SECURITY SOLUTIONS 23117 39TH AVE SE , BOTHELL, WA, 98021 SIMPLSS879RQ Phone: (425) 319-8366 Phone: (425) 766-8961 Expiration Date: 1/11/2018 DESCRIPTION OF WORK: INSTALL OF BUILDING BURGLAR ALARM SYSTEM. Valuation of single family: $0.00 Valuation of mf/comm: $2,400.00 Type of Work: LOW VOLTAGE Fees Collected: $150.15 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signatu 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 G.lita� Date:3 �� | hearby certify that | have read and examined this permit and know the same to be true and correct. All provisions nflaw and ordinances governing this work will becomplied with, whether specified herein ornot. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state orlocal laws regulating construction orthe performance nfwork. |amauthorized tosign and obtain this development permit and agree tothe conditions attached tnthis permit, Date: / I 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 orabandoned for aperiod ofl80days from the last inspection. PERMIT CONDITIONS: 1: 'ELECTRICAL PERMIT [OND|TlONS~~~ Z: Acopy cfthe electrical work permit shall beposted orotherwise made readily accessible tothe Electrical Inspector o,each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available tothe Electrical Inspector. 4: All electrical work shall be in accordance with NFPA7O' NEC, and requirements for electrical installations, Chapter 296-468VVA[and the Washington Cities Electrical Code. 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 orrelated documentation that presumes tngrant 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 tothe plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206)438-9350 2108 ELECTRICAL FINAL 7003 ROUGH'|NEL[CTR|[AL 7002, SERVICE CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. I.Z /'5 00251 Project No. Date Application Accepted: 3 9 Date Application Expires: 1-ZAR-1 (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.: Site Address: / 7 'to 1 i tAA---11 c ? K e....) Y Suite Number: ./e/ / Floor: Tenant Name: Lien-5 in /14 ..-,i A C.- New Tenant: OCYes El ..No PROPERTY OWNER Name: c c- A Address: i'7`/0 i 5 , 9 J • 1,, .1). - , c i> AO y City:._— State: 64) Zip: CONTACT PERSON - person receiving all project communication Name:.....5-- Address: Z-3 City: State: G.)Zip: G`,S00.1 Phone: eizs _...5i 7 _ c6,3Fax: E ail. .. ?7IV 54c,...r; 1-v 5.914.4:e•tv , ELECTRICAL CONTRACTOR INFORMATION Company Name:4', / 7,-- % , --", pc- Address: ZZ)17 39-1-t A t/ e - City: 3,44.e i i State: Zip:1,50ti Phone: 4/75 - 7‘G - 5slal Fax: Contr Reg No.:..5_,Afpc..55 ,vgxp Date:1// z . Tukwila Business License No.; Valuation of Project (contractor's bid price): $ '77 /C90 Scope of Work (please provide detailed information): 4,-11 fy , Will service be altered? El Yes Adding more than 50 amps? IJ Yes Type of Use: Type of work: N El Addition El Service Change El Remodel El Tenant Improvement w Voltage 0 Generator El Fire Alarm 0 Telecommunication 0 - Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:Wermit Center \Applications -Handouts \Permit Applications \PDFAElectrical Permit Application Revised 1-17-19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES o Service change or alteration $120.00 (no added/altered circuits) • Service change with added/altered circuits $100.00 number of added circuits $10.00 ea O Circuits added/altered without service change $60.00 (up to 5 circuits) 0 Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea O Meter/mast repair $80.00 Ej Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $60.00 0 Temporary service (generator) $90.00 o Manufactured/mobile home service $100.00 (excluding garage or outbuilding) o Carnivals $100.00 Number of concessions $11.00 ea Each ride and generator truck $11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: Date: ...3/ 2 P Mailing Address: 7 5 (:e-d ; Day Telephone: V75 S 1 1 6 3 City State Zip qt z- 7e) Zip W:Termit CenierkApprications-HandoutsWennit Applications \ PDFslElectrical Permit Application Revised 1-17- IR dna Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $150.15 EL19-0254 Address: 17401 SOUTHCENTER PKWY 141 Apn: 2623049120 $150.15 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143,00 TECHNOLOGY FEE $7,15 TECHNOLOGY FEE R000.322.900,04.00 0.00 $7,15 $150.15 TOTAL FEES PAID BY RECEIPT: R17249 Date Paid: Tuesday, March 26, 2019 Paid By: SIMPLE SECURITY SOLUTIONS Pay Method: CHECK 24035 Printed: Tuesday, March 26, 2019 11:29 AM 1 of 1 SYSTEM INSPECTION RECORD Retain a copy with permit INSPECTION NO. P1RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:(/ Type ofInspection: Address: Date Called: SpecialSpec;al lnstructions: Date Wanted: p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: n pector: Date: REINSPECTION FEE REQUIRED. Pr or to next inspection. fee mus paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule 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 Projec : Type o I spec ion: Address. 71D I 1 Date Called: Special n u t" s: Date Wanted: . • A Requester: Phone N : Approved per applicable codes. p El Corrections required prior to approval. COMMENTS: nspec : Date: REINSPECTI, N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Shed.. Suite 100. Call to schedule reinspec ion. 0 Washington State Department of Labor & industries Home Espanol Contact. Safety & Health Claims & Insurance ❑© Search A-7Tndex Help NI}- L&1 Workplace Rights Trades & Licensing Owner or tradesperson Principals NOECKER, ROBERT SHAWN, PRESIDENT NOECKER, ROBERT SHAWN, AGENT Doing business as SIMPLE SECURITY SOLUTIONS WA UBI No. 603 341 205 Parent company SNOECKER INC 23117 39TH AVE SE BOTHELL, WA 98021 425-766-8961 SNOHOMISH County Business type Corporation 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. SIMPLSS879RQ Effective — expiration 12/18/2013— 01/11/2020 Designated administrator HANSEN, JARED License type Electrical Administrator Bond Developers Surety & Indem Co Bond account no. 666116C Active. Meets current requirements. License no. HANSEJ*983QR $4,000.00 Received by L&I Effective date 12/17/2014 12/17/2014 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EHRAL01393 Issue date 10/22/2018 Violation city Satisfied RCW/WAC 19.28.101 RCW Violation amount $1,000.00 Help us improve