HomeMy WebLinkAboutPermit EL19-0776 - TORRID - CAT5E CABLE FOR SHOPPER TRACKTORRID
17580 SOUTHCENTER PKWY
ELI 9-0776
Parcel No:
Address:
City of Tukwila
a
ent of Community Development
63UUSouthcenterBoulevard, Suite #1OO
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-43D'9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2623049110 Permit Number:
17580 SOUTHCENTER PKWY
Project Name: TORRID
Issue Date:
Permit Expires On:
EL19-O776
9/20/2019
3/18/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KIR TUKWILA 050 LLC
3333 NEW HYDE PARK RD #100 C/O
NyW[OREALTY CORP, POBOX 50Z0
NEW HYDE PK, WA, 11042
ANDY STEENVOORDE
957 SW 41 ST , RENTON, WA, 98057
CLEARNET
Z57SVV41ST'KENTON'WA, 98U57
[LEAR~*90IPk8
'''
Phone: (206) 940-4776
Phone: (206) 420-6970
Expiration Date: 10/14/2020
DESCRIPTION OF WORK:
INSTALL (1) CAT 5E CABLE FOR SHOPPER TRACK
Vaivation of single family: $0.00
Valuation af mf/comm: $125.00
Type of Work: LOW VOLTAGE
Fees Collected: $71.71
EIectrcaI Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE,TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Buliding Code Edition:
lnternational Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
lnternational Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
Date:
2017
2017
2015
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 provisiDns of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development'ee to the conditions attached to this permit.
Signatur
Print Name:
0=20-
�]v��-/�����
r"�r�'.~.
Date
This permit shall become null and void if the work is not commenced within 3.80 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: *^*EiE[TR|[ALPERMIT ODND0ON5***
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 and the Washington Cities lectrical 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 or related
documentation that presumes to grant this authority are therefore not valid,
7: Any charige 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)43O-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. E LI - 0 7 7 p
Project No.
Date Application Accepted
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.:
Site Address: 1.1 550 Spidkcer4Q1( Pf(wki Suite Number:
Tenant NamerrOCryD
PROPERTY OWNER
Name: A \co 5--oordle._
Address:is-1 sto i_li 1...7- 5--kee+t
Name:
Address:
Address:
City?..124k4erv‘
StateiA) A
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: A \co 5--oordle._
Address:is-1 sto i_li 1...7- 5--kee+t
City: -Z, State: Zip9 180S
Address:
Tukwila Business License N; L3 51991 47:52...
City?..124k4erv‘
StateiA) A
zircr305 -
Phone:4010 ,C1/40 —
--rt
Email: •,.
Floor:
New Tenant: w.....Yes 0..No
ELECTRICAL CONTRACTOR LNFORMATJON
Company Namea4664_
Address:is-1 sto i_li 1...7- 5--kee+t
City: -Z, State: Zip9 180S
Phone:zOto _,./ Lb 409745u:
CakiLgOkaardjk Exp Date:
Tukwila Business License N; L3 51991 47:52...
Valuation of Project (contractor's bid price): $ ( ..Z.5; 00
Scope of Work (please provide detailed information): T 541St
5\kopper
Will service be altered? EJ Yes El No Adding more than 50 amps? 1:1 Yes CI No
Type of Use: Low) Vo
Tyne of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
K. Puget Sound Energy 0 Seattle City Light
W:\Permit Center \ Applications-HandoutsTermit Applications \ PDFsTlectrical Permit Application Revised l-17-19tdocx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180 00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
O 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)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
0 Meter/mast repair $80.00
• Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service ................ ,$100.00
(excluding garage or outbuilding)
O Camivals $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 LJNDER
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:
Mailing Address:
State Zip
Date:
Day Telephone:
City
WAPermit Center \ Applications-HandoutsTennit Applications‘PDFalectrical Permit Application Revised I -17- 19.do cx
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
S71.71
EL19-0776 Address 17580 SOUTHCENTER PK
Y. Apn: 2623049110
571.71
Credit Card Fee
$2.09
Credit Ca rd Fee
R000.369 908 00 00
0.00
$2.09
ELECTRICAL
$66.30
PERMIT FEE MULTI-FAM/COMM
R000.322 101.00 00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18634
R000.322.900.04.00
0.00
$3.32
$71.71
Date Paid: Friday, September 20, 2019
Paid By: ANDREW STEENVOORDE
Pay Method: CREDIT CARD 02832J
111•1110.1•116,
Printed: Friday, September 20, 2019 1:15 PM 1 of 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'433'1878
CITY OF TUKWILA
0017340000802374464500
Date: 09/20/2019 81:15:10 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********8197 K
TRAN AMOUNT: $71.71
APPROVAL CD: 028323
RECORD #: 000
CLERK ID: Bill
X
{CARDHOLDER'S SIGNATURE)
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. RMiT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request line (206) 438-9350
Project:
Type o inspection:
Address: - $ p
Date Called:
Special Instructions:
Date 1 Wanted:
/ 7
t t✓ t
a.rn.
P.m.
Requester:
Phone No: .-
77 27l
proved per applicable codes.
equired prior to approval.
REINSPECTIO FEE REQUIRED. Prior to next inspection. f -e must be
paid at 6300 Southcenter Blvd,. Suite 100, Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
‘7 77(0
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:
Type I spec i n: t
Address:
f7o$c rf
Date 'ailed:
Special instructions:
Date Wanted:
a.m.
p.m.
(C&
CiK- C -b
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ns pector:
Date:
REINSPECT! • N FEE REQUIRED. Prior to next inspection. fee must he
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Home Espahoi Contact.
Safety & Health Claims & Insurance
41111111kk Washington State Department of
/ Labor & Industries
Clearnet
.1•1•••••••••••••••••••1101111
A-2; index Help My IAM
Workplace Rights Trades & Licensing
Owner or tradesperson
Principals
WALSTON, RICHARD, PRESIDENT
Steenvoorde, Andrew P, SECRETARY
Walston, Rick, AGENT
Doing business as
Clearnet
WA UBI No,
602 615 301
Parent company
EPONYEXPRESS INC
257 SW 41ST ST
RENTON, WA 98057
206-420-6970
KING County
Business type
Corporation
Governing persons
RICHARD
B
WALSTON
ANDREW STEENVOORDE;
Certifications & Endorsements
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.
CLEAR**901PM
Effective — expiration
10/14/2010— 10/14/2020
Designated administrator
Walston, Richard B
License type
Electrical Administrator
Bond
RLI INS CO
Bond account no.
LSM0194759
Active.
Meets current requirements.
License no.
WALSTRB901PL
$4,000.00
Received by L&I Effective date
10/14/2010 10/01/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
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