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Home My WebLink AboutPermit EL19-0866 - ROSS DRESS FOR LESS - REMOVE PHONET DATA CABLING FOR REGISTER RECONFIGURATION. RE-PULL APPROXIMATELY 15 CATROSS DRESS FOR LESS 17672 SOUTHCENTER PKWY ELI 9-0866 Parcel No: Address: City of Tukwila " K�m^w��va Department of Community Development 63U0SouthcenterBoulevard, Suite #10O Tukwlla, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438'9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 3523049005 Permit Number: EL19-0866 17672 SOUTHCENTER PKWY Project Name: ROSS DRESS FOR LESS Issue Date: 10/22/2019 Permit Expires On: 4/19/2020 Owner: Name: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KIR TUKW|LA05QLL[/K|MO] 3333 NEW HYDE PARK STE 100 PROPERTY TAX DEPARTMENT, NEW HYDE PARK, WA, 11042 RICK WALSTON Phone: (206) 420-6970 257SVVFIRST ST'RENTON,WA, 98057 [LEARNET Z57SVV41ST,R[NTON'WA, 98057 [LE4K~~9O1PK4 Phone: O06 420-6970 Expiration Date: 10/14/2020 DESCRIPTION OF WORK: REMOVE EXISTING PHONET DATA CABLING FOR REGISTER RECONFIGURATION. RE-PULL APPROXIMATELY 15 CAT 5E CABLES TO 9 REGISTER LOCATIONS. RE -TERMINATE, TEST AND LABEL. Valuation of single family: $000 Vauation of mf/comm: $3'600.00 Type of Work: TELECOM Fees Collected: $178.48 Electrical Service Provided by: PUGET SOUND ENERGY Water District: M|GHL|NETUKVV|L4 Sewer District: TUKWILA Current Codes adopted by the City ofTukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 Permit Center Authorized Signature: 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: Print Name: e'ck .1)k_ /s 7472 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 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 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 TU Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For office use only) q-08402 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 Site Address: Tenant Name: 1767.1- 5 Ros5 Dry s King Co Assessor's Tax No.: er Pk Suite Number: Floor: 55' New Tenent: 0 Yes PROPERTY OWNER Company Namey) le cl, .,_ (1_,mronire.04045. Name: Name: Address: ac4- 5t4) ,_// 5 r sr Contr Reg No.:C C.E/41-R-40C90/E77/1/50//q/gOge) Address: Phone:d,06 gfa• 0 & 97 'a-06, 5366 760 City: State: Zip: CONTACT PERSON — person receiving all project communication Company Namey) le cl, .,_ (1_,mronire.04045. Name: City: ev /C e-ei•for.) State: toifrf Zip: 9 so 5 Address: ac4- 5t4) ,_// 5 r sr Contr Reg No.:C C.E/41-R-40C90/E77/1/50//q/gOge) City: State: e4 A Zip: 9 605 Phone:d,06 gfa• 0 & 97 'a-06, 5366 760 Email: (- c -k c -i raL4 . n e- r ELECTRICAL CONTRACTOR INFORMATION Company Namey) le cl, .,_ (1_,mronire.04045. Address: a 0 SLI gi 'sr -5 r City: ev /C e-ei•for.) State: toifrf Zip: 9 so 5 Ph°ne: (2-06YO106171, Fax:0-06 3.36,696,o Contr Reg No.:C C.E/41-R-40C90/E77/1/50//q/gOge) Tukwila Business License No.; svc 0 ..3 a Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): & 00 °Vf- 5#PNone...-t- 4cLf - c n -P% va"--H on , R/ a at A ;elc2--/ e_ "400 s- Pe- ":ir-1.,,e-7/-e 7-e c /4- vi Will service be altered? Yes 1:3<io Adding more than 50 amps? 0 Yes Type of Use: Type of work: O New 0 Addition 0 Service Change 0 ;Remodel 0 Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm / Telecommunication 0 Temporary Service property Served by: o Puget Sound Energy 0 Seattle City Light WAPermil CentertApplications-Handouts1Pennit Applkations1Word \Electrical Permit Application Revises! 1-1-2017.docx Revised: January 2017 bh RESIDENTIAL NEW RESIDENTIAL SERVICE o New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings O Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $83.54 (no added/altered circuits) Ei Service change with added/altered circuits $83.54 number of added circuits $12.00 ea O Circuits added/altered without service change $55.69 (up to 5 circuits) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O Meter/mast repair $69.62 0 Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $66.30 O Temporary service (generator) $82.52 O Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure wiU 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 1 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 ELECTRICAL CONTRACTOR: Signature: Print Name: / /77r Mailing Address: 6? 67 .4./ 'ST Date: /// 9 Day Telephone: c206Yo ? a 05 - City WAPennit CemciMpplicathnis-HaradoutsTerritit ApplicationAWoolllaccuical Perrah Application Revised I-1-2017.docx Rctiscd: January 2017 bh SuiteZip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $178.48 EL19-0866 Address: 17672 SOUTHCENTER PKWY Apn: 3523049005 $178 48 Credit Card Fee $5.20 Credit Card Fee ELECTRICAL PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18883 R000.369.908.00.00 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 0.00 $5.20 $165.03 $165.03 8.25 1111111111.1111 $178.48 Date Paid: Tuesday, October 22, 2019 Paid By: RICHARD WALSTON Pay Method: CREDIT CARD 185109 Printed: Tuesday, October 22, 2019 8:51 AM 1 of 1 CRIWYSTEMS CO TUKWILA ETRAKIT 6288 SOUTHCENTER BLVD TUKWILA, WA 98188 206'433'1870 CITY OF TUKWILA 0e17340000802374404500 Date: 10/22/2019 08:50:20 AM CREDIT CARD SALE VISA CARD NUMBER: **********4925 K TRAN AMOUNT: *178.48 APPROVAL CD: 185189 RECORD #: 000 CLERK ID: Laurie X {CARDHOLDER'S SIGNATURE} Z AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 Permit Inspection Request Line (206) 438-9350 Project: Type o specti • n f 1i Address: f " &72, ;% Date Ca led. Special instructions: -Date Wanted: a.m.: p.m. Requester: Phone No: � Approved per applicable codes. 0 E SIT Corrections required prior to approval. nspecto Date: REINSPECT' N FEE REQUIRED. Prior to next inspection, fee h ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Clearnei Washington State Department of LaDor & Industries Hoinc Espahol Contact Safety & Health Claims & Insurance Search LAI Page 1 of 2 SEAtkCit Lidex Help VI 1.10 Workplace Rights Trade... & Licensing Owner or tradesperson Principals WALSTON, RICHARD, PRESIDENT Steenvoorde, Andrew P, SECRETARY Walston, Rick, AGENT Doing business as Cleamet 257 SW 41ST ST RENTON, WA 98057 206-420-6970 KING County WA UBI No. Business type 602 615 301 Corporation Parent company Governing persons EPOIYEXPRESS INC RICHARD B WALSTON ANDREW STEENVOORDE; ILicense Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active Meets current requirements. Licene specialties LIMITED ENERGY License no. CLEAR**901PM Effective — expiration 10/14(2010— 10/14/2020 Desi9natedadmnistrator Active Walston, Richard B License type Electrical Administrator !99S1, RLI INS CO Bond account no. LSM6194759 Meets current requirements. License no. WALSTRB901PL $4,000.00 Received by L&I Effective date 10/14/2010 10/01/2010 Cancelation date 11/28/2019 SavIns No savings accounts during the previous 6 year period. License Violations Infraction no. EBANX00445 Issue date Satisfied RCW/WAC Help us improve 1-: TI)I-41.11K1 G/111 PA" TO=OT A 1:1**011 1 D11 /1`2,-C AUT 1 nrY)/1(11