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Permit EL08-0874 - WESTFIELD SOUTHCENTER MALL - ELECTRIC ROOM #150
SOUTHCENTER MALL ELECTRIC ROOM #150 2800 SOUTHCENTER MALL ELO8-874 Parcel No.: Address: Suite No: CitAbf 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.ci.tukwila.wa.us ELECTRICAL PERMIT 6364200010 2800 SOUTHCENTER MALL TUKW Permit Number: Issue Date: Permit Expires On: EL08 -874 07/01/2008 12/28/2008 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: SOUTHCENTER MALL ELECTRICAL ROOM #150 2800 SOUTHCENTER MALL , TUKWILA WA WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA SAM MILLER 8901 WILLOWS RD , REDMOND WA Contractor: Name: UNIVERSAL MECH SRVC CO INC Address: PO BOX 2649 , REDMOND WA Contractor License No: UNIVEMS014KQ Phone: Phone: 425 - 885 -9100 Phone: 425 885 -9100 Expiration Date: 05/21/2009 DESCRIPTION OF WORK: INSTALL (1) LOW VOLTAGE THERMOSTAT Value of Electrical: $145.00 Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $58.00 2005 Date: 1*0g I hereby 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 d• ' not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: This permit shall become null and void if the work is 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 -4/07 EL08 -874 Printed: 07 -01 -2008 Parcel No.: 6364200010 Address: Suite No: Tenant: • 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.ci.tukwila.wa.us PERMIT CONDITIONS 2800 SOUTHCENTER MALL TUKW SOUTHCENTER MALL ELECTRICAL ROOM #150 Permit Number: Status: Applied Date: Issue Date: EL08 -874 ISSUED 07/01/2008 07/01/2008 1: ** *ELECTRICAL * ** 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. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does •resume to give authority to violate or cancel the provision of any other work or local laws regulating construction • performance of work. Signature: / Date: Print Name: I q7 P774#6,1/5 doc: Cond -Elec E L08 -874 Printed: 07 -01 -2008 CITY OF TUKWILA. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us • Electrical Permit No. 0741 Project No. (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 26300 Site Address: OS Suite Number:r ecr. * 150 Floor: 1 Tenant Name: So-) ' e- .r t- )'%,n,„ Property Owners Name: WE-1FiL i.'O t�ti' o�'C -QTY -TA NA. CEP i Mailing Address: .T?O. °X 1.3 Oct y D 00-t.53AD King Co Assessor's Tax No.: (4, 3L9zocDo o New Tenant: ❑ Yes ❑ .. No City CA State z o 1.3 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: SAM Mailing Address: T210l UL.ti .3S Zo #A E -Mail Address: M 111. N t M 1( wl Day Telephone: 417_5 —x`65 —1 l ot) TeD Moan W l} 9`SO5 City State Fax Number: (1Z5- t(`6 I - low ci•`) Zip ELECTRICAL CONTRACTOR INFORMATION Company Name:UNtvt =2�,0«t_ /"e..1003 t_ 51✓ Q tCI_ Mailing Address:7 C). �C Zln`lc( Contact Person: 5A-M A E -Mail Address: &M 1 Lam- -,2 ( ()A?.I M£-Q 1 CfMit Contractor Registration Number: 1VEM5 1 y K Q City 91)7,3 State Zip Day Telephone: uZ 5 --•15% -9 1 co Fax Number: 42. 5 -53-`6 I " to4. `61 Expiration Date: 5/z ► /en Valuation of Project (contractor's bid price): $ 1 `► 5°r Scope of Work (please provide detailed infonnation):1Nsmu.. ope 6) tcxz ∎lot_t g- ittt ea.osTAT Will service be altered? ❑ Yes 14 No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement • Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Fo.ms- Applications On tine \A -2007 - Electrical Permit Applicationdoc Page 1 of 2 RESIDENTIAL W NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $140.00 $75.00 ea $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, fumace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Camivals.... $75.00 Number of concessions $10.00 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 TIIE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER 0 CTRICAL CONTRACTOR: Signature: ../' Print e:4.rrf/ 146rCIi1S Mailing Address: 411e:71 U L.LC'C) --Z-a Q Date Application Accepted: Date: ( 8 Day Telephone: `i ?5 —"5-q /e7v Gc9A- 98.052 - City State Zip Date Application Expires: Staff Initials: H:\Applications\Fomis- Applications On Line \4 -2007 - Electrical Permit Applicationdnc 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.ci.tukwila.wa.us RECEIPT Parcel No.: 6364200010 Permit Number: EL08 -874 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 07 /01/2008 Applicant: SOUTHCENTER MALL ELECTRICAL ROOM #150 Issue Date: Receipt No.: R08 -02360 Payment Amount: $58.00 Initials: WER Payment Date: 07/01/2008 01:19 PM User ID: 1655 Balance: $0.00 Payee: UNIVERSAL MECHANICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 035103 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 58.00 Total: $58.00 4289 07/01 0711 TOTAL 5800 doe.. RRc int -08 Printari• 07-01-2008 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION f" 1;300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 6013- Project: MALL aiCZUC. VI . if !SD Type of Inspection: Date Called: 2400/1, Address: �M / _ Special Instructions: Date Wanted: r ©Z (a.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: a Inspector: Date: 137 /o2_ f ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electrian or Plumber License Detail Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. License Information License UNIVEMS014KQ Licensee Name UNIVERSAL MECH SRVC CO INC Licensee Type ELECTRICAL CONTRACTOR UBI 601012722 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 PO BOX 2649 Address 2 City REDMOND County KING State WA Zip 980732649 Phone 4258859100 Status ACTIVE Specialty 1 HVAC/RFRG LTD ENERGY Specialty 2 UNUSED Effective Date 5/18/1999 Expiration Date 5/21/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License BRANIWD013KQ Electrical Administrator Information License BRANIWD013KQ Name BRANIN, W DUFF Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date BRANIN, W DUFF AGENT 01/01/1980 BRANIN, W DUFF PRESIDENT 01/01/1980 Bond Information 1 • i Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= UNIVEMS014KQ 07/01/2008