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HomeMy WebLinkAboutPermit EL11-0993 - NORDSTROME66OET TTI TIVJ'\I }EWEEIDHJflOS OOT PtOIIISGftTON City oPI'ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 100 SOUTHCENTER MALL TUKW Project Name: NORDSTROM ELECTRICAL PERMIT Permit Number: EL11 -0993 Issue Date: 11/03/2011 Permit Expires On: 05/01/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Nam e: /' /V ji-A5O(41 Address: too do tit' (rry - ow- Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 338 , RENTON WA Contractor License No: HOLMEEC549BH Phone: pl,C -01co Phone: (253)479 -4000 Expiration Date: 10/31/2012 DESCRIPTION OF WORK: EXTENDIG AN EXISTIN 120V CIRCUIT AND ADDING (1) 15A 120V DUP RCPT ON THE 4TH FLOOR BACK OF HOUSE NEXT TO THE MAIL ROOM. Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SO 1 RGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $63.00 2008 I hereby certify that I have read and examined t 's pe ' 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 perf•rmance of work. I am orized to sign and obtain this electrical permit. % Signature <�/ _ Date: frJ l/ -0% Print Name: Lt./ v �� 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 -4/10 EL1 1-0993 Printed: 11 -03 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0993 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL11 -0993 Printed: 11 -03 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htip:"www.TukwilaWA.gov 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 Address: 100 Southcenter Shopping Center Tenant Name: Nordstrom PROPERTY OWNE R Company Name: Holmes Electric Address: 600 Washington Ave S Name: Phone: (206) 462 -9223 Fax: Contr Reg No.: HOLMEEC549BH Exp Date: 10/31/2012 Address: City: State: Zip: CONTACT PERSON QaMMUni on Name: Matt Johnson Address: 100 Southcenter Shopping Center City: Tukwila State: WA zip: 98188 Phone: (206) 246 -0400 Fax: Email: mattjohnson@nordstrom.com King Co Assessor's Tax No.: Suite Number: Floor: 4 New Tenant: ❑ Yes m .. No AT N Company Name: Holmes Electric Address: 600 Washington Ave S City: Kent State: WA Zip: 98032 Phone: (206) 462 -9223 Fax: Contr Reg No.: HOLMEEC549BH Exp Date: 10/31/2012 Tukwila Business License No.: BUS- 0101476 Valuation of Project (contractor's bid price): $ 200 Scope of Work (please provide detailed information): Extending an existing 120V circuit and adding (1) 15A 120V dup rcpt on the 4th floor back of house next to the Mail Room. Will service be altered? ❑ Yes I1 No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: VI Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Page 1 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 (no added/altered circuits) ❑ Service change with added /altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Jeff Lozier Date: 11/03/2011 Day Telephone: (206) 462 9223 Mailing Address: PO Box 338 Kent WA 98035 City H:\Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh State Zip 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.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -0993 Address: 100 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 11/03/2011 Applicant: NORDSTROM Issue Date: Receipt No.: R11 -02399 Payment Amount: $63.00 Initials: TLS Payment Date: 11/03/2011 12:54 PM User ID: 1670 Balance: $0.00 Payee: HOLMES ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 056692 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 11 -03 -2011 INSPECTION NO. INSPECTION' RECORD Retain a copy with permit i9L CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: ii4 Type of Inspection: Op (1 Address: ioo Date Called: 1 Special Instructions: Date Wanted:. t/07 m. • Requester: nmr Phone No: 7I117 (400 Approved per applicable codes. Corrections required prior to approval. OMMENTS: G Inspector: (Date: 1 V7 1 1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page • Electrical Contractor A business licensed by Lal 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company HOLMES ELECTRIC CO 2534794000 Po Box 338 Kent WA 98035 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 177003752 Active HOLMEEC549BH Electrical Contractor 1/8/1946 10/31/2012 General Unused Master Electrician INFORMATION License HILLME *973KR Name HILLMAN, ED Status Active Business Owner Information Name Role Effective Date Expiration Date HOLMES, JERAY A Agent 01/01/1980 Bond Amount HOLMES, MICHAEL J President 01/01/1980 52BSBFB9243 RICHARDS, MICHAEL W Secretary 01/01/1980 RICHARDS, EUGENE M 12/09/2008 01/01/1980 10/15/2010 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 CAORTFORD FIRE INS 52BSBFB9243 12/08/2008 Until Cancelled $4,000.00 12/09/2008 2 AM CASUALTY 9239830 12/08/1984 Until Cancelled 02/09/2009 $4,000.0009/14/2008 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EREEB00495 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 11/03/2011