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HomeMy WebLinkAboutPermit EL12-0179 - WESTFIELD SOUTHCENTER MALL - VANSVANS 811 S OUTH CENTER MALL EL12 -0179 City ollI'ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 811 SOUTHCENTER MALL TUKW Project Name: VANS ELECTRICAL PERMIT Permit Number: EL12 -0179 Issue Date: 02/23/2012 Permit Expires On: 08/21/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: RIC WEBB Address: 17962 MIDVALE AV N, SUITE 106 , SHORELINE WA Contractor: Name: TR PROFESSIONAL Address: 17962 MIDVALE AV N, SUITE 106 , SHORELINE WA Contractor License No: TRPROP *907PQ Phone: 425 - 591 -5530 Phone: 206 - 629 -4742 Expiration Date: 10/18/2012 DESCRIPTION OF WORK: INSTALL SOUND SYSTEM. 3 SPEAKERS AND PLAYER, OWNER SUPPLIED Value of Electrical: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $75.60 National Electrical Code Edition: 2008 RI Date: )--13—k 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 co - e • wi , whether specified herein or not. The gra constru me to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. � I/ 2/ 23/ 7Z Signature: �. Date: Print Name: 2ci7av{ ‘de-kb 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 EL12 -0179 Printed: 02 -23 -2012 0 PERMIT CONDITIONS • Permit No. EL12 -0179 * *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 EL12 -0179 Printed: 02 -23 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.Tuk-wilaWA.gov Electrical Permit No. ).LI y`-O 77 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 l Site Address SOtta<F c .r/ itiVez / mil SuiteNumbeLJ King Co Assessor's Tax No.: Floor: New Tenant: Yes ❑ ..No Tenant Name: !/A-A/5 457 PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication ` �,�/ Name: V�>C/ Q ,. �_!X %�V Z Address/ 6(..?„ �t`_ � Citc1,71 Sta:f� Zie 5 % PhonEO e95399O &[Ldo-e,62 D2 9 Email: -/ -,� GUGt &, Lo_i717anCo75b ?fc r . t`' 0/ti( ELECTRICAL CONTRACTOR INFORMATION Company Name: . e >poc55 s/ 0 t /AtL Address:, 7 9b z A4,cf/a/ 411.E /1/ e/pb City<5 /19r,g` ' Sate:) Zipz71 Phonei06 bzq 4/79. ax. Contr Reg No,T./ 9,07 4,Exp Date 49 7,0/2_ Tukwila Business License No.: kt'C CIJE-68 Valuation of Project (contractor's bid price): ODD Scope of Work (please provide detailed information): Will sery e be altered? ❑ Yes ❑ No Type of U .: Type of work. D lLn d ❑ New ❑ Addition .Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ski sigadee,--s cad ,o ❑ Service Change ❑ Remodel ❑ Fire Alarm H:\Applications\Forms- Applications On Line \2011 Applications \ Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh ❑ Telecommunication ❑ Yes ❑ No (i 2.. 0u)ize su oC ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 _ . S OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. CONTRACTOR: Date: Print Name: i( ai/-0/ � Day Telephone?l>b —629 Mailing Address: / 7916 /14/art/a& 41/06 0)/7244P asdicl 9f /g3 Zip H:\ Applications\Forns- Applications On Line\2011 Applications \Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh 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.ov RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -0179 Address: 811 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 02/23/2012 Applicant: VANS Issue Date: Receipt No.: R12 -00766 Payment Amount: $75.60 Initials: WER Payment Date: 02/23/2012 08:56 AM User ID: 1655 Balance: $0.00 Payee: TR PROFESSIONAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1953 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receipt -06 Printed: 02 -23 -2012 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 "� INSPECTION RECORD Retain a copy with permit PERMIT NO. Project: Vl Type of Inspection: Address: 1 Date Called: ,--..., Special Instructions: [-aisIn 5'f f fri Date Wanted:. 3/1.6 ,m. Requester: Phone No: • Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date:63 1. t 2, n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pf ter Friendly Page Electrical Contractor A business licensed by LEt1 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 TR PROFESSIONAL 2066294742 17962 Midvale Ave N Ste 106 Shoreline WA 98133 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602822965 Active TRPROP'907PQ Electrical Contractor 10/18/2010 10/18/2012 General Unused Electrical Administrator INFORMATION License HORNSMJ898MF Name HORNSBY, MICHAEL J Status Active Business Owner Information Name Role Effective Date Expiration Date WEBB, RICHARD A Agent 10/18/2010 WEBB, RICHARD A Partner /Member 10/18/2010 WEBB, TAMI A Partner /Member 10/18/2010 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 1 American Contractors Indem CO 100142673 10/18/2010 Until Cancelled $4,000.00 10/18/2010 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/23/2012