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Home My WebLink AboutPermit EL12-0945 - WESTFIELD SOUTHCENTER MALL - CHOCO AMORECHOCO AMORE 2800 SOUTHCENTER MALL K -1221 EL1 2-0945 City aftukwila • 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 ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 2800 SOUTHCENTER MALL TUKW Project Name: CHOCO AMORE Permit Number: EL12 -0945 Issue Date: 10/05/2012 Permit Expires On: 04/03/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: BRIAN WILSON Address: 33103 30 AV SW , FEDERAL WAY WA, 98023 Contractor: Name: FREEDOM SYSTEMS INC Address: 114 AVE C , SNOHOMISH WA 98290 Contractor License No: FREEDSI9150A Phone: 253 - 740 -1363 Phone: (206)274 -9946 Expiration Date: 08/26/2013 DESCRIPTION OF WORK: K -1221 WIRE AND INSTALL RECEPTACLES AND LED LIGHTING Value of Electrical: NRES: $1,500.00 Fees Collected: $115.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: I 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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p - rformance of ork. I am authorized to sign and obtain this electrical permit. Signature: OS/ �. A. ,/ , - Date: /d • (5— • /Z Print Name: L viLkorr Al ("it 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 -0945 Printed: 10 -05 -2012 • PERMIT CONDITIONS • Permit No. EL 12 -0945 * *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 -0945 Printed: 10 -05 -2012 CITY OF TUKW Community Developm epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical ° Pe Project No. Date Application Accepted: Date: Application Expires: (Forofce 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 Site Address King Co Assessor's Tax No.: Suite Numberkp.,2, 1 Floor: New Tenant: ® Yes ❑.. No Tenant Name: 41/e 60 Aelig447 .PROPERTY OWNER ..:: . etA , 175l ` e4,P ddllr/ 7�Z AddGY,Dp "Qr - C/7 //. , Cites/ w,i .IF do: do: y, & 23 'CONTACT PERSON . person receiving all project communication Company Name: - i"re e edam S ui s fe v12s Name: 13,1,y 11 i&s61 v City: Soo do rn: S it State: `JA Zip: clu / Q 0 Address:3 /0 2 .® 7? ',9 IF c e, J Contr Reg No.: xp rreedS� Date: v....,26 -13 State ,ft Zip City art)/ b. "7. 2.3 Pho n7 3..7 9.0./ 3x3 Fax: Email :5 c GtJ /iSO/Y GicipeG/ot G'05, ELECTRICAL '.CQNTRACTOR -INF.ORMATION _ Company Name: - i"re e edam S ui s fe v12s Address: f 1'? Ave C v City: Soo do rn: S it State: `JA Zip: clu / Q 0 Phone: Fax: X06 �7H n �f6 Fas 266 01 / /�.. Contr Reg No.: xp rreedS� Date: v....,26 -13 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ add Scope of Work (please provide detailed information): 1nl f r6 d iAS1af*i teeeplsicdS ,cacl (ep Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ID ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light S . Sv H:\Appltcattons \Forms - Applications On Line\201 I Apphcattons\Electncal Permit Application Revised 8 -9 -1 l.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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Date: /, - - / Lv tv /VoCbera_ Day Telephone: g 0 WA /l02.. Mailing Address: City H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.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: EL12 -0945 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/05/2012 Applicant: CHOCO AMORE Issue Date: Receipt No.: R12 -02795 Payment Amount: $115.50 Initials: WER Payment Date: 10/05/2012 03:28 PM User ID: 1655 Balance: $0.00 Payee: BRIAN WILSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 112470 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receipt -06 Printed: 10 -05 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: eztoco &fp 4 Type of Inspection: lt r bA Address: �., j O ' Isk vim" Date Called: Special Instructions: Date Wanted:. te0 0 a.m. Requester: Phone No: jn( Approved per applicable codes. COMMENTS: Corrections required prior to approval. ihA/ (vk5,'!S naaF. Date: /0730/1/2.--' n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6zrns PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: CiAoco 4.1 A / Type of Inspection: 0C2 Address: ZY60 ri Date Called: Special Instructions: Date Wanted:. /0/70 Ca.m. Requester: Phone No: Approved per applicable codes. izCorrections required prior to approval. ) COMMENTS: ,.. — bt440 tt4t g c ct1 /MSc R Vests' t sibl_iek I rf - 5Pitcfg.5 gist Al- fc--`Pi'kC4 E "' Aft. T% En "� { -47c'J PM ( Inspector: Date: /� �0 r� I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD 16./1 4)� Retain a copy with permit i INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: fr �� Type of Inspection: 2100 ER.Cc t:Pn 1rJ f. k c Address: 01,e, 43 00 lot, Date Called: - PM►1,�, C7J� St_$.evl Oit5StAk. - b6K-41 eAfrier . G r +S�Pe.JI,� r e(4. G4 Special Instructions: Date Wanted: . / o a (.:s"`. p.m. Requester: 0 Phone No: Approved per applicable codes. I l Corrections required prior to approval. COMMENTS: E {• i• i' OW iII i /g' Fkort ave. V g ER.Cc t:Pn 1rJ f. k c - GoAl f l c4u-p efr- t N \ - I715c. 0k our P &Ei it 0 rok. tAi �'4& - PM►1,�, C7J� St_$.evl Oit5StAk. - b6K-41 eAfrier . G r +S�Pe.JI,� r e(4. G4 0411 6TaJe- ? L r y "-° Inspector: ece Date: t r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 4-o'fq INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcente r Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 7. r -Cv All Type of Inspection: poi Address: . OpINV Date Called: Special Instructions: tt Date Wanted: ,O /6 eit Requester: Phone No: Approved per applicable codes. COMMENTS: ElCorrections required prior to approval. cot/6 1 - Kov t'- cA/ e rp9, 6 Inspector: eW REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: /(2-- ( INSPECTION' RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 (u1-01,1,5" Project: /% fJi Type of Inspection: 7 5 Address: �-aa Date Called: Special Instructions: Date Wanted:. /0 r 5- Cm, m. Requester: ti^ Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 1 - rp‘teic Aft Inspector: 4-11446446S‘ Date: 0(15-/12--- 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 Peter Friendly Page • Electrical Contractor A business licensed by LEI 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 FREEDOM SYSTEMS INC 2062749946 114 Ave C Snohomish WA 98290 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602501473 Active FREEDSI9150A Electrical Contractor 8/26/2009 8/26/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status FREEDSI943DMFREEDOM SYSTEMS INC Electrical Contractor Limited Energy Unused 3/14/2006 3/14/2010 Expired Electrical Administrator INFORMATION License NORBEL'901 BD Name NORBERG, LUTHER Status Active Business Owner Information Name Role Effective Date Expiration Date BEEM, JIMMIE A Agent 08/26/2009 BEEM, JIMMIE A President 08/26/2009 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 WESTERN SURETY CO 69938973 07/07/2005 Until Cancelled $4,000.00 08/01/2005 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 No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip/Print.aspx 10/05/2012