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Permit EL07-091 - WESTFIELD SOUTHCENTER MALL - KITS CAMERA
KITS CAMERA 606 SOUTHCENTER MALL ELO7-09 1 Parcel No.: 2623049023 Address: 606 SOUTHCENTER MALL TUKW Suite No: Tenant: Name: KITS CAMERA Address: 606 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WEA SOUTHCENTER LLC Phone: Address: 11601 WILSHIRE BL , LOS ANGELES CA Contact Person: Name: ISSAC CONRAD Phone: 253 - 223 -0502 Address: 14590 CAVALLI RD SE , OLALLA WA Contractor: Name: NORTH SHORE ELECTRIC INC Phone: 253 - 223 -0502 Address: 5415 S ORCHARD PMB 103 , TACOMA WA Contractor License No: NORTHSE983PH Expiration Date: 01/08/2008 DESCRIPTION OF WORK: INSTALL NEW OUTLETS FOR KFIS EQUIPMENT INCLUDING 2 30 AMP AND 1 20 AMP. NEW QUAD RECEPTICLE AND COUNTER LIGHTING. Value of Electrical: $9,000.00 Type of Fire Protection: SPRINKLERSA/AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: 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 o this , ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction o e ormance of work. I am authorized to sign and obtain this electrical permit. Jt Signature: Print Name: City 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 met ELECTRICAL PERMIT Permit Number: ELO7 -091 Issue Date: 05/07/2007 Permit Expires On: 11/03/2007 Fees Collected: National Electrical Code Edition: Date: $229.60 2005 51.0 Date: 6 7-e7 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 EL07 -091 Printed: 05-07 -2007 Parcel No.: 2623049023 Address: 606 SOUTHCENTER MALL TUKW Suite No: Tenant: KITS CAMERA 1: ** *ELECTRICAL * ** Signature: Print Name: 1 111 104 - °riCr 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 Permit Number: ELO7 -091 Status: ISSUED Applied Date: 05/07 /2007 Issue Date: 05/07/2007 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 not presume to give authority to violate or cancel the provision of any other work or local laws regulating co t .' ction or the performance of work. Date: r 1 - 7-1)7 doc: Cond - Elec EL07 -091 Printed: 05-07 -2007 bsl-te° Name: , 'f> e- Mailing Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.citukwila.wa.us E -Mail Address: A.)5 E -Mail Address: 05 4 2. 7`' I° le- Contractor Registration Number: Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: 1Applicanons\Forms- Applications On Line14 -2007 - Electrical Permit Appliation.doe bh Electrical Permit Project No. ice 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 I I King Co Assessor's Tax No.: 24 GiO4''1 o Site Address: 4t � 3 5eV 7hfN "i Suite Number: D Floor: f Tenant Name: t ('.a IAA e -r i ^ 1 Ne Tenant: Yes ❑ ..No Property Owners Name: 5' 'V1 4 ' �z l PJT 4e, 0 We5T't' ! e G ©rp0 /"a1�1' t 4 (� � G . Mailing Address: City CONTACT, PERSON - Who do we contact when your permit is ready to be issue Day Telephone:a- Z 2 -3- G se 2 • Company Name: °t 7 tt/Oi- . C 7 e 1 - Mailing Address: 14c9e2 G,4 ✓s4LL! to S� Contact Person: J- 5, e G 649 A D eovv� -ter t. G Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm City Fax Number: g Remodel / Telecommunication State tate Adding more than 50 amps? ❑ Yes No Zip Zip x' 27; -77o7 ELECTRICAL CONTRACTOR INFORMATION O IA) 71 X 359 City State tip Day Telephone: C s S 3) 2 Z5 - © 0 Z Fax Number: ( 274 -- 7707 Expiration Date: /O - C> Valuation of Project (contractor's bid price): $ n` p ‘)e 2 • cat, / n Scope of Work (please provide detailed information): to 1e P r ' V 1 , i /I e �.J i 1 Ie t' ' r- t 2co Alf -F - ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 to RESIDENTIAL 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, furnace thermostat) MULTI FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOT 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 OWNEROR ELECTRICAL CONTRACTOR: Signature: Print Name: a 14-o f'/1e Mailing Address: /459 V A w 1 e D I Date Application Accepted: H: \Applications\Forms- Applications On lineM -2007 - Electrical Permit Application.doc tit Day Telephone: City MISCELLANEOUS FEES State Date: — 70 7 ( -55) 223 Date Application Expires: Staff Initials: Zip Page 2 of 2 Receipt No.: R07 -00764 Payee: MARK HORNER ACCOUNT ITEM LIST: Description City of Tukwila ELECTRICAL PERMIT - NONR 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.: 2623049023 Permit Number: EL07 -091 Address: 633 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 05/07/2007 Applicant: ZITS CAMERA Issue Date: Initials: BLH Payment Date: 05/07/2007 12:16 PM User ID: ADMIN Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Cash 229.60 Account Code Current Pmts 000.322.101.00.0 229.60 Total: $229.60 Payment Amount: $229.60 7855 05/07 9710 TOTAL 229.60 don! RP.rpint -06 Printati 05-07 -2007 Projey� �g7a4 K. I `rS Type of I vi�P: �/ J�.� A• • res . Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 J oved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: - F77W9t_ Inspe tor,u/ /.2f74Am/6/' Dater /7/07 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: License Information License NORTHSE983PH Licensee Name NORTH SHORE ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 602236413 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 5415 S ORCHARD PMB 103 Address 2 City TACOMA County PIERCE State WA Zip 98467 Phone 2532230502 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 10/8/2002 Expiration Date 10/8/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License CONRAWI951BQ Business Owner Information Name Role Effective Date Expiration Date CONRAD, KRISTEN AGENT 10/08/2002 CONRAD, KRISTEN PRESIDENT 10/08/2002 FORD, TROY SECRETARY 10/08/2002 CONRAD, WILLIAM TREASURER 10/08/2002 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 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. Master Electrician Information License Name Status CONRAWI951BQ CONRAD, WILLIAM I ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= NORTHSE983PH 05/07/2007