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Home My WebLink AboutPermit EL07-220 - WESTFIELD SOUTHCENTER MALL - FRANKLIN COVEYFRANKLIN COVEY 626 SOUTHCENTER MALL ELO7-220 Parcel No.: 6364200010 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: 626 SOUTHCENTER MALL TUKW DWIGHT DAVIS PO BOX 5156 , LYNNWOOD WA PACIFIC SECURITY ENGINEERING Address: PO BOX 5156 , LYNNWOOD WA Contractor License No: PACIFSE051B6 DESCRIPTION OF WORK: LOW VOLTAGE: FIRE/BURGLARY SYSTEM Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signatur Signature: Print Name: doc: EL -4/07 ZYv V Z Cityf 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 FRANKLIN COVEY 626 SOUTHCENTER MALL , TUKWILA WA WEA SOUTHCENTER LLC 11601 WILSHIRE BLVD , LOS ANGELES CA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 425 508 -0140 Phone: 425 742 -4889 Expiration Date: 01/25/2009 EL07 -220 06/15/2007 12/12/2007 Value of Electrical: $1,200.00 Fees Collected: $104.00 Type of Fire Protection: National Electrical Code Edition: 2005 Date: O(d I hereby certify that I have read - ex- ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie h, whether specified herein or not. The granting of this ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or thgjp rformance ork. I am authorized to sign and obtain this electrical permit. Date: 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. EL07 -220 Printed: 06-15 -2007 Parcel No.: 6364200010 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** s City of Tukwila 626 SOUTHCENTER MALL TUKW FRANKLIN COVEY 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: Status: Applied Date: Issue Date: ELO7 -220 ISSUED 06/15/2007 06/15/2007 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 construction or the performance of work. Signature: doc: Cond -Elec Print Name: 0a 06%a Date: Oi/y EL07 -220 Printed: 06- 15 -2007- bwri CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Site Address: 4a6 1/4207/e6viSe Tenant Name: 1 COW Property Owners Name: /./.44.1177c Mailing Address: Name: Z. W /6fr '— 7)14*-1. Mailing Address: A O. BOY SVSg E -Mail Address: </QQ/' /f.3w/ € Cs''f c' T Mailing Address: A O. &X 5/..r4 Contact Contact Person: / HMpplications\Forms- Applications On Line\4 -2007. Electrical Permit Application.doc bh 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 ** Contractor Registration Number: J' D,S+ /86 King Co Assessor's Tax No.: Suite Number:___ Floor: / New Tenant: ❑ Yes .No City State Zip CONTACT PERSON Who do we contact when your permit Is ready to be issued Day Telephone: /.4?5��'d /5/O Ly,(. / e /,(i RA' — s/s4 City State Zip Fax Number: O .7W 17 Company Name: t/c.. &Cs / 4v‘ m./4 -- City State Zip Day Telephone: 4.2.5 74'Z E - Mail Address: Fax Number: Expiration Date: X009 Valuation of Project (contractor's bid price): $ /.?D? t 3z- Scope of Work (please provide detailed information): iota/ l/4r,AeC ./ �!/ C.9i'e, S J i .t Will service be altered? ❑ Yes [allo Adding more than 50 amps? ❑ Yes 1;1/No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement [1 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $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) BUILDING OWN OR ELECTRICAL CONTRACTOR: Print Name: v :l�U ' OrvAr Mailing Address:/ 6 Date Application Accepted: a � I cl �. H:\Applications\Forms- Applications On Lineal -2007 - Electrical Permit Appliation.doc bh City MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES El 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. Signature. � w'°'�' A Date: G�is� Day Telephone: lv� State Date Application Expires: Zip Page 2 of 2 Parcel No.: 6364200010 Permit Number: ELO7 -220 Address: 626 SOUTHCENTER MALL TUICW Status: APPROVED Suite No: Applied Date: 06/15/2007 Applicant: FRANKLIN COVEY Issue Date: Receipt No.: R07 -01140 Initials: JEM User iD: 1165 City of Tukwila Payee: PACIFIC SECURITY ENGINEERING RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 9034 104.00 ACCOUNT ITEM LIST: Description 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 Account Code Current Pmts 000.322.101.00.0 104.00 Total: $104.00 Payment Amount: $104.00 Payment Date: 06/15/2007 09:55 AM Balance: $0.00 978 06/15 9710 TOTAL 104.00 doc: Receiot -06 Printed: 06-15 -2007 Project: 624/1/404/ 6,011‘ Y Ty p o ecti Ins . �� 7 -0 Address: � 4 Saurtclert 1 gm-i. Date Called: Special Instructions: Date Wanted: 6./70" � / a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 pproved per applicable codes. 1lnspe INSPECTION RECORD Retain a copy with permit /14. 6071 OM Hl l ito?...2.2. 0 (206)431 -3670 COMMENTS: O - /4 //t)( Corrections required prior to approval. Date:6 / / El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: Date: License Information License PACIFSE051B6 Licensee Name PACIFIC SECURITY ENGINEERING Licensee Type ELECTRICAL CONTRACTOR UBI 601374068 Ind. Ins. Account Id PARTNER Business Type PARTNERSHIP Address 1 PO BOX 5156 Address 2 City LYNNWOOD County SNOHOMISH State WA Zip 980465156 Phone 4257424889 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 HVAC/RFRG LTD ENERGY Effective Date 1/26/1995 Expiration Date 1/25/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License DAVISSB066JB Business Owner Information Name Role Effective Date Expiration Date DAVIS, DWIGHT PARTNER 01/01/1980 DAVIS, BRENT PARTNER 01/01/1980 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. Electrical Administrator Information License Name Status DAVISSB066JB DAVIS, S BRENT ACTIVE Bond Information https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PACIFSE051 B6 06/15/2007