HomeMy WebLinkAboutPermit EL07-803 - WESTFIELD SOUTHCENTER MALL - TUKWILA CENTENNIAL EVENTTUKWILA CENTENNIAL
2800 SOUTHCENTER MALL
EL07 -803
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Value of Electrical:
6364200010
2800 SOUTHCENTER MALL TUKW
Permit Center Authorized Signature:
Print Name:
doc: EL -4/07
Cit3.f 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
TUKWILA CENTENNIAL
2800 SOUTHCENTER MALL , TUKWILA WA
WEA SOUTHCENTER LLC
11601 WIISHIRE BLVD , LOS ANGELES CA
CLIFF VERHOEFF
4841 SPIRE IN , EVERETT WA
Contractor:
Name: OWNER AFFIDAVIT - CLIFF VERHOEFF
Address:
Contractor License No:
DESCRIPTION OF WORK:
(1) 100 AMP GENERATOR FOR SOUND AND LIGHTING EQUIPMENT FOR THE CITY OF TUKWILA
CENTENNIAL CELEBRATION. (3) 100 FT CONTRACTOR BOXES HOOK UP TO GENERATOR.
Type of Fire Protection: National Electrical Code Edition:
Electrical Service provided by: PUGET SOUND ENERGY
I hereby certify that I have read and
governing this work will be complied
$0.00 Fees Collected:
•th,
cu-PP 6A,0,2_4
ELECTRICAL PERMIT
Permit Number: EL07 -803
Issue Date: 12/24/2007
Permit Expires On: 06/21/2008
Expiration Date:
Phone:
Phone: 425 303 -1848
Phone:
$75.00
2005
Date: t2A 1/D
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 the pe ance of work. I am authorized to sign and obtain this electrical permit.
Signature: (� (/ Date!'21
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 -803 Printed: 12 -24 -2007
Parcel No.: 6364200010
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
doc: Cond - Elec
TUKWILA CENTENNIAL
City of Tukwila
Print Name: � T vt � rp-CP
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ht4,://www.ci.tukwila.wa.us
2800 SOUTHCENTER MALL TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
Date: I /Z /`-'71
EL07 -803
ISSUED
12/24/2007
12/24/2007
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.
EL07 -803 Printed: 12 -24 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wwwcitukwila.wa.us
Site Address: Wed-- f U, Dio` I
Tenant Name: � l / h 0,
Property Owners Name:
Mailing Address:
Name: C \ Ve,(1
0
C I l ( C oi
A CCCC
Mailing Address: "ll j cf 4Z-1 1— 1— v\
E -Mail Address: S' AG- Pr Q t �O1 Mkt' 1. C 0n
Company Name:
Mailing Address:
(L P mg
et i
Contact Person:
E -Mail Address:
Contractor Registration Number:
H:%Applications■Fonns- Applications On Line`-t -2007 - Electrical Permit Application.doc
bh
Electrical Permit No. � j Vim
Project No.
(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
o Assessor's Tax No.: VI,G "-. opto
Suite Number: Floor: 7
New Tenant: ❑ Yes ❑..No
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: G (• S 3o 3 IV-0"
City
State
Zip
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
State
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): I I n e7 4 I... p CL l� _ •Q (4-�'av^ 1
t
3 I OD oNNAVA bo (S" z_ e a t
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel El Tenant Improvement
❑ Low Voltage Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
14 Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ $140.00
New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$75.00 ea
❑ Low voltage systems $55.00 ea
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ $75.00
Service change or alteration
(no added /altered circuits)
❑ $75.00
Service change with addedUaltered circuits $10.00 ea
number of added circuits
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added /altered without service change $ 50.00 ea
(6 or more circuits)
❑ Meter /mast repair
$65.00
❑ Low voltage systems
$55.00
(alarm, furnace thermostat)
HAApplications \Forms - Applications On Line \4.20 - Glecuic:d Permit Applicaiion.doc
bh
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical, contract.
MISCELLANEOUS FEES
❑ Temporary service (residential)
$58.00
Temporary service (generator) $75.00
�
❑ $80.00
Manufactured /mobile home service
(excluding garage or outbuilding)
❑ $75.00
Carnivals $10.00 ea
Number of concessions
PERMIT 'APPLICATION NOTES -
Value of Construction — In all cases, a value of construction with current fee h be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply
The Ba gf Plan Review lding Ogrant one eexions tensi on o ftimerforan additional period to following
days Thetextension shall be requested in writing
limitation.
The Building may one xon
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THISS PERMIT.
PENALTY OF PERJURY BY THE LAWS OF TH
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Date: Z
Signature: 1/ -. a L •
G ( t ` g5� Day "Telephone:
Print Name: _
Mailing Address:
Page 2 of 2
Parcel No.: 6364200010 Permit Number: EL07 -803
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 12/24/2007
Applicant: TUICWILA CENTENNIAL Issue Date:
Receipt No.: R07 -02851
Initials: JEM Payment Date: 12/24/2007 10:53 AM
User ID: 1165 Balance: $0.00
Payee: SNOHOMISH ARTIST GUILD
TRANSACTION LIST:
Type Method Description
Payment Check 3508 75.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
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
RECEIPT
Amount
Account Code Current Pmts
000.322.101.00.0 75.00
Total: $75.00
Payment Amount: $75.00
6389 12/24 9710 TOTAL 75.00
dnr. Rarpint -f15 Printed! 19 -74 -7(107
Project:
7llati/t4 C 6t) g.18 (...-
Type of Inspection:
700 l ''
Address: ---
2?,01) 5ovihr-l-d744. Mut-
Date Called:
Special Instructions:
Date Wanted: i
il ?
3m,. .
CP_
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3d0
OMMENTS:
(X
proved per applicable codes.
ito)-?63
nspec / 1„. 4 Date: / / 7 A
0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
1 Receipt No.:
!Date:
Corrections required prior to approval. O I
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukplan@a,ci.tukwila.wa.us
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
ch4T 440.-R
[please print]
1. I have made application for a building permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with
the State of Washington. The exceptions to this requirement are stated under Section 18.27.090
of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit.
I have read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Tukwila must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW
18.27.090, I consider the work authorized under this building permit to be exempt under No.
, and will therefore not be performed by a registered contractor.
understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
rsons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the
contruction of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
APPLSfANT
`I %II�lOF,W AS T''l? .
, states as follows:
Permit Center/Building
Division
206 431 -3670
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATIONN
PERMIT NO: a/0
Signed and sworn to before me this
a Y day of L))CE i , 2oz257 .
NOTARY PUBLIC in and for the State of Washington
Residing at (
Name as commissioned 2-€4.4541 J
My commission expires:
, County
)0( 19 J�
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Government, the State of Washington, or any
incorporated city, town, county, township,
irrigation district, reclamation district or other
municipal or political corporation or subdivision of
this state;
3. Officers of the court when they are acting within
the scope of their office;
4. Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
5. Any construction, repair or operation incidental to
the discovering or producing of petroleum or gas,
or the drilling, testing, abandoning, or other
operation of any petroleum or gas well or any
surface or underground mine or mineral deposit
when performed by an owner or lessee;
6. The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a
permanent fixed part of the structure;
7. Any construction, alteration, improvement or
repair of personal property, except this chapter
shall apply to all mobile, manufactured housing. A
mobile/manufactured home may be installed, set
up, or repaired by the registered or legal owner,
by a contractor licensed under this chapter, or by
a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW;
8. Any construction, alteration, improvement, or
repair carried on within the limits and boundaries
of any site or reservation under the legal
jurisdiction of the federal government;
9. Any person who only furnished materials,
supplies, or equipment without fabricating them
into, or consuming them in the performance of, the
work of the contractor,
10. Any work or operation on one undertaking or
project by one or more contractors, the aggregate
contract price of which for labor and materials and
all other items is less than $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications\8 -2004 affidavit in lieu of contractor registration
contracts of amounts less than $500.00 for the
purpose of the evasion of this chapter or
otherwise. The exemption prescribed in this
subsection does not apply to a person who
advertises or puts out any sign or card or other
device which might indicate to the public that he is
a contractor, or that he is qualified to engage in
the business of contractor,
11. Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts
or reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or
poultry raising; or to clearing or other work upon
land in rural districts for fire prevention purposes;
except then any of the above work is performed
by a registered contractor,
12. An owner who contracts for a project with a
registered owner,
13. Any person working on his own property, whether
occupied by him or not, and any person working
on his residence, whether owned by him or not but
his exemption shall not apply to any person
otherwise covered by this chapter who constructs
an improvement on his own property with the
intention and for the purpose of selling the
improved property;
14. Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
15. A licensed architect or civil or professional
engineer acting solely in his professional capacity,
an electrician licensed under the laws of the state
of Washington, or a plumber licensed under the
laws of the state of Washington while operating
within the boundaries of such political subdivision.
The exemption provided in this subsection is
applicable only when the licensee is operating
within the scope of his license;
16. Any person who engages in the activities herein
regulated as an employee of a registered
contractor with wages as his sole compensation;
17. Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws
of 1961, RCW 47.28.070 with the department of
transportation to perform. highway construction,
reconstruction, or maintenance work.