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HomeMy WebLinkAboutPermit EL09-0072 - WESTFIELD SOUTHCENTER MALL - SMART WIRELESSSMART WIRELESS 2800 SOUTHCENTER MALL K -1212 ELO9-0072 Parcel No.: 6364200010 Address: 2800 SOUTHCENTER MALL TUKW Suite No: CityAf 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 Tenant: Name: SMART WIRELESS Address: 2800 SOUTHCENTER MALL, K -1212 , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: DAVID WARE Phone: 971 - 212 -0005 Address: 5115 SE 17 AV , PORTLAND OR Contractor: Name: DOT ELECTRIC Address: PO BOX 2308 , DEER PARK WA Contractor License No: DOTELE *923UU DESCRIPTION OF WORK: LOW VOLTAGE TO KIOSK Value of Electrical: NRES: $200.00 Fees Collected: $60.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Signature: Print Name: doc: EL -4/07 th, pAUO \--J14 C--- PERMIT Permit Number: EL09 -0072 Issue Date: 01/26/2009 Permit Expires On: 07/25/2009 Phone: 509 998 -9956 Expiration Date: 03/31/2010 Date: all6 "111(" 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 or the performance of work. I am authorized to sign and obtain this electrical permit. Date: 6 / 9 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. EL09 -0072 Printed: 01 -26 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 2800 SOUTHCENTER MALL TUKW SMART WIRELESS 1111 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: Status: Applied Date: Issue Date: EL09 -0072 ISSUED 01/26/2009 01/26/2009 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. doc: Cond -Elec Date: /t,4 6/' EL09 -0072 Printed: 01 -26 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://wwwci.tukwila.wa.us SITE LOCATION Va#4147 -t2210 Site Address: ZSOC Sods Lrter MA Tenant Name: SMA F.:1 R C L S Property Owners Name: L -f f t c.LD C-p iac J P Mailing Address: 1 160 ( 1J L,Ni J LeJA� 1) CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: DikU t 0 ti A Re. Mailing Address: S I IS 5e.. ME, E -Mail Address: et 1,J 4(e._ 1 L) ) SS • Cr/n ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: PAT VAN) DEL-0 E Q E -Mail Address: Ait42 C256A, k Acc eSs .c'n t Contractor Registration Number: IN gd Zr Onsem— Valuation of Project (contractor's bid price): $ ZDv Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 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 ** 7oT CA- WC- 1 NE/JKLE RQA tD H 'ApplicationsWorms- Applications On Line'.4-2007 - Elcctncal Permit Application doc bh Electrical Permit No. an) ' 001 Project No. (For office use only) King Co Assessor's Tax No.: Suite Number: KIZI New Tenant: Le; Ati C- LE City Day Telephone: 6 1 71 g.1LArs) 0 City Fax Number: Sn 3 - Remodel ❑ Telecommunication CA State Floor: ❑ Yes [ No / °CU Zip - L 2. - a005 0� c 17ZOZ State Lip 4 7 3 ( 3 4 1 . 1 - Cc'! -Tr `? Cit State Zip Day Telephone: � 3 - 69 S 32 o S Fax Number: ,503 - 615 -6 2 "L Expiration Date: Adding more than 50 amps? ❑ Yes R. No ❑ Tenant Improvement ❑ Temporary Service Page I of 2 BUILDING OW OR ELECTRICAL CONTRACTOR: Signatur • , 4tet 1.6 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) Print Name: 3/44 A!oa T Mailing Address: 411 S SE 11 A � E H 'ApphcaliauiForms- Applications On LmeW -2007 - Electrical Permit Application 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 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Date: // j /0/ // Day Telephone: S� ' -.V'7' "cc)/ o Po1CT LA/40 p ; 9 3-1cZ_ City tate Zip Date Application Accepted: Date Application Expires: Staff Initials: Page 2 of 2 Receipt No.: R09 -00131 Payee: SMART WIRELESS 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 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 066661 60.00 PAYMENT RECEIVED RECEIPT Parcel No.: 6364200010 Permit Number: EL09 -0072 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 01/26/2009 Applicant: SMART WIRELESS Issue Date: Payment Amount: $60.00 Initials: JEM Payment Date: 01/26/2009 09:27 AM User ID: 1165 Balance: $0.00 Account Code Current Pmts 000.322.101.00.0 60.00 Total: $60.00 doc: Receiot -06 Printed: 01 -26 -2009 Project: _ . � / , " Type of I nspect i on: !O ` l Address:2To° f'~ Date Called: Special Instructions: Date Wanted: d 7.- /t2, (. Requester: Phone No: INSPECTION RECORD r Retain a copy with permit £L 015�Z INSPECTION NO. PEWIT N CITY OF TUKWILA BUILDING DIVISION �- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 !I Approved per applicable codes. Corrections required prior to approval. COMMENTS: C c1io4i) rflev ru\k, Inspector: 6 6446c Date: 6 2-1(2-107 D $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: . ^ COMMENTS: WC - he CCU ID 6t, saro e-r>p i5-riaff i,JrT141J 12 rPJCut of 13c1(65 - / R,FkC t?op ti )7 R 1461 (V0r f sisilt-u.p PRDPeR LI -- (2, Jc`A, ? LA46 'I?o es ,I of cor'P it t,y C oo hsc P,D)t / IJSE /•K - Ga v Special Instructions: L I V Date Wanted: Project: 51-1 WC / , ( � Type of Inspection: 2100 Address: Zoo MM'IA/ Date Called: Special Instructions: L I V Date Wanted: Oil 11 a:m m. Requester: Phone No: I INSPECTION RECORD Retain a copy with permit 607 oo1 PE NO. CITY OF TUKWILA BUILDING DIVISION V' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION NO. (206)431 -3670 D Approved per applicable codes. gi Corrections required prior to approval. Inspector: 5-64110 Date: 02 1 0 $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ' Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 AMERICAN CONTRACTORS INDEM CO 100045200 03/28/2008 Until Cancelled $4,000.00 03/31/2008 Name Role Effective Date Expiration Date BUYNAK, DOROTHY J OWNER 03/31/2008 Untitled Page • S Page 1 of 1 Electrical Contractor A business licensed by LItI 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 DOT ELECTRIC 5099989956 PO BOX 2308 DEER PARK WA 99006 SPOKANE INDIVIDUAL UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License BUYNAJ *9390S Specialty 1 GENERAL Specialty 2 UNUSED 602818543 ACTIVE DOTELE *923UU ELECTRICAL CONTRACTOR 3/31/2008 3/31/2010 ADMINISTRATOR INFORMATION License BUYNAJ *93905 Name BUYNAK, JEFFREY A Status ACTIVE Business Owner Information Bond Information https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= DOTELE *923UU 01/26/2009