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