HomeMy WebLinkAboutPermit EL09-0134 - WESTFIELD SOUTHCENTER MALL - CHAMPSE1?T06OTEI
TWIN }tEWIDllJf1OS 0F0T
SdJkVHD
Parcel No.: 6364200010
Address:
Suite No:
Tenant:
Name: CHAMPS
Address: 1030 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name: SCOTT RAEDER
Address: 2921 MERIDIAN AVE E , EDGEWOOD WA
Contractor:
Name: AIRE PRO INC
Address: 2921 MERIDIAN AV E , EDGEWOOD WA
Contractor License No: AIREPI *000DA.
DESCRIPTION OF WORK:
RUN THERMOSTAT WIRE TO CONTROL SPLIT SYSTEM HEAT PUMP UNIT AND 1 ZONE DAMPER
Value of Electrical:
Type of Fire Protection:
Electrical Service provided by:
Permit Center Authoriz
I hereby certify that I h
governing this work w
The granting of this p
construction or the pe
Signature:
Print Name:
doc: EL -4/07
Cityabf 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.u.s
1030 SOUTHCENTER MALL TUKW
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 - 848 -2626
Phone: 253 848 -2626
Expiration Date: 03/01/2010
EL09 -0134
02/18/2009
08/17/2009
NRES: $300.00
RES: $0.00
UNKNOWN National Electrical Code Edition: 2005
nature:
04-4 l2 wits
PUGET SOUND ENERGY
Fees Collected: $64.00
LJA, a1 t V - q
l
ad and examined this permit and know the same to be true and correct. All provisions of law and ordinances
complied with, whether specified herein or not.
does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of work. I am authorized to sign and obtain this electrical permit.
Date: 2- /0 0 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 -0134 Printed: 02 -18 -2009
Parcel No.: 6364200010
Address:
Suite No:
Tenant: CHAMPS
1: ** *ELECTRICAL * **
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
1030 SOUTHCENTER MALL TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0134
ISSUED
02/18/2009
02/18/2009
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
ordinances governin
The granting of this
laws regulating co
Signature:
Print Name:
doc: Cond -Elec
read these conditions and will comply with them as outlined. All provisions of law and
work will be complied with, whether specified herein or not.
does not presume to give authority to violate or cancel the provision of any other work or local
tion or the performance of work.
Date: Z
EL09 -0134 Printed: 02 -18 -2009
- "bli4&4041 ar p
Property Owners Name: 1,Je s4 ela vv- r 1
Site Address:
Tenant Name:
Name: - S - aki
Mailing Address: Ail_ E
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Scope of Work (please provide detailed information):
H:\Applications\Forms- Applications On Line \1 -2009 - Electrical Permit Application.doc
Electrical Permit No.
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
Mailing Address:
State Zip
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
j kr e
2 rher Air
Contact Person: 3 L , /I 1Q4er,Iel
Contractor Registration Number: Ai pivaccosA
King Co Assessor's Tax No.: W j(P L i)t 00 �V
Suite Number: Floor:
New Tenant: ❑ Yes .. No
Day Telephone:
Off
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION -
C c ,
Cit
E1-0q O 13'--1
State
Z-3 -t5.-ke z& 7
Expiration Date: 0 - 1Zol u
18371
Zip
State Zip
Day Telephone: Z53- s41R - Z (cL
E -Mail Address: Fax Number: Z S 3- f i r g 2(o 7
Valuation of Project (contractor's bid price): $ 3op
+154.1 w-e (-4 t & ,k_ Li p,..v/
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
la Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
g Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ..$145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added /altered without service change $52.00
(6 or more circuits). ....$7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
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 :ra one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause de �.t� ed.
I HEREBY CER7
PENALTY OF PERJ L? THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE
Signature:
Print Name:
R
AT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
LECTRICAL CONTRACTOR:
sec
Mailing Address: 21 rNertc -. X371
City
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
Day Telephone:
MISCELLANEOUS FEES
❑ Temporary service (residential).... $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
Date: Z- t R3-
2
s3 r 6�i z�zl
State
Zip
Date Application Expires:
I Date Application Accepted:
H.Upplications\Forms- Applications On Line11 -20Q9 - Electrical Permit Application doc
Staff Initials:
Page 2 of 2
Parcel No.: 6364200010 Permit Number: EL09 -0134
Address: 1030 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/18/2009
Applicant: CHAMPS Issue Date:
Receipt No.: R09 -00276
Initials: WER Payment Date: 02/18/2009 02:05 PM
User ID: 1655 Balance: $0.00
Payee: AIRE PRO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 17019 64.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
•
City of Tukwila
Department of Community Development
6300 Southcentcr Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: /. /www.ci.tukwila.wa.us
RECEIPT
Account Code Current Pmts
000.322.101.00.0 64.00
Total: $64.00
Payment Amount: $64.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 02 -18 -2009
Project: /� -
(U/
Type of Inspection:
loo
Address:
0 3 0 rl
Date Called:
Special Instructions:
Date Wanted:
03
0
Cia411..m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
&o7 -a/31/
RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
D
Inspector
60.
REINS 0 $ 00 5 CTION FEE RE
paid at 6300 Southcenter Blvd.,
Receipt No.:
Date: 0 3 o5
IRED. Prior to inspection, e m st be
uite 100. Call to schedule reinspection.
Date:
., • '..,pony • 'the ,• • ..;. .. .. ;rs •tra ms
I o.;_ s tart..
Project: � y' � ��
�
Ty of Ins
�D0,
Address:
103 flki
Date Called:
Special Instructions:
Date Wanted:
4
l72! Z
q..m:
Requester:
Phone No:
r
(Loct
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
fooco.;
Inspector: 6f74A/ER
Date: 4 24101
❑ $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:
+rr 44!e0Aler b.4496,'`a Nr_VoseiR 7+n',.v... Yt '- " wi • r.
Name
Role
Effective Date
Expiration Date
JENNINGS, RICHARD M
Cancel
Date
01/01/1980
Bond
Amount
RAEDER, SCOTT W
01/01/1980
JENNINGS, RICHARD
AGENT
01/01/1980
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
Until
Untitled Page
Electrical Contractor
Business and Licensing Information
Business Owner Information
Bond Information
•
Page 1 of 2
A business licensed by LBtI 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.
Name AIRE PRO INC UBI No. 601771753
Phone 2538482626 Status ACTIVE
Address 2921 MERIDIAN AVE E License No. AIREPI *000DA
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City EDGEWOOD Effective Date 3/1/2000
State WA Expiration Date 3/1/2010
Zip 98372 Suspend Date
County PIERCE Previous License
Business Type Corporation Next License
Parent Company Associated License RAEDESW967KM
Specialty 1 HVAC /RFRG LTD ENERGY
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License RAEDESW967KM
Name RAEDER, SCOTT W
Status ACTIVE
https: // fortress .wa.gov /lni/bbip /Detail.aspx ?License= AIREPI *000DA
02/18/2009