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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