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Home My WebLink AboutPermit EL09-0155 - WESTFIELD SOUTHCENTER MALL - CHAMPSCHAMPS 1030 SOUTHCENTER MALL EXPIRED 08 -25 -09 ELO9-0155 Parcel No.: 6364200010 Address: 1030 SOUTHCENTER MALL TUKW Suite No: CitAlf Tukwila • �artment 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: CHAMPS Address: 1030 SOUTHCENTER MALL , TUKWILA WA ELECTRICAL PERMIT Owner: Name: WEA SOUTHCENTER LLC BSIP Phone: Address: TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 Contact Person: Name: JERAMY SHIVELY Phone: 253- 255 -4138 Address: 10609 264 ST E , GRAHAM WA Contractor: Name: WEST COAST SECURITTY INC Address: 14721 146 AV E , ORTING WA Contractor License No: WESTCCS940K5 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE CCTV Value of Electrical: NRES: $6,000.00 Fees Collected: $186.40 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: doc: EL -4/07 Permit Number: EL09 -0155 Issue Date: 02/26/2009 Permit Expires On: 08/25/2009 Phone: Expiration Date: 05/25/2010 Date: )..... — 0 q I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 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. Signature: Date: 7 -6 9 Print Name: 5 # / ' -1 3/ 1- C1 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 -0155 Printed: 02 -26 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: CHAMPS 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond -Elec • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 20€- 431 -3665 Web site http: / /www.ci.tukwila.wa.us 1030 SOUTHCENTER MALL TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0155 ISSUED 02/26/2009 02/26/2009 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 accorc.ance 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. Date: '-2 -e9 EL09 -0155 Printed: 02 -26 -2009 Tenant Name: Property Owners Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila wa. us SITE LOCATION k030 Site Address: 49- t 3 a-44 C4h4- -cr 7974 /l 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 ** Mailing Address: CO'/O 5ni.41^, ��r / r.r n-+a // SW■ 4Z / 0 3v 1 1 / <14;/\ Cit Name: Sf ovr.,y v.o1 Mailing Address: /D /DO 9 .2 1D 4/ 711 54- E E -Mail Address: 3 c co-■, .1 S y ko , Co rn ELECTRICAL CONTRACTOR INFORMATION Company Name: (,�2 ( t,c 54- c5�°C Mailin g Address: CS (110 .2 9 TA ' , n-7 1 C 3 vt.ly Contact Person: E -Mail Address: 3e swrr S4. ►vt (y ZI Ips 4 CatPI Contractor Registration Number: CC /� 00 Valuation of Project (contractor's bid price): $ (0000 • Scope of Work (please provide detailed information): .40(.0 VO �fia H:\Applications\Forms- Applications On Line\1-2009 - Electrical Permit Application.doc hh Electrical Permit No. ELoq_ D I s Project No. (For office use "only) King Co Assessor's Tax No.: tP 10 ) 1 c— (MID `D Suite Number: /0314 Floor: / 'Ca. he Vin City New Tenant: ® Yes State Day Telephone: 2 3 - 255 - 9/3f State ❑..No Zip CONTACT PERSON —Who do we contact when your permit is ready to be issued .. 9'533S Zip Fax Number: 9 Ca. ha. m city Day Telephone: ,25 3 5 J 9/38' Fax Number: Expiration Date: 5 5 -.2610 w4 9b33s State Zip Will service be altered? ❑ Yes l∎ No Adding more than 50 amps? ❑ Yes Ei No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement El Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: VA 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 552.00 (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, fumace thermostat) Mailing Address: 10(.90 ‘ 260 1 -fi ll z/ S5 C Date Application Accepted: H. Applicaions On Lanett 009 - Electrical Permit Application. doc bh MULT1- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) .... $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Camivals $75.00 Number of concessions .. $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature s 1 2a Date: /—.0 —O ? Print Name: i n ll✓` 71,r( )rit Day Telephone: e - `943$ Cy CC. -v%. • City kola- °J `- 33 s tate Zip Date Application Expires: Staff Initials: Page 2 of 2 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 Parcel No.: 6364200010 Permit Number: EL09 -0155 Address: 1030 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 02/26/2009 Applicant: CHAMPS Issue Date: Receipt No.: R09 -00328 Payment Amount: $186.40 Initials: WER Payment Date: 02/26/2009 09:59 AM User ID: 1655 Balance: $0.00 Payee: WEST COAST SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA 491 186.40 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR RECEIPT Account Code Current Pmts 000.322.101.00.0 186.40 Total: $186.40 0905701-1 0) i4 02/26/2009 001 101 Dl-D F'ernit_ Plus - General Fund $186.40 doc: Receipt -06 Printed: 02 -26 -2009 JERAMY SHIVELY 10609 264 ST E GRAHAM WA 98338 RE: Permit No. EL09 -0155 1030 SOUTHCENTER MALL TUKW Dear Permit Holder: Based on the above, you are hereby advised to: -or- The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician ')$AiL-Q File: Permit File No. EL09 -0155 City of Tukwila Jim Haggertorz, Mayor Department of Community Development Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 08/25/2009. 1) Call the City of Tukwila Inspection Request Line at 206- 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. In the event you do not call for an inspection and /or receive an extension prior to 08/25/2009, your permit will become null and void and any further work on the project will require a new permit and associated fees. 6300 .Sonthcenter Boulevard. Suite #100 • Tukwila_ Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Name Role Effective Date Expiration Date SHIVELY, JERAMY D AGENT 05/25/2006 SHIVELY, JERAMY D PRESIDENT 05/25/2006 SHIVELY, THERESA TREASURER 05/25/2006 Untitled Page Electrical Contractor A business licensed by LW 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 WEST COAST SECURITY INC Phone 2532554138 Address 106C9 264TH ST EAST Suite /Apt. City State Zip County Business Type Parent Company • GRAHAM WA 98338 PIERCE Corporation ADMINISTRATOR INFORMATION License SHIVEJD961 DB Name SHIVELY, JERAMY D Status ACTIVE Business Owner Information Bond Information Bond Bond Effective UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 Expiration • Cancelllmpaired 602570814 ACTIVE WESTCCS940K5 ELECTRICAL CONTRACTOR 5/25/2006 5/25/2010 LOWVOVS963D9 SHIVEJD961 DB LIMITED ENERGY UNUSED Bond Page 1 of 2 Received https: // fortress. wa. gov /lni /bbip /Detail.aspx ?License= WESTCCS940K5 02/26/2009