HomeMy WebLinkAboutPermit EL08-0974 - WESTFIELD SOUTHCENTER MALL - BLUE C SUSHIBLUE C SUSHI
468 SOUTHCENTER MALL
ELO8-974
Cityif 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
Address: 468 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -0974
Issue Date: 07/14/2008
Permit Expires On: 01/10/2009
Tenant:
Name: BLUE C SUSHI
Address: 468 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: KIRSTEN HANSON Phone: 206 - 623 -3100
Address: 727 S 96 ST , SEATTLE WA
Contractor:
Name: HEATH NW INC Phone: 800 - 613 -4559
Address: 727 S 96 ST , SEATTLE WA
Contractor License No: HEATHNI981JZ Expiration Date: 04/09/2010
DESCRIPTION OF WORK:
INSTALLATION OF INTERNALLY ILLUMINATED BLUE C SUSHI SIGN
Value of Electrical: $795.00
Fees Collected:
$82.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
iA);(k(
Date: -7` (L( -O
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 he performance of work. I am authorized to sign and obtain this electrical perrnit.
Signa
Print Name:
Trw IAiu,sou
Date: -7 '11-1 f-)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.
doc: EL -4 /07
EL08 -0974 Printed: 07 -14 -2008
Parcel No.: 6364200010
Address:
Suite No:
Tenant:
• •
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
468 SOUTHCENTER MALL TUKW
BLUE C SUSHI
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -0974
ISSUED
07/14/2008
07/14/2008
1: ** *ELECTRICAL * **
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.
Signature:
utAik
K-I Q-S i'm N ANSv
Print Name:
Date: 1-1L -o`w
doc: Cond -Elec
EL08 -0974 Printed: 07 -14 -2008
CITY OF TUKWILL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. - O? 121
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
CENTER- �+ SEATTLE King Co Assessor's Tax No.: W Z �P H 00 t 0
Site Address: li� �lv'Ht Ef 1 1 LE ?VA.
Tenant Name: b1.V F. C SVss\
Property Owners Name: C1\aN J , tWE. NSA) RACE. Co.
Suite Number:
New Tenant:
Floor:
N"--. Yes ❑..No
Mailing Address: 100 MVLQER. 1 STRL -6T l
State Zip
City
CONTACT PER SON —Who do we contact when your permit is ready to be issued
Name: Vats-mg lrkkN513 Day Telephone: blo tD23 ' 3 W
Mailing Address: i 21 51 910 ST1eET � SEATTLE, WA . %Mot
City 2P le Zip
E -Mail Address: PVASG 5 • 2.VI t� 2 a Fax Number: .3 - ll,S
ELECTRICAL CONTRACTOR INFORMATION
1
Company Name: t'i E.Ai 4
Mailing Address:11.1 %Vfl itp' STRECTl
Contact Person: Y..\9..5-TEN
p TtlyN f�
E -Mail Address: T SE SEC. SVS . 'AP
Contractor Registration Number: KE Al k141.9%112..
5rr-ri.c WA. 953168
City nn ww�" tState Zip
Day Telephone: i2.0 W W 23 - % ltc)
Fax Number: 0.0k.Q 4 23 'n$S
Expiration Date: 4 - 2.010
Valuation of Project (contractor's bid price): $ 19
Scope of Work (please provide detailed information): INSTALLATION DV 11 tat ..C.- -WsAN"
111'TF2.N A1LL`l 1 LL N A rreA.
S Op
sue 14
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
ew ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H \Applications\Forms- Applicanons On tane4-2007 - Electrical Permit Application.doc
bh
❑ Tenant Improvement
❑ Temporary Service
Page 1 oft
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)
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 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:
Signa
Print Name:
aA lf/d1 Date:* - -0B
1. $ i.3 Day Telephone: QtAD U2.3 - 3lac)
Mailing Address: 14"1A
IDate Application Accepted:
1JCRi yE6- �% 2? S . �llv-r�t ST S ScanzzliatvircA
City
91a tea
Zip
Date Application Expires:
Staff Initials:
H.Upphcanons\Fonns- Applications On Lin64 -2007 - Electrical Permit Applicanon.doc
bh
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
RECEIPT
Parcel No.: 6364200010 Permit Number: EL08 -0974
Address: 468 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 07/14/2008
Applicant: BLUE C SUSHI Issue Date:
Receipt No.: R08 -02559
Payment Amount: $82.00
Initials: WER Payment Date: 07/14/2008 04:01 PM
User ID: 1632 Balance: $0.00
Payee: HEATH NORTHWEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1312 82.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 82.00
Total: $82.00
4842 07/15 X•11 TOTAL 82.00
doc: Receiot -06 Printed: 07 -14 -2008
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
64- 011
PERMIT NO.
Project: �j A 514 '
Type of Inspection:
Address: 14 ( '
Date Called:
Special Instructions:
'' 1L d
Date Wanted:
*9
1
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
14a-
Inspector:
'Date: a/60
ri$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:
-y- - JAN kJ. _s.....__ ,. .f�_.. .-_.. 2..ti- ......rn.. -L.. �:..M. „v.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION te-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Eio"d- 097/
Project: 5L `
C,!`�
Type of Inspection:
Address: vo ei
„
Date Called:
Special Instructions:
5I J
'kJ
Date Wanted:
(0;
a:m
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
qa J n i ttcc,FS,
Inspector:
JP-1 er-71,76is
Date:
0110 c 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:
ti
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Electrical Contractor
A business licensed by MI 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.
HEATH NW INC
Business and Licensing Information Verify Workers' Comp
Premium Status
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
HEATH NW INC
8006134559
727 5 96TH ST
SEATTLE
WA
98108
KING
CORPORATION
JJ a D SIGNS INC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License
Next License
Associated License
Specialty 1
Specialty 2
C1
r'- Printer friendly
4) 602195548
ACTIVE
HEATHNI981JZ
i ELECTRICAL
"� CONTRACTOR
4/9/2002
4/9/2010
GIBSOJ*971R9
.iJ SIGN
&I UNUSED
ADMINISTRATOR INFORMATION
License GIBSOJ "971 R9
Name GIBSON, JOE
Status ACTIVE
Access
Washington^
�.A�ll •M1•. 1.
V4 1, �•4
;ti Business Owner Information
ea Bond Information 1.0
cr Show All
ea Infraction / Citation Information di
About L &I I Find a job at L &I Site Feedback 1-800-547-8367
O Washington State Dept of Labor and Industnos. Uso of this sae is subject to the laws of the state of Washington
Access Agreement 1 Privacy and security statement 1 Intended, use /extemal content policy I Staff only link
Far• m.. ..islmm
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= HEATHNI981 JZ
07/14/2008
DEPARTMENT 0 ABOR & INDUSTRIES
PO BOX 44460
OLYMPIA WA 98504 -4460
HEATH NW INC
727 S 96TH ST
SEATTLE WA 98108
miET :i + Ei$4922 C002
2
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1 PE RNI11 NO 312
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DEPARTMENT OF LABOR AND INDUSTRIES
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR SIGN
LICENSE # EXP. DATE
EC04 HEATHNI9$1JZ 04/09/2010
EFFECTIVE DATE 04/09/2002
HEATH NW INC
727 S 96TH ST
SEATTLE WA 98108
- I)ctach And 1)1.0L1‘. ( -- '
LICENSED AS PROVIDED BY LAW AS
ELEC CONTR SIGN
LICENSE # EXP. =DATE
EC04 I EATHNI981JZ 04/09/2010
EF'FECT'IVE DATE 04/09/2002
HEATH NW INC
727 S 96TH,ST'
SEATTLE WA 98108
Signnn)re
Issued by DEPART:ti11'NT OF LABOR AND INDUSTRIES
I'625 052.000 IS;7 71
Please Remo c
And Sign
J dent il'icaiion
('arcs Before
Placing In
Billfold