HomeMy WebLinkAboutPermit EL08-0993 - WESTFIELD SOUTHCENTER MALL - H & MH&M
867 SOUTHCENTER MALL
ELO8-99.3
City•f 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: 867 SOUTRCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -0993
Issue Date: 07/16/2008
Permit Expires On: 01/12/2009
Tenant:
Name: H & M
Address: 867 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: TAMARA MACKEY Phone: 206 - 788 -3828
Address: 828 POPLAR PL S , SEATTLE WA
Contractor:
Name: PACIFIC FIRE AND SECURITY INC Phone: 206 - 957 -0907
Address: 828 POPLAR PL S , SEATTLE WA
Contractor License No: PACIFFS973PU Expiration Date: 10/30/2009
DESCRIPTION OF WORK:
LOW VOLTAGE MERCHANDISE MONITORING
Value of Electrical: $2,300.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$124.00
2005
Date: - ( (0-0 e
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 ;sneaun
construction or the perforx ian of work
Signature:
e • <�• ve au
am autho
to violate or cancel the provisions of any other state or local laws regulating
to sign and obtain this electrical permit.
Print Name:
Date:
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 -0993 Printed: 07 -16 -2008
Parcel No.: 6364200010
Address:
Suite No:
Tenant: H & M
•
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
867 SOUTHCENTER MALL TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -0993
ISSUED
07/16/2008
07/16/2008
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 au
laws regulating construction or perform. = •f
Signature:
Print Name:
ty to violate or cancel the provision of any other work or local
/
Date:
doc: Cond -Elec
EL08 -0993
Priited: 07 -16 -2008
CITY OF TUKWILA
Community Development Department •
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:/Avww.ci.tukwila.wa.us
L-C) 0 953
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 **
Q� %�, �-1 c King Co Assessor's Tax No.:
Site Address: V V 1 e)0 u-, Cr2ANYte-rtfiq et.A4 Suite Number:
Tenant Name: - +k.-
Property Owners Name:
Mailing Address:
(114)4 0 --O0(d
Floor:
New Tenant: Yes 0 ..No
Name: QrliQprot G
MQhe!
Mailing Address: O p p• O la ,z I 'A p‘.
E -Mail Address: l/Y/Q f 4 I/Yi P a
Company Name: pa_ ei L Ft Pe_ --- 3-e CU- 1
Mailing Address:_2 Z g Tiara. IQ � , ok. 'h
�/�1a2�
Contact Person: —Fa ma, r -\La rot t " \ cj C K Q y y�
E -Mail Address: 1 (A 1r1� a y o ni Ci PFS. g Z
Contractor Registration Number: PAC 1 F FS q-7 3 Pit
Day Tele hone: 42o&-- 7 8 6 ?j' s),•8'
-erg. W4 of / 5/y
City State / Z
Fax Number: �� 1p -7 6 ' 640
cSP� W ggiyf
City State Zi
Day Telephone: 66 718- 3721
Fax Number: Cp - d 7 6 0
Expiration Date: /t ` 2j O -
Valuation of Project (contractor's bid price): $ 0 • w
Scope of Work (please provide detailed information): 1,...6A) f (A.
vv,,„)
M-6204
Will service be altered? ❑ Yes 1S No
Type of Use:
Type of work:
❑XLow New ❑ Addition
Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Lpw \to
Adding more than 50 amps?
❑ Yes No
❑ Service Change
❑ Fire Alarm
ii:\ licafionsWonns- Applications On Lineal -2007 - Electrical Permit Application.doe
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
1
RESIDENTIAL
ISEPLEMENniumana
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
;RESIDENTIAL REMODEL AND SE$VICE CI1IMGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $5.00
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, fumace thermostat)
mulatimiAtimmat MFRCI
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
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.
WILDING O ' R. OR ELECTRICAL CONTRACTOR:
Signatur. L/IAi A
Print Name • •.
Mailing Address: • ..„
Date: 7//4
Day Telephone: — 3 O
/. .rr. 2 • A
IDate Application Accepted:
IDate Application Expires:
ty
e Zip
Staff Initials:
H: Wpplicadoas\Faams- Applicatlaas On Lne54.2007 - ambient Permit Applicadoadoc
hot
Page2of2
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 -0993
Address: 867 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 07/16/2008
Applicant: H & M Issue Date:
Receipt No.: R08 -02591 Payment Amount: $124.00
Initials: WER Payment Date: 07/16/2008 08:51 AM
User ID: 1655 Balance: $0.00
Payee: PACIFIC FIRE & SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2359 124.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 124.00
Total: $124.00
4930 07/16 X710 TOTAL 302.00
doc: Receiot -06 Printed: 07 -16 -2008
INSPECTION RECORD �� n 46! /
Retain a copy with permit '�"`""r
INSPECTION NO. PERMIT N e
CITY OF TUKWILA BUILDING DIVISION 4e-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 4. ii
Type of Inspection:
Address: 1
110141
Date Called:
Special Instructions:
Date Wanted:
7 i vz....
a.m.
p.m.
Requester:
Phone No:
Ii6
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
0.K_ rid„,
Inspector: � ri 664164\
Date: 07 v bNt
El $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:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by Lai 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.
PACIFIC FIRE AND SECURITY INC
Business and Licensing Information
Name PACIFIC FIRE AND SECURITY
INC
Phone 2069570907
Address 828 POPLAR PL S
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
SEATTLE
WA
98144
KING
CORPORATION
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
602335521
ACTIVE
PACIFFS973PU
ELECTRICAL
CONTRACTOR
10/30/2003
10/30/2009
SMEINS *066DB
STIPEJM941 CG
LIMITED ENERGY
UNUSED
MASTER ELECTRICIAN INFORMATION
License STIPEJM941CG
Name STIPE, JOHN M
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
PINKSY, ADAM A
AGENT
10/30/2003
MURVICH, STEPHEN E
CHIEF EXECUTIVE OFFICER
10/30/2003
HARDER, JOHN E
CHIEF EXECUTIVE OFFICER
10/30/2003
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License = PACIFFS973PU
07/16/2008