HomeMy WebLinkAboutPermit EL08-1039 - WESTFIELD SOUTHCENTER MALL - FAST FIXFAST FIX
1129 SOUTHCENTER MALL
ELO8-1 039
CitAf Tukwila
0
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
ELECTRICAL PERMIT
Parcel No.: 6364200010
Address: 1129 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL08 -1039
Issue Date: 07/22/2008
Permit Expires On: 01/18/2009
Tenant:
Name: FAST FIX
Address: 1129 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: STEVE SAMPSON Phone: 209 623 -3100
Address: 727 S 96 ST , SEATTLE WA
Contractor:
Name: HEATH NW INC
Address: 727 S 96 ST , SEATTLE WA
Contractor License No: HEATHNI981JZ
Phone: 800- 613 -4559
Expiration Date: 04/09/2010
DESCRIPTION OF WORK:
INSTALLATION OF LED ILLUMINATED CHANEL LETTERS (SIGN)
Value of Electrical: $500.00
Fees Collected:
$70.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
'41J( Date:_D
I hereby certify that I have read andazed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wi , whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or th9 performance of work. I am authorized to sign and obtain this electrical permit.
Signature'
ut,--212, 14 6vity,
kgs «A) A_u$)
Print Name:
Date: -1-72-01
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 -1039 Printed: 07 -22 -2008
Parcel No.: 6364200010
Address:
Suite No:
Tenant: FAST FIX
• •
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
PERMIT CONDITIONS
1129 SOUTHCENTER MALL TUB:W
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1039
ISSUED
07/22/2008
07/22/2008
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:
Print Name
ClAsg Tv?
Y S l r A/ )ANS6V•
2?
Date: O8
doc: Cond -Elec
EL08 -1039 Printed: 07 -22 -2008
SITE ..L+
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.waus
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 **
)125
Site Address: WO 3O)111 CENTER, ).-A AU_
Tenant Name: ' 'As-7 F17,
Property Owners Name: CINaWit LSE 1 M SUQ AI.KtE Co
Mailing Address: ICO 14utikragi srfarc r
King Co Assessor's Tax No.: 1512 O ono b oy
Suite Number: Iltel
New Tenant:
Floor:
Er Yes
.. No
City
NEr
State
a'7 102
Zip
'CONTAC
la
ontac
hen your permit is ready to be issued',
Name: S-rEYE SAb AP i-1 Day Telephone: b117 - 3t to
Mailing Address:1 71 WV1}i 91,o 2JT E.E.7 5 AT1 ,E WA 9 O8
E -Mail Address:
S"i€YE.S 1keeillk Nt TWES7 CoM
city
Fax Number:
State Zip
2.blp to 23 -1185
ELEC
NFORMATION
Company Name: }iE.A9'1L Nown.wi€ST
Mailing Address: 123 SJ.YTh 9T S t Lv 2CE7
Contact Person: T(\9S1j4 )1•1
E -Mail Address: %\RS"IF.N Ae ntwoe7iwyE. 7 . coM
Contractor Registration Number:Ivaiwz 8112,
"r rte WA 98 )c8
City State
Zip
Day Telephone: Q.* VAS 31b)
Fax Number: 2bto kS12,S fl 8S
Expiration Date:
mm
Valuation of Project (contractor's bid price): $ $5C
Scope of Work (please provide detailed information): 1NS1"AL.LA110 rsi c•P LEI \LWA-t.nt,A1EO
C lit 4NQL Le_T- £ R AI V4 `l VAST—Fie
Will service be altered? ❑ Yes
2No
Adding more than 50 amps? ❑ Yes [leno
Type of Use:
Type of work:
RiQew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
[Puget Sound Energy
❑ Seattle City Light
H:Wpplications \Forms - Applications On Line \4 -2007 - Electrical Permit Application.doc
bh
Page 1 of 2
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
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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signatu
Print Name:
lMw� �Y1\ A nDaatte:
\`J K1R -reN `Nssw Day Telephone: QOtp )J23 `
Mailing Address:,., 5DJ11.1 94)11' S'IRE E 1 9%7LE
City
Date Application Accepted:
WA g 81018
State
Zip
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line \4 -2007 - Electrical Permit Application.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 -1039
Address: 1129 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 07/22/2008
Applicant: FAST FIX Issue Date:
Receipt No.: R08 -02697
Initials: JEM
User ID: 1165
Payment Amount: $70.00
Payment Date: 07/22/2008 01:02 PM
Balance: $0.00
Payee: HEATH NORTHWEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1318 70.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 70.00
Total: $70.00
5_77 07/22 9 ?:10 Tai' AL 70.00
doc: Receiot -06 Printed: 07 -22 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
tLdt /037
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION rz
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-
0
Project: r x
Firyr
Type of Inspection:
2100
Address:
/11?
Date Called:
--.
Special Instruc ions:
c4(,t
Date Wanted:
1
a.m.
p.m
Requester:
Phone No:
14 Approved per applicable codes. Corrections required prior to approval. f
COMMENTS:
K A-A/04,
Inspector: 66
Date: o1jl11 br
❑ $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
•
al
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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
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 Et D SIGNS INC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License
Next License
Associated License GIBSOJ *971 R9
Specialty 1 SIGN
Specialty 2 UNUSED
602195548
ACTIVE
HEATHNI981JZ
ELECTRICAL CONTRACTOR
4/9/2002
4/9/2010
ADMINISTRATOR INFORMATION
License GIBSOJ *971 R9
Name GIBSON, JOE
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
PAULSEN, DARRYL
AGENT
04/09/2002
PAULSEN, DARRYL
PRESIDENT
04/09/2002
GIBSON, JOE
SECRETARY
04/09/2002
GIBSON, JOE
TREASURER
04/09/2002
OLDS, JOHN
VICE PRESIDENT
04/09/2002
https:// fortress .wa.gov /lni/bbip/Detail.aspx ?License= HEATHNI981 JZ
07/22/2008