HomeMy WebLinkAboutPermit EL08-1106 - WESTFIELD SOUTHCENTER MALL - PURL WHITEPURL WHfl1E
1011 S OUTh CENTER MALL
ELO8-1 106
CitAlbf 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
ELECTRICAL PERMIT
Parcel No.: 6364200010
Address: 1011 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL08 -1106
Issue Date: 08/11/2008
Permit Expires On: 02/07/2009
Tenant:
Name: PURL WHITE
Address: 1011 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: KEITH SMITH Phone: 206 -713 -4076
Address: 1725 WESTLAKE AVE N SUITE 210 , SEATTLE WA
Contractor:
Name: JACK BRODHEAD ELECTRICAL CNTRG Phone: 360 859 -1 12 1
Address: 11 RASPBERRY LN , ELMA WA
Contractor License No: JACKBBE946QA Expiration Date: 11/01/2008
DESCRIPTION OF WORK:
ADD (2) 20 AMP CIRCUITS TO EXISTING PANEL
Value of Electrical: $2,500.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENEGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$124.00
2005
Date: g 1/410 p%
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
constructi• th- • -rfo. - ce of work. I am authorized to sign and obtain this electrical permit.
1 Signature: - � —�-- Date:
Print Name: Ppk& l�
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 -1106 Printed: 08-11 -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
PERMIT CONDITIONS
1011 SOUTHCENTER MALL TUKW
PURL WHITE
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1106
ISSUED
08/11/2008
08/11/2008
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: 9 1JCCXW tJ
Date: `) .-, -
doc: Cond -Elec EL08 -1106 Printed: 08 -11 -2008
CITY OF TUKWI •
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.cLtukwila.wa.us
Electrical Permit No. LOg` 11.0
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
Site Address:
Tenant Name:
111
pgarzyg;
itsirffEWEIMATMff
ng Co Assessor's Tax No.: (4936 11)-O b$ ( o
Suite Number: Floor: l
New Tenant: ❑ Yes ❑..No
Property Owners Name:
Mailing Address:
ity
Statc
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Day Telephone:
Mailing Address:
E -Mail Address: /' $/ b ( /1 5J Uz7IICtO - dry
J
ELECTRICAL CONTRACTOR INFORMATION
Zip
r.
City Fax Number: "31510 4' y O7o o
Company Name:
Mailing Address:
City Statc Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed info}mation):
IV 4n (XX'
Will service be altered? L❑ iY s 'kr No
Type of Use:
Type of work:
El New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Adding more than 50 amps? ❑ Yes g No
Property Served by:
,i Puget Sound Energy
❑ Seattle City Light
HAApplications \Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc
bh
❑ Remodel
Tenant Improvement
❑ Telecommunication El Temporary Service
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, fumace 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 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:
Signature:
Print Name:
Mailing Address:
Date:
11
Day Telephone:
City
206 11
r
State
l0�
IDate Application Accepted:
9)-0-OK
Date Application Expires: �� l 1 -d 7
Staff Initials:
HA Applications On Ltnet4 -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 -1106
Address: 1011 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/11/2008
Applicant: PURL WHITE Issue Date:
Receipt No.: R08 -02895
Payment Amount: $124.00
Initials: WER Payment Date: 08/11/2008 01:19 PM
User ID: 1655 Balance: $0.00
Payee: SMITH CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 7010 124.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 124.00
Total: $124.00
doc: Receiot -06 Printed: 08 -11 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION >e_
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
a'g- 1 10(0
Project: Via, J ID
Type of Inspection:
"„
Address:
10 11 ritvt,
Date Called:
Date Wanted:
vz�a:m:
Special Instructions:
Requester:
Phone No:
14 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
60 crosJ 5 'iM e
art
Inspector:
661A/K
(Date: 07/44 o'&
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:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
((d8 -1106
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION P.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
d
Project: pi) -
ifj
K l• Wilt
Type of Inspection:
7003
HkKi9
Address:
toll
tl4
Date Called:
°- KEt i,d5P,",o,J
r-.
Special Instructions:
Date Wanted:
J+
cailnd.
Requester:
//
Phone No:
❑ Approved per applicable codes.
EiCorrections required prior to approval.
COMMENTS:
— 7It Dtucxogiwungc_Thi
HkKi9
- tlC. To Bt 5Vrfottrl
°- KEt i,d5P,",o,J
Inspector:
+VO\
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 00210)C
Receipt No.:
'Date:
Untitled Page
•
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.
JACK BRODHEAD ELECTRICAL CNTRG
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
JACK BRODHEAD ELECTRICAL
CNTRG
3605891121
11 RASPBERRY LN
ELMA
WA
98541
GRAYS HARBOR
INDIVIDUAL
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
602660876
ACTIVE
JACKBBE946QA
ELECTRICAL
CONTRACTOR
11/1/2006
11/1/2008
BRODHJH941 QB
GENERAL
UNUSED
ADMINISTRATOR INFORMATION
License BRODHJH941QB
Name BRODHEAD, JACK H
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BRODHEAD, JACK
OWNER
11/01/2006
Bond Information
Bond
Bond
Company
Bond
Account
Effective
Expiration
Cancel
Impaired
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= JACKBBE946QA
Bond
Received
08/11/2008