HomeMy WebLinkAboutPermit EL08-0474 - WESTFIELD SOUTHCENTER MALL - H & MH&M
867 SOUTHCENTER MALL
ELO8-474
Cityef 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 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -474
Issue Date: 04/25/2008
Permit Expires On: 10/22/2008
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: GREG SHERMAN Phone: 206 501 -6365
Address: PO BOX 179 , RENTON WA
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 179 , RENTON WA
Contractor License No: HOLMEEC549BH
Phone: (425)255 -8666
Expiration Date: 10/31/2008
DESCRIPTION OF WORK:
INSTALL 200 AMP TEMP POWER FEED FOR ELEVATOR
Value of Electrical: $5,000.00
Fees Collected:
$75.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
A\M
Date: D I cV
I hereby certify that I have read and ex „lied this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 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 the pe • oy an ;• of ork. I am authorized to sign and obtain this electrical permit.
Signature:
Date:
Print Name: (�(1P�' ��l�u ✓�
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 -474
Printed: 04 -25 -2008
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 -474
Address: 867 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 04/25/2008
Applicant: H & M Issue Date:
Receipt No.:
Initials:
User ID:
R08 -01344
JEM
1165
Payment Amount: $75.00
Payment Date: 04/25/2008 11:26 AM
Balance: $0.00
Payee: HOLMES ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 045743 75.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 75.00
Total: $75.00
1640 04/25 9711 TOTAL 75°00
doc: Receiot -06 Printed: 04 -25 -2008
• 0
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
Address: 867 SOUTHCENTER MALL TUKW
Suite No:
Tenant: H & M
PERMIT CONDITIONS
Permit Number: EL08 -474
Status: ISSUED
Applied Date: 04/25/2008
Issue Date: 04/25/2008
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:
2C---,___.c`' 5h '< v\__
,./
Date:
doc: Cond -Elec
EL08 -474 Printed: 04 -25 -2008
CITY OF TUKWILA
Community Developmeiepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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 **
King Co Assessor's Tax No.: G V I z — W(
Site Address: O Swr cx - m $(),. k , Suite Number: t-i�JO
Tenant Name: \-VM New Tenant:
Property Owners Name: kAk'(`c�
Mailing Address: X'U
Floor:
.... Yes
IlAiNkOluPt
City
ln)A
State
❑ ..No
Zip
Mailing Address: ?() -12D(.�( \\1C1
�
Day Telephone:
I
City
E -Mail Address: el p-, �u ,Nc. ) (Z �}(,�1�e`�t Ct(`o Fax Number:
Company Name: IAD(,f in 6'L
1/0P1 9
State Zip
't lr✓v
Mailing Address: i p�
q
Contact Person: £ ,S°A1 11111,
E -Mail Address: a n, Q , iapy\ AO @ k31.4Y1t35 . C.1� Y`-
Contractor Registration Number: t i 61-t-
City �IState j ,, Zip
ta
Day Telephone:, Q 1 tie3t.�
Fax Number:
Expiration Date: 054
Valuation of Project (contractor's bid price): $ 500b ® D
Scope of Work (please provide detailed information): ‘1 3MUL, 62(XiP h'l) •TerYA, T
S U∎.o C
Will service be altered? 0 Yes
Type of Use:
Type of work:
❑ New
❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
"Puget Sound Energy
❑ Seattle City Light
No Adding more than 50 amps? iffrYes ❑ No
❑ Service Change ❑ Remodel
❑ , Tenant Improvement
❑ Fire Alarm ❑ Telecommunication T Temporary Service
H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc
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)
MULTOMILY 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 •APPLIC A:T ON 14' 5
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 EL CAL CONTRACTOR:
Signature:
Print Name(AuUs fi )(J
Mailing Address:
I1°7
IDate Application Accepted: ( I-V�
Day Telephone:
City
Date: I 0 U
u -25
Date Application Expires:
H,1ApplicationslForms- Application3 On Line14-2067 - Electrical Permit Applicationdoc
State Zip
Staff Initials: ,,,./. I
Page 2 of 2
•
60
INSPECTION NO. PERMIT NO
CITY OF TUKWILA BUILDING DIVISION r- -i
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
INSPECTION RECORD
Retain a copy with permit
Project: 4 # lit
Type of Inspection: 2. too
Address:00
lib
rf 064.#
Date Called:
4y-a.m.
Special Instruct ons:
•
.
Date Wanted:
1//2"C
p%
Requester:
Phone No:
Approved per applicable codes. EI Corrections required prior to approval.
COMMENTS:
Date: Jo
El $58.00 REICTIDN FEE REQUIRED. Prior o inspect on. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the sctbedule reinspection.
Inspector:
-211 6-44 Cec
Reccipt No.:
Date: '/
L
•
Look Up a Contractor, Electri or Plumber License Detail
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I 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.
License Information
License
HOLMEEC549BH
Licensee Name
HOLMES ELECTRIC CO
Licensee Type
ELECTRICAL CONTRACTOR
UBI
177003752
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 179
Address 2
City
RENTON
County
KING
State
WA
Zip
98057
Phone
4252558666
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/8/1946
Expiration Date
10/31/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
RICHAM *178LZ
Electrical Administrator Information
License
RICHAM* 178LZ
Name
RICHARDS, MICHAEL
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
RICHARDS, MICHAEL W
01/01/1980
RICHARDS, EUGENE M
01/01/1980
HOLMES, MICHAEL J
01/01/1980
HOLMES, JERAY A
AGENT
01/01/1980
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HOLMEEC549BH 04/25/2008