HomeMy WebLinkAboutPermit EL08-0522 - WESTFIELD SOUTHCENTER MALL - PAYLESS SHOESOURCEPAYLESS SHOESOURCE
2566 SC MALL
07 -11-08
ELO8-5 22
Citytf 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: 2866 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL08 -522
Issue Date: 05/06/2008
Permit Expires On: 11/02/2008
Tenant:
Name: PAYLESS SHOESOURCE
Address: 2866 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: JEFFERY WODZINSKI Phone: 425 679 -1435
Address: 15032 156 PL SE , RENTON WA
Contractor:
Name: ILLUMINATIONS NORTHWEST Phone: 425 -277 -5966
Address: 15032 156 PL SE , RENTON WA
Contractor License No: ILLUMN *922CD Expiration Date: 02/04/2010
DESCRIPTION OF WORK:
INSTALL ONE SET OF 18" HALO -LIT ILLUMINATED CHANNEL LETTERS
Value of Electrical: $600.00
Fees Collected:
$74.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
I hereby certify that I have read and canoed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied t whether specified herein or not.
The gr ting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constru n or ormance of rk. - authorized to sign and obtain this electrical permit.
Signatur f3� ��A < Date: U
.
Print Name: /e%/2 /
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 -522 Printed: 05 -06 -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
2866 SOUTHCENTER MALL TUKW
PAYLESS SHOESOURCE
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -522
ISSUED
05/06/2008
05/06/2008
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:
%';✓Ctt/1� Date: v6 ' Q
Print Name: / tier ie i Lv �`7 i. /"Ti Q,m./
doc: Cond -Elec
EL08 -522 Printed: 05-06 -2008
CITY OF TUKWILA°
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. 0/01 1 G Z1--
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
p / / King Co Assessor's Tax No.: �"1'/t%'l l 0
Site Address: c 4 Du i<ii e P�Tf2 i�Gt /� Suite Number: Floor:
Tenant Name:7 y/e.3 S -..‘7DP.SOrr/2C _ New Tenant: ❑ Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Tamer y 0. uiged t f' .6.r%
Mailing Address: / /503 c /so ` - /a.c) e s E
E -Mail Address: /L L L( //t dai �v (��z �1D p , e wk.)
Day Telephone: ifc: 5S-G 79 • /4/35'
7Penrrow L J1q 980 i'
City State Zip
Fax Number: .M5"-- 91!- /3/9
ELECTRICAL CONTRACTOR INFORMATION
Company Name: -.2-1 L um inva.717,6. ,,Q //iGc/ crS 7/
Mailing Address: /5c9- /q -`L 7D/a e e ,� E '7Ve,v'To i✓
Contact Person: Je f ,e, v 4. Wald L i v 4,e /
E -Mail Address: /LP LLI/Y1 NGe) 7 a D/N J
Contractor Registration Number:.ZL L ttf t_/I/' 94 o? PT
4v/it 980
Zip
City State
Day Telephone: `/a2S 79-/S/36—
Fax Number: 4/02.5= 98'8/3 /
Expiration Date: c:2 9' dt p/
Valuation of Project (contractor's bid price): $ ‘610
0
Scope of Work (please provide detailed information):
�STa.tL pare .sel /8 f'1i¢LD - // T ileared
c Ha/v/✓e L L e TTe,.5
Will service be altered? ❑ Yes 2 No Adding more than 50 amps? ❑ Yes Ii I"-No
Type of Use: de,nme■t? /a L .-6/ ?,,1
Type of work:
'ew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Prop Served by:
Puget Sound Energy
❑ Seattle City Light
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 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 ELECTRICALS CON TOR:
Signature: i I // g Date %'Czq lo, o2DOA
Print N Day Telephone: 4<o25.-: 679- /1/3S"
Mailing Addres ./503a /5 124. e S E WeNToN 419 9805g
City
State Zip
IDate Application Accepted:
octal tdt
Date Application Expires:
Staff Initials:
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 -522
Address: 2866 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 05/06/2008
Applicant: PAYLESS SHOESOURCE Issue Date:
Receipt No.: R08 -01492
Payment Amount: $74.00
Initials: JEM Payment Date: 05/06/2008 08:50 AM
User ID: 1165 Balance: $0.00
Payee: ILLUMINATIONS NORTHWEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1046 74.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 74.00
Total: $74.00
2064 05/06 9711 TOTAL 7400
doc: Receiot -06 Printed: 05 -06 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
66- SZZ
PERMIT NO.
ti
CITY OF TUKWILA BUILDING DIVISION 112'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 1#656 5`o 0
Type of Inspection:
00
Address: 2,814 �,/{ ,
W
Date Called:
��
r
[�j,�`�
Special Instructions:
/
Date Wanted:
—}
f t �
(air:: �
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
r
(Inspector:
AftL
Date: bi (it I k
❑ $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:
K---' -' 'I! = na.si�nr`.ad�+_..�. s.3lf.w.,._
Look Up a Contractor, Electric 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
ILLUMN *922CD
Licensee Name
ILLUMINATIONS NORTHWEST
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601538431
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
15032 156TH PL SE
Address 2
City
RENTON
County
KING
State
WA
Zip
98058
Phone
4252775966
Status
ACTIVE
Specialty 1
SIGN
Specialty 2
UNUSED
Effective Date
2/4/2008
Expiration Date
2/4 /2010
Suspend Date
Separation Date
Parent Company
Previous License
NORTHE *066KB
Next License
Associated License
WADZIJ *9320F
Electrical Administrator information
License
WADZIJ *9320F
Name
WADZINSKI, JEFFREY
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
WASZINSKI, JEFFREY 0
OWNER
02/04/2008
•
Bond Information
Bond l
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ILLUMN *922CD 05/06/2008