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HomeMy WebLinkAboutPermit EL08-0592 - WESTFIELD SOUTHCENTER MALL - FOREVER 21FOREVER 21 836 SOUTHCENTER MALL ELO8-592 City 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: 836 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -592 Issue Date: 05/15/2008 Permit Expires On: 11/11/2008 Tenant: Name: FOREVER 21 Address: 836 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: INSTALL MERCHANDISE MONITORING SYSTEM Value of Electrical: $2,500.00 Fees Collected: $124.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: S -cE `V 8 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 pres - e construction or the perform •r I Signature: to uthority to violate or cancel the provisions of any other state or local laws regulating rized to sign and obtain this electrical permit. � 1 • Print Name: ! o.�1 ! )� � 1 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. Date:" ! —0 doc: EL -4/07 EL08 -592 Printed: 05 -15 -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 Parcel No.: 6364200010 Address: 836 SOUTHCENTER MALL TUKW Suite No: Tenant: FOREVER 21 PERMIT CONDITIONS Permit Number: EL08 -592 Status: ISSUED Applied Date: 05/15/2008 Issue Date: 05/15/2008 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 o ork. Signatur Print Name: Date: — /5-- v doc: Cond -Elec EL08 -592 Printed: 05 -15 -2008 Site Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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 ** F36 Sot A ')/ atzleiLM61/ King Co Assessor's Tax No.: ►P Ito y % ' £ 1 O � Suite Number: Tenant Name: / 2:1,-e tre e. 2 1 Floor: New Tenant: ❑ Yes ❑ ..No Property Owners Name: Mailing Address: Name: Mailing Address: -I � ?^ E -Mail Address: -Tama ( vvl f 1-5 • 1 Z ECT. City Fax Number: te � 6 — Sta 7 —ftlo .'RACTOR IN : R ij; TIO, Company Name: Mailing Address: Contact Person: G c„,4_ t- i rc 4- Se C C1 r` f y c 2 f�040la re— P/ cce. ate. i'Vlaci E -Mail Address: -G,Yn u.r-c, IrvA ( PF 5 , 13 1- Contractor Registration Number: P4 Gj FE S q City Std! j ��q ) Day Telephone: „2-06,-- ! to(;0/0 Fax Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): I nl S-ttn V1 0\.9,4,-(2,6 i ir, d1,,e 4 (''l C v i i i J Gne CS- S/ /� Will service be altered? ❑ Yes 4. No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 121 Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: EJ Puget Sound Energy ❑ Seattle City Light H:\Applications\Fomis- Applications On Line \4 -2007 - Electrical Pemilt Applicationdoc bb Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Tenant Improvement ❑ Telecominunication ❑ Temporary Service Page 1 of 2 1 RESIDENTIAL NEE.11EMESThgmaym ❑ 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, fumace thermostat) MULTI- FAMILY AND COMMFRCJjJ 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. IIJILDING QWNER OR ELECTRICAL CONTRACTOR: Signatur Print Name: Mailing Address: Date: /s o Day Telephone: 1720 G ` City State Zi IDate Application Accepted: Date Application Expires: IStaff Initials: • H:1AppacationsTonns- Applications On Line \4-2007 - Electrical Permit Applicatioadoc 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:/lwww.ci.tukwila.wa.us RECEIPT Parcel No.: 6364200010 Permit Number: EL08 -592 Address: 836 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 05/15/2008 Applicant: FOREVER 21 Issue Date: Receipt No.: R08 -01663 Initials: WER User ID: 1655 Payment Amount: $124.00 Payment Date: 05/15/2008 01:39 PM Balance: $0.00 Payee: PACIFIC FIRE & SECURITY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2326 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. 05 -15 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 6,07-51-2, PERMIT NO. It• (206)431 -3 Project: °Z. ` Type of Inspection: -7A OCR V Address: 14.3 'I Date Called: Special Instructions: f dQ n 4. 2 1104(1-114. Date Wanted: a.m/7/3 Requester: Phone No: 1721 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: D� . rid,t, Inspector: �� &eislAkI\ f Date: irri (2.5fet, 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: Look Up a Contractor, Electrical 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 PACIFFS973PU Licensee Name PACIFIC FIRE AND SECURITY INC Licensee Type ELECTRICAL CONTRACTOR UBI 602335521 Ind. Ins. Account Id CHIEF EXECUTIVE OFFICER Business Type CORPORATION Address 1 828 POPLAR PL S Address 2 City SEATTLE County KING State WA Zip 98144 Phone 2069570907 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 UNUSED Effective Date 10/30/2003 Expiration Date 10/30/2009 Suspend Date Separation Date Parent Company Previous License SMEINS *066DB Next License Associated License STIPEJM941CG 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 • Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= PACIFFS973PU 05/15/2008