The URL can be used to link to this page

Home My WebLink AboutPermit EL08-0622 - WESTFIELD SOUTHCENTER MALL - WHITE HOUSE BLACK MARKETWHITE HOUSE BLACK MARKET 656 SOUTHCENTER MALL ELO8-622 CitAf 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: 656 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -622 Issue Date: 05/21/2008 Permit Expires On: 11/17/2008 Tenant: Name: WHITE HOUSE BLACK MARKET Address: 656 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: CHRISTINA MEREDITH Phone: 425 917 -2109 Address: PO BOX 2849 , RENTON WA Contractor: Name: INSIGNIA SIGN INC Address: PO BOX 2849 , RENTON WA Contractor License No: INSIGSI055JS Phone: 425 917 -2109 Expiration Date: 04/10/2009 DESCRIPTION OF WORK: INSTALL AND WIRE RECESSED LIGHT BOX WITH ALUMINUM FACE 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:, I hereby certify that I have read and governing this work will be complie x Date: cC I u I 03 ied this permit and know the same to be true and correct. All provisions of law and ordinances 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 performance of work. I am authorized to sign and obtain this electrical permit. . z��,,- /1Z C'(/'( '5 - ;/- (J C� c, • L Signature: Print Name: C41 1. J / 'I _c (--17--) Date: 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 -622 Printed: 05-21 -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 656 SOUTHCENTER MALL TUKW WHITE HOUSE BLACK MARKET PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -622 ISSUED 05/21/2008 05/21/2008 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: 71- e c•R -C Print Name: (//�` / .S .7. ) !e "k&/// Date: doc: Cond -Elec EL08 -622 Printed: 05-21 -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 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 A./6-1 oul v King Co Assessor's Tax No.: (05 W (5`00- trCPYIkeY ?PAW Site Address: tQ 51P SIMVI C C-V1 ker r'Ylu,l 1 Suite Number: I 1.50 Floor: Tenant Name: W hke \4 OUSre_. �,\ �Cx i �LQ k New Tenant: Yes ❑ ..No Property Owners Name: w `S�� \ Q \ C Q\ ` \ept• Mailing Address: C) ?JUL , -3 Y t it 0 &L\' \Zl(.1 Cv City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ∎(l lh(L V1Ilereci Day Telephone: 426- — `1 I 'T Mailing Address: PO 8O'L c 04(1 P k,h -Avn /} V512 City E -Mail Address: C XVIeY� (Th ((i�� n S t�� as `C�n.0 Fax Number: s�r ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Zip 1� ` City • _ Z Contact Person: � Yn k\ Y\C�_. \e rat ith Day Telephone: 40-5 ` 9/ 7 - / 09 E -Mail Address: C.�l 1 Q eC 1115 ■cin l lCh.C� Fax Number: "/ 26 —07 - D/ 5 3 Contractor Registration Number—Z. N S 1055 S _ Expiration Date: 4- 1 0 ("1 Valuation of Project (contractor's bid price): $ ba) r' 4n - Scope of Work (please provide detailed information): l Y S VU' 1 Gk LU I re_., re Lies s e cC \` Cpk tit Wv\ n 011u Yr 010 m Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ,No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator El Fire Alarm El Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\ Applications\Porms- Applications On lane t4 -2007 - Electrical Permit Application.doc bh Page 1of2 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 ELECTRICAL CONTRACTOR: Signature: u. I44LC C % = Date: —a5 Print Name: (.� / �J%%t� »'Zep %' p Day Telephone: 4.? j - 9/7-- 7/G) g. Mailing Address: ( %� c; 9,4 61 i /e -+ n Dr) LUP City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H:Wpplications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh Page 2 of 2 1 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 -622 Address: 656 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 05/21/2008 Applicant: WHITE HOUSE BLACK MARKET Issue Date: Receipt No.: R08 -01754 Payment Amount: $70.00 Initials: JEM Payment Date: 05/21/2008 10:23 AM User ID: 1165 Balance: $0.00 Payee: INSIGNIA SIGN, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3450 70.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 70.00 Total: $70.00 2708 05/21 9710 TOTAL 70.00 rinr.• RA int -flR Printpri• 05-21 -7008 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6LAo$ 4 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION U- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: * atIOS 6 Type of Inspection: 24 00 Address: (0 S(, Iva., Date Called: Special Instructions: t 5[CtA) Date Wanted: 1 i i / 4 :m m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: _1 / A. $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Date: 07/11 o I r Receipt No.: 'Date: Look Up a Contractor, Electtian 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 INSIGSI055JS Licensee Name INSIGNIA SIGN INC Licensee Type ELECTRICAL CONTRACTOR UBI 601507324 Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 2849 Address 2 City RENTON County KING State WA Zip 98056 Phone 4259172109 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 4/10/1995 Expiration Date 4/10/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License THOMSBE954L8 Master Electrician Information License THOMSBE954L8 Name THOMSON, BRYAN E Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date BOWEN, BRYAN E 01/01/1980 THOMSON, CINDY A 01/01/1980 BOWEN, BRYAN E AGENT 01/01/1980 • i I Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= INSIGSI055JS 05/21/2008