HomeMy WebLinkAboutPermit EL08-0684 - WESTFIELD SOUTHCENTER MALL - BANANA REPUBLICBANANA REPUBLIC
806 SOUTHCENTER MALL
ELO8-684
Citylf 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: 806 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -684
Issue Date: 06/03/2008
Permit Expires On: 11/30/2008
Tenant:
Name: BANANA REPUBLIC
Address: 806 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: MODESTO GONZALES Phone: 360- 204 -3950
Address: 102 OTIS ST , NORTHBOROUGH MA
Contractor:
Name: SPENCER TECHNOLOGIES INC Phone: 508 595 -9496
Address: 640 LINCOLN ST , WORCESTER MA
Contractor License No: SPENCTI932L7 Expiration Date: 06/25/2009
DESCRIPTION OF WORK:
DATA AND PHONE FOR 2 REGISTERS AND 3 PHONES
Value of Electrical: $2,000.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Jia
Fees Collected:
National Electrical Code Edition:
$104.00
2005
Date: Co- J " e
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
construction or the pe rmance of rk. I am auth ed t ign and obtain this electrical permit.
Signature: - Date: 3 - G k
Print Name:
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 -684 Printed: 06-03 -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
806 SOUTHCENTER MALL TUKW
BANANA REPUBLIC
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -684
ISSUED
06/03/2008
06/03/2008
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:e'
Print Name:
7
i ,1
Date: G 3 -
doc: Cond -Elec
EL08 -684 Printed: 06-03 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wwwci.tukwilawa.us
Electrical Permit No. t gip
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
King Co Assessor's Tax No.: ( (p Zi) t/ 0010
Site Address: 80 6 C e?
Tenant Name: /.�.J)v,!/44- /77 •4, New Tenant: Yes
Property Owners Name:
Mailing Address:
Suite Number: SC: c Floor: /
❑..No
v
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: j ; /4 /.. �7/ye5
Mailing Address: ' 2)— /11Gie -5R
E -Mail Address: /27U(-4Z Z-3- 7ul7'_
Day
� Telephpone:
/ /*1L�4.se`I v ✓�
City State
Fax Number:
-5' - D ( -39fO
`thvefs
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: s%/lea /eG `e- 4 /LC'S
Mailing Address: /o-- O /$ p i,/ ,21//4 ' vyi
Contact Person: 1//14.94/ /1"91,•aZ/4,4 ?
E -Mail Address: 5,7'AJCt /Z T'zc, • Gvfr'l�
Contractor Registration Number: ' 7t. "7/ 'I3).- 2-7
O//3 2
City
Day Telephone:
Fax Number:
State Zip
63s -a032
S't,)s- - Sc7S - yri9S,
Expiration Date:
Valuation of Project (contractor's bid price): $ UC /
Scope of Work (please provide detailed information): 2 i2c o, 5/12L 3 74"titis
ail 7‘,f- irfrvG/ /.24;.ti - (2i4/ 41
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
/❑New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
L I Puget Sound Energy
❑ Seattle City Light
H:Upphcations\Pomts- Applications On Line\4 -2007 - Electrical Permit Application.doc
bh
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 $ I0.00 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) 558.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service 580.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTES -
IDate Application Accepted:
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 EXAMINED4H1S 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 CO r CTOR:
Signature:
Print Name:
Mailing Address: ?dam }- V4/4-0, T'Z 73vt5
Date: G 3 - d g-
Day Telephone: 3 66- - 'l -a ?Se
Ti ( L"t- wyc.5
City State Zip
Date Application Expires:
Staff Initials:
H `Apphcati ons%Fomu- AppLcanons On Lino 4 -2007 - Electrical Permit Application doc
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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 -684
Address: 806 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/03/2008
Applicant: BANANA REPUBLIC Issue Date:
Receipt No.: R08 -01917
Payment Amount: $104.00
Initials: WER Payment Date: 06/03/2008 02:00 PM
User ID: 1655 Balance: $0.00
Payee: MODESTO GONZALES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3205 104.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 104.00
Total: $104.00
3191 06/03 9711 TOTAL 104.00
dor :: RPraint -08
Printarl• OR-03-200R
INSPECTION RECORD
Retain a copy with permit
64 -Gil
INSPECTION NO. PERMIT NO. ori
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6 0
Project: 64.4 , g
A^
Type of Inspection:
-2-1 o0
\J
Address:
r/
Date Called:
Special Instructions:
1#64 DVrA
Date Wanted:
11D1
CID,.
p.m.
Requester:
Phone No:
'VI Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
Inspector:
6cyttici
Date:
D7/0( ! ok
El $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, Electrician 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
SPENCTI932L7
Licensee Name
SPENCER TECHNOLOGIES INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602012354
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
640 LINCOLN ST
Address 2
City
WORCESTER
County
OUT OF STATE
State
MA
Zip
01605
Phone
5085959496
Status
ACTIVE
Specialty 1
TELECOMMUNICATIONS
Specialty 2
UNUSED
Effective Date
6/25/2007
Expiration Date
6/25/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
MARTIT *939KS
Electrical Administrator Information
License
MARTIT *939KS
Name
MARTIN, TIMOTHY
Status
ACTIVE
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
CT CORPORATION
SYSTEM
AGENT
06/25/2007
STRICKLER, DAVID
PRESIDENT
06/25/2007
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SPENCTI932L7 06/03/2008