HomeMy WebLinkAboutPermit EL08-0741 - WESTFIELD SOUTHCENTER MALL - BOBALICIOUSBOBALICIOUS
2800 SOUTHCENTER MALL
K -0310
ELO8-741
Parcel No.:
Address:
Suite No:
Cityllf 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
6364200010
2800 SOUTHCENTER MALL TUKW
Permit Number: EL08 -741
Issue Date: 07/21/2008
Permit Expires On: 01/17/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
BOBALICIOUS
2800 SOUTHCENTER MALL, #K -0310 , TUKWILA WA
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
MARCIA PEDDICORD
633 SOUTHCENTER MALL, TRAILER #3 , TUKWILA WA
Contractor:
Name: J R ELECTRIC INC
Address: PO BOX 7900 , KENT WA
Contractor License No: JRELEI *022QB
Phone:
Phone: 206 -802 -6071
Phone: 253 630 -8553
Expiration Date: 11/02/2008
DESCRIPTION OF WORK:
ELECTRICAL WORK FOR NEW FOOD KIOSK
Value of Electrical:
Type of Fire Protection:
$1,500.00
SPRINKLERS /AFA
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$130.00
2005
Date: .1
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
construction o
Signature:
rmit does not presume to give
ormance of work. I am - uth
Print Name:
ority to violate or cancel the provisions of any other state or local laws regulating
ed to sign and obtain this electrical permit.
Date: ? cQ/ — 7
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 -741
Printed: 07 -21 -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
PERMIT CONDITIONS
Parcel No.: 6364200010
Address: 2800 SOUTHCENTER MALL TUKW
Suite No:
Tenant: BOBALICIOUS
Permit Number: EL08 -741
Status: ISSUED
Applied Date: 06/10/2008
Issue Date: 07/21/2008
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: � / `_ \7`b��'�, ` •. Date: 7 ` 07/ -a0
doc: Cond -Elec
EL08 -741 Printed: 07 -21 -2008
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www. ci. tukwila. wa. us
1
Electrical Permit No. al-96 --J
Project No. 'O2- -131
(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
Site Address:
King Co Assessor's Tax No.: 4.34. d-11• ' LSO/
2Soo Sauk_ 4,r /Y-k. II ikl- 03/0
Suite Number: — Floor: I
Tenant Name: L 4 (l ee De_ New Tenant: a. Yes ❑ .. No
Property Owners Name: f/V�.�,,� e / / ('�Ypi' t 7� - ,/
Mailing Address: // / 1b, /sZ, r� nn Biotee ' f`/ L6S 1 e
City
State
4 DDS
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ,/ llai'C.; 4 7:"d 1'; eey�
Mailing Address: 633 ‘ . . , / - 4 e
Day Telephone: € Z _ F'D 2 —lo el 7
T4 kze.);
City
E -Mail Address: n'reel +d i t.oYevt. 4)P57�i 9 /.d _ Go -v--) Fax Number:
Iti* 7 ? / -'?
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: W tA, 0_,..e7.7 S/ GLv-t Cri _ _c
Mailing Address: / 3 3 3 3 /A / e e,‘/7 frar y AF Sea *e 111/ A-- 531 .25
( City State Zip
Contact Person: A he/ ? Z ti Q n� Day Telephone: Ze - �4. /- S i
E -Mail Address: ! Fax Number:
Contractor Registration Number: LV U e. CN L -t- 9ea. 8 4 Expiration Date: l2-/3!(b B'
Valuation of Project (contractor's bid price): $ /, .Sc' • OD
F--./e4► ire e Ay' L AN,
Scope of Work (please provide detailed information):
/ k,'
Will service be altered'? ❑ Yes 111--"No Adding more than 50 amps? ❑ Yes Q./No
Type of Use:
Type of work:
[4iew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
iiiXtiget Sound Energy
_ -- __ -- . ❑ .Seattle_City Light _. _ . _ —_ - -- -- -- -- _ —
H.•Apphcannnxifmms- Apphwnoro On Lineal-2 r- Elecmcal Permit Applicaium dn.:
hh
Page 1 of
•
•
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings 5140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings 575.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) 555.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration 375.00
(no added/altered circuits)
❑ Service change with added/altered circuits 575.00
number of added circuits 510.00 ea
❑ Circuits added/altered without service change 550.00
(up to 5 circuits)
❑ Circuits addedaltered without service change 550.00
(6 or more circuits) 57.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems 555.00
(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 575.00
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:
Print Name:
/' /.04 Pm D /ca,eL
Mailing Address: 633 So 71- il' ) "Mt;
Date Application Accepted: 0(11 I otul
Day Telephone:
/
City
Date:
v/P
6 - 6 : P 2 - 7 /
State Zip
Date Application Expires: L ' " , C01oe
HMpphcabons•Fonns- Applicanon On Lme4 -200' - Elecmcai Permit Apphcabon.doc
bh
Staff Initials:41 eov
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: //www. ci. tukwila. wa. us
RECEIPT
Parcel No.: 6364200010 Permit Number: EL08 -741
Address: 2800 SOUTHCENTER MALL TUB:W Status: PENDING
Suite No: Applied Date: 06/10/2008
Applicant: BOBALICIOUS Issue Date:
Receipt No.: R08 -02059
Initials: BLH
User ID: ADMIN
Payment Amount: $26.00
Payment Date: 06/10/2008 02:16 PM
Balance: $104.00
Payee: BOBALICIOUS CORPORATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1002 26.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PLAN - NONRES
000.345.832.00.0 26.00
Total: $26.00
3490 06/10 9711 TOTAL 276.33
doc: Receiot -06 Printed: 06-10 -2008
INSPECTION RECORD , �Q
Retain a copy with permit -,�
9
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION VI'
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -36'0
Project:
D
Type of Inspection:
loo
Address: woo
Date Called:
1--'
Special Instructions:
l
Date Wanted:
m.
Requester:
Phone No:
'KJ Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
ri $60.00 REINSPECTION F E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
•- - - -.;r_ ._ . AL .. saROr.._... . Ai .1a..'AwQ;ti.::sr`m
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CUR-
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Project: 606 41.AcA005 ,
Type of Inspection:
7100
1
Address: �� � `
f �5�
Date Called:
Special Instructions:
Date Wanted:
ti...3
p.m.
Requester:
Phone No:
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: 4"-ti
Date: 01 f 23 ft
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:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Va°
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36170
i
6-4-741
D6 Project: A Pi CA 04 5
Type of Inspection: �0C.
Address
Date Called:
Special Instructions:
Ko3 r 0
Date Wanted:
1/22/
a.r
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
PA
f? -K. - cDvet&
Pa4a_ -ra KiosK
Inspector: ff-11/ 6tAilifec
Date: 01 kvibtx
❑ $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:
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
SET RECEIPT
RECEIPT NO: R08 -02622
Initials: BLH
User ID: ADMIN
Payee: BOBALICIOUS CORPORATION
Payment Date: 07/17/2008
Total Payment: 601.00
SET ID: 0717 SET NAME: BOBALICIOUS
SET TRANSACTIONS:
Set Member Amount
D08 -320 345.00
EL0.8-741 104.00
PG08 -172 152.00
TOTAL: 601.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1014 601.00
TOTAL: 601.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
ELECTRICAL PERMIT - NONR
PLUMBING - NONRES
STATE BUILDING SURCHARGE
000/322.100 340.50
000.322.101.00.0 104.00
000.322.103.00.0 152.00
000/386.904 4.50
TOTAL: 601.00
4971 07/17 9710 TOTAL 601= 00
r__. D I t T+e (%
* PERMIT COORD COPY .
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: EL08 -741 DATE: 06 -10 -08
PROJECT NAME: BOBALICIOUS
SITE ADDRESS: 2800 SOUTHCENTER MALL, #K -0310
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # after Permit Issued
DEPARTMENTS: 4
�j�V
BuilThng D vl ision
Public Works
n
Fire Prevention
Structural
Planning Division
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete V
Comments:
Incomplete n
DUE DATE: 06-1 2-08
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES/THURS ROUTING:
Please Route r/ Structural Review Required
REVIEWER'S INITIALS:
o
No further Review Required
DATE:
n
APPROVALS OR CORRECTIONS:
Approved n Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 07 -10 -08
Not Approved (attach comments) n
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents/routing slip.doc
2 -28 -02
Untitled Page
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Page 1 of 2
Electrical Contractor
A business licensed by L£tI 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.
J R ELECTRIC INC
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
J R ELECTRIC INC
2536308553
PO BOX 7900
KENT
WA
98042
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License JRELE * *126CJ
Next License
Associated License HAGENBE169BZ
Specialty 1 GENERAL
Specialty 2 UNUSED
601896767
ACTIVE
JRELEI*022QB
ELECTRICAL CONTRACTOR
11/2/1998
11/2/2008
ADMINISTRATOR INFORMATION
License HAGENBE169BZ
Name HAGEN, BERTHA E
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAGEN, JAMES R
01/01/1980
HAGEN, CANDICE L
01/01/1980
MCCULLOCK, JIM
01/01/1980
MICHAEL CHAPMAN INS AGENCY
01/01/1980
Bond Information
1 I
1
1
1
1
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License = JRELEI *022QB
1
1
1
07/21/2008
Mall Switchboard
(Field Verify)
Meter By
Utility
Company
Mall Elec. Room Tenant
EX/ST
20 A/, P
CKT
BREAKER
New Panel
40AW.B,
120/208V
B�
ELECTRICAL RISER , AGRAM PANEL
QUIPMENTSCHEDIJL E
By E.C.
Conduit & Wiring
Is Furnished And
Installed By Landlord.
EQUIP SIZE
ELECTRICAL
PLUMBING
DESCRIPTION
MANUFACTURER
PART NUMBER
CONNECT
ia:()R)wTHi sKA5.I5P
MENU BOARD
i C MAKER WITH BIN
WATER BO \ .ER
:,.AsH RE:OSTF-ii
P •,. ra , • H ‘,NAT F..
I O! i. ?
(•iNK
HAND �if� &3't
JY if':€ 3 €Tt..4 OL., S-Sr ,42 �..
B42.0BN
CCI1.WAREM -10F:
MICR(; SYS1 r.',1
22"
116 1 60
5, 300
PH, FIELD WIRE TEI1: NAL BI.oC :K
WITH p L a
SERV..... CORD 'le ? pi.l_. {.°
SZSZA'H'Z502: 6' r%a . LXQ9.L]. ZZaZd:L]2'e2'o&' 42.6+.:.,, -.-, O•'°^'°;�'CP
15A ry: H NEVA
F3... ,s..riAY z r•,1.
5»; (OR D w= " NEMA `.=. : 5')
VIM
EINIMMININ
ERN. CON ,RACTOR
BIN
EC EC TFI1CAL CCNRACTOR
M )'FAT "(iyli:_, ;^ F'2
5A.CO
'r ii -, i s'F C Eh ?'iK AL. { ON 3 `i\. O 1
0 0`A>x.;.:l VENDER
7 70V
77V
208V
15v
::gwry
t 7✓
720V
77nli
f L.EC7RfCAI.
PANEL
15IJ
720V
t t0V 110V
Under Under
Crovn Counter
Water Hea ter
x..6• M„ °,k.• <rvNi,+• •
ELECTR /CAL LAYOUT PLA N
L'2 1,O„
If Li
Contractor to vero i 1,7e outlet
oc t /on per 'Equipment Schedule
SEPARATE 1D FOR:
REQU
etdechanical
❑ Electrical
/lumbing
Gas Piping
City of Tukwila
BUILDING DIVISION
E, COPY
Permit No.
Plar review approval is subject � �
Approval of co�� o or �• Ip#
the violation of any adod�:
oi appro Id Copy and -,: - ti
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division. s
NOTE: Revisions will require a new plan submittal ,
and may include additionai plan review fees. i
City of Tukwila
REVIEWED MpLIANGE
CODE C4
NFPA 70 ° NEC
JUN 1 BOOS
SINGLE 4' (e': (If
JUNCTION BOX
1
7';.r1. rRK'C A. Pi) 7.
CiTukwila
BUILDING DIVISION
EQU/PMEN T SCHEDUL E - EL EC iRICFL PANE:
ELECTRICAL
LOAD SERVED
MANUFACTURER
PART NUMBER
CONNECT
iSA :OKDMIY'I j �l:.M!',... 15P
3^i
L.3J
' N:TO... (0c .(' R S
B -1
2 ;n
PI . ;.
1. `iI', xl T`,. •,. .,
f:f :'tEs
•.#'yf ii.i ,iii.'... "i
s €, NJEMA, 51,
C.. €'.R 1r , CORD k \Vfl H, H.0 .,
ti ':E- flr)N i I'VE-'
120
CORD i'3 : i iii €;.:L A 5-15p
A
r > , =6.,Fig UAW:, Pl .s. •
1-,0 RD Silt
RECEIVED
CITY OF TUKWILA
JUN 10 2008
PERMIT CENTER