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HomeMy WebLinkAboutPermit EL08-0768 - WESTFIELD SOUTHCENTER MALL - GUESSGUESS 467 SOUTHCENTER MALL ELO8-768 Cit* Tukwila d 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: 467 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -768 Issue Date: 06/17/2008 Permit Expires On: 12/14/2008 Tenant: Name: GUESS Address: 467 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: REG GELDERMAN Phone: 206 730-0211 Address: 3315 S 116, STE 149 , SEATTLE WA Contractor: Name: DIEBOLD INCORPORATED Phone: 206 510 -2558 Address: PO BOX 3077 C/0 9 -C -26 , NORTH CANTON OH Contractor License No: DIEBOI* 179J5 Expiration Date: 06/30/2008 DESCRIPTION OF WORK: LOW VOLTAGE ALARM Value of Electrical: $1,500.00 Fees Collected: $104.00 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 e governing this work will be complied Date: et9I101 ed 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 thenperfo work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: �5 5 �e LJ w►a� 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: (07/ do 7 doc: EL -4/07 EL08 -768 Printed: 06 -17 -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: 467 SOUTHCENTER MALL TUKW Suite No: Tenant: GUESS PERMIT CONDITIONS Permit Number: EL08 -768 Status: ISSUED Applied Date: 06/17/2008 Issue Date: 06/17/2008 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: Print Name: 6-adel(vfrl tr .n Date: C/ 7/ / lQ 7 doc: Cond -Elec EL08 -768 Printed: 06-17 -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. fl/OS 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 Site Address: Tenant Name: {l#1- 5A4 Cecter Zr King Co Assessor's Tax No.: (1)�(I'1?' --c , [ 7 Suite Number: Floor: 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: Mailing Address: 3/5 514 Ste, 1 '/9 Day Telephone:7- - 7'30 -D, (5,1 59 City State Zip E -Mail Address: Fax Number:A(2 -k"/ ELECTRICAL CONTRACTOR INFORMATION Company Name: /3 l b©Id Mailing Address: 33/5- 5 116‘11-1 ✓fiti,/ P1 �(�(� City State Zip , Contact Person: `I e T l' I / t5 Day Telephone:,% - Zy l ` `.Ur, E -Mail Address: Fax Number: Zi / -56(3- Contractor Registration Number: Expiration Date: `` Valuation of Project (contractor's bid price): $ 1,10. 00 Scope of Work (please provide detailed information): to I,/ Ve ftay?__ cy la /w\ 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 ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line\4 -2007 - Electrical Pent 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. . . $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. 1 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: 3 r31 S 5. P/6 "4' 71A tie i'I Date: 0//7/O Day Telephone: f-44c — 2 i 3C00 C11r/fate Zr'p Date Application Accepted: l[ii-G,91) Date Application Expires: Staff Initials: H.1Apphcaoons'Fornu- Appbcations On Lanevi-2007 - Electncal Permit Appbcanon.doc 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: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 6364200010 Permit Number: EL08 -768 Address: 467 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 06/17/2008 Applicant: GUESS Issue Date: Receipt No.: R08 -02143 Payment Amount: $104.00 Initials: JEM Payment Date: 06/17/2008 08:51 AM User ID: 1165 Balance: $0.00 Payee: REG GELDERMAN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1474 104.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 104.00 Total: $104.00 3720 06/17 9711 TOTAL 104.00 doc: Receipt -06 Printed: 06-17 -2008 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Y2-. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 (tog V't Project: ���� Type of Inspection: ..too Address: � ��gg �1'4i_.! Date Called: Special Instructions: Date Wanted: I 6 /2_ v a.m. p.m. Requester: Phone No: X Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: (Date: 04 110 %o 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: r�lwe ' Atidd... • w'W w "Oa 5r.'••1. 0.4 r "m"ae ihreak.sttr Look Up a Contractor, Electl-i 'an 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 DIEBOI' 179J5 Licensee Name DIEBOLD INCORPORATED Licensee Type ELECTRICAL CONTRACTOR UBI 409004313 Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 3077 C/0 9 -C -26 Address 2 City NORTH CANTON County OUT OF STATE State OH Zip 44720 Phone 4255081451 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 UNUSED Effective Date 4/25/1983 Expiration Date 6/30/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License SELLEJW930DL Electrical Administrator Information License SELLEJW930DL Name SELLERS, JEFF W Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date O'DELL, WALSEN W 01/01/1980 GESWEIN, GREGORY T 01/01/1980 WARF, ALBEN W 01/01/1980 BUCCI, DAVID 01/01/1980 0 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DIEBOI* 179J5 06/17/2008