HomeMy WebLinkAboutPermit EL08-0784 - WESTFIELD SOUTHCENTER MALL - FOSSILFOSSIL
846 SOUTHCENTER MALL
ELO8-784
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: 846 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -784
Issue Date: 06/17/2008
Permit Expires On: 12/14/2008
Tenant:
Name: FOSSIL
Address: 846 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: DAVE HANEY Phone: 253 458 -0046
Address: PO BOX 8770 , COVINGTON WA
Contractor:
Name: HANEY ELECTRIC SVC CO NW Phone: 253 458 -0046
Address: PO BOX 8770 , COVINGTON WA
Contractor License No: HANEYES951NH Expiration Date: 08/04/2009
DESCRIPTION OF WORK:
INSTALL CEILING MOUNTED SOUND SPEAKERS AND LOW VOLTAGE CABLE
Value of Electrical: $1,000.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$90.00
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: tAU (t W U
I hereby certify that I have read and a :. ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 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 performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
ZG/
Print Name: v / i�'�(/ ^f2t 4 I h(c
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 -784 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: 846 SOUTHCENTER MALL TUKW
Suite No:
Tenant: FOSSIL
PERMIT CONDITIONS
Permit Number: EL08 -784
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:
Olz/
Date:
doc: Cond -Elec
EL08 -784 Printed: 06-17 -2008
CITY OF TUKWIL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
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:
bout
rOSSI_
King Co Assessor's Tax No .:__ 1i '00L 0
Suite Number: PI Floor:
New Tenant: F Yes
i
❑..No
Property Owners Name: WE", PI e.1._ D 'f Pao P'ro1 ='r( TAX 9t-Pr •
Mailing Address: Pd �)4 I 30 4-d CARES $p P
City
CIA
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
pAv € tfprc4 �Y
Mailing Address: Po 8074 P 770
k £CD &° cOM CQ.e1r • (J�i
E -Mail Address:
Day Telephone: (Z 3) 458- 00460
C',VVIJCITV t■i wit 74570 //2
City State �f�, Zip
Fax Number: (253) l0 34" � 7-T �-
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
U #,J7' Et- 6eT044 5%/c. co. fJw
E -Mail Address:
Pa P 6170
P\/ tfPNeY
Hee° e damcMV, Off('
COQ/ /tJ 7*rJ 1i/p %i4z.
Contractor Registration Number: i `i' v t t"1 t pik-
City State 'Lip
Day Telephone: (Z?? 4Q3 "46
Fax Number: (253) 031' (l4-2-
Expiration Date: 8/ 4/'-44 q
Valuation of Project (contractor's bid price): $ %oo. e
Scope of Work (please provide detailed information): TAT TALL Cfft. //•/ %'7 DONTED SO (4 /JP
S 1W-gt2 s A1•10 LOW VOfrtit -GI t Cp tom
Will service be altered? ❑ Yes [I No
Type of Use:
Type of work:
❑ ...New ❑ Addition ❑ Service Change
le Low Voltage ❑ Generator ❑ Fire Alarm
Prop Served by:
e N Puget Sound Energy
❑ Seattle City Light
H Wpplicauons'Fonns- Applicalions On Linea4-2007 - Electrical Pemril Appncauon.doc
an
Adding more than 50 amps? ❑ Yes ENo
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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 $10.00 ea
PERMIT APPLICATION NOTES -
Value otConstruction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TEIIS APPLICATION AND KNOW THE SAME TO BE TRUE TINDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 : ER OR E ECTRICAL CONTRACTOR:
Signature:
Print Name:
AV rbP
Date: a 4 7 /2""
Day Telephone: 23) 45$ - OD46
Mailing Address: PO 13471- 0110 cova-I 7Tor f G(fa 180
City State Zip
IDate Application Accepted: 191 VI, (,j742 Date Application Expires: Staff Initials: VA, I
H .\Applications \Forms- Apphcauons On Line \4 -2007 - Electnc l Penn\ Apphcauon dnc
bh
Page 2 of 2
INSPECTION RECORD r�
Retain a copy with permit 1° --1 o t
INSPECTION NO. PERMIT NO.I
CITY OF TUKWILA BUILDING DIVISION 112►
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: ���
Type of Inspection:
2,00
Address: )‘c.... (0 (0
t' ' ��
Date Called:
Special Instructions:
.5a JAi2
Date Wanted:
/-/
'P Z
a r ,
p.m.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
Inspector: ier/44/6c
Date: 060/23/4
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 6(—
INSPECTION NO. IZ .-78Y Retain a copy with permit
PERMIT NO. I
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: j
Type of Inspection:
^ 700
�I7
/0027"
Address:
N*
r 1Ati. ,
Date Called:
/
Special Instructions:
50U1
Date Wanted:
'
n
/. a.rrl\
p.m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
D-Y‘. (3‘)L,,t4 /C0-444>
Inspector:
Date: 06 f 4 ��
$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 -02164
Initials: JEM Payment Date: 06/17/2008
User ID: 1165
Payee: HANEY ELECTRIC SVC CO NW
Total Payment: 180.00
SET ID: 0617 SET NAME: HANEY ELECTRIC
SET TRANSACTIONS:
Set Member Amount
'EliQ83i:8'4A 90.00
EL08 -785 90.00
TOTAL: 180.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2548 180.00
TOTAL: 180.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 180.00
TOTAL: 180.00
3772 06/18 9711 TOTAL 180400
Doc: RECSETS -06
Look Up a Contractor, Electritin 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
HANEYES951NH
Licensee Name
HANEY ELECTRIC SVC CO NW
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602525361
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
PO BOX 8770
Address 2
City
COVINGTON
County
KING
State
WA
Zip
980420055
Phone
2534580046
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
8/4/2005
Expiration Date
8/4/2009
Suspend Date
Separation Date
Parent Company
HANEY ELECTRIC SERVICE CO
Previous License
Next License
Associated License
KELLEJ *972L6
Master Electrician Information
License
KELLEJ *972L6
Name
KELLER, JEFF A
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
HANEY, DAVID L
AGENT
08/08/2005
HANEY, DORIS E
PRESIDENT
08/08/2005
HANEY, GERALD R
SECRETARY
08/08/2005
HANEY, DAVID L
VICE PRESIDENT
08/08/2005
1
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HANEYES951NH 06/17/2008