HomeMy WebLinkAboutPermit EL08-0857 - WESTFIELD SOUTHCENTER MALL - VERIZON WIRELESSVERIZON WIRELESS
132 SOUTHCENTER MALL
ELO8-857
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.: 2623049023
Address: 132 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -857
Issue Date: 06/26/2008
Permit Expires On: 12/23/2008
Tenant:
Name: VERIZON WIRELESS
Address: 132 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: TERRI GILMAN Phone: 425 679 -1241
Address: 15032 156 PL SE , RENTON WA
Contractor:
Name: ILLUMINATIONS NORTHWEST Phone: 425 - 277 -5966
Address: 15032 156 PL SE , RENTON WA
Contractor License No: ILLUMN *922CD Expiration Date: 02/04/2010
DESCRIPTION OF WORK:
NEW STOREFRONT SIGNAGE (MALL INTERIOR)
Value of Electrical: $350.00
Fees Collected:
$62.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
10
I hereby certify that I have read and d fined 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 gr ting 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 ejrrmance of w`. I am authorized to sign and obtain this electrical permit.
Signature:�c�
Date: - `or
Print Name: e,./2 / / . (] i Z,91.
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 -857 Printed: 06-26 -2008
Parcel No.: 2623049023
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
132 SOUTHCENTER MALL TUKW
VERIZON WIRELESS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -857
ISSUED
06/26/2008
06/26/2008
1: * * *FJ,FCTRICAL * **
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 m 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: /e�� / Z. L� /VirQit/
Date: 6 -o2 (v -Dr
doc: Cond -Elec
EL08 -857 Printed: 06 -26 -2008
CITY OF TUKWILIP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. wa. us
Electrical Permit No. C 1/0S1 c1--
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: u-l/i e e.✓ Te x `77
King Co Assessor's Tax No.: ( lb11 't7 (Zt 0
Suite Number: E6420 Floor:
New Tenant: ❑ - Yes ..No
Tenant Name: De,2 /Z0p/ /j)/ to 5..5
Property Owners Name: G[.).e.577 cid
Mailing Address:67 3 3 �Drt inn iil
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: /C/e-2/ 1 • 6i -1 /vt adV
Mailing Address: /.5-0.3,22. /56 7:/4e e
E -Mail Address: //-- a/K /✓'!c> 2�t O6, e a,, -_
ELECTRICAL CONTRACTOR INFORMATION
Day Telephone: 6 79 - /a? V/
Wren/ non/ ld,4 980.5
City State Zip
Fax Number: 4/.2,5.- 988 - /3 /y
Company Name: -724 Ll./K ;tea T/O ,r /e ,', cu e T
Mailing Address: - /5& 2 /,� /� /cam e _. E
Contact Person: 7 jc/Z e y o. w&.2 '? i �/4K /
E -Mail Address: /LLLC/K,✓a_i ua_A00 ea
Contractor Registration Number: /L- Lit ALA/. 94.4 C2
e.✓ 7'on/ /_c./.1 9 f058'
7T"
City State Zip
Day Telephone: 4/.015- 7?-
Fax Number: '/o2.5- 98 8 -/3
Expiration Date: - 5e. 020/0
Valuation of Project (contractor's bid price):
O
Scope of Work (please provide detailed information):
00
/nc.6TQ L Lot. T /0 /re w -s ee. 1 os111- ..314✓a.
Will service be altered? ❑ Yes ni No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ISte Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm El Telecommunication
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:UpphcanoneForms- Applications On line4-2(107 - Electrical Permit Application doc
bh
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
1
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 ca
❑ 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 1 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: �• , 2--
/ -
Print N. e e �'.ee, Ot &Jaz1z7.0v-.-1,t...
.0 , ,
Mailing Address: /.50.01 /.6? tk 7)/4Ce. ,S E
Date: to 'oCl - Q O
Day Telephone: 5'0?.5-' to 79 - /��S
Xcne roit/ &..M 9di0.5-F1
City State Zip
IDate Application Accepted:
Date Application Expires: Staff initials:
H:1ApplicationsWorms- Applications On L ine\4 -2007 - Electrical Permit Application doc
bb
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.: 2623049023 Permit Number: EL08 -857
Address: 132 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 06/26/2008
Applicant: VERIZON WIRELESS Issue Date:
Receipt No.: R08 -02315
Initials: JEM
User ID: 1165
Payment Amount: $62.00
Payment Date: 06/26/2008 12:35 PM
Balance: $0.00
Payee: ILLUMINATIONS NORTHWEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1072 62.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 62.00
Total: $62.00
4161 06/26 9711 TOTAL 62.00
doe: Receipt -06
Printed: 06-26 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION �.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 46 -K cif.i
Type of Inspection:
goo
Address: 7 1 �
! VIM.,
Date Called:
^
Special Instructions:'
Wanted:
11110
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector
Date:
❑ $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:
1
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
tLo/-357
PERMIT NO.
(206)431 -3670
Proje-ct,/.
Type of Inspection:
Address: 114511A/ 114511A/
1� 7--
Date Called:
Special Instructions:
S U, Al
Date Wanted:
1011/30
m.
(per
Requester:
Phone No:
Approved per applicable codes.
CACorrections required prior to approval.
COMMENTS:
C o -r ACS- j (4JA P1/ jt-U l
t^1 5oFF 1T
Inspector:
Date: !c, f 3o /014
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, Electrii 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
ILLUMN *922CD
Licensee Name
ILLUMINATIONS NORTHWEST
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601538431
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
15032 156TH PL SE
Address 2
City
RENTON
County
KING
State
WA
Zip
98058
Phone
4252775966
Status
ACTIVE
Specialty 1
SIGN
Specialty 2
UNUSED
Effective Date
2/4/2008
Expiration Date
2/4/2010
Suspend Date
Separation Date
Parent Company
Previous License
NORTHE *066KB
Next License
Associated License
WADZIJ *9320F
Electrical Administrator Information
License
WADZIJ *9320F
Name
WADZINSKI, JEFFREY
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
WASZINSKI, JEFFREY 0
OWNER
02/04/2008
•
Bond Information
Bond I
I I I
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ILLUMN *922CD 06/26/2008