HomeMy WebLinkAboutPermit EL08-0911 - WESTFIELD SOUTHCENTER MALL - CROCS2
CROCS
00 SOUTHCENTER MALL
CitAbf Tukwila •
Dartment 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
Parcel No.: 6364200010
Address: 2800 SOUTHCENTER. MALL TUKW
Suite No:
Permit Number: EL08 -911
Issue Date: 07/24/2008
Permit Expires On: 01/20/2009
Tenant:
Name: CROCS
Address: 2800 SOUTHCENTER MALL K -0859 , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: MARCIA PEDDICORD Phone:
Address: 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: 253 630 -8553
Expiration Date: 11/02/2008
DESCRIPTION OF WORK:
ELECTRICAL MATERIALS AND INSTALLATION FOR NEW RETAIL KIOSK
Value of Electrical: $1,500.00
Fees Collected:
$130.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: -7 'd-3 -0 0
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 pe t does not presume to give authon to violate or cancel the provisions of any other state or local laws regulating
constructionpf the perfo ance of work. I am horzed sign and obtain this electrical permit.
Ns�
Date: /- V-
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 -911 Printed: 07 -24 -2008
0
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: CROCS
Permit Number: EL08 -911
Status: ISSUED
Applied Date: 07/03/2008
Issue Date: 07/24/2008
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 re g construction or the performance of work.
Signature: Date: /
Print Nance: - /9 J� `E' Gi
doc: Cond -Elec
EL08 -911 Printed: 07 -24 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cktukwila.wa.us
Electrical Permit No. E1-0 g' _b 11
Project No.
rot- IF
(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.: 6 36. 44. - a 2,115
Site Address: ' T252) �' 1c enIe -v- d gJ r( Floor:
Tenant Name: Lra S k, es k_ New Tenant: Yes
Suite Number:
Property Owners Name: LL) ' 1t -t-, e
Mailing Address: it 6..01 t'/i:', /6,4 re 8/u ( j/
1
❑..No
Los 4n Ps
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is. ready to be issued
Name: rn44Yz'-t tL "di. i { --e"Y
Mailing Address: 633 S r / /?Ce -.t r %7.€ ; /e r .3
E -Mail Address: %rei-di' ce -..L e Gves4gef./. �•-�
Day Telephone: Old - 41)2 —gr, 2..3
TL v,
L),- 9V Sff
City State Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: T a . 1-D „
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Expiration Date:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Project (contractor's bid price): $ 0
O-. /�
Scope of Work (please provide detailed information): E. / ec. i4-�I c_ to-7- t �•-�S
i h s 7/4,4 4--)-% F - r� ,e. , -P _,4LJ /C-0. e-,5/e____
Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes D.--K6
Type of Use:
Type of work:
Q.-New ❑ Addition ❑ Service Change ❑ Remodel [Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by_:
Puget Sound Energy
❑ Seattle City Light
HAApplications\Forms- Applications On Line \A-2007 - Electrical Pemut Application doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an anached garage)
❑ Garages, pools, spas and outbuildings.... S75.00 ea
11 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 -
lDate 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.
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR
Signature:
Print Name: /7 , (7//9 P ' ) 1c-e
Mailing Address: f /i_e Trio, 1 •.r
#3
Day Telephone:
7,( -c
City
Date: .7 j3 /e)
State Zip
Staff Initials:
Date Application Expires:
H \Apphcanons\Fonos- Apphcanons On Linc14•2007 - Electrical Permit Appbcation doc
bh
Page 2 of2
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 -911
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 07/03/2008
Applicant: CROCS Issue Date:
Receipt No.: R08 -02407 Payment Amount: $130.00
Initials: WER Payment Date: 07/03/2008 09:13 AM
User ID: 1655 Balance: $0.00
Payee: DIAMOND SPECIALTIES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11233 130.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
ELECTRICAL PLAN - NONRES
Account Code Current Pmts
000.322.101.00.0 104.00
000.345.832.00.0 26.00
Total: $130.00
4423 07/03 9711 TOTAL 130.00
dor. Raraint -OR
Printed 07- 03 -200R
L
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
aof tI
PERMIT NO.
(206)431 -3670
Project: Vs.
Type of Inspection:
(00
Address _ 0 c
Date Called:
^a�m
Special Instructions:
Date Wanted:
?
J
`/`
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
b
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:
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: EL08 -911 DATE: 07 -03 -08
PROJECT NAME: CROCS
SITE ADDRESS: 2800 SOUTHCENTER MALL K -0859
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DE ARTMENTS:
B I ing Dision
Public Works ❑
Fire Prevention Planning Division
Structural
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 07 -08-08
Not Applicable
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg El Fire ❑ Ping ❑ PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES/THURS ROUTING:
Please Route
Structural Review Required
❑ No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DUE DATE: 08 -05 -08
Not Approved (attach comments) ❑
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
•
Page 1 of 2
Electrical Contractor
A business licensed by LW 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 UBI No.
2536308553
PO IBOX 7900
KENT
WA
98042
KING
CORPORATION
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
I
http s: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= JRELEI* 022 QB
I
07/24/2008
JUNCTION BOX 4 "x4" STANDARD
p DUPLEX OUTLET (CABINET MOUNTED)
V DEDICATED DATA LINE (CABINET MOUNTED)
V PHONE LINE (CABINET MOUNTED)
SINGLE SWITCH FOR LIGHTING (CABINET MOUNTED)
(10) SINGLE SLIMLITE FLOUR. LIGHT — 14 WATT
— 22" LONG (U.L. CERTIF.)
1l (12) WAG — TRACK LIGHTS 501^1 HALOGEN
(U.L. CERTIF.)
Legend
1/8"
13 15/16"
PRE -DRILL STARTER HOLES
BEFORE INSTALLATION .
USE A TEMPLATE FROM TOP
OF THE COUNTER TOP.
34-
MAX
Y
POWER PROVIDED BY MALL TO J -BOX
(FIELD VERIFY LOCATION IN KIOSK SPACE)
10.9
41 3/8-
36 3/16"
TOP VIEW
34-
MAX
341/2" 1
FRONT VIEW
LIGHTING WIRE ACCESS FROM POST
OP.O.S. Power Plan
1/2" =
FILE COPY
Pernik No:
Piar review approval Is subject to
Approval of construction documents
the violation of adopted code or
approvpd :., Copy and
41 3/8"
By
and.
not authorize
Receipt
City of Tukwila
BLlI? DING DIVISIO
1 1/2"
50 1/32'
REVIEWED FOR
CODE COMPLIANCE
NFPA 70 - NEC
JUL 11 200$
CitY Of Tukwila
BUILDING DIVISION
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
CONDITIONS OF USE: All design ideas, arrange-
ments and plans indicated and represented by this
drawing, are the property of TRIAD Mfg. and were
developed for the specified project. None of such
designs, arrangements or plans shall be used by or
disclosed to any other person, firm or corporation for
any purpose whatsoever without permission of
TRIAD Mfg. This drawing is not to be scaled. Refer
inquiries to Engineering.
4321 SEMPLE AVENUE
ST. LOUIS, MO. 63120
TEL: (314) 381 -5280
FAX: (314) 381 -7786
0 ROCS
avid may include 8dtilonal
PROJECT:
10'x10' KIOSK wI LIGHT RING
JOB N4
■'
1
_
2
/A • •
DESCRIPTION:
10 X 10 KIOSK POWER PLAN
REVISION
MATERIAL:
SEE NOTES /PARTS
\
FINISH:
SEE NOTES /PARTS
DATE:
7/3/2008
PART NQ
SHEET No
A3
SHEET: V: CUSTOMERSIC ROCSIC100- 21(10X1OFASH4IN NNW 00-21 (Sheet1) [—]
MODEL: V:ICUSTOMERSICROCS1C100- 21(10X10 FASH-4 IN RING)SC100.21 (Default)
ENGINEER:
G. Elswick
tLO8 411
plan submittal'
an review fees.
RECEIVED
JUL 0 3 2008
PERMIT CENTER
JUNCTION BOX 4 "x4" STANDARD
cp DUPLEX OUTLET (CABINET MOUNTED)
\17 DEDICATED DATA LINE (CABINET MOUNTED)
V PHONE LINE (CABINET MOUNTED)
$ SINGLE SWITCH FOR LIGHTING (CABINET MOUNTED)
(10) SINGLE SLIMLITE FLOUR. LIGHT — 14 WATT
— 22" LONG (U.L. CERTIF.)
in (12) WAG — TRACK LIGHTS 50W HALOGEN
(U.L.CERTIIF.)
Legend
P.0.5.
SLIMLITE
0
TOP VIEW
Lighting Plan
TRACLLIGHT1NG
LIGHT RING ABOVE
REVIEWED
CODE COMP
NFP H
JUL 11
city f T
BUILDING
CONDITIONS OF USE: All design ideas, arrange-
ments and plans indicated and represented by this
drawing, are the property of TRIAD Mfg. and were
developed for the specified project. None of such
designs, arrangements or plans shall be used by or
disclosed to any other person, firm or corporation for
any purpose whatsoever without permission of
TRIAD Mfg. This drawing is not to be scaled. Refer
inquiries to Engineering.
4321 SEMPLE AVENUE
ST. LOUIS, MO. 63120
TEL: (314) 381 -5280
FAX: (314) 381 -7786
C ROCS
PROJECT:
1 O'x10' KIOSK w/ LIGHT RING
JOB Ns
‘,
�� (//
I
4 3
DESCRIPTION:
10 X 10 KIOSK LIGHTING PLAN
REVISION
MATERIAL:
MATERIAL:
SEE NOTES/PARTS
\
FINISH:
SEE NOTES/PARTS
DATE:
7/3/2008
PART No
SHEET No
A4
SHEET: V :ICUSTOMERSICROCS1C100.21(10X10 FASH-4 IN R NG)IC100.21 (Sheet1) H
MODEL: V :ICUSTOMERSICROCSIC100- 21(10X10 FASH-4 IN RING)IC100.21 (Default)
ENGINEER:
G. Elswick
FOR CE
NEC
kwila
Ji$IQN
RECEIVED
JUL 0 3 2006
PERMIT CENTER