HomeMy WebLinkAboutPermit EL10-0061 - WESTFIELD SOUTHCENTER MALL - MOTHERHOOD MATERNITYMOTHERHOOD MATERNITY
1057 SOUTHCENTER MALL
ELi 0-0061
Cityltf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 1057 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL10 -0061
Issue Date: 01/28/2010
Permit Expires On: 07/27/2010
Tenant:
Name: MOTHERHOOD MATERNITY
Address: 1057 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WEA SOUTHCENTER LLC Phone:
Address: 11601 WILSHIRE BL, 12TH FLOOR , LOS ANGELES CA
Contact Person:
Name: RAEDEIT KIFLE Phone: 206 - 359 -1268
Address: 1743 1ST AVE S , SEATTLE WA
Contractor:
Name: GUARDIAN SECURITY SYSTEMS INC Phone: 206 622 -6545
Address: 1743 1 AV S , SEATTLE WA
Contractor License No: GUARDSS233K5 Expiration Date: 09/30/2010
DESCRIPTION OF WORK:
RELOVATE 1 STROBE FOR THE FIRE ALARM SYSTEM
Value of Electrical: NRES: $300.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition: 2008
$67.20
Ai'
Jkf Date: 1— a)—e l D
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 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: Date: 1-2'g r 1
Print Name: Rae f 1� `e
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
ELI 0-0061 Printed: 01 -28 -2010
Parcel No.: 9202470010
Address:
Suite No:
Tenant:
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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
1057 SOUTHCENTER MALL TUKW
MOTHERHOOD MATERNITY
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0061
ISSUED
01/28/2010
01/28/2010
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: Date: a-g l
Print Name: ka e d a.: * K t cl e
doc: Cond -Elec
ELI 0-0061 Printed: 01 -28 -2010
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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. EL 1 Q - 00 to (
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
King Co Assessor's Tax No.: 9? LLLI 7 OO 1 0
Site Address: 1057 Southcenter Mall, Tukwila, WA, 98118 Suite Number: 1057
Tenant Name: Motherhood Fraternity
Property Owners Name:
Mailing Address:
Floor: 1st
New Tenant: ® Yes D
City
Slate Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Raedeit Kifle
Day Telephone: (206) 359 -1268
Mailing Address: 1743 1st ave s Seattle WA 98134
City State Zip
E -Mail Address: rkifle @guardiansecurity.com Fax Number: (206) 341 -9928
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Guardian Security
1743 1st ave s, Seattle, WA 98134
City State Zip
Contact Person: Raedeit Kifle Day Telephone: (206) 359 -1268
E -Mail Address: rkifle @guardiansecurity Fax Number: (206) 341 -9928
Contractor Registration Number: GUARDSS233K5 Expiration Date:
Valuation of Project (contractor's bid price): $ 300
Scope of Work (please provide detailed information): Relocating 1 strobe for the fire alarm system
Will service be altered? ❑ Yes J No Adding more than 50 amps? ❑ Yes V] 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: \Applications \Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application. doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $1 1.55 ea
® Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10 50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will he 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 exput r.} ;i• , .:::,
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requester it
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: Date: 01/28/2010
Print Name: Raedeit Kifle Day Telephone: (206) 359 -1268
Mailing Address: 1743 1st ave s Seattle WA 98134
City state Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: \Applications \Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
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Page 2 of 2
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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.: 9202470010 Permit Number: EL10 -0061
Address: 1057 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 01/28/2010
Applicant: MOTHERHOOD MATERNITY Issue Date:
Receipt No.: R10 -00142
Initials: WER
User ID: 1655
Payment Amount: $67.20
Payment Date: 01/28/2010 01:15 PM
Balance: $0.00
Payee: GUARDIAN SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 95115 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -28 -2010
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
Cw-o00
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -360
ProJe�� a _ _ _
"`-'
(7
Type of Inspection: �O�
Address.
f/ tort
Date Called:
Special Instructi ns:
r tor
Date Wanted:
rte
a.m;
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
0 „A,
Inspector:
to\
❑ $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
kra-'011
PERMIT NO.
Yom"
(206)431. -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Proj
o Rr fit %
,,�! p��
1461 111
Type of Inspection:
700
Addre
s: / `
f
LEI/(/
i
Date Called:
Special Instructions:
/ (A
1(�
Date Wanted:
j
a
Requester:
Phone No:
n Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
1&L'»J(1 CJeF
RoQwet-
Inspector: 1
t1't
$60.00 REINSPECTION FEE RE U
•
Date:
0111250
ri $ IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
g�
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
.mil —af;4(
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407
Project: '?6447.e/hop'
114 4- -e(4.$�
Type of Inspection:
A'l (.1• c'aj f ri'rea)
Address: /c)7 g 6
Suite #:
)0 i_
Contact Person:
0 ' L E +*"ems
Special Instructions:
Occupancy Type:
Phone No.:
22--- 95' r -- a-7a s®
proved per applicable codes.
Corrections required prior to approval.
COMMENTS:
F .41-1.41.4 . -- E) 2G 1�ec 1 °',.4.
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector: Sc) ,' 5-3
Date: z_ig hp
Hrs.: /
$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Word /Inspection Record Form.Doc 1/13/06
T.F.D. Form F.P. 113
Untitled Page
S
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Page 1 of 3
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.
Business and Licensing Information
Name GUARDIAN SECURITY SYSTEMS
INC
Phone 2066226545
Address 1743 1ST AVE S
Suite /Apt.
City
State
Zip
County
SEATTLE
WA
98134
KING
Business Type Corporation
Parent
Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
600189667
ACTIVE
GUARDSS233K5
ELECTRICAL
CONTRACTOR
5/25/1977
9/30/2010
LIMITED ENERGY
HVAC /RFRG LTD
ENERGY
MASTER ELECTRICIAN INFORMATION
License CLOSEF *9730H
Name CLOSE, FRANK A
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLOSE, FRANK A
Cancel
Date
01/01/1980
Bond
Amount
DUNHAM, JOHN R
7
01/01/1980
3 610 465
DWTR &J CORP
AGENT
11/05/2007
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
7
OHIO CAS INS
CO
3 610 465
06/11/2003
Until
Cancelled
$4,000.00
06/16/2003
https://fortress.wa.gov/lni/bbip/Detail.aspx
01/28/2010