HomeMy WebLinkAboutPermit EL10-0152 - WESTFIELD SOUTHCENTER MALL - AT&T - KIOSKAT &T KIOSK
2800 SOUTHCENTER MALL
K -5030
EL10 -0152
CitAf 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: 2800 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL10 -0152
Issue Date: 03/02/2010
Permit Expires On: 08/29/2010
Tenant:
Name: AT &T KIOSK
Address: 2800 SOUTHCENTER MALL K -5030 , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: JASON VANDER VEEN Phone: 360- 815 -3379
Address: 910 W FRONT ST , SUMAS WA
Contractor:
Name: VALLEY PLUMBING /ELECTRIC INC Phone: 360 988 -9631
Address: PO BOX 65 , SUMAS WA
Contractor License No: VALLEPI141LJ Expiration Date: 10/31/2011
DESCRIPTION OF WORK:
DISCONNECT OLD KIOSK, RECONNECT NEW CAT5E CABLING IN KIOSK AND TERMINATION
Value of Electrical: NRES: $2,000.00
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
$115.50
Date: 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: �J_ Date: 3 /D
Print Name: Jt4 -Sort ( /PNGiar (tees -1
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 0-0152 Printed: 03 -02 -2010
Parcel No.: 9202470010
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
PERMIT CONDITIONS
2800 SOUTHCENTER MALL TUKW
AT &T KIOSK
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0152
ISSUED
03/02/2010
03/02/2010
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:
Print Name: 14'50n H04■*-(
Date: 3—'2
doc: Cond -Elec
ELI 0-0152 Printed: 03 -02 -2010
CITY OF TUKWIL.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www, ci. tukwila. wa. us
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 Address: SooPteatA 2 123-ZN5o
Tenant Name: %
King Co Assessor's Tax No.: 7R0 a Y 7-- 00 /v
Suite Number: /JSv 0 Floor: # /
Property Owners Name: aleP e(d
Mailing Address: (o3 5otJce.,Ie'
Name: JASoyi
Vadat- Am
New Tenant:
❑ Yes No
Mailing Address: 91C, lPsF ,
E -Mail Address:
Company Name:
Mailing Address:
� ose.c6 frleaen,e . l'vAll
Valle/ p /ow6,n,3 E(''c/h
9/5 Gt% 7 , f' S -.
City
State
/111�b'
• Zip
Day Telephone: 360 - 8/5-3377
c,/y/a $
City
Fax Number:
9.9-25
State Zip
3c'o- 98x 6 6,
Contact Person: J45c91
E -Mail Address: SGt 56 n @ va /le 1,91° - C
Contractor Registration Number:
5v/n2$
City
Day Telephone:
6✓19
State Zip
Y - , ;- 337%
Fax Number: 3&o- 9 -s--- 5'626.6,
Expiration Date:
Valuation of Project (contractor's bid price): $ c2q, (X_2
Scope of Work (please provide detailed information): DI SC,- ,27n1.e�
CG / 7 i' (4S //� 5 «' rl I •ci $ k 4 27.-„,-,1,;4c.17.9,1_
Q71 4 k, Tr c oi7Hrr� yPw.
Will service be altered? ❑ Yes 6- No Adding more than 50 amps? ❑ Yes 131 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:
D] Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms - Applications On Line \2010 Applications \1 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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 $11.55 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, fumace 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
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 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: 3 As 071 407G P v e"7
Mailing Address: ?ic' �✓ ov71 5'
Date: 3- 2 -w
Day Telephone: Y (7- d /5"-- 337?
Sv4YlAs
City
lir/l'i 7x1295_
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Apphcauons\Forms- Applications On Line\2010 Applications \1.2010 - Electrical Permit Application.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.: 9202470010 Permit Number: EL10 -0152
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 03/02/2010
Applicant: AT &T KIOSK Issue Date:
Receipt No.: R10 -00357
Initials:
User ID:
WER
1655
Payment Amount: $115.50
Payment Date: 03/02/2010 09:19 AM
Balance: $0.00
Payee: VALLEY PLUMBING & ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 04776B
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
PAYMENT
RFCE IVED
doc: Receiot -06 Printed: 03 -02 -2010
INSPECTION RECORD `
Retain a copy with permit ��� 0174
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION I2P--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: #7,.._
Kr05
Type of Inspection: ....7
_
on
Address:200 1104.4.,
Date Called:
Special Instructions:
Date Wanted:
crwn.,
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
O M M ENTS:
691katittv.is flkbe
1
<reet /k e
❑ $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 0tIzs ( 0
Receipt No.:
Date:
q n.
.r ins 3, -k t v .�
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1P-P-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
6,10-ols),1
(\6
Project: ♦J _ l K.
Type of Inspection:
2.-too
-r-
Address
�� � MAU/
Date Called:
- ttJPt rr kE &tle
b,la hrt. tic, so PPo x sip-#'
Special Instructions:
Date Wanted:
0-7
a.m
p.m.
Requester:
- PMJEl. Se+E-DJt To Qf Ica- K' c75K k- O(42.
Phone No:
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-r-
.k
lectipi
- ttJPt rr kE &tle
b,la hrt. tic, so PPo x sip-#'
-3-01,1c,Tioiti 6,e To k ; +^.L S It3 t.L!
— 2— Poc2 2 -oof 1)1sc6,.%cr SwIrc 4
• L 70 tAIDIC SaJlu-E Q440. 1441Ei
Loc41io4 trf D CR�.011
- PMJEl. Se+E-DJt To Qf Ica- K' c75K k- O(42.
Inspector:
Date:
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:
Contractors or Tradespeople Pinter Friendly Page
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Page 1 of 1
Electrical Contractor
A business licensed by Lai 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Valley Plumbing /Electric Inc
3609889631
910 W Front St
Sumas
Wa
98295
Whatcom
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600540228
Active
VALLEPI141 LJ
Electrical Contractor
6/11/1986
10/31/2011
General
Unused
MASTER ELECTRICIAN INFORMATION
License VANDEB*980R0
Name Vanderveen, Butch
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Bos, Jerald A
ECNbsp;
01/01/1980
Bond
Amount
Vander Veen, Butch
iiNbsp;
01/01/1980
SRS1002801
Bos, Kathy
ftNbsp;
01/01/1980
Bode, Keith A
Agent
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
RLI INSURANCE
CO '
SRS1002801
08/23/2001
Until
Cancelled
$4,000.00
08/27/2001
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint
Information type
Summons and Complaints are not filed with the department for this contractor
https: // fortress .wa.gov /lni/bbip /Print.aspx
03/02/2010