HomeMy WebLinkAboutPermit EL10-0407 - WESTFIELD SOUTHCENTER MALL - FOOTLOCKER HOUSE OF HOOPSFOOTLOCKER
HOUSE OF HOOPS
1090 SOUTHCENTER MALL
EL1O-0407
City ofkukwila
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: 1090 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL10 -0407
Issue Date: 06/02/2010
Permit Expires On: 11/29/2010
Tenant:
Name: FOOTLOCKER HOUSE OF HOOPS
Address: 1090 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: LAURIE MCINTYRE Phone: 360 373 -0400
Address: 3720 KITSAP WY , BREMERTON WA
Contractor:
Name: TOTAL SATELLITE
Address: 3720 KITSAP WAY , BREMERTON WA
Contractor License No: TOTALST931 OQ
Phone: 360- 373 -0400
Expiration Date: 09/18/2011
DESCRIPTION OF WORK:
INSTALL TVS AND AUDIO SPEAKERS
Value of Electrical: NRES: $2,150.00 Fees Collected: $136.50
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: 2008
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be complie
exams
• wit
Date: V`eioVD
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not give.„au ority to violate or cancel the provisions of any other state or local laws regulating
construction or the performanc - o • - thorized to sign and obtain this electrical permit.
Signature:
am
Print Name: ct ry — �K GIz
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.
Date:
doc: EL -4/07
EL10 -0407 Printed: 06 -02 -2010
•
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.: 9202470010
Address:
Suite No:
Tenant:
PERMIT CONDITIONS
1090 SOUTHCENTER MALL TUKW
FOOTLOCKER HOUSE OF HOOPS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0407
ISSUED
06/02/2010
06/02/2010
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 presu • - togive authority, t•' olate or cancel the provision of any other work or local
laws regulating construction or the perf• m. 6e of work
Signature: Date: i G
Print Name:
doc: Cond -Elec
ELI 0-0407 Printed: 06 -02 -2010
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. io--D40-7
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
1010
Q` 1 ) King Co Assessor's Tax No.: 19.,02_141-001,0
Site Address:, &3V �QQY �-�,v- ?kW p Suite Number: �1 Floor: )
Tenant Name: -46\6 C._ . C � PS nblb New Tenant: ` Yes I.No
Property Owners Name:
Mailing Address: (.03� JD
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
, a ' LL Y Day Telep one: ?Jt) - 3- 1'3 1 OLIO))
Mailing Address:��20 \ 1 WAD .b -e,r LQ i +6y\ Vk '� 83 2
\\-- City State Zip
E -Mail Address:oii-A040 A-Ey\ 6 ,o,\goA . • 1'y\ Fax Number: SID 0-
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 0-1-04 taA7 d 1. 1 Le TV 1.-f\ �yS
Mailing Address: 3�Zb O'� W a 0 �r Q �/.1
`r �p n /� ., 1 StateZZiip
Contact Person: r l� �1 V J 0 L Lii':y Telephone: L - l
E- Mail Address: b R..r�:l�`rt��� �1 S0. `C`LW\ Fax Number:3`-' �R� ^3��`►
Contractor Registration Number: `('C R'l�41 -1 �� ut Expiration Date: l7 l �C `I
6�
Valuation of Project (contractor's bid price): $ o �_ I v 4 �' r
Scope of Work (please provide detailed information): Tl` ' �"c
-
Will service be altered? ` 'Yes ❑ No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? \4 Yes ❑ No
❑ Remodel ❑ Tenant Improvement
Property Served by:
Puget Sound Energy
❑ Seattle City Light
n: \Applications \Forms- Applications On Line \2010 Applications \I -21110 - 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, fumace 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 $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, 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 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 ' AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE L
BUILDING OWNER O t CT
Signature:
Print Name:G O
Mailing Address:
F THE STATE ASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
AL CONTRA
Date:
Day Telephone:
Date Application Accepted:
ett
WO,
Date Application Expires:
H:\ Applications \Fors- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
State
Staff Initials:
Zip
•
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 -0407
Address: 1090 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/02/2010
Applicant: FOOTLOCKER HOUSE OF HOOPS Issue Date:
Receipt No.: R10 -00974
Initials: JEM
User ID: 1165
Payment Amount: $136.50
Payment Date: 06/02/2010 11:28 AM
Balance: $0.00
Payee: GARY S LUNDY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2005 136.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -02 -2010
INSPECTION `RECORD
Retain a copy with permit
k("167
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1L
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
Project: Ca�
Type of Inspection:
2(00
Address: 1 U 0 ��
Date Called:
Special Instructions:
Date Wanted:
641
a
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
r
Inspector:
41 r `.9/1�
7
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 1C /2 U ho
Receipt No.:
Date:
Contractors or Tradespeople Pter Friendly Page
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Total Satellite Tv Inc
3603730400
3720 Kitsap Way
Bremerton
Wa
98312
Kitsap
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600523479
Active
TOTALST9310Q
Electrical Contractor
9/18/2007
9/18/2011
General
Unused
enses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
TOTALST999L9
Total
Satellite Tv
Inc
Electrical
Contractor
Telecommunications
Unused
6/29/2001
6/30/2009
Out Of
Business
ADMINISTRATOR INFORMATION
License LUNDYGB932N6
Name Lundy, Gary B
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Lundy, Gary B
President
09/18/2007
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
AMERICAN STATES INS
CO
6344778
06/06/2005
Until Cancelled
$4,000.00
09/18/2007
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 Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/02/2010