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Permit EL10-0544 - WESTFIELD SOUTHCENTER MALL - INDI BITES
INDI BITES 2600 SOUTHCENTER MALL FC -7 EL1 0-0544 City oftukwila 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: 2600 SOUTHCENTER MALL TUKW Suite No: Permit Number: EL10 -0544 Issue Date: 07/12/2010 Permit Expires On: 01/08/2011 Tenant: Name: INDI BITES Address: 2600 SOUTHCENTER MALL - FC -7 , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Phone: 425 - 822 -1200 Contact Person: Name: JIM MINAR Address: 815 8 ST , KIRKLAND WA Contractor: Name: SIGN FACTORY INC, THE Address: 815 8 ST , KIRKLAND WA Contractor License No: SIGNF**021JB Phone: 425 822 -1200 Expiration Date: 04/02/2012 DESCRIPTION OF WORK: INSTALL (2) ILLUMINATED WALL SIGNS INSIDE MALL Value of Electrical: NRES: $100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $78.75 National Electrical Code Edition: 2008 Date: -7- I s- ( 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 o this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction the performance f work. I am authorized to sign and obtain this electrical permit. Signatur ,� Date:_ Print ame: ,) I t/11( 1.9 qA 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 0-0544 Printed: 07 -12 -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: INDI BITES PERMIT CONDITIONS 2600 SOUTHCENTER MALL TUKW Permit Number: Status: Applied Date: Issue Date: EL10 -0544 ISSUED 07/12/2010 07/12/2010 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 regulatingSonstruction or the performance of work. Signature: •i2 I/ Date: 7//21/A Print Name: I w� tA4 k IFW doc: Cond -Elec ELI 0-0544 Printed: 07 -12 -2010 CITY OF TU ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us SITE LOCATION Electrical Permit No. 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 Address 5 Tenant Name: King Co Assessor's Tax No.: 110,2-4 %— OM 6 Suite Number: Floor: 6- Y C New Tenant: .Yes Property Owners Name: we Mailing Address: CONTACT PERSON - Who do we contact when your permit is ready to be issued ►M: Met City Name Mailing Address: State Zip Day Teleph ne:_ E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: L. Contact PersonV I �/ E -Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ (�" , <1.) Scope of Work (please provide detailed information): g 7-1-L 1-4%"°‘ 1 LC_ Q.. so �, City Fax Number: Ak • a K State City Day Telephone: Fax Number: Expiration Date: 4 Zip • 0 0 3 State Zip ZS— 85 2 12 - v Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition Tow Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes �o ❑ Service Change ❑ Fire Alarm H:\Applications\Forms- Applications On Line \4.2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 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 $ I0.00 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) PERMIT APPLICATION NOTES - 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 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: Number of concessions $10.00 $10.00 ea Signature. Print Na Mailing Address: Date Application Accepted: I Date Application Expires: H. ApplicationsVortns- Applications On Line 14 -2007 - Electrical Permit Application.doc bh Date: f & /' /0 1 Day Telephone:_ g2� 822 2c.j c.) Ci State Zip Staff Initials: Page 2 of 2 3 1 • City of Tukwila p `rx,j 2 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 -0544 Address: 2600 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 07/12/2010 Applicant: INDI BITES Issue Date: Receipt No.: R10 -01284 Initials: User ID: Payee: WER 1655 Payment Amount: $78.75 Payment Date: 07/12/2010 02:09 PM Balance: $0.00 SIGN FACTORY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2026 78.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR ELECTRICAL PLAN - NONRES 000.322.101.00.00 63.00 000.345.832.00.00 15.75 Total: $78.75 PAYMENT RFCEIVED doc: Receiot -06 Printed: 07 -12 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD. Retain a copy with permit (u0-09/1 PERMIT NO. (L. (206)431 -3670 Project: l MIDI l Date: 0,3I00o Type of Inspection: 7./0© Address: ti ' Date Called: Special Instructions: Date Wanted: i y a.m. • Requester: iori Phone No: 3` . 3 (7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: \/ ' N Inspector: ie)6\it jeigN Date: 0,3I00o j l El $60.00 REINSPIECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 6 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 6uoo51 Project: No 1 /3 i Type of Inspection: n wv Address: �!! loco 00 nook. , Date Called: ...... Special Instructions: 5 t!-i �T Date Wanted: ? 30 a. p. m. Requester: ! Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: PG./ 6 A 5 To 5.4 W 174- LADfl6e..\ Date:07 3 91/0 n $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Jpj Receipt No.: Date: Contractors or Tradespeople Pf ter 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 SIGN FACTORY INC, THE UBI No. 601848775 Phone 4258221200 Status Active Address 815 8Th St License No. SIGNF * *021JB Suite /Apt. License Type Electrical Contractor City Kirkland Effective Date 4/2/1998 State WA Expiration Date 4/2/2012 Zip 98033 Suspend Date County King Specialty 1 Sign Business Type Corporation Specialty 2 Unused Parent Company ADMINISTRATOR INFORMATION License FALLSD *191JP Name FALLS, DENNIS Status Active Business Owner Information Name Role Effective Date Expiration Date RISHER, CAROLYN Violation Amount 01/01/1980 1/21/2005 RISHER, JIM ELECTRICAL CITATION 01/01/1980 $1,000.00 CARTER, SABRINA 3/25/2009 01/01/1980 ELECTRICAL CITATION ENGEL, GREG Agent 01/01/1980 9/25/2006 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 2 TRAVELERS CAS a SURETY CO 206844713 03/25/2001 Until Cancelled $4,000.00 02/07/2001 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 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount E46695 1/21/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EJONV00870 3/25/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EHRAL00303 9/25/2006 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 EREYT00286 4/9/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 07/12/2010