HomeMy WebLinkAboutPermit EL10-0617 - WESTFIELD SOUTHCENTER MALL - JOLLIBEEJOLUBEE
1372 SOUTHCENTER MALL
EL1O-0617
City oikukwila
•
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: 1372 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL10 -0617
Issue Date: 08/02/2010
Permit Expires On: 01/29/2011
Tenant:
Name: JOLLIBEE
Address: 1372 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: JOHN PALMA Phone: 425 - 328 -6595
Address: 15927 52 PL W , EDMONDS WA
Contractor:
Name: SEATTLE BUSINESS TELECOM SVCS Phone: 425 - 328 -6595
Address: 15937 52 PL W , EDMONDS WA
Contractor License No: SEATTBT946JJ Expiration Date: 04/11/2012
DESCRIPTION OF WORK:
INSTALLATION OF 23 CAT5E DATA CABLES & 13 COAX CABLES
Value of Electrical: NRES: $4,390.84
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $178.50
National Electrical Code Edition: 2008
Date: CJ ^ 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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t •erf ance of word. I a{n authorized to sign and obtain this electrical permit.
Signature:
Print Name:
�o I� n Pcd vync,_
Date: 2-02 — 0
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 0-0617 Printed: 08 -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.tulcwila.wa.us
Parcel No.: 9202470010
Address:
Suite No:
Tenant: JOLLIBEE
PERMIT CONDITIONS
1372 SOUTHCENTER MALL TUKW
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0617
ISSUED
08/02/2010
08/02/2010
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:
PaArn a,
Coln pajvn&,
Date: e— a2-10
doc: Cond -Elec
EL10 -0617 Printed: 08 -02 -2010
CITY OF TUKWILA
Community Development Department
Permit .Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
Electrical Permit No. 1-10 — a (0 ( 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
Site Address: 1372 S, Cen'' ma 11
Tenant Name: 501 1 `'l bee:5
Bout h Cen+er M 41
King Co Assessor's Tax No.: /D )-- 41 J GO 1
Number: Floor: 1 New Tenant: Yes ❑ ..No
(tioe4f1 e1c -T5(r
Property Owners Name:
Mailing Address:
City
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
J
Day Telephone:
Mailing Address:
City
Fax Number:
E -Mail Address:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: "
Mailing Address: ' Scl 2'7 52,"'-- - Place. Wes-I- Edynonas
T j� City
Contact Person:..) O� fl a Arno , Day Telephone: L4-2,5
E -Mail Address: n M
Y1 n � Sea �'e��` jnon �^.�S�cSfiP�NS� Fax Number: Sni
Contractor Registration Number: SE AT TB T'1 r: Expiration Date: LI/
A
-
S
Valuation of Project (contractor's bid price): $ t3cro.
Scope of Work (please provide detailed information): .1
CI ct_ cam. ett.ble.s 4- ! 2 e acQ X ecelol,P 5
W4 R8oz�
State Zip
507- 21108
1 /2 412,
Will service be altered? ❑ Yes J,�A. No Adding more than 50 amps?
r,O11 L' i ct.1c"k i C-11-01 era- Can ►necfi .
Type of Use:
Type of work:
❑ New ❑ Addition
..›:( Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\Ponns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
❑ Remodel
t
Yes
tti No
❑ Tenant Improvement
Telecommunication ❑ Temporary Service
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 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:
T olr) RAAMot-
Date: g— G —i0
Print Name: ` Day Telephone: 425 -32.8'6 595 /
Mailing Address: 59 2-7 5 2i, PIoc tJpSf + 1,1f)cv s L 7 q 24,
City State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
H:Wpplications\Fonns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
1
City of Tukwila
Departtnent 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 -0617
Address: 1372 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/02/2010
Applicant: JOLLIBEE Issue Date:
Receipt No.: R10 -01459
Payment Amount: $178.50
Initials: WER Payment Date: 08/02/2010 01:05 PM
User ID: 1655 Balance: $0.00
Payee: JOHN PALMA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 417874
ACCOUNT ITEM LIST:
Description
178.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -02 -2010
INSPECTION RECORD
Retain a copy with permit
6tt-O i
PERMIT N10.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
gee
Type of Inspection: 2,00
Address:
/57�
'1 �,y�
Date Called:
Special Instruct'ons:
Date Wanted:
? s3
a.m.
Requester:
Phone No:
VA
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
6TocricA)c) flop&
K,
Inspector:
&€11/41
REINSPECTION FEE REQUIRED. rior to next
Date:
0(13/10
t ee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION rr-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: � ,�
C
Type of Inspection:
l0®
Address:
137Z-
Date Called:
Special Instructions:
�j
PV °��
1 '10
Date Wanted:
9 7
a.m. (
Requester:
`.d
Phone No:
Approved per applicable codes., Corrections required prior to approval.
COMMENTS:
'661 115 rib4A1
Inspector:
gCA
Date:
?.(
n REINSPECTION I EE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project: .1 ---
(-101A4 ge6
Type of Inspection:
7t. (0/3
Address: p�
3i2, `1
Date Called:
Special Instructions:
/1{ ®�r
C.0-14
Date Wanted:
7/3
t/
m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
D goy'
firrE
bkler
n REINSPECTIdN FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Primer 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
SEATTLE BUSINESS TELECOM SVCS
4253286595
15927 52Nd Pt W
Edmonds
WA
98026
Snohomish
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602573148
Active
SEATTBT946JJ
Electrical Contractor
4/11/2006
4/11/2012
Limited Energy
Unused
ADMINISTRATOR INFORMATION
License PALMAJ`940JJ
Name PALMA, JOHN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PALMA, JOHN P
Owner
04/11/2006
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
Wilco Casualty
Company
SB009002006
03/27/2010
Until Cancelled
$4,000.00
05/07/2010
1
PLATTE RIVER INS CO
41063923
03/27/2006
Until Cancelled
$4,000.0004/11/2006
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 08/02/2010