HomeMy WebLinkAboutPermit EL10-0822 - WESTFIELD SOUTHCENTER MALL - BOBA SMOOTHIESBOBA SMOOTHIES
2800 SOUTHCENTER MALL
K -1223
EL1 0-0822
Cityk 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: / /wwwc1.tukwila.wa. us
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 2800 SOUTHCENTER MALL TUKW
Tenant Name: BOBA SMOOTHIES
Permit Number: EL10 -0822
Issue Date: 10/14/2010
Permit Expires On: 04/12/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: JIM MIMAR Phone:
Address: 815 8 ST , KIRKLAND WA 98033
Contractor:
Name: SIGN FACTORY INC, THE
Address: 815 8 ST , KIRKLAND WA 98033
Contractor License No: SIGNF* *021JB
Phone: 425 822 -1200
Expiration Date: 04/02/2012
DESCRIPTION OF WORK:
INSTALL (1) ILLUMINATED SIGN INSIDE MALL
Value of Electrical Work: NRES: $50.00
RES: $0.00
Type of Fire Protection: UNKN OWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $63.00
National Electrical Code Edition: 2008
feexo Date ((-7 ( q
I hereby certify that I have read and examined this rmit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, wheth specified herein or not.
The granting of s permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction e performan of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: j67 ef/ t cL
Print Name: /TI '}t
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 -9/09
ELI 0-0822 Printed: 10 -14 -2010
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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: hup://www.ci.tulcwila.wa.us
Parcel No.: 9202470010
Address:
Suite No:
Tenant:
PERMIT CONDITIONS
2800 SOUTHCENTER MALL TUKW
BOBA SMOOTHIES
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0822
ISSUED
10/14/2010
10/14/2010
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: S 'M v"\ v -i
Date:
/o/tilitu
doc: Cond -Elec
ELI 0-0822 Printed: 10 -14 -2010
CITY OF TUISILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http / /www ci tkwila wa. us
SITE LOCATION
Electrical Permit No. E_ G / 6 --0 CC�
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 **
s? 0 p So u King Co Asse,
Site Address• �C•e�� j., �J�Y
Tenant Name: [ R S'wl c O "n
Property Owners Name:
Mailing Address:
's Tax
(0
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: LTV1/1 ot
Mailing Address:
E -Mail Address -VAI'M City '! t
SPACbw/Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Day Telephone:
State
Yes ❑ .. No
Zip
Company Name:
Mailing Address:
Contact Person: , \•Ai y \ilk City state Zip
�.,�^ Day Telephone: 2 B Z /2 e/ !J
E -Mail Address : \V�tw� o,� 4G7� /`2
�L r S�f.Go� Fax Number: �7 .�` �� `7l•(Ij '7
Contractor Registration Number . et
Expiration Date: L� /p /
Valuation of Project (contractor's bid price): $ C,
Scope of Work (please provide detailed information): :iLJu LL
se'
Will service be altered?
Type of Use:
❑ Yes
Type of work:
❑ New
Nttti Low Voltage
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes \
0
Addition
Generator
❑ Service Change
❑ Fire Alarm
H: ApplicationsTorms •Applications On Line14•2007 - Electrical Permit Application.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 oft
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 $10.00 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)
IPERMIT 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 $75.00
Number of concessions $10.00 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 QWNER OR ELECTRICAL CONTRACTOR:
Signatur
Print N}'ne:
C
Date: id 13/ ( 0
km U/1 o tt< Day Telephone: y25- 2 2_ / 2 e)
� �,►—
Maili� Address: / S * /Vv it-- / mel, tA.14 ic(.b�
Date Application Accepted: % ,Q � / (d)Date p. Application Expires:
HAApplications\Forns- Applications On Line \a -2007. Electrical Permit Application.doc
bh
City State
Zip
Staff Initials:
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 -0822
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 10/14/2010
Applicant: BOBA SMOOTHIES Issue Date:
Receipt No.: R10 -02078
Payment Amount: $63.00
Initials: TLS Payment Date: 10/14/2010 02:18 PM
User ID: 1670 Balance: $0.00
Payee: THE SIGN FACTORY PERMIT ACCOUNT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2074 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 10 -14 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 6
Type of Inspection:`oJ
Address: 2-100
�
til./
Date Called:
Special Instructions:
5 /6l A)
Date Wanted:
(,
v
a:m:
q Re uester:
Phone No:
Approved per applicable codes. ' , ❑ Corrections required prior to approval.
COMMENTS:
Inspector:
// 4 r(/
Date: 0
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: ODIN
® BA'
Type of Inspection:
Address:
Date Called:
Special Instructions:
5.fGA1
L,1 (� :OD CI 41 ,
Date Wanted:
a.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
J., g.,(-rrc
Inspector:
15(44)6c
Date:
((03 to
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople liter Friendly Page
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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
Electrical 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 Et
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 10/14/2010