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HomeMy WebLinkAboutPermit EL11-0042 - WESTFIELD SOUTHCENTER MALL - BUCKLEBUCKLE 2426 SOUTHCENTER MALL EL1 1 -0042 Parcel No.: 9202470010 Address: City* 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 2426 SOUTHCENTER MALL TUKW Tenant Name: BUCKLE, THE Permit Number: Issue Date: Permit Expires On: EL11 -0042 01/21/2011 07/20/2011 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 KURT MONSEN Phone: 206 213 -0048 4241 24 AV W , SEATTLE WA 98199 Contractor: Name: ELECTROTECHNOLOGY INC Address: 4241 24TH AVE W , SEATTLE WA 98199 Contractor License No: ELECTI *956QH Phone: 206 213 -0048 Expiration Date: 10/27/2012 DESCRIPTION OF WORK: ADD OUTLETS IN BACK OF STORE AND ADD (4) LIGHTS IN EGRESS PATHWAY W1TH BATTERY BACK UP. ALSO LOW VOLTAGE: (2) DROPS OF CAT -5 FOR COMPUTERS. Value of Electrical Work: NRES: $3,500.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: 044h h ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pre construction or the • - . • ' • f of this permit Signature: e to give authority to violate or cancel the provisions of any other state or lo al laws regulating I a.• thorized to sign and obtain this electrical permit and agree to the co itions o the back Print Name: ‘/(r IT'7 Date: / // 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 EL11 -0042 Printed: 01 -21 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0042 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11 -0042 Printed: 01 -21 -2011 CITY OF TUKWILA 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 ** SI TIOG:ATIO Site Address: 2005 5ot/rk CF_N/7E2 Tenant Name: Bur Kt-� King Co Assessor's Tax No.: _o2- \ 1 — (30[ 0 /►9ACL Tu4ct„/ic.A Suite Number: 2005 New Tenant: Property Owners Name: (JE T FI Ems© ,',e0 Pr_ e i Y TAY at-Pr Mailing Address: P.O. SOX /3 0 4 (40 / CAPLSc3Ap CA . 520/3 City VVholdo we contactMm yvuriperm Name: /c`vra fois/sc+y Floor: 2"9) [r Yes. ❑..No State Zip Day Telephone: Zob - 2- /Z - oo4iP Mailing Address: `/Z'// Z 5#774 /.tv(. W. t.+A- ik/99 City E -Mail Address: EG.T- , US State Fax Number: 206 - 2/3 - 00 Y5 Zip SAL Ck ONTRAC'TO INF©RMAT <II Company Name: Mailing Address: c -TEcn El—EC-7121C- 91 4// 25rr-, , Contact Person: IL//2..7 5.@ -•,4 SEA -774-1 (JO' • 1g//5y City E -Mail Address: ,L!/►Ior/SnN e EGT,CGN • U5 Contractor Registration Number: State Zip Day Telephone: 206 - Z /3 -6 t!8 Fax Number: Zoe. - 213 - dpY9 Expiration Date: Valuation of Project (contractor's bid price): $ 3/ SO0 Scope of Work (please provide detailed information): 9 %( as i/ 4 //► Bak hoo“ avid /4 C G ray pets ,,,„1-7,7 - Virof C44 - Hof J C.oM�r� Will service be altered? ❑ Yes ["No Adding more than 50 amps? ❑ Yes 13/No Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: CPuget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm H:\Applications\Porms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicationdoc bh Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication Er 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, furnace 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 $10.50 ea RMIT APIPLI ATION Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER 0 ELECT ICAL CONTRACTOR: Signature: g Date: / /2-1 �1 d 4 (2,66) — — O0g Print Name: c.4 , / /�1/Y Day Telephone: Q p Mailing Address: ''$� "I / ' 'L " AL IA/ a f �f ( ti/,� City State Zip Date Application Accepted: DI 21 d Date Application Expires: H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 Staff Initials: .� • 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: EL11 -0042 Address: 2426 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 01/21/2011 Applicant: BUCKLE, THE Issue Date: Receipt No.: R11 -00113 Initials: JEM User ID: 1165 Payment Amount: $157.50 Payment Date: 01/21/2011 12:34 PM Balance: $0.00 Payee: DAVID A HIRST TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 394136 ACCOUNT ITEM LIST: Description 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 doc: Receiot -06 Printed: 01 -21 -2011 4. F, • t- INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION II-' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451• Project: e.T d aC/le t b Type of Inspection: - =2/00 Address:. . (1, 1/1A t Date Called: . Special Instructions: . Date Wanted: a 4 Requester: :'"? Phone No: VtApproved.per applicable codes. Corrections required prior to approval. ; ■ COMMENTS: V`v►n i-}- Co N/lA ni44 Date: 6 /J ❑ REIN r ECTION FEE REQUIRED.-Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.• Contractors or Tradespeople Pr;, it Friendly Page • Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 ELECTROTECHNOLOGY 2062130048 4241 24Th Ave W Seattle WA 98199 King Corporation GEORGE HANCOCK INC INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602507768 Active ELECTI *956QH Electrical Contractor 10/27/2006 10/27/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ELECTI *008KP ELECTROTECHNOLOGY INC Electrical Contractor General Unused 5/17/2000 5/17/2006 Expired Electrical Administrator INFORMATION License MORRIG *932KS Name MORRIS, CHRIS G Status Active Business Owner Information Name Role Effective Date Expiration Date BITTNER, JAMES Agent 11/08/2005 Bond Amount HANCOCK, GEORGE President 05/18/2006 52BSBFU4828 KALDESTAD, JAMES President 10/21/2010 PLICHTA, JOZEF Vice President 05/18/2006 SZREDER, WALDEMAR Vice President 05/18/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 HARTFORD FIRE INS CO 52BSBFU4828 07/28/2010 Until Cancelled $4,000.0007/29/2010 https://fortress.wa.gov/Ini/bbip/Print.aspx 01/21/2011 Contractors or Tradespeople titer Friendly Page 1 CBIC SH0076 10/19/2006 Until 112/19/2009 Cancelled $4,000.00 Page 2 of 2 10/31/2006 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 Summons and Complaints are not filed with the department for this Information contractor type Warrant Information Warrants are not filed with the department for this contractor type https: // fortress .wa.gov /lni /bbip /Print.aspx 01/21/2011