HomeMy WebLinkAboutPermit EL11-0168 - WESTFIELD SOUTHCENTER MALL - MICHAEL KORSMICHAEL KORS
515 SOUTHCENTE
EL1 1 -0168
MALL
City fit' 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: / /wwwci.tukwila.wa.us
Parcel No.: 9202470010
Address: 515 SOUTHCENTER MALL TUKW
Tenant Name: MICHAEL KORS
ELECTRICAL PERMIT
Permit Number: EL11 -0168
Issue Date: 03/01/2011
Permit Expires On: 08/28/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: TODD KAHL
Address: 18552 142 AV NE , WOODINVILLE WA 98072
Phone: 425 - 368 -2877
Contractor:
Name: INTEGRATED POWER INCORPORATED Phone: 206 718 -7858
Address: PMB 338 14241 NE WOODINVILL- DUVALL RD , WOODINVILLE WA 98072
Contractor License No: INTEGPI935O6 Expiration Date: 09/29/2011
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE CABLE, CAMERAS AND A KEYPAD FOR SECURITY. INSTALL BURGLAR
PANEL.
Value of Electrical Work: NRES: $3,159.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $157.50
National Electrical Code Edition: 2008
LJU y D ate: �— (~ 1
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 the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signat e: Date: 'W2-4171
Print Name: 'Cc' c/ (
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 1-0168 Printed: 03 -01 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0168
* *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 -0168 Printed: 03 -01 -2011
CITY OF TUKWILA
Community Development Department
Perrnit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httpl/www.ci.tukwila.wa.us
SITE LOCs'ATION
Electrical Permit No.
Project No.
for o ce use of
d t (p 9
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 **
King Co Assessor's Tax No.:
Site Address: -63.3 -South Center Mall
Tenant Name: Michael Kors
Suite Number: 515 Floor: 1
New Tenant: cin Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
CONTACT PERSON -- 4'ho drr we contact wrhert yo
Name: Todd Kahl
Mailing Address: 18552 142nd Ave NE
Day Telephone:
Woodinville
(425) 368 -2877
WA
98072
E -Mail Address: toddle @inpowerinc.com
(St} State
Fax Number: (425) 368 -2878
Zio
EILECTRICAI, CONTRACTOR INFORMATION
Company Name: Todd Kahl
Mailing Address: 18552 142nd Ave NE Woodinville WA 98072
Z.tp
Contact Person: Todd Kahl
E -Mail Address: toddk @inpowerinc.com
Contractor Registration Number: TNT & E Pi (73 l
Cif),
State
Day Telephone: (425) 368 -2877
Fax Number: (425) 368 -2878
Expiration Date:
Vaii.tation of Project (contractor's bid price): S 3,159
Scope of N�ork (please provide detailed information): Install low voltage cable, cameras and a keypad for security. Install
Burglar Panel.
yviil service be altered'.' ❑ Yes No
hype of lase:
Adding more than 50 amps? ❑ Yes ® Nc
Tvpe of work:
❑ New ❑ Addition ❑ Service Change
7j Low Voltage ❑ Generator ❑ Fire Alarm
Pro Prop_ov Served bv:
❑ Puget Sound Energy
❑ Seattle City Light
it Apl cat on>,F0, .1ppI a0 < Line 010 Applicato s<7 -2010 I:. -Mc 0 ParnH Applicn.on doe
hh
?'ate 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
IDate Application Accepted:
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
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:
Signatur
Print Name: '/ ock/
Mailing Address: /8S.SZ — /' 2`"'/ /t/L
Date: 37/4°l0
Day Telephone: -yZS= 36g- Z.:37
Gtdo oc.krl ✓�7 /�
City
Ce--14
State
972
Zip
Date Application Expires:
Staff Initials:
H: Applications\Forms- Applications On Line\2010 Applications17 -2010 - Electrical Permit Application.doc
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Page 2 of 2
1
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.
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:
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Day Telephone:
Mailing Address:
city
Fax Number:
E -Mail Address:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Contractor Registration Number: Expiration Date:
State Zip
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H!Applications'Forms- Applications On lane12010 Applicational7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
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: 515 SOVTHCENTER MALL TUKW
Suite No:
Applicant: MICHAEL HORS
RECEIPT
Permit Ntunber: EL11 -0168
Status: PENDING
Applied Date: 03/01/2011
Issue Date:
Receipt No.: R11 -00379
Initials: WER
User ID: 1655
Payment Amount: $157.50
Payment Date: 03/01/2011 11:42 AM
Balance: $0.00
Payee: INTEGRATED POWER INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2124 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
City of Tukwila
6200 Southcenter Blvd, Tukwila, WA
1 Finance Department
1106001 -1 03/01/2011 BR1 T103
Tue Mar01,2011 11:55AM Trans #76 -77
Name: INTEGRATED POWER INC INTEGRATED
76 $155.00 BUSLCN - Business License
Customer #: 00054701
Activity #: 00003251
77 $157.50 DCDGEN - DCD Permits Plus
- General Fund
Secondary ID: INTEGRATED POWER INC
2 ITEM(S): TOTAL: $312.50
Check (002124) PAID $312.50
www.ci.tukwila.wa.us 206 - 433 -1835
000.322.101.00.00 157.50
Total: $157.50
Printed: 03 -01 -2011
21. p 3....7c.:7--•.-ataw . ' ' . a. 1. -5- - • '..
. • .•
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
Project:
1 Cakel■ Kai
q
Type of Inspection:
,...7 .
‘..-10(.1
Address:
5-6- tikut,
Date Called:
Special Instructions:
56A 1
Date Wanted:
PP
rm:
Requester:
Phone No:
1Xli Approved per applicable codes. D-Corrections required prior to approval.
COMMENTS:
Inspector: ci
66%)416\3 Date:
i
REINSPECTION E REQUIRED. „flit 1 • • .
1
r rior to next inspection, fee must be : .....-
1 paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. .• •!'":1 ....
•
• :
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY 0.F TUKWILA BUILDING DIVISION
Permit (20Ve31-3670
ermit Inspection Request Line (206) 431-2451
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Project: I A
qicAmet, gop,5
Type of Inspection:
.07 el
fav5
Address: p,- ..., ,
"iv) mix,
Date Called:
Special Instructions:
•
- 5fcimirl
Date Wanted:
.03 GT:,
P.m.
Requester:
Phone No:
Approved pet applicable des.
COMMENTS:
ElCorrections required prior to approval.
044 144‘)
Lil REINSPECTION FEE REQUIRED. Priorto next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
t..
•
" •
Contractors or Tradespeople n er Friendly Page
o
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
INTEGRATED POWER INCORPORATED
4253682877
18552 142Nd Ave Ne
Woodinville
WA
98072
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602760522
Active
INTEGPI93506
Electrical Contractor
9/26/2007
9/29/2011
General
Unused
Electrical Administrator INFORMATION
License KAHL'T`93504
Name KAHL, TODD A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
KAHL, TODD A
Agent
09/26/2007
Bond Amount
KAHL, TODD A
President
09/26/2007
100148586
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
American Contractors
Indem CO
100148586
12/12/2010
Until Cancelled
$4,000.0012/22/2010
1
AMERICAN STATES INS
6525605
09/26/2007
Until Cancelled
12/12/2010
$4,000.0009/26/2007
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 03/01/2011