HomeMy WebLinkAboutPermit EL11-0173 - WESTFIELD SOUTHCENTER MALL - BUCKLEBUCKLE
681 S 0 UTH CENTER MALL
EL1 1 -0173
City ef 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: 681 SOUTHCENTER MALL TUKW
Tenant Name: BUCKLE
ELECTRICAL PERMIT
Permit Number: EL11 -0173
Issue Date: 03/02/2011
Permit Expires On: 08/29/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: TODD FONTAINE Phone: 206 - 963 -1293
Address: 828 POPLAR PL S , SEATTLE WA 98144
Contractor:
Name: PACIFIC FIRE AND SECURITY INC
Address: 828 POPLAR PL , SEATTLE WA 98144
Contractor License No: PACIFFS914MF
Phone: 206 - 957 -0907
Expiration Date: 07/01/2011
DESCRIPTION OF WORK:
INSTALL MERCHANDISE PROTECTION SYSTEM
Value of Electrical Work: NRES: $750.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $84.00
National Electrical Code Edition: 2008
Date:
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 a ority to violate or cancel the provisions of any other state or local laws regulating
construction or the perform
of this permit.
ed to sign and obtain this electrical permit and agree to the conditions on the back
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 -0173 Printed: 03 -02 -2011
PERMIT CONDITIONS
Permit No. EL11 -0173
* *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 -0173 Printed: 03 -02 -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 No.
Project No.
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
King Co Assessor's Tax No.: 910 t1" 001 0
Site Address: 681 SOUTHCENTER MALL
Tenant Name:
BUCKLE
Suite Number:
New Tenant:
Floor:
❑ Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: TODD FONTAINE
Mailing Address: 828 POPLAR PL. S
E -Mail Address: toddf @pacificfiresecurity.com
Day Telephone: (206) 963 -1293
SEATTLE WA 98144
City State
Fax Number: (206) 726 -8160
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
TODD FONTAINE
828 POPLAR PL. S
Contact Person: TODD FONTAINE
E -Mail Address: toddf@ pacificfiresecurity.com
Contractor Registration Number: PACIFFS914MF
SEATTLE WA
City State
Day Telephone: (206) 963 -1293
Fax Number: (206) 726 -8160
Expiration Date: 07/01/2011
98144
Zip
Valuation of Project (contractor's bid price): $ —7 SQ
Scope of Work (please provide detailed information): . let:_o_VAs2r-r■
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
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 $1 1.55 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 ELECTRIC_ C!s% RACT_:1;r
Signature:
Print Name: %pp fervP iyi-e
Mailing Address: 9/28 %ffja. /
Day Telephone:
City
Date: 3 -` 2- ` /
Z66, — 8/7— '
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:1Applications\Forms- Applications On Line 12010 Applications 7 -2010 - Electrical Permit Application.doc
bh
Page 2 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.tukwila.wa.us
RECEIPT
Parcel No.: 9202470010 Permit Number: EL11 -0173
Address: 681 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 03/02/2011
Applicant: BUCKLE Issue Date:
Receipt No.: R11 -00390 Payment Amount: $84.00
Initials: WER Payment Date: 03/02/2011 01:54 PM
User ID: 1655 Balance: $0.00
Payee: PACIFIC FIRE & SECURITY INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2926 84.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 84.00
Total: $84.00
doc: Receipt -06 Printed: 03 -02 -2011
-14:Kti.. -4V. -- ' '1..'•f-ri.j-7;47.0WiWr ;e5.PNIX.Y0E-'rr :74;:r." •47"..!.... -u. .^.,`,F.-4?•17,•n:^P:A.;•—.;
INSPECTION RECORD
Retain a copy with permit 61141.73
INSPECTION NO. PERMIT NO.
.1., _..'•
. CITY Of TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: &
C./4(k
Type of Inspection:
Date Called: 7oo3i.
Address:
(pf / I lt/
Special Instructions:
el eikckt.
Date Wanted:
3/2i ap.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
04i totict tAi
Date:
03/2/7/1 / • . •
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
1•
Contractors or Tradespeople P ter Friendly Page
ID
Electrical Contractor
A business licensed by Lfx1 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 PACIFIC FIRE AND SECURITY INC UBI No. 602335521
Phone 2069570907 Status Active
Address 828 Poplar PI 5 License No. PACIFFS914MF
Suite /Apt. License Type Electrical Contractor
City Seattle Effective Date 7/1/2009
State WA Expiration Date 7/1/2011
Zip 98144 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
ther Associated Licenses
License
L
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
PACIFFS973PU
PACIFIC FIRE AND
SECURITY INC
Electrical
Contractor
Limited
Energy
Unused
10/30/2003
10/30/2009
Expired
Master Electrician INFORMATION
License BAKERJT973LR
Name BAKER, JON T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PINSKY, ADAM A
Agent
07/01/2009
11/12/2009
BAKER, JON T
President
07/01/2009
$250.00
WITTMAN, JOHN P
Secretary
07/01/2009
PINSKY, ADAM A
Treasurer
07/01/2009
MARVICH, STEPHEN E
Vice President
07/01/2009
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
1
AMERICAN STATES INS
CO
6251633
10/27/2003
Until Cancelled
$4,000.00
10/27/2003
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
EMABQ03219
11/12/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 03/02/2011