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Home My WebLink AboutPermit EL11-0363 - WESTFIELD SOUTHCENTER MALL - TUSCAN AVEDATUSCAN AVEDA 221 S OUTH CENTER MALL EL1 1 -0363 Parcel No.: Address: CitPt 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.u.s 9202470010 221 SOUTHCENTER MALL TUKW Tenant Name: TUSCAN AVEDA ELECTRICAL PERMIT Permit Number: EL11 -0363 Issue Date: 04/26/2011 Permit Expires On: 10/23/2011 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 SHAWN GADDY PO BOX 129 , LITTLEROCK WA 98556 Contractor: Name: FUSION ENERGY SERVICES LLC Address: 12344 BROOKS ST SW , OLYMPIA WA 98512 Contractor License No: FUSIOES909KD Phone: 360 951 -3732 Phone: 360 350 -8411 Expiration Date: 05/04/2012 DESCRIPTION OF WORK: ELECTRICAL CIRCUITS FOR TENANT IMPROVEMENT Value of Electrical Work: NRES: $6,500.00 RES: $0.00 Type of Fire Protection: SPRINKLERS Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compli The granting of this permit does not p construction or the performance of work. of this permit. Fees Collected: $212.90 National Electrical Code Edition: 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Signature: Date: Print Name: Sn m'.l 6/w7 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 EL 11 -0363 Printed: 04 -26 -2011 0 44 PERMIT CONDITIONS Permit No. EL11 -0363 * *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 E L 11 -0363 Printed: 04 -26 -2011 CITY OF TUK ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httd://www.cLtukwila.wa.us Electrical Permit No. Project No. - 09--)L4 (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 King Co Assessor's Tax No.: Site Address: 2-i¢ 5001-11 c-_ Tenant Name: T)sc .-n) t &E,Ow- Suite Number: 2 Z l Floor: New Tenant: ....Yes ❑ .. No Property Owners Name: 1 Fi l � Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Sk G Ao Oy Mailing Address: 7 D I 'Oot. /7_1 E -Mail Address: Day Telephone: 3b 0-5 57 —373 2_ O(K (,) 596.E City S G At Oj 5 Q CzotC -Srt WO- Fax Number: ?60 — qr7 — e 2-6 5 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: R!/C/ 0 EA) ClU 1i Mailing Address: PD Co / C L/ 777_,Eit V &JO— g,�31 City State Zip Contact Person: S 1"1'►A't,J 3 G ii-DP `7 Day Telephone: 346 0 — 55-1 373Z E -Mail Address: 5 G ROD• psi- 0 n) Otj -7 t C "t c./I‘CtlP✓n° -Fax Number: 3 6 O — 87 ; — $ z 6 Contractor Registration Number: FV 5 /0E S 909 4.-P Expiration Date: / 9'0I2 Valuation of Project (contractor's bid price): $ 6 5T D Scope of Work (please provide detailed information): t-1.Ec-7-71- /c,4 -L. al 1-6-0)71 /T/ Will service be altered? ❑ Yes ■No Adding more than 50 amps? ❑ Yes /13—.No Type of Use: Type of work: cNew ❑ Addition ❑ Service Change ❑ Remodelenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H-\ Applications \Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Applrcation.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 Quits 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) 563.00 ❑ 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 1 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: Print Name: Date: (7'IA((I Day Telephone: Mailing Address: city Date Application Accepted: lAtt Date Application Expires: H:\Applications\Fornss- Applications On Line \20I0 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 State Zip Staff Initials: 1 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 -0363 Address: 221 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 04/26/2011 Applicant: TUSCAN AVEDA Issue Date: Receipt No.: R11 -00801 Initials: User ID: Payee: JEM 1165 Payment Amount: $212.90 Payment Date: 04/26/2011 10:39 AM Balance: $0.00 JESSICA R FLAMMIN, JR CONSULTING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 003943 ACCOUNT ITEM LIST: Description 212.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 doe: Receipt -06 Printed: 04 -26 -2011 • • INSPECTION. RECORD...-. Retain a copy with permit INSPECTION NO. PERMIT NO., CITY OF TUKWILA BUILDING DIVISION 14- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431-2451 • L:: i••• Project: T. , , Js c.0.1 pokum Type of Inspection: 1100 Address: ;2,4 .4 n A,- Date Called: Special Instructions: Date Wanted: 03 a. Requester: Phone No: Approved per applicable codes. El Corrections required prior to appro;/al. OMMENTS: 641fctio45 /106 Inspector: Date: 661/03/1 n REINSPECTION FEE REOUIR D. 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 O PERMIT NO. CITY OF TUKWILA BUILDING DIVISION et2(0/7 6300 Southcenter Blvd., #100, Tukwila. WA 98188 L. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 - pro jectlj sotd 5 4 tr Type of Inspection: 2/0° (Pr #14605 III 66 OA/ UY.-itt, V4a& e Address: 72.1 riiite„ Date Called: N6401-ic.,-ra INDiciert, SO rf Ai/ ---..., Special Instructions: ti671-1/4.0<cci, 6005(04 fkirAtl .. Date Wanted: (D/ CV 13-111. Requester: Phone No: e EiApproved per applicable codes. Corrections required prior to approval. 1 COMMENTS: — r1e7.bi114 LA4415 Ikaiiitt kakik - K-0 . SoOft5 (Pr #14605 III 66 OA/ UY.-itt, V4a& e - mktg.. 0140{5 wityiu Azz cne44, 5 er A.49 5ft5tllC 50PP00-- - RoorroP Dtsca44-t-i- 0-04/Let5 EA/4406P N6401-ic.,-ra INDiciert, SO rf Ai/ itrib CAT- (11.04-ethileitW1 01 44.69) j - MbrriDIJAI, 5 disPer coi 3/q eeNkder t4 ti671-1/4.0<cci, 6005(04 fkirAtl .. Af• '1 Inspector: Date: 06/02.10 F1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. "#;•• ap.•1.7.7". ; rtlf0Virr547:—'r'AFir*,-ATC:r . e ' 10.111.7. :16.4 :•_117(Pl .41g0(.? 67rLit, 214.1r, • INSPECTION RECORD Retain a copy with permit 6.1(-0543 INSPECTION NO. PERMIT NO. tg" CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 431-2451 Project:1156ord Avo4. Type of Inspection: 7003 Address: 17-1 rilfru-- Date Called: --, Special Instructions: Date Wanted: 51r c/ tik Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. 65 COMMENTS: Pk _ 1444J5 474D 401_05 Inspector: ate: 0511 iya I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD , j. , fl3 3 Retain a copy with permit 36 INSPECTION NO. ER V MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 i, Project:�� r Nay i Type of Inspection: 7,3 Address: 22 I . A Date Called: Special Instructions: Date Wanted: 5/4 p.m. Requester: Phone No: DApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: ►1irrnrrMt,) /nt " etildetA F� of 61.09 44P 116 �8� oR �In-�L PLaA � P�,�,t> 579) tca4er Mc oaf Inspector: Date: 0 1/ Wil ri REINSPECTION 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 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 i4-o3',3 Project: V /VOA J Type of Inspection: Address: 244 rim/ Date Called: Special Instructions: Date Wanted: 5-/I , Requester:! Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: � 6 X10 / &JvQ 4JP f 4Dot 1'Ikt'1T nl vti i' ` geNtthi MD 64167\ r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: Oc / /l Contractors or Tradespeoplcer Friendly Page to Electrical Contractor A business licensed by LEt1 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 FUSION ENERGY SERVICES LLC UBI No. 603010641 Phone 3603508411 Status Active Address 12344 Brooks St. Sw License No. FUSIOES909KD Suite /Apt. License Type Electrical Contractor City Olympia Effective Date 5/4/2010 State WA Expiration Date 5/4/2012 Zip 98512 Suspend Date County Thurston Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License GADDYSP921DL Name GADDY, SHAWN P Status Active Business Owner Information Name Role Effective Date Expiration Date MCCOY, NATALIE D Partner /Member 05/04/2010 MCCOY, JOSHUA A Partner /Member 05/04/2010 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 CBIC 516029 04/26/2010 Until Cancelled $4,000.00 05/04/2010 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 04/26/2011