HomeMy WebLinkAboutPermit EL11-0575 - WESTFIELD SOUTHCENTER MALL - SHANG HAI HEALTH & SPASHANG HAI
HEALTH & SPA
1387 SOUTHCENTER MALL
EL1 1 -0575
Parcel No.:
Address:
Tenant Name:
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
9202470010
1387 SOUTHCENTER MALL TUKW
SHANG HAI HEALTH & SPA
Permit Number: EL11 -0575
Issue Date: 06/29/2011
Permit Expires On: 12/26/2011
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: JIN PARK
Address: 14722 45 PL W , LYNNWOOD WA 98087
Contractor:
Name: DOLE'S POWER
Address: 14722 45 PL W , LYNNWOOD WA 98087
Contractor License No: DOLESPE917JF
Phone: 425 - 248 -3063
Phone: 425 - 248 -3063
Expiration Date: 04/06/2013
DESCRIPTION OF WORK:
POWER SUPPORT WATER HEATER (SINGLE PHASE 208 VOLT), ONE OUTLET
Value of Electrical Work: NRES: $300.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$67.20
Date:
National Electrical Code Edition: 2008
L.)S \4L
LQ 2-Q- (
1 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 pr
construction or the performance of w
of this permit.
Signature:
Print Name:
o give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit and agree to the conditions on the back
-/s/1 par ic
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 -0575
Printed: 06 -29 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0575
* *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
EL1 1-0575 Printed: 06 -29 -2011
CITY OF TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.qov
Electrical Permit No. Ll �,—f 0 S 7 C
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
King Co Assessor's Tax No.:
Site Address: i 3 8 T` So cl�.` p� C e M4 f tr N1 t4 l i • Suite Number:
Tenant Name: SGM c IA 4 1 f IPzg 14-h S FA
U
Property Owners Name:
Mailing Address:
g)o)- L7 -0010
Floor:
New Tenant: ❑ Yes ❑..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
spa r K
Day Telephone: — 2- ^ 30 6 3 ,
Mailing Address:
E -Mail Address:
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Pdv1)QV •
pant
(A/ L/A e1A V 110 d cl , v%1 Y6 s1 847,
�, 7,
City State Zip
Day Telephone: L{2k — 14.8 3 d .
Fax Number:
Contractor Registration Number: O 1 Z° . I e 9 /9 J Ti • Expiration Date: 0 41- /o b f 1// ,
Valuation of Project (contractor's bid price): $ 3 b o
Scope of Work (please provide detailed information):
p -10 V.‘ g(Ap ir` 1,00:e e.v' Nea+ 1 i> 2-0 U o It J -
`e. o L&+ L-e
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change N Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
X, Puget Sound Energy
V• Seattle City Light
II: \Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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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 $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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONT ICTOR:
Signature:
Print Name:
Mailing Address:
pay lc
rte 1k
)3‘ IA)
Day Telephone:
Date: 4 /Zr //
1(z Is -- — 36 gf IA) ■Ai 00
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
1i 1Applications\J arms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application. doe
Revised: May 2011
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.TukwilaWA.gov
RECEIPT
Parcel No.: 9202470010 Permit Number: EL11 -0575
Address: 1387 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/29/2011
Applicant: SHANG HAI HEALTH & SPA Issue Date:
Receipt No.: R11 -01344
Initials: WER
User ID: 1655
Payee: JIN PARK
Payment Amount: $67.20
Payment Date: 06/29/2011 01:48 PM
Balance: $0.00
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 014656
ACCOUNT ITEM LIST:
Description
67.20
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receiot -06 Printed: 06 -29 -2011
•
. INSPECTION RECORD. th �/
Retain a copy with permit
INSPECTION NO. P •�
RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451 I..
Project: ( /
,014.74
Type of Inspection:
n ,00
v /J,•/
Address:
/
Date Called:
Special Ins�uctiortis:
Date Wanted:
a.m.
Requester:
Phone No:
Approved per applicable codes.
OMMENTS:
ElCorrections required prior to approval. f jC
1.
Inspector:
Date:
0711411
LI REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
:.•l'., _ , • •
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION P-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
PERMIT
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Type of Inspection:
00
;Project:
Address:
ilja
Date Called:
Special Instructions:
Date Wanted:
7 I�
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Requester:
,;.
Phone No:
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Approved per applicable codes.
Corrections required prior to appraval.
COMMENTS:
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eabilim( &At-cod/45 •
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Inspector: 41\
n REINSPECTION FEE REQUIRED. Prior to next inspection fee must bei: •
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectio i::
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INSPECTION RECORD
Retain a copy with permit al -1°5151
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 p (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
Type of Inspection:
ikt<J014 Ci LAPN& IZEWe6) C
.
Address: ! 3171
�,1 e
Date Called:
Special Instruction
Date Wanted:
7113
a p.m.
Requester:
Phone No:
7°
EllApproved per applicable codes. Corrections required prior to approval.
COMMENTS: f
_ 6461
ikt<J014 Ci LAPN& IZEWe6) C
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Inspector:
Date: e,
31%1
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectiori :'
61.1057c
P RMIT NO.
4
■ INSPECTION RECORD
"Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: .simdci
al
Type of Inspection:
2160
Address:
Org 7
Date Called:
Special Instructions:
Date Wanted:
VI,
P.m.
Requester:
Phone No:
DApproved per applicable codes.
AKICorrections required prior to approval.
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COMMENTS: l,�Ou
Inspector:
I Date:
*3to
I I 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
•
611k051(1
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451 f-
Project �! r l �
��.e,, {
Type of Inspection: 7 2
Address:
1 Ja,,
Date Called:
Special Instructio s:
Date Wanted:
!,, %
p�n
a
P
Requester:
Phone No:
ElApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
kittia4 44 uaK+� -9
Inspector:�r Date: 14/36/1/
.n REINSPECT! N FEE REQUIRED. Prior to next inspecti fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
fir`""'
.
Contractors or Tradespeople Pter Friendly Page
1
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
DOLES POWER ELECTRIC
4252483063
14722 45Th Place W
Lynnwood
WA
98087
Snohomish
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602913071
Active
DOLESPE917JF
Electrical Contractor
4/6/2009
4/6/2013
General
Unused
Electrical Administrator INFORMATION
License PARK'JB928PH
Name PARK, JIN BAE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PARK, JIN BAE
Owner
04/06/2009
2/23/2011
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4078181
04/06/2009
Until Cancelled
$4,000.00
04/06/2009
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
EJONV01557
2/23/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$2,000.00
EJONV01559
2/23/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$500.00
EOXFJ00914
1/21/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EOXFJ00917
1/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EOXFJ00916
1/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EOXFJ00920
1/25/2011
WAC 296- 46B•990
ELECTRICAL CITATION
Not satisfied
$250.00
EOXFJ00919
1/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EOXFJ00918
1/25/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EAARG00311
4/23/2010
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$500.00
EJONV01475
1/26/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$2,000.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 06/29/2011