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HomeMy WebLinkAboutPermit EL11-0681 - WESTFIELD SOUTHCENTER MALL - FOOTLOCKER - CCSFOOTLOCKER - CCS 974 SOUTHCENTER MALL EL1 1 -0681 Parcel No.: Address: City oiiltukwila II 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 9202470010 974 SOUTHCENTER MALL TUKW Project Name: FOOTLOCKER - CCS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0681 07/26/2011 01/22/2012 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA LADENE CARSON PO BOX 2015 , NORTH BEND WA SECURE PROJECTS INC PO BOX 2015 , NORTH BEND WA Contractor License No: SECURPI944BD Phone: 425 888 -3823 Phone: 425 888 -3823 Expiration Date: 01/03/2012 DESCRIPTION OF WORK: LOW VOLTAGE: (1) CONTROL, (1) SIREN, (4) MOTIONS, (2) DOOR CONTACTS, (6) CAMERAS, (1) POWER SUPPLY, (1) DVR, AND (1) PUBLIC VIEW MONITOR Value of Electrical: NRES: $2,500.00 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 an governing this work will be compli Fees Collected: National Electrical Code Edition: $136.50 2008 Date: 011V-1 I i i ed 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 • ermit oes not p - s e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th ance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: /,C(—C ;ye e v Date: 7/26' /// 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 -4/10 EL11 -0681 Printed: 07 -26 -2011 PERMIT CONDITIONS • Permit No. EL11 -0681 * *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 -4/10 EL11 -0681 Printed: 07 -26 -2011 /de (di 1/ ape 4,72,571a////21,--- CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. TukwilaWA. qov SITE LOCATION - dog Electrical Permit No. V �% I 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** l%eyr- .-/-/nA L 4 t'1.7 ICf�) / /(2t ,C./ / /K ling Co Assessor's Tax No.: 1l'V �t0 Site Address: fl /h/' Y''7 e, /na / / u A" )/ Suite Number: Floor r l/a Tenant Name: Fnn� /ft/'//i'r ((7-J (J14 q/4 /8B New Tenant: ❑ Yes ❑..No Mailing Address: 47c,&, 7 \o /41Aeem-le, mall 41,17 City State Property Owners Name: .cALJI /(.l Q8 //g Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: (a vPi?, thr-,6 7.7 Mailing Address: #,) 727() v" rTh / 6 E -Mail Address: /410-2? (' 6 (2/ 'r1l'U f3'I Day Telephone: C313P .3g 7 A/ /A tg/47,10/ 4.W 9 29 City State Zip Fax Number: /��6.--• AC'g ELECTRICAL CONTRACTOR INFORMATION Company Name: \f'(7/,'fl ' , / Mailing Address: Po 0t/ �/t7 /YGD r -/? L ? (./-e / `» ! yC Contact Person: /I fJ /l 1 ' am ' / ( ?/e c 1 E -Mail Address: /1jje/7" e/e2 72(w-i27/./-10/ ii Contractor Registration Number. Oir/ / Y /9rl/ 96' Y `¢ City State Zip Day Telephone: yr ;� 7` • Fax Number: ycgs, - •�� Expiration Date: / e 3 ° t2e) /? Valuation of Project (contractor's bid price): $ 17i Scope of Work (please provide detailed ed o rm at i o n ) : Will service be altered? Type of Use: Type of work: ❑ New 121' Low Voltage ❑ Yes �' No Adding more than 50 amps? ❑ Yes Ja' No ❑ Addition ❑ Generator Pro Served b : Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm H \Applicai Wamn- Applicauan On 1mo12010 Appincauan17•2010 - ElecmpJ Permit Application doc w Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings 5152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings 581.90 ea ❑ Low voltage systems (alarm. furnace thermostat) 559.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 581.90 (no added/altered circuits) ❑ Service change with added/altered circuits 581.90 number of added circuits 511.55 ea ❑ Circuits added/altered without service change 554.60 (up to 5 circuits) ❑ Circuits added/altered without service change 554.60 (6 or more circuits) 57.65 ca ❑ Meter /mast repair 568.25 ❑ Low voltage systems 559.85 (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) 578.75 ❑ Manufactured/mobile home service 584.00 (excluding garage or outbuilding) ❑ Carnivals 578.75 Number of concessions 510.50 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. "Ilse 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. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY TIIE I.AWS OF THE STATE OF WASHINGTON. AND 1 AM AUTHORIZED TO APPI.Y FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: 6 cam--- - k)key -4 a earrv4 Olke IDate Application Accepted: Date: -7/7gi// Day Telephone: yo?,- - • #-k7a� II i Date Application Expires: 11 \ApplkaOOmWFor s- Apphcwans On Lme\2010 Apphcanam \7 -2010. Ekclncal Perms Apphhc nvn.dc th Page 2 of 2 Staff Initials: • a 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 -0681 Address: 974 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 07/26/2011 Applicant: FOOTLOCKER - CCS Issue Date: Receipt No.: R11 -01573 Payment Amount: $136.50 Initials: JEM Payment Date: 07/26/2011 10:48 AM User ID: 1165 Balance: $0.00 Payee: SECURE PROJECTS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 024725 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 07 -26 -2011 4=2- v : INSPECTION RECORD Retain a copywith permit INSPECTION NO. PERMIT NO: 4.4 44 — - .CITY OF TUKWILA BUILDING DIVISION . i..- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 '-... .&_ (206) 431-3670 0.-- Permit Inspection Request Line (206) 431-2451 r- £2/ Project: :41.:b ...Piker" ate3t4.4e-4•-.. Type of 16W-dhoti: . to) e) AddrsA_es: -.:. JAL. Date Called: . Special Instructions: Date Wante 1/ a.m. P.m. Requester: , Phone No: _.t " Approved per applicable codes. COMMENTS: EJCorrection 'S required prior to approval.7. • Inspector: 1 Date: /y fuv37 i • REINSP CTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. c*". • .4 4-1.4 •ar •pre-413.• .612,211i0a.1&IMNIV :;A:34:-.421=0110,-"VVEr 4 ; up r, v=ii 11:19,` 4"-' 5741gar`ar'.771V. �vz;.� s° �. a t ° `:- 'S �.. — s . •� INSPECTION RECORD Retain a copy with permit INSP TION NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION I" • 630V0`Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 . Permit.Inspection Request Line (206) 431 -2451 01 Project :. Ar/ Ao44tvi.- 161. PPS Type of Inspection:, 071041 �/ �/ .t �J /V, lip— t ca-1s A1� - ' J P)c .fi`T • Ad N /%.1 ITlf1��,/�c AV—. Date Called: I L',c' . 4`4 (..4.2et _ Aa 7 Special Instructions: ,A1 &di e.... .4./.!49' Date Wanted: G' ,d .d4" i.J mu„:. PAIALif • a.m. p.m. Requester: creAI 0,9*f zlNit izSiri1ar" Phone No: LIApproved per applicable codes. ,Corrections required prior to approval. COMMENTS: �/ �/ .t �J /V, lip— t ca-1s A1� - ' J P)c .fi`T • ,/7�^ &-i /. i",4 / D4 c- rwc.✓ r 3-4troove /�v,../ __77✓-4/o6 � � l,ai- -r-44 0-' t 4 LU3 I L',c' . 4`4 (..4.2et _ Aa 7 S-",..,,, Po Ole ,A1 &di e.... .4./.!49' Zr . tr°0#7r .d4" i.J mu„:. PAIALif • 44, 1 r,= N . , - 7 )in a1.11t-..r,4 I LA creAI 0,9*f zlNit izSiri1ar" ✓u Inspector: !?Y ji7?M Date: 4:9.4t -// REINSP CTION FEE REQUIRED. Prior to next inspection, fee must be • paid it 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • Contractors or Tradespeople P eer Friendly Page • 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 SECURE PROJECTS INC 4258883823 Po Box 2015 North Bend WA 98045 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602368306 Active SECURPI944BD Electrical Contractor 1/3/2006 1/3/2012 Limited Energy Unused Electrical Administrator INFORMATION License CARS0RG953RT Name CARSON, ROBERT GEORGE Status Active Business Owner Information Name Role Effective Date Expiration Date CARSON, ROBERT Agent 01/03/2006 CARSON, ROBERT G President 01/03/2006 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 WESTERN SURETY CO 14635486 10/12/2004 Until Cancelled 10/12/2011 $4,000.00 01/03/2005 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 ESMWI00269 8/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 07/26/2011