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
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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
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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
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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:
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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.
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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
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Date Called:
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Special Instructions:
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Date Wanted:
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a.m.
p.m.
Requester:
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Phone No:
LIApproved per applicable codes. ,Corrections required prior to approval.
COMMENTS:
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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