HomeMy WebLinkAboutPermit EL11-0687 - WESTFIELD SOUTHCENTER MALL - FOOTLOCKER - CCSFOOTLOCKER - CCS
974 SOUThCENTER MALL
EL1 1 -0687
City okukwila
•
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
Parcel No.: 9202470010
Address: 974 SOUTHCENTER MALL TUKW
Project Name: FOOTLOCKER - CCS
ELECTRICAL PERMIT
Permit Number: EL11 -0687
Issue Date: 07/27/2011
Permit Expires On: 01/23/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: ROB HUNSINGER
Address: PO BOX 3039 , ARLINGTON WA
Contractor:
Name: FIRST CHOICE COMMUNICATIONS
Address: PO BOX 2923 , EVERETT WA
Contractor License No: FIRSTCC976KL
Phone: 425 870 -9839
Phone: 360 - 659 -3537
Expiration Date: 06/18/2013
DESCRIPTION OF WORK:
VOICE AND DATA CABLING
Value of Electrical: NRES: $500.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be complie►Fl wit whether specified herein or not.
Date:
$75.60
2008
h
ed this permit and know the same to be true and correct. All provisions of law and ordinances
The granting of this permit does not pros_ e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
5 (4c'1 -f 011
Signature:
Print Name:
-27- -1 /
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 -4/10
EL1 1-0687 Printed: 07 -27 -2011
• PERMIT CONDITIONS •
Permit No. EL11 -0687
* *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 -0687 Printed: 07 -27 -2011
CITY OF TUKW
Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wvvw.TukwilaWA.gov
Electrical Per• No. 00-1
l
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.: oi2Q 4 o OI�
Site Address: 6°04'1'1 CC11.4-e-1- "ry /IL), /0t. w Suite Number. 9f-7-11 O Floor:
Tenant Name: C,C .S roof Loaf New Tenant: Er 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: RDb 14 vets , V Day Telephone: ci-Z,.S- f70 -`/ cr'3
Mailing Address: P 0 So -IL 3e) 3 ./ 11-1(1,,,s 1°4 t t/ it-
City
E -Mail Address: RO b 14 . fr rdt c. hat- e Lp wl.,' ' - ✓1 e+ Fax Number:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Fi rd f : h o L@
C6w1 w►PK;C4. -g-,(�
Mailing Address: P O Poi- 3 3°l fir f
Contact Person: b t+vviS e
City State Zip
Day Telephone: 61-24 - S-7O ^ °c q 3 or
E -Mail Address: Rob h & tV�..j_ c ho e 6-044,M V e f Fax Number: ?c 7
Contractor Registration Number: 1'i rs '! GCS 7 ( tt L Expiration Date:
Valuation of Project (contractor's bid price): $ S oo
Scope of Work (please provide detailed information): VD t'r W 10 a +-ct C_' t a l rxi. 5/
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm a Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\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.
1 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 ELECTRICAL CONTRACTOR:
Signature: P-64- l
Print Name: 6 c ' d 6 t (c n S t' 5 c ''
Mailing Address: p0 (30 i- 3 0 3 07 N rt , t.. s {-6vt
IDate Application Accepted:
Date: 7— a 7. 1 (
Day Telephone:
■t- n 2)-3
City
State
Zip
0'1
7;0
Date Application Expires:
Staff Initials:
H: 1Application&Forms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application. doc
Revised: May 2011
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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 -0687
Address: 974 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 07/27/2011
Applicant: FOOTLOCKER - CCS Issue Date:
Receipt No.: R11 -01583
Payment Amount: $75.60
Initials: JEM Payment Date: 07/27/2011 08:57 AM
User ID: 1165 Balance: $0.00
Payee: ROBERT E HUNSINGER, K R ENTERPRISES LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 698528
ACCOUNT ITEM LIST:
Description
75.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
doc: Receiot -06 Printed: 07 -27 -2011
INSPECTION RECORD ] (��IN
Retain a copy with permit �(_p
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 - (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
,
Project: IA ,
CO
Type of Inspection: 00
Address:
ova,
Date Called:
Special Instructions:
41)Mir
Date Wanted:
litu
(a
p.m
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
14
Inspector:
'Date: ov Zd , r
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ;.der 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
FIRST CHOICE COMMUNICATIONS
3604355473
Po Box 3039
Arlington
WA
98223
Snohomish
Limited Liability Company
K & R ENTERPRISES LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602294829
Active
FIRSTCC976KL
Electrical Contractor
5/13/2003
6/8/2013
Telecommunications
Electrical Administrator INFORMATION
License WILLIDC009LH
Name WILLIAMSON, DONN C
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
K e R ENTERPRISES LLC
Partner /Member
05/13/2003
Bond Amount
HUNSINGER, ROBERT
Partner /Member
05/13/2003
9807132
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
2
Lexon Ins Co
9807132
05/13/2011
Until Cancelled
$4,000.0005/04/2011
/11/2011
1
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4063883
05/13/2003
Until Cancelled
05/13/2011
$4,000.0005/13/2003
04 /08/2010
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
9
Ohio Security
Ins Co
BKS53089727
05/13/2011
05/13/2012
$1,000,000.0004
/11/2011
8
OOHIO CAS INS
BH053089727
05/13/2010
05/13/2011
$1,000,000.00
04 /08/2010
7
OOHIO CAS INS
bho53089727
05/13/2009
05/13/2010
$1,000,000.00
04 /20/2009
6
OOHIO CAS INS
BH053089727
05/13/2008
05/13/2009
$1,000,000.00
04 /09/2008
5
OOHIO CAS INS
BH053089727
05/13/2007
05/13/2008
$1,000,000.00
04 /11/2007
4
OOHIO CAS INS
BHO 53089727
05/13/2006
05/13/2007
$170,000.00
05/01/2006
3
OHIO CAS INS
BH053089727
05/13/2005
05/13/2006
$1,000,000.00
05/05/2005
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
https://fortress.wa.gov/lni/bbip/Print.aspx
07/27/2011