HomeMy WebLinkAboutPermit EL11-0706 - WESTFIELD SOUTHCENTER MALL - DAISO JAPANDAISO JAPAN
1378 SOUThCENTER MALL
EL1 1 -0706
City oOi'ukwila
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
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 1378 SOUTHCENTER MALL TUKW
Project Name: DAISO JAPAN
Permit Number: EL11 -0706
Issue Date: 08/01/2011
Permit Expires On: 01/28/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: SHAWN GADDY
Address: PO BOX 129 , LITTLEROCK WA
Contractor:
Name: FUSION ENERGY SERVICES LLC
Address: 12344 BROOKS ST SW , OLYMPIA WA
Contractor License No: FUSIOES909KD
Phone: 360 951 -3732
Phone: 360 350 -8411
Expiration Date: 05/04/2012
DESCRIPTION OF WORK:
MOVE BRANCH CIRCUITS AND CHANGEOUT EXISTING LIGHTING, CAT5 COMMUNICATION, AND
SPEAKER SYSTEM
Value of Electrical: NRES: $3,000.00
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:
Date:
$136.50
2008
niot[t,
I hereby certify that I have read and ecamited this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p ; 'ormance of w / . I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
/4Au/,✓ Gimp
Date: g/f /60 I
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 -0706 Printed: 08 -01 -2011
• 4
PERMIT CONDITIONS
Permit No. EL11 -0706
* *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
EL11-0706 Printed: 08 -01 -2011
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http; / /www.TukwilaWA.gov
Electrical Permit No.
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.: t 2 02/4[71 ( `D
Site Address: Zgo0 5 cksrtiC. -C2. /''LPZI__ Suite Numberj3a9 Floor:
Tenant Name: New Tenant: El 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: 51--w' (,/ 9O 7
Mailing Address: eziN 1 Z9 Li %-?(. L tx- &) Fc 3---i --b
City
Fax Number:
Day Telephone: 5c.0 7 32_
E -Mail Address: 564°0'1 F3SI.,A) Ej1 y Q (2Mc s A.)
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: FOS /DA) E-11-6y .5&24/ c4.5
Mailing Address: 129 Li'%L 2.oc - W r
Contact Person: 514 (3 G 4-00 LI
j95s6
City
State Zip
Day Telephone: 340 745 - 9 06
E -Mail Address: S G A 0 Op / i o& & t y c__COu`wcsn -,Si . N Fax Number: 3(-0 e7 g gZ 6 f
Contractor Registration Number: rt.� 1 c>t.s q0114- Expiration Date:
Valuation of Project (contractor's bid price): $ 3000 's-)
Scope of Work (please provide detailed information): Al ovv 8,61.4)1; CA£C.is. C( 4A G6 °''T /(rs,, r✓l,
/ 1 G-t7 r N(p Cf}TS Cam/ t_et 0^- ti SPEA, t/t. .S 79.571-h.
Will service be altered? ❑ Yes 12-j No Adding more than 50 amps? ❑ Yes Et No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
�] Low Voltage ❑ Generator . ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:\Hpplications\Porms- 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 -
IDate Application Accepted:
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: `f �' Date: gl / /2,1/
Print Name: $hOw, j %`j
Day Telephone: AO %- 3 7 3 Z
Mailing Address:
City
State
Zip
Date Application Expires:
Staff Initials:
H: Applications\Forms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 2 of 2
Chili, 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
SET RECEIPT
RECEIPT NO: R11 -01633
Initials: JEM
Payment Date: 08/01/2011
User ID: 1165 Total Payment: 611.90
Payee: SHAWN P GADDY, FUSION ENERGY SERVICES LLC
SET ID: 0801 SET NAME: FUSION ENERGY SERVICES
SET TRANSACTIONS:
Set Member Amount
D11 -238 378.80
EL11 -0705 96.60
EL11 -0706 136.50
TOTAL: 378.80
TRANSACTION LIST:
Type Method Description
Amount
Payment Credit C MC 611.90
TOTAL: 611.90
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
ELECTRICAL PERMIT - NONR
STATE BUILDING SURCHARGE
000.322.100
000.322.101.00.0
640.237.114
374.30
233.10
4.50
TOTAL: 611.90
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CULt_07
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 Vt.. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: D Al S 0 L j
Type of Inspection:
00
4/
Address: 13
Date Called:
Special Instructions:
Date Wanted:.
a.m.
Requester:
Phone No:
•
nApproved per applicable codes. IlCorrections required prior to approval:
COMMENTS:
1
(Inspector: Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee .must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh:
•
•
INSPECTION NO.
INSPECTION.RECORD
Retain a copy with permit
PERMIT NO.
CITY OF- TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: DA1 S O SPAIN/
Type of Inspection:
r^] ../c) e) 7(0
Address: 13
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Date Called:
k
Special Instructions:
Date Wanted: .
7/17 +
:m
Requester:
• pQl(i5
Phone No
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DIApproved per applicable codes. IlCorrections required prior to approval.
COMMENTS:
k
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k
rim/4 s rjpf,
(•t
A-z-o
din„- or
6PICAk -mil ck1 c ti i
Aicil
Inspector:
Date: o'/7 t'
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 (tA1-
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 fr. (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: S0S-e
Type of Inspection:
7.3
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Address: 13 i
p741/1.
Date Called:
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S ft S't C_ Z.€ t0 J t at--9 aAl 54.01e 0c151--,Ak
Special Instructions:
Date Wanted :.
V/c-
a
m p.
Requester:
Phone No:
DApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-- Delb OitionNibef4 CAsayLV trAD Pt
- o4( 44S txtasoiy
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vatru oJr C®, -scs
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S ft S't C_ Z.€ t0 J t at--9 aAl 54.01e 0c151--,Ak
.7...x2.-- ArykiD -not c. te...5
Inspector:
Date:
041 1
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Fr - :!.; ..- i f -•,.--.
I .0% . ... 4i •
'Ali& ■ • • • -
INSPECTION RECORD
Retain a copy with permit
IN PECTION NO. . .; PERMIT NO.
.., ,
• $•.' CITY OF TUKWILA BUILDING DIVISION
.....r'i '...r 6300 Southcenter Blvd;••#100, Tu,kwila. WA 98188 . I (206) 431-3670
r • Permit Inspvtron Request Line(206) 431-2451 i
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••
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Project:
Itilw
Type of Inection:
7043
Address:
3 ,S),,terikt 9 iro.einfmt
M
Date Called:
eral Instructions:
Spi:
. . p A
Date Wanted:
a.m.
p.m.
Requester:
--
•. '-.:.':
Phone No:
LIApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
ef, 0AL Ls
• . •••
•
•
L •
..■
Inspecto
Date:„A
517-e•
pi REINS!? CTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•• • s••• riwnsaw eaS .1:Far.l!AS+1,8,
Contractors or Tradespeople Prier 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
FUSION ENERGY SERVICES LLC
3603508411
12344 Brooks St. Sw
Olympia
WA
98512
Thurston
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603010641
Active
FUSIOES909KD
Electrical Contractor
5/4/2010
5/4/2012
General
Unused
ther Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
JAMCOCI946D2
JAM
CONSTRUCTION
INC
Construction
Contractor
General
Unused
3/22/2006
3/22/2012
Active
JAMCOC`950JJ
JAM
CONSTRUCTION
Construction
Contractor
General
Unused
4/11/2005
4/11/2007
Out Of
Business
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
SI6029
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 08/01/2011