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HomeMy WebLinkAboutPermit EL11-0803 - WESTFIELD SOUTHCENTER MALL - BEN BRIDGEBEN BRIDGE 81 S OUTh CENTER MALI. EL1 1 -0803 Parcel No.: Address: City oifkukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.Tukwila WA .gov 9202470010 81 SOUTHCENTER MALL TUKW Project Name: BEN BRIDGE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0803 08/25/2011 02/21/2012 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA WILLIAM MILLHOLLIN 1345 GULF RD , POINT ROBERTS WA Contractor: Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA Contractor License No: ADTSESI032O5 Phone: 360 - 945 -2787 Phone: 425 - 893 -3668 Expiration Date: 09/25/2011 DESCRIPTION OF WORK: INSTALL BURGLAR ALARM SYSTEM Value of Electrical: NRES: $1,792.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $115.50 2008 I hereby certify that I have read and examined this per 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 presume 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. Signature: Print Name: Date: 8 -4R S— 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 -0803 Printed: 08 -25 -2011 PERMIT CONDITIONS Permit No. EL 11 -0803 * *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 -0803 Printed: 08 -25 -2011 CITY OF TUKWILS Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. EL- l 1 -- 63 Project No. (For office rise 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 Site Address: King Co Assessor's Tax No.: /2 n2 Li. pc) ID Southcenter Mall Suite Number: 588 Floor: lst Tenant Name: Ben Bridge /-P Property Owners Name: Westfield Mall Mailing Address: same as site New Tenant: ❑ Yes . No TUKWILA WA Stare 98188 ZIP CONTACT PERSON - who do we contact when your permit is ready to be issued Name: William Millhollin Mailing Address: 1345 GULF RD Day Telephone: 360- 945 -2787 Point Roberts WA 98281 E-Mail Address: William@nwpemit.com City stare Zip Fax Number: 360- 945 -2091 ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT Security Services Mailing. Address: 11824 NORTH CREEK PKWY #105 city State Contact Person: William M i l l h o l l i n Day Telephone: 360- 945 -2787 E -Mail Address: William @nwpermit.com Fax Number: 360- 945 -2091 Contractor Registration Number: ADTSES1032O5 Expiration Date: 09/25/2011 BOTHELL WA 98011 Zip Valuation of Project (contractor's bid price): S 1792.00 Scope of Work (please provide detailed information): Install a burglar alarm system. Will service be altered? ❑ Yes Type of Use: Jewelry (Ratail /Shop) Type of work: ❑ New ❑ Addition Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light M No Adding more than 50 amps? ❑ Yes © No ❑ Service Change ❑ Fire Alarm ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL 0 NEW RESIDENTIAL SERVICE ❑ New single family dwellines S 140.00 (including an attached garage) ❑ Garages. pools. spas and outbuildin s 575.00 ea ❑ Low voltage systems (alarm, furnace thermostat) S55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration S75.00 (no added /altered circuits) ❑ Service change with added /altered circuits S75.00 number of added circuits S 10.00 ea ❑ Circuits added /altered without service change S50.00 (up to 5 circuits) ❑ Circuits added /altered without service change S50.00 (6 or more circuits) S7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems S55.00 (alarm, furnace thermostat) MULTI- FAI\MIILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 555.00 ❑ Temporary service (generator) S75.00 ❑ Manufactured/mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions S10.00 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 justiciable 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: Print Name: 77 ,n ! j f _ Mailing Address: ,Si 5 �/ D1 - " 124 �� ervive(1r City Date: 51 S— I Day Telephone: 360 94/5- 9.a - IDate Application Accepted: ^c I r Date Application Expires: /4:::: / /fe... State Zip Staff Initials: 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 ParcelNo.: 9202470010 Permit Number: EL11 -0803 Address: 81 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 08/25/2011 Applicant: BEN BRIDGE Issue Date: Receipt No.: R11 -01866 Initials: User ID: Payee: TLS 1670 Payment Amount: $115.50 Payment Date: 08/25/2011 11:25 AM Balance: $0.00 NORTHWEST PERMITS ADT ACCT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1843 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 08 -25 -2011 • 4. • • INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter BIvd., #100, Tukwila. WA 98188 (206) 431 -3 . Permit Inspection Request Line (206) 431 -2451 Project: Ecit)6E Type of Inspection: Address: y i Special Instructions: srtOtt-tirl Date Called: Date Wanted: . a.m .m. Requester: Phone No: pproved per applicable codes. D Corrections required prior to approval. OMMENTS: I 1` Date: 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 Prier Friendly Page • Page 1 of 3 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 ADT SECURITY SERVICES INC 4254023356 11824 North Creek Pkwy N #105 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601636830 Active ADTSESI03205 Electrical Contractor 9/25/1997 9/25/2011 Limited Energy Hvac /Rfrg Ltd Energy Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO Electrical Contractor Limited Energy Unused 6/9/1972 1/31/1990 Archived Master Electrician INFORMATION License BEARDGE963LS Name BEARD, GERALD E Status Active Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 01/01/1980 SNYDER, MICHAEL President 01/01/1980 MONROZE, M BRIAN Secretary 06/15/2006 FLANIGAN, TIMOTHY E Secretary 06/15/2006 ABROMEIT, RICHARD H Treasurer 08/21 /2003 BOGGESS, JERRY R Secretary 01/01/1980 06/15/2006 DOHERTY, BERNARD J Secretary 01/01/1980 06/15/2006 RUZIKA, STEPHEN J Secretary 01/01/1980 06/15/2006 BECK, JAN S Secretary 01/01/1980 06/15/2006 DINIUS, DAVID Secretary 01/01/1980 06/15/2006 FINNEY, P GRAY Vice President 01/01/1980 06/15/2006 https: // fortress .wa.gov /lni /bbip /Print.aspx 08/25/2011