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Home My WebLink AboutPermit EL11-0839 - WESTFIELD SOUTHCENTER MALL - ICING BY CLAIRE'SICING BY CLAIRE'S 1003 SOUThCENTER MALL EL1 1 -0839 City oOiukwila • 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: 1003 SOUTHCENTER MALL TUKW Project Name: ICING BY CLAIRE'S Permit Number: EL11 -0839 Issue Date: 09/08/2011 Permit Expires On: 03/06/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: MIKE TOUBY Phone: 206 255 -0477 Address: 14117 53 DR NE , MARYSVILLE WA Contractor: Name: DMX INC Address: 1703 W FIFTH ST, STE 600 , AUSTIN TX Contractor License No: DMXIN * *930MZ Phone: (512) 380 -8500 Expiration Date: 07/09/2013 DESCRIPTION OF WORK: INSTALL (5) SPEAKERS, AMP, SOURCE LOW VOLTAGE Value of Electrical: NRES: $1,322.00 Fees Collected: $115.50 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: 06110/1 it I hereby certify that I have read and e ami d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, hether specified herein or not. The granting of this permit does not preset 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: 77 fiele Print Name: / % This permit shall become null and void if t work is not commenced within 180 days from te of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. Date: doc: EL -4/10 EL11 -0839 Printed: 09 -08 -2011 PERMIT CONDITIONS • Permit No. EL 11 -0839 * *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 E L 11 -0839 Printed: 09 -08 -2011 CITY OF TUKWI' Community Develop nt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Pent No. L'' O1 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 Site Address: '09-41-00 0 �J / King Co Assessor's Tax Not:/ Li2�L�'�/ >� G� 7�Z Suite Number: 7 - Tenant Name: /&/V6- ,Qf & (.es Property Owners Name: /C /il/, Mailing Address: ,54416 Floor: / 5 r— New Tenant: ,❑ Yes ❑ .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: /.6 62t.f) Mailing Address: /1-1/ 7 536 �V'u.'E /06 �i' eiiiV//le State � /n��` Zip �f,� City' Stat Zip E -Mail Address: 4'4 day ( /115/6/10 Ate Fax Number: ELECTRICAL CONTRACTOR INFORMATION Day Telephone: v2d6 5Th'---65177 Company Name: Mailing Address: 37-- � ,v 7d 7Q 3 Contact Person: /`�''.k (///6-6- E -Mail Address: q Fax Number: ,572- . I ? Contractor Registration Number: J)JP(Y'1/' '1 6S lad /12 Expiration Date: Q� [ V t City State Zip Day Telephone: — Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 5S,4/ f > 4'&p, seztizee. h d (J !/UI E /3a. 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 Wow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro a Served b : Puget Sound Energy ❑ Seattle City Light H :\Applications\Forms-Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh 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. 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: Ak Date: r �� —� l ` Day Telephone: 2( £ ( A7-520 ft?7 / Mailing Address: I/7 G 1/4w /! / 7 / City State Zip Date Application Accepted: 0v Date Application Expires: Staff Initials: H: Wpplicationa\Form3-Applicationa On Line12010 Applications17 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 2 of 2 I ® 0 r LA wq>, City of Tukwila �i 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 -0839 Address: 1003 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/08/2011 Applicant: ICING BY CLAIRE'S Issue Date: Receipt No.: R11 -01954 Payment Amount: $115.50 Initials: JEM Payment Date: 09/08/2011 10:33 AM User ID: 1165 Balance: $0.00 Payee: MICHAEL A TOUBY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 022363 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receipt-06 Printed: 09 -08 -2011 INSPECTION RECORD Retain a copy with permit . INSPECTION NO. . PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 fit.. (206) 431 -3670 .Permit Inspection Request Line (206) 431 -2451 Project: '. I / Type of Inspection: �0 Address: art Date Called: Special Insttuctio s: • • Date Wanted:. /� a:m: Requester: Phone No: Approved per applicable codes. � Corrections required prior to approval. COMMENTS: ktedemoNls Inspector: Date: o9// 2111 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 614 1— VI • INSPECTION NO. PERMIT NO. 'CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 dis, (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: /GI A i Type of Inspection: 2 Address: • Date Called: Special Instruct' ns: J�� Date Wanted:. m. Requester: Phone No: jApproved per applicable codes. Corrections required prior to approval. COMMENTS: AJO -TH SP60\ Mts5I 1 �ri�t,• 'Inspector: 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 Prater 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 DMX INC 5123808500 1703 West Fifth Street Suite 600 Austin TX 78703 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602507896 Active DMXIN "930MZ Electrical Contractor 7/9/2007 7/9/2013 Limited Energy Unused Business Owner Information Name Role Effective Date Expiration Date CT CORPORATION SYSTEM Agent 07/09/2007 CULLEN, JOHN D President 07/09/2007 HANSON, BENJAMIN M Secretary 07/09/2007 SHIPMAN, KIMBERLY K Treasurer 07/09/2007 STONE, PAUL D Vice President 07/09/2007 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 TRAVELERS CAS if SURETY CO 104329018 06/29/2007 Until Cancelled $4,000.00 07/09/2007 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 09/08/2011