HomeMy WebLinkAboutPermit EL11-0847 - WESTFIELD SOUTHCENTER MALL - PANDORA JEWELRYPANDORA JEWELRY
516 SOUThCENTER MALL
EL1 1 -0847
City off ukwila 1
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: httn: / /www.TukwilaWA.gov
Parcel No.: 9202470010
Address: 516 SOUTHCENTER MALL TUKW
Project Name: PANDORA JEWELRY
ELECTRICAL PERMIT
Permit Number: EL11 -0847
Issue Date: 09/12/2011
Permit Expires On: 03/10/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: MIKE TOUBY
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: 206 - 255 -0477
Phone: (512) 380 -8500
Expiration Date: 07/09/2013
DESCRIPTION OF WORK:
LOW VOLTAGE AUDIO SYSTEM, (2) SPEAKERS, (1) AMP, (1) PLAYER
Value of Electrical: NRES: $1,100.00
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:
$115.50
2008
Date: 9-()---1(
-`j
I hereby certify that I have read and examined this permit 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 e perf .• c »f work. I am authorized to sign and obtain this electrical permit.
Signature: '' / Date:
Print Name:
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 -0847 Printed: 09 -12 -2011
•
PERMIT CONDITIONS •
Permit No. EL11 -0847
* *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 -0847 Printed: 09 -12 -2011
CITY OF TUKWII.
Community Developnight Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA. gov
Electrical Perallo.
to t-o6a-7
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: 57
Tenant Name: ili i -
Property Owners Name:
Mailing Address: 6"4/06
5 , / e -e //(�!/! / ing Co Assessor's Tax No.:
Y�'� /'L Suite NumberSe Floor: l �T-
New Tenant: ❑ Yes ❑..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: / E / •lam r , / Day Telephone: _.g5"3--O 4/7J
Mailing Address: /q//7 3 i .� et v6 /V�� �y��v/h. 1,061 W7(
E -Mail Address:
/e3-ugye MS/0 , C6 I4/--
City State Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: kUtif Contact Person: V�l1 \( S
E -Mail Address:
Contractor Registration Number:
VV06
/5P -4 S , 4 /
City State Zip
Day Telephone: ...2(..0) a 7. i3
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (p e provide detailed ixormation):
'2--) sr s
11 c —
Will service be altered? ❑ Yes ,lNo
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
1w Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
,--Er—Puget Sound Energy
❑ Seattle City Light
H:\Applicetions\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
Adding more than 50 amps? ❑ Yes Ergo
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
•
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:
Mailing Address:
/4C. ■
/4///7 —53 �g/9
Day Telephone:
IDate Application Accepted:
City
Date: 9-/2- l /
2dz) A5.5 -077
G4///,x;271
State Zip
Date Application Expires:
Staff Initials:
H:1Applications\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 -0847
Address: 516 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 09/12/2011
Applicant: PANDORA JEWELRY Issue Date:
Receipt No.: R11 -01977
Initials: WER
User ID: 1655
Payment Amount: $115.50
Payment Date: 09/12/2011 10:20 AM
Balance: $0.00
Payee: MICHAEL SHIPPEE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1079 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt -06 Printed: 09 -12 -2011
z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
041-0111
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: V 41)-OD et
Type of Inspection:
Address: 5 4 /
r
Date Called:
--•.
Special Instructions:
5 OJf4"
Date Wanted:.
2-�%
a.m
p.m.
Requester:
0/
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
i<jt
Inspector:
Date:
ol fZl/tI
ri REINSPECTION FEE REQUIRED'. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
P
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
I
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: VAIFIN(kk
Type of Inspection:
Address: ShO W
Date Called:
Special Instructions:
SCE.
Date Wanted:. ,
g.m:
.
Requester:
Phone No:
Approved per applicable codes.
aCorrections required prior to approval. 0�
COMMENTS:
aJGtit
Inspector: " /`f
Date: ai / J
next ns ectio fee ust
n REINSPECTION FEE REQUIRED. Prior to n p be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Priir 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 &
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 09/12/2011