HomeMy WebLinkAboutPermit EL11-0858 - WESTFIELD SOUTHCENTER MALL - ICINGICING
1003 SOUThCENTER MALL
EL1 1 -0858
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: 1003 SOUTHCENTER MALL TUKW
Project Name: ICING
Permit Number: EL11 -0858
Issue Date: 10/05 /2011
Permit Expires On: 04/02/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: KELVIN BATTLE
Address: 25500 74 AV S , KENT WA
Contractor:
Name: PERFORMANCE HTG & AC
Address: 25500 74 AVE S , KENT WA
Contractor License No: PERFOHA005BS
Phone: 425 - 251 -0356
Phone: 425 - 251 -0356
Expiration Date: 01/29/2012
DESCRIPTION OF WORK:
INSTALL (1) NEW THERMOSTAT FOR NEW SPLIT SYSTEM SEVING ICING RETAIL STORE IN
SERVER ROOM
Value of Electrical: NRES: $300.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$67.20
2008
l/V' - ` Date: /0/65/0
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 the performance of work. I am authorized to sign and obtain this electrical permit. /
Signature: ∎�� Date.g-57//
Print Name: �!/� .C� %(//
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
EL 11 -0858 Printed: 10 -05 -2011
PERMIT CONDITIONS
Permit No. EL 11 -0858
* *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 -0858 Printed: 10 -05 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical P
Project No.
For office use o
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
)0O3'
Site Address: Suite Number: space 432 Floor: 1 st
King Co Assessor's Tax No.:
9202470010
Tenant Name:
Icing Retail Store
Property Owners Name:_ Westfield Propery Tax Dept9N9800
Mailing Address: PO BOX 130940 Carlsbad
City
New Tenant: ❑ Yes ❑..No
Wa
Stale
92013
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Kelvin Battle
Mailing Address: 25500 74th Ave S
kelvin @pmghvac.com
E -Mail Address:
425.251.0356
Day Telephone:
Kent Wa
City State
Fax Number: 253.867.5775
98032
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Performance Heating & A \C
Mailing Address: Same as above
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: PERFOHA0056S Expiration Date: 1/22/2014
State
Zip
300.00
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Install (1) new T -stats for new split system serving Icing retail store in Server
Rm in Space 432 in South Center Mall.
Will service be altered? El Yes ❑ No Adding more than 50 amps? ❑ Yes El No
Type of Use:
Type of work:
❑ New El Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H: Applications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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LAO/01 Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added /altered circuits)
❑ Service change with added /altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added /altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured /mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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 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:
Kelvin Battle
Mailing Address: 25500 74th Ave S
Date:
Day Telephone: 425.251.0356
Kent
City
Wa
State
98032
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
I-L f pplicationsTorms- Applications On Linet4 -2007 - Electrical Permit Application.doc
bh
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.aov
RECEIPT
Parcel No.: 9202470010 Permit Number: EL11 -0858
Address: 1003 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 09/15/2011
Applicant: ICING Issue Date:
Receipt No.: R11 -02023
Payment Amount: $67.20
Initials: WER Payment Date: 09/15/2011 12:05 PM
User ID: 1655 Balance: $0.00
Payee: KELVIN BATTLE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 640010
ACCOUNT ITEM LIST:
Description
67.20
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receiot -06 Printed: 09 -15 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: / (
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Type of Inspection:
;too
Address: -
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Date Called:
Special Instructions:
IL415"(—
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Date Wanted:.
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Requester:
Phone No:
pproved per applicable codes. Corrections required prior to approval.
COMMENTS:
•
J
'Date: /0/07/11
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople *ail
0 Washington State Department of
Labor & Industries
Contractors or Tradespeople Detail
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About Electrical Contractor
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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 PERFORMANCE HTG & A/C INC
Phone No. (425) 251 -0356
Address 25500 74Th Ave So
Suite /Apt.
City Kent
State WA
Zip 98032
County King
Business Type Corporation
Parent Company
UBI No. • 600601386
Status • Active
Llcense No. PERFOHA005BS
Llcense Type 4..4 Electrical Contractor
Effective Date 1/20/2000
Expiration Date 1/29/2012
Suspend Date
Specialty 1 • Hvac /Rfrg Ltd Energy
Specialty 2 j+ Unused
a Other Associated Licenses
License Name
Type
Specialty Specialty Effective Expiration Status
1 2 Date Date
PERFOHA055R1 A/C INC Contractor
PERFORMANCE HEATING & Electrical
General Unused 12/11/1995 12/11/1997 Archived
Electrical Administrator INFORMATION
License MILLEDE986LS
Name MILLER, DANIEL EUGENE
Status Active
Business Owner Information Hide All
Name
Role
Effective Date
Expiration Date
MILLER, DANNY
Agent
https://fortress.wa.gov/lni/bbip/Result.aspx
11/20/2007
10/05/2011