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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 bh rbC\V° 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: / ( / (())�� Type of Inspection: ;too Address: - (tw3 1/AU/ Date Called: Special Instructions: IL415"(— • Date Wanted:. r 0 / O� p.m. 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 Return to List > Start a New Search > a Printer friendly 1 Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About Electrical Contractor Page 1 of 2 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