HomeMy WebLinkAboutPermit EL11-0873 - WESTFIELD SOUTHCENTER MALL - BERGMAN LUGGAGEBE GMAN LUGGAGE
102 SOUTHCENTER MALL
EL1 1 -0873
Parcel No.:
Address:
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
9202470010
102 SOUTHCENTER MALL TUKW
Project Name: BERGMAN LUGGAGE
ELECTRICAL PERMIT
Permit Number: EL11 -0873
Issue Date: 09/20/2011
Permit Expires On: 03/18/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
JEFF HARRISON
1291 AUDOBON RD , SELAH WA
TAPPS ELECTRIC INC
1291 AUDUBAON RD , SELAH WA
Contractor License No: TAPPSEI990N1
Phone: 253 255 -7260
Phone: 509 - 698 -4810
Expiration Date: 08/22/2014
DESCRIPTION OF WORK:
NEW LIGHTING LAYOUT
Value of Electrical:
NRES: $12,500.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$316.10
2008
I hereby certify that I have read and 4xami'ied this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compile with,11whether specified herein or not.
The granting of this pe
construction or t
Signatur
does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
ce of work. I am authorized to sign and obtain this electrical permit.
Date: j Zo
Print Name: t74 /4de/d /5 �lif
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 -0873
Printed: 09 -20 -2011
PERMIT CONDITIONS
Permit No. EL11 -0873
* *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 -4110
E L11 -0873 Printed: 09 -20 -2011
CITY OF TUKW
Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. t1,
Vl
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
King Co Assessor's Tax No.: 12,o 1 HIV
Site Address: 10 2 S 0 44 fed. b 1Q Suite Number:
Tenant Name: e yL s,/ G ‘I'WV"
Property Owners Name:
Mailing Address:
New Tenant:
Floor:
❑ Yes No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Vt!OPie H/ct/v t`;GYl
Mailing Address: 1 Z Ci 1 41-.‹ cl r •Lb bvl � c
E -Mail Address: IC? i r L o.•�,
Day Telephone: 2 C3 7 Z( O
S.e l it) WA- P9? y Z
City
State Zip
Fax Number: Cc) ?- 6 rfS- /8o'
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 77771 S Z 1,P ¢ v /r 2-14
Mailing Address: /2 9 / 4J1.1d (4 604 72 c ?
Contact Person: t/ /94.4 '1
Sy ISGI (J4-
E -Mail Address: % i,, 5 E lY 4.--4 r,cc yc l�c,�, fir• , y
Contractor Registration Number: 17)(19? S� �Il
City
State Zip
Day Telephone: -2 )2c
Fax Number:
Expiration Date: I !-ZI ( 3
Valuation of Project (contractor's bid price): $ / 27 5—Cx2.c20
Scope of Work (please provide detailed information): /e ncoti Twtj ✓c+ -elte 71", if/e4^-1 yi Zyc K,4
Will service be altered? ❑ Yes g No Adding more than 50 amps ?] Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
tei, Puget Sound Energy
❑ Seattle City Light
H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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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 ELEC RICAL CONTRACTOR:
Signature: /�
///i/
Print Name: J �' / it l/cen./ /oii
Mailing Address: 17 5 / .¢uolC40cv/ TZoc u(
Date Application Accepted:
Date: f--2 - 201/
Day Telephone: 2 .S-3 -2 S" S 724 a
City State Zip
Date Application Expires:
Staff Initials: ` ,
H:1Applications'Forms- Applications On Line120 10 Applications17 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 2 of 2
M
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 -0873
Address: 102 SOUTHCENTER MALL TUICW Status: PENDING
Suite No: Applied Date: 09/20/2011
Applicant: BERGMAN LUGGAGE Issue Date:
Receipt No.: R11 -02062
Payment Amount: $316.10
Initials: JEM Payment Date: 09/20/2011 03:47 PM
User ID: 1165 Balance: 80.00
Payee: JEFFREY H HARRISON, TAPPS ELECTRIC WEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 275017
ACCOUNT ITEM LIST:
Description
316.10
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 316.10
Total: $316.10
doc: Receiot -06 Printed: 09 -20 -2011
INSPECTION RECORD p
Retain a copy with permit 0 od %3
INSP TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
VC-
Project: �M tVii! U1,,�1
Type of Inspection: 2/00
Address:
/01 titnk.
Date Called:
Special Instructions:
Date Wanted: . 0
a.m.
Requester:
Phone No:
isvApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
fiQfca'i�Is rtait•C
Inspector:
Date: .
1001
r-7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: ([� �� J L.(LC%1t,(
T ype of Inspection:
ov
Address:
Date Called:
Special Instructions:
Date Wanted:.
/0/a
a.m
Requester:
Phone No:
\\\
EtApproved per applicable codes.
COMMENTS:
)Corrections required prior to approval.
t5 imiD61k C .i ers ib SE Acciss$ Wr
7146.- sc44.6oJide ,a & Dti1
c.r_or1 ri o NAT NMI 1...Dr45
'Inspector:
IDate: fo/2 / ,
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
fu1 -oB/S
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project 1 4,4 t.J,
rAe
Type of Inspection: 7403
Address:
Date Called:
Special Instructions:
Date Wanted:. 10i
a:m:
Requester:
Phone No:
EiApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
- CoutA celoAki
exer ativet our
ad it FoiS, L-✓dk�
L./1,14-r
�l� FcSEf of -►i�r�4C
Inspector:
'Date:
l� 'l
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
M•
•
INSPECTION RECORD 114-05
Retain a copy with permit
INSPECTION NO. RMIT NO.
•CITY OF'TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 fr. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: 1.4406 ,....
Type of Inspection:
Address. '/0� ��
Date Called:
Special Instructions:
Date Wanted:.
f iii
/0
p.m.
Requester:
Phone No:
Approved per applicable codes.
ECorrections required prior to approval.
COMMENTS:
/DI
3
-g /,, D5, soFF,T5
761/4'i
• - UAMs wirr
Inspector: 14,4
Date:
/6/03/i -
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr* r 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
TAPPS ELECTRIC INC
5096984810
1291 Audubon Rd
Selah
WA
98942
Yakima
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602137022
Active
TAPPSEI990N1
Electrical Contractor
8/21/2001
8/22/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
RDELEI *061P7
R a D
ELECTRIC INC
Electrical
Contractor
General
Unused
10/27/1994
10/27/2002
Archived
RDELE "081P7
R & D
ELECTRICAL
Electrical
Contractor
General
Unused
10/27/1992
10/27/1994
Restored From
Archived
RDELE "08008
R & D
ELECTRICAL
Electrical
Contractor
Residential
Unused
2/28/1992
2/28/1994
Restored From
Archived
Master Electrician INFORMATION
License DORAIDL957LL
Name DORAIS, DANIEL LEE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DORAIS, DAN L
Agent
08/21/2001
Bond Amount
DORAIS, DAN L
President
08/21/2001
9808446
DORAIS, JULIE A
Secretary
09/25/2003
DORAIS, SHERRY LEE
Secretary
08/21/2001
09/25/2003
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
5
Lexon Ins Co
9808446
08/06/2011
Until Cancelled
$4,000.00
08/08/2011
4
COLONIAL AM CAS Et
SURETY OF
MARYLAND
LLPM4074261
08/06/2007
Until Cancelled
08/06/2011
$4,000.0007/25/2007
3
MERCHANTS BONDING
CO (MUTUAL)
WA 10800
08/06/2004
Until Cancelled
08/06/2007
$4,000.0007/16/2004
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
09/20/2011