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Permit EL11-0914 - WESTFIELD SOUTHCENTER MALL - H & M
H&M 867 SOUTHCENTER MALL EL1 1 -0914 City o*ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 867 SOUTHCENTER MALL TUKW Project Name: H & M ELECTRICAL PERMIT Permit Number: EL11 -0914 Issue Date: 10/04/2011 Permit Expires On: 04/01/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: SHAWN BOWEN Address: 1705 4 AV S , SEATTLE WA Contractor: Name: TUBE ART DISPLAYS Address: 2730 OCCIDENTAL AVE S , SEATTLE, WA Contractor License No: TUBEADI11ONH Phone: 206 - 223 -1122 Phone: 206 223 -1122 Expiration Date: 08/08/2013 DESCRIPTION OF WORK: INSTALL ONE WALL SIGN Value of Electrical: NRES: $100.00 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: $63.00 2008 Date: 10 11't 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 p - • anc k. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date 4 . 1\ 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 -0914 Printed: 10 -04 -2011 • PERIT CONDITIONS • M Permit No. EL 11 -0914 * *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 EL11-0914 Printed: 10 -04 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us • 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 ** j �/�J� King Co Assessor's Tax No.: Site Address: 61 _ " �� ' �� `- Suite Number: Tenant Name: /1 4 NA Property Owners Name: Wtrj f 411-c Mailing Address: F. 0 . ( (.S &AD 1 City State Zip 63(q&b•oc( Floor: New Tenant: ❑ Yes Sto Name: &Weft" ci4ALA -j /44 ���Day Telephone: 2� 2 ?_ 3 I (2 Mailing Address: S 4 T� 4 : •S • 5 :" 11 lam- •61 A- `I det 34 ` City - State Zip E -Mail Address: Fax Number: Company Name: Mailing Address: SA E A 60J •E" City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: 1-3 �L Expiration Date: $ " 2 ©1 7— State Zip ��/�-� Valuation of Project (contractor's bid price): $ KY� • "— Scope of Work (please provide detailed information): t S -a i i- t&A-" `- Ck01 Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes�io ❑ Service Change ❑ Fire Alarm H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 IDate Application Accepted: 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) PERMIT APPLICATION_NOT:. 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 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 - TRICAL CONTRACTOR: Signature: Print Nanie: Date: to" .4-- t Day Telephone: _00C 22-? 6122. Mailing Address: <4- City State Zip Date Application Expires: Staff Initials: H: Wpplications\Forms•Applications On Line \4•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.ov RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -0914 Address: 867 SOUTHCENTER MALL TURN/ Status: PENDING Suite No: Applied Date: 10/04/2011 Applicant: H & M Issue Date: Receipt No.: R11 -02166 Payment Amount: $63.00 Initials: WER Payment Date: 10/04/2011 01:06 PM User ID: 1655 Balance: $0.00 Payee: TUBE ART DISPLAYS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1988 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 10 -04 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Va- Project: p • � Type of Inspection: Address: / �, ` oil : p1(I( / Date Called: Special Instructs ns: ,v Srt� Date Wanted:. / 10 m. P� Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: • .1')Ke Inspector: Date:loO,ri n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid, at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pryer 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 TUBE ART DISPLAYS INC UBI No. 178073073 Phone 2062231122 Status Active Address 1705 4Th Ave 5 License No. TUBEADI110NH Suite /Apt. License Type Electrical Contractor City Seattle Effective Date 8/8/1989 State WA Expiration Date 8/8/2013 Zip 98134 Suspend Date County King Specialty 1 Sign Business Type Corporation Specialty 2 Unused Parent Company Master Electrician INFORMATION License HARGEJP97405 Name HARGETT, JEFFREY P Status Active Business Owner Information Name Role Effective Date Expiration Date KTC SERVICE CORPORATION, Agent 09/19/2003 2/17/2009 DUPAR, SKIP President 09/16/2003 $250.00 HARGETT, JEFFREY Secretary 09/16/2003 ELECTRICAL CITATION MONTERO, WILLIAM Vice President 01/01/1980 11/4/2009 SCHMOLL, DON ELECTRICAL CITATION 01/01/1980 09/16/2003 DUPAR, FRANK A III Agent 01/01/1980 09/16/2003 MAAS, WALTER M III Agent 01/01/1980 09/16/2003 COLLINS, JAMES Secretary 01/01/1980 09/16/2003 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 3 TRAVELERS CAS & SURETY CO 103378976 08/08/2000 Until Cancelled $4,000.00 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EKENJ00252 2/17/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EKENJ00253 2/17/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EROBA00544 11/4/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EMEHU02871 7/28/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00. https: // fortress .wa.gov /lni/bbip/Print.aspx 10/04/2011