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Home My WebLink AboutPermit EL11-0917 - WESTFIELD SOUTHCENTER MALL - PACIFIC SUNWEARPACIFIC SUNWEAR 536 SOUTHCENTER MALL EL1 1 -0917 Parcel No.: Address: City okukwila • 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 536 SOUTHCENTER MALL TUKW Project Name: PACIFIC SUNWEAR ELECTRICAL PERMIT Permit Number: EL11 -0917 Issue Date: 10/05/2011 Permit Expires On: 04/02/2012 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA CHUONG DANG 13649 NE 126 PL, STE 201 , KIR.KLAND WA Contractor: Name: NETICIPATE Address: 13649 NE 146 PL, SUITE 201 , KIRIC,AND WA Contractor License No: NETIC * *912ML Phone: 206 427 -0052 Phone: 206 - 427 -0052 Expiration Date: 07/13/2013 DESCRIPTION OF WORK: DMX MUSIC AUDIO INSTALLATION: INSTALLING 13 SPEAKERS, AMPLIFIER, AND MUSIC PLAYER (LOW VOLTAGE) Value of Electrical: NRES: $1,400.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: 1 O ( 0c1 l d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does of pres construction or the rforman ¢Wof work. Signature: Print Name: to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. C. 0k_ 66--\ Date: 11)/c/7-0 f' 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 -0917 Printed: 10 -05 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0917 * *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 EL11-0917 Printed: 10 -05 -2011 1 CITY OF TUKWILA Community Development Department Pem►it Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 41 Electrical Permit No. Project No. (For office use only) ELR- Di 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 S3� Site Address: - 893-Southcenter Mall Tenant Name: Pacific Sunwear Property Owners Name: Pacific Sunwear Mailing Address: 803 Southcenter Mall King Co Assessor's Tax No.: 61 W 21-11 "TO I7 Suite Number: ICI Z) Floor: 1 New Tenant: m Yes ❑ .. No Tukwila City WA 98188 State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Chuong Dang Mailing Address: 13649 NE 126th PL Suite 201 E -Mail Address: chuongd @neticipate.com Day Telephone: (206) 427 -0052 Kirkland City State Fax Number: (425) 658 -1732 WA 98034 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Chuong Dang 13649 NE 126th PL Suite 201 Contact Person: Chuong Dang E -Mail Address: chuongd @neticipate.com Contractor Registration Number: NETIC * *912ML Kirkland city Day Telephone: (206) 427 -0052 Fax Number: (425) 658 -1732 Expiration Date: 07/13/2013 WA 98.34 State Zip Valuation of Project (contractor's bid price): $ 1,400 Scope of Work (please provide detailed information): Low voltage - DMX Music audio installation. Installing 13 speakers , amplifier, and music player. Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 0 No Type of Use: Music Type of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: tdPuget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Pamit Appbcationdoc bh Page 1 of 2 ❑ 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 0 .I_► R OR E' CAL C I NTRACT 1 R: Signature: Print Name: Mailing Address: 13649 NE 126th PI Suite 201 IDate Application Accepted: tottc-I It Day Telephone: Kirkland WA city Date: fa /z/77-4)c( State 98034 Zip Date Application Expires: Staff Initials: H:\Applications\Fornn- Applications On Line12010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 1 • • C 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 -0917 Address: 536 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/05/2011 Applicant: PACIFIC SUNWEAR Issue Date: Receipt No.: R11 -02175 Initials: User ID: JEM 1165 Payment Amount: $115.50 Payment Date: 10/05/2011 11:31 AM Balance: $0.00 Payee: CHUONG DANG TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 113120 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 10 -05 -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 -3670 Permit Inspection Request Line (206) 431 -2451 �t�!! Project: (),A-G 5d14 Type of Inspection: Z/00 Address: 5 3 to Date Called: Special Instructions: A/ Date Wanted:. �p r I a / Requester: Phone No: IAApproved per applicable codes. a Corrections required prior to approval. 'COMMENTS: (Inspector: Date: 11101/11 REINSPECTION FEE REQUIRED Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. la•6r - - --. Contractors or Tradespeople Per Friendly Page • Electrical Contractor A business licensed by LEI 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 NETICIPATE 2064270052 13649 Ne 126Th Pl Suite 201 Kirkland WA 98034 King Corporation NETICIPATE UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602735620 Active NETIC**912ML Electrical Contractor 7/13/2009 7/13/2013 Limited Energy Unused Electrical Administrator INFORMATION License DANG *CH964PQ Name DANG, CHUONG H Status Active Business Owner Information Name Role Effective Date Expiration Date NGUYEN, BINH Agent 07/08/2009 NGUYEN, BINH President 07/13/2009 TRAN, NGAN Secretary 07/13/2009 DANG, CHUONG Vice President 07/13/2009 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 AMERICAN STATES INS CO 6656230 07/08/2009 Until Cancelled $4,000.00 07/13/2009 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 10/05/2011