HomeMy WebLinkAboutPermit EL11-0920 - NORDSTROMNORDSTROM
100 SOUThCENTER MALL
EL1 1 -0920
City oikukwila
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
Parcel No.: 9202470010
Address: 100 SOUTHCENTER MALL TUKW
Project Name: NORDSTROM
ELECTRICAL PERMIT
Permit Number: EL11 -0920
Issue Date: 10/06/2011
Permit Expires On: 04/03/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: JEFF LOZIER Phone: 206 462 -9223
Address: PO BOX 338 , KENT WA
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 338 , RENTON WA
Contractor License No: HOLMEEC549BH
Phone: (253)479 -4000
Expiration Date: 10/31/2012
DESCRIPTION OF WORK:
EXTEND EXISTING 120V CIRCUIT FOR AN ADDED 15A 120V DUPLEX RECEPTACLE IN THE
MEN'S SPORTSWEAR DEPARTMENT
Value of Electrical:
NRES: $400.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
$71.40
2008
eA
Permit Center Authorized Signature: Y� C? Date: 101 011 t i
I hereby certify that I have read and
governing this work will be complie
ed 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 not pr ..0 ' e 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 horized to sign and obtain this electrical permit.
Signatur
Print Name: C-� L V�
Date:
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 -0920 Printed: 10 -06 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0920
* *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
E L11 -0920 Printed: 10 -06 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httd://www.TukwilaWA.00v
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 Address: 100 Southcenter Shopping Center
Tenant Name: Nordstrom
King Co Assessor's Tax No.: l { —lJ%-' ' 0(0
Suite Number:
Property Owners Name: Westfield
Mailing Address: Same as above.
Tukwila
Floor:
New Tenant: ❑ Yes m .. No
WA 98188
City
State
Zip
cn 4ek'xs- '"�t5- fia- .�,
•
o do we contact when your permit s rµeady
i!��..Gt`�:', itWi.i
Name: Jeff Lozier
Mailing Address: PO Box 338
E -Mail Address: jeff.lozier @holmes.com
Day Telephone:
Kent
City
Fax Number:
(206) 462 -9223
WA
State
98035
Zip
NTRAi
INFORMATF
Company Name: Holmes Electric
Mailing Address: PO Box 338
Contact Person: Jeff Lozier
E -Mail Address: jeff.lozier @holmes.com
Contractor Registration Number: HOLMEEC549BH
Kent WA
City State Zip
Day Telephone: (206) 462 -9223
Fax Number:
Expiration Date: 10/31/2012
98035
Valuation of Project (contractor's bid price): $ 400
Scope of Work (please provide detailed information): Extending existing 120V circuit for an added 15A 120V duplex
receptacle in the Men's Sportswear department.
Will service be altered? ❑ Yes 21 No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy
❑ Seattle City Light
HAApplications \Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Pagc 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
[CATION NOT1
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 CONTRACT
Signature: •�_
Print Name:
Mailing Address: PO Box 338
Date: 10/06/2011
Day Telephone: (206) 462 -9223
Kent
City
98035
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\ApplicationsTorms- Applications On Line\2010 Applications \7 -2010 - 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.gov
RECEIPT
Parcel No.: 9202470010 Permit Number: EL11 -0920
Address: 100 SOUTHCENTER MALL TUI{W Status: PENDING
Suite No: Applied Date: 10/06/2011
Applicant: NORDSTROM Issue Date:
Receipt No.: R11 -02185
Payment Amount: $71.40
Initials: JEM Payment Date: 10/06/2011 08:31 AM
User ID: 1165 Balance: $0.00
Payee: HOLMES ELECTRIC CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 01601G
ACCOUNT ITEM LIST:
Description
71.40
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 71.40
Total: $71.40
doc: Receiot -06 Printed: 10 -06 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit tAA '9q?.v
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 vg.. (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: 4111, 0
Type of Inspection:
00
Address:
100
Date Called:
Special Instructions:
Date Wanted:.
X
m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to appr9yal.
COMMENTS:
0
Inspector:
�iN t�J
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Date:
441 ( I
Contractors or Tradespeople Peer Friendly Page
•
1
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
HOLMES ELECTRIC CO
2534794000
Po Box 338
Kent
WA
98035
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
177003752
Active
HOLMEEC549BH
Electrical Contractor
1/8/1946
10/31/2012
General
Unused
Master Electrician INFORMATION
License HILLME'973KR
Name HILLMAN, ED
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLMES, JERAY A
Agent
01/01/1980
Bond Amount
HOLMES, MICHAEL J
President
01/01/1980
52BSBFB9243
RICHARDS, MICHAEL W
Secretary
01/01/1980
RICHARDS, EUGENE M
12/09/2008
01/01/1980
10/15/2010
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
3
HARTFORD FIRE INS
52BSBFB9243
12/08/2008
Until Cancelled
$4,000.00
12/09/2008
2
AM CASUALTY
9239830
12/08/1984
Until Cancelled
02/09/2009
$4,000.0009/14/2008
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
EREEB00495
10/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/06/2011