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HomeMy WebLinkAboutPermit EL11-1020 - WESTFIELD SOUTHCENTER MALL - PAC SUNPAC SUN 650 SOUTHCENTER MALL EL1 1 -1020 City A/I'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 Parcel No.: 9202470010 Address: 650 SOUTHCENTER MALL TUKW Project Name: PAC SUN ELECTRICAL PERMIT Permit Number: EL11 -1020 Issue Date: 11/09/2011 Permit Expires On: 05/07/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: DONALD JACK Phone: 253 486 -5488 Address: PO BOX 28882 , SEATTLE WA Contractor: Name: MJ ELECTRIC CO Address: PO BOX 28882 , SEATTLE WA Contractor License No: MJELEEC908R2 Phone: 253 486 -8488 Expiration Date: 12/22/2012 DESCRIPTION OF WORK: INSTALL EAS SYSTEM Value of Electrical: NRES: $1,600.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and ex governing this work will be complied wi $115.50 2008 Uga Date: t l l 211 it J this permit and know the same to be true and correct. All provisions of law and ordinances then specified herein or not. The granting of this permit does not presum- o give authority to violate or cancel the provisions of any other state or local laws regulating construction or tjerformance of work. I am authorized to sign and obtain this electrical permit. Signature; Print Name: MarleishQ Jaies Date: l //e7 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 -1020 Printed: 11 -09 -2011 • PERMIT CONDITIONS • Permit No. EL11 -1020 * *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 -1020 Printed: 11 -09 -2011 CITY OF TUKWFll Community Developmenflepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.Tukw i l a W A. gov 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: Tenant Name: /(\ (Atirkigy)-1e1( (Y)411 King Co Assessor's Tax No.: l Suite Number: 2e Floor: New Tenant: RAW RTYOWNER >`��,)A. Name: N/1)40 I 1 L -fyic CO Name: [r.4,66.tfitl %/, a `"1 Address: P� bx L {Sarin City: State: Address: Q 0 ho' ` V f �J Phone: 9/00 5-1 UI I Fax : U 10,E Zip:l&/ Q� /mil U City: State: Zip: k C 9 Y F 3d i° }b k' I 5i G'.vF h' com�mun ca o�PEy'iONipersorec�vmg� 1pj {sYijil +j �1uiS'�.WW:J�,3.�.t Name: N/1)40 I 1 L -fyic CO Address: %/, a `"1 Address: P� bx L {Sarin City: State: Zip: Phone: 9/00 5-1 UI I Fax : U 10,E Zip:l&/ Q� /mil U Email: .No WWI:. AL�C ©NTRACTORINFRMATiON c3.........,..o....�.+. . . i._.,.... ...G ;,..,.,. ...r.,i .........w.,, .,.�._.�a.,........�....... _,. ....... ,...... r; ..t� Company Name: n L) ` -fyic CO %/, a `"1 Address: P� bx L {Sarin City: State: w f t Zip:l&/ Q� /mil U Phonerx.b cop �/i o Fax: Contr Reg No.: m‘-it tcv£cq g_FT Date: /ice 121 Z2 j l 2 t Tukwila Business License No.; Valuation of Project (contractor's bid price): $0 c Scope of Work (please provide detailed information) 31‘1Yltj S G4- •i€ Will service be altered? ❑ Yes KNo Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ N ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line \2011 ApplicationsElectrical Permit Application Revised 8.9- 1l.docx Revised: August 2011 bh 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 $1L55 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 PEI ATION 1�Q 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: M4W1 Ti a Print Name: tl�S Mailing Address: Po oek 29(b H:1Applications\Forms- Applications On Line12011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised: August 2011 bh Date: // Day Telephone: �� LIPID 5466 °1 / E City State Zip 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.Qov RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -1020 Address: 650 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 11/09/2011 Applicant: PAC SUN Issue Date: Receipt No.: R11 -02455 Payment Amount: $115.50 Initials: JEM Payment Date: 11/09/2011 12:47 PM User ID: 1165 Balance: $0.00 Payee: MARLEISHA D. JONES, DBA MJ ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1132 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 11 -09 -2011 INSPECTION RECORD Retain a copy with permit .�1 L INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v. (206) 431 -367011 Permit Inspection Request Line (206) 431 -2451 Project: 1 so Type of Inspection: YP p PDU Address: KO 4114/ Date Called: Special Instructions: Date Wanted:. 1(! 30 a. .m. Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: 4-, mAt.,- Inspector: S6( Date: 1130 1i REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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 -367 Permit Inspection Request Line (206) 431 -2451 OA a 0 Project: [� SiN PrC Type of Inspection: Ov 'pat If ,ii tr Poster o,4 & n Address: • • . • KO paw Date Called: Special Instructions: 6 *5 Date Wanted:. I' l O a_m Requester: Phone No: 1 Approved per applicable codes. Corrections required prior to approval. COMMENTS: -- 60AITAC.r RO A si1,i 4br e& . -- ceOAk" 404D P »J 115 rbc inisPEcn 0A% 'pat If ,ii tr Poster o,4 & n Inspector: Date: If 10 II REINSPECTION! FEE REQUIRED. Prior to next inspection, fee must be paid at 6300:Southcenter Blvd:, Suite 100. Call to schedule reinspection. - Contractors or Tradespeople lister Friendly Page i 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 MJ ELECTRIC CO 2534868488 Po Box 28882 Seattle WA 98118 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603069359 Active MJELEEC908R2 Electrical Contractor 12/22/2010 12/22/2012 General Unused Electrical Administrator INFORMATION License JACK'DR904PF Name JACK, DONALD R Status Active Business Owner Information Name Role Effective Date Expiration Date JONES, MARLEISHA D Owner 12/22/2010 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 1 Ullico Casualty Company SB009002667 12/16/2010 Until Cancelled 12/16/2011 $4,000.00 12/22/2010 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 11/09/2011