HomeMy WebLinkAboutPermit EL12-0231 - WESTFIELD SOUTHCENTER MALL - EXCALIBUREXCAUBUR
211 S OUTH CENTER MALL
EL1 2-0231
City oikukwila
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: 211 SOUTHCENTER MALL TUKW
Project Name: EXCALIBUR
ELECTRICAL PERMIT
Permit Number: EL12 -0231
Issue Date: 03/12/2012
Permit Expires On: 09/08/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: SHANE JOHNSON Phone: 253 - 468 -3296
Address: 9204 219 ST CT E , GRAHAM WA
Contractor:
Name: STATIC ELECTRIC INC
Address: PO BOX 972 , GRAHAM WA
Contractor License No: STATIEI951C8
Phone: 253 468 -3296
Expiration Date: 02/25/2013
DESCRIPTION OF WORK:
EXISTING SERVICE, NEW LIGHTS & RECEPTACLES
Value of Electrical: NRES: $6,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
/‘-kiPermit Center Authorized Signature:
Fees Collected:
$195.70
National Electrical Code Edition: 2008
Date: e
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 tte.performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: —/ Z —7_0/2—
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
EL12 -0231 Printed: 03 -12 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -0231
* *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
EL12 -0231 Printed: 03 -12 -2012
CITY OF TUKWII4'
Community Developme apartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.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: 711 SoUTV --e/' 11-
11 C'
Tenant Name: elVa 1► l(tir
King Co Assessor's Tax No.:
-(n 3(o Suite Number: Lo 3(0 Floor:
New Tenant: Yes ❑.. No
Name:
Address:
City:
State:
Zip:
Valuation of Project (contractor's bid price): $ 6) 1000
Scope of Work (please provide detailed information): E si I'. St'� J)'C Cl v e , ► 11‘1"S ( e6 pD tc is
Will service be altered? 111 Yes X No Adding more than 50 amps? ❑ Yes X No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel A Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
Company Name: �--
�4-i'c r_-1prfi.'y �c",c,
Address: cizoq zierti, S3. C 1 t
Name:
)li (
l
nSc,,,,
,1(,
Address: c) .2ock R l
1.. 9_ c F..
City: 6_04,..,,,,
State: W A Zip:
38-
Phone: 2 S -3_ q 37016
Fax:
Email: /
Skeine it(� .S
/
.tL- eIed(1;C, 4,1_1_._-
Valuation of Project (contractor's bid price): $ 6) 1000
Scope of Work (please provide detailed information): E si I'. St'� J)'C Cl v e , ► 11‘1"S ( e6 pD tc is
Will service be altered? 111 Yes X No Adding more than 50 amps? ❑ Yes X No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel A Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
Company Name: �--
�4-i'c r_-1prfi.'y �c",c,
Address: cizoq zierti, S3. C 1 t
City: G? h a rn State: LjA Zip:e 3g
Fax:
Phone: Z3_tts„32
,1(,
Contr Reg No.: ST 1—znzoi51.C$ Exp Date: z _2 _ Zo13
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 6) 1000
Scope of Work (please provide detailed information): E si I'. St'� J)'C Cl v e , ► 11‘1"S ( e6 pD tc is
Will service be altered? 111 Yes X No Adding more than 50 amps? ❑ Yes X No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel A Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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
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:
Print Name: ^ 4 30 )1 n
Mailing Address: CI 7014 ? 1 t\ ,
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Date: 3 -17 -et,/7
Day Telephone: Z -Ula4' 3 z�ifo
City State Zip
Page 2 of 2
• •
r-`-A w 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: EL12 -0231
Address: 211 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 03/12/2012
Applicant: EXCALIBUR Issue Date:
Receipt No.: R12 -01013
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $195.70
Payment Date: 03/12/2012 11:17 AM
Balance: $0.00
SHANE JOHNSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 041714
ACCOUNT ITEM LIST:
Description
195.70
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 195.70
Total: $195.70
doc: Receiot -06 Printed: 03 -12 -2012
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
(07-0231
Project:
Type of Inspection:
Address: p
f i
,s'.
Date Called:
raw
Special Instructions:
Date Wanted:.
SA 3
�a.m
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
06#010445 t
Olc 1-11441,--
InspectorAfrof
u
Date:
ri 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 tI L--uk.) f
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 tz. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: '' (1,
ty t'13111
Type of Inspection: %,
4 '(1v
Address: 11
21/ t%L,
Date Called:
Special Instructions:
Date Wanted:.
5/7�
a.m
m.
Requester:
Phone No:
ElApproved per applicable codes. i Corrections required prior to approval.
COMMENTS:
Inspector: -!
Ilhddefe
Date: 0 Z
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD 11
Retain a copy with permit
INSP: TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 F.,,, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
4iific
Type of Inspection:
k't /00
Address:
.II
Date Called:
Special Instructions.
Date Wanted:.
.9,-- m.
Requester:
.
Phone No:
(ttr 0.2- 12.4 Ix)
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS: r
.,_
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(ttr 0.2- 12.4 Ix)
Inspector: i
Date:
S/�zc /i1�
❑ 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.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 C (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
ERMIT NO.
(hat
Project: ..,
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Corrections required prior
Type of Inspection:
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Address: `,,.,,r � �'��
Date Called:
Special Insttructions:
Date Wanted:.
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p.m.
Requester:
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Phone No:
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. Approved per applicable codes. •
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Corrections required prior
to approval.
SCOMMENTS:
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, V
Inspector:
Date: tir %7-- Y
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 P-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
£ .° 3/
Project:
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Type of Inspe tion:
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Address:
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Date Called:
Special Instructions:
33 f;•r 7'4>'Y
Date Wanted:
1.4'e7 °A eaa2
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p.m.
Requester:
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Phone No:
Approved per applicable codes.
orrections required prior to approval.
COMMENTS:
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sI e ('A 1,3 L r--
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ZL E- C.vit I e L eery LIAt.
33 f;•r 7'4>'Y
Inspecto
4.RIZY 6E11'
Date:
"oav%
El $60.00 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
i
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
Project: ��^ � a`���
jY
Type of Inspection:
Address.
Date Called:
Special Instructions:
Date Wanted:.
...,,,,n
Cr
Requester:
Phone No:
DApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
- WAtv Col"
Date: 5/1
ri REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ter Friendly Page
1
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
STATIC ELECTRIC INC
2534683296
9204 219Th St Ct E
Graham
WA
98338
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602455807
Active
STATIEI951 C8
Electrical Contractor
2/25/2005
2/25/2013
General
Unused
Electrical Administrator INFORMATION
License JOHNSS`973PH
Name JOHNSON, SHANE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, SHANE E
Agent
02/28/2005
JOHNSON, SHANE E
President
02/28/2005
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
DEVELOPERS SURETY
E INDEM CO
574726C
02/17/2005
Until Cancelled
$4,000.00
02/28/2005
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
EBRIC01353
8/13/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 03/12/2012