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Home My WebLink AboutPermit EL12-0429 - WESTFIELD SOUTHCENTER MALL - AMERICAN EAGLE OUTFITTERSAMERICAN EAGLE OUTFITI1ERS 610 SOUTHCENTER MALL EL1 2-0429 City oftukwila Department of Comma nity Dei'elopntent 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: 610 SOUTHCENTER MALL TUKW Project Name: AMERICAN EAGLE OUTFITTERS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0429 05/10/2012 11/06/2012 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA MARK SORENSON Phone: 425 466 -9959 11816 167 PL NE , REDMOND WA Contractor: Name: ADVANTAGE AUDIO VISUAL SYSTEMS Address: 11816 167 PL NE , REDMOND WA Contractor License No: ADVANAV899RG Phone: 877 484 -6217 Expiration Date: 12/07/2013 DESCRIPTION OF WORK: INSTALL BACKGROUND MUSIC SYSTEM Value of Electrical: NRES: $4,000.00 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: Date: $157.50 2008 I hereby certify that I have read and e ami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied ith, hether specified herein or not. The granting of this permit does not pres construction or the performance o work. I am authorized to sign and obtain this electrical permit. to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: 141..i C AI � � K SNzEN E 6/ Date: - //D // 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 -0429 Printed: 05 -10 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0429 * *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 -0429 Printed: 05 -10 -2012 CITY OF TUKW1P4 Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.Tukwi l a W A. gov • Electrical Permit No. lk 2' 6-121 Project No. Date Application Accepted: ' Date Application Expires: (For office use only) 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 cl,,,,, -7 ,,,' �" King Co Assessor's Tax No.: //V2- 1 t 0 Site Address: / 07 .50-u- hCeMk� R fa 153188 Suite Number: Floor: 1 Tenant Name: AMERI cA6) EikALE OuTrjiig2S New Tenant: ❑ Yes Wo PROPERTY OWNER Name: S}�yJ Ni M 00-eorirk-ket1/410,24, Name: Vice oLt). Siove/KG- Tow Ki City: _ - ,.:. _. ' State: YV 8 A n Zip: tg18 D o Address: ev j906 � rVl Lly Email: City: (,att0,4 State: Choc Zip: c��2 CONTACT PERSON — person receiv. • • all project communication Name: S}�yJ Ni M 00-eorirk-ket1/410,24, Address: 707 S J - M 0. a City: _ - ,.:. _. ' State: YV 8 A n Zip: tg18 D o Phone: 360 _ q - 18s' Fa • 9 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: 1301/407 -m.E. Avpla kffsu L sys Address: ( /9(6) 1674th pi, vE lty R�DMdND State: w A Zip: ctaos Phone: U .LS q 6 /_ pa rp Fax: Contr Reg No.: A DV , `A\/ 815x�Date: 12/7/2..0 Tukwila Business License No.: app ` oA c Valuation of Project (contractor's bid price): $ 11 00 0 Scope of Work (please provide detailed information): 10 S -"L &RDv J p M'J i s 9 f ST &M Will service be altered? El Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service p Revised: August 2011 bh 6Q�-- ;;eat#le Cit ons On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Page 1 of 2 EMS 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: M PKK S o R� tiS4J Mailing Address: 1 ) n ICo I6:1 PL H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 5- l a -- 1 Z Day Telephone: / ZS - 7 6& - 61'359 KODNtoN p '1/41■1 A 'tgb5 z City State Zip Page 2 of 2 • City of Tukwila 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 RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -0429 Address: 610 SOUTHCENTER MALL TUHW Status: PENDING Suite No: Applied Date: 05/10/2012 Applicant: AMERICAN EAGLE OUTFITTERS Issue Date: Receipt No.: R12 -01543 Payment Amount: $157.50 Initials: JEM Payment Date: 05/10/2012 09:59 AM User ID: 1165 Balance: $0.00 Payee: ADVANTAGE AUDIO VISUAL SYSTEMS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1653 157.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 doc: Receiot -06 Printed: 05 -10 -2012 INSPECTION RECORD ki7 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: "414,600 cir4 evreltd Type of Inspection: .., Address. !_ PI 14 Date Called: -, Special Instructions: t(t St C V I Date Wanted:. a.m Requester: Phone No: pproved per applicable codes. J Corrections required prior to approval. COMMENTS: Inspector: r1 (/A Date: 05117/rz...- ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pier Friendly Page • Electrical Contractor A business licensed by Lai 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 ADVANTAGE AUDIO VISUAL SYSTEMS 8774846217 11816 167Th Pl Ne Redmond WA 98052 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602444342 Active ADVANAV899RG Electrical Contractor 12/7/2011 12/7/2013 Limited Energy Unused Electrical Administrator INFORMATION License INGRABD927RD Name INGRAM, BENJAMIN D Status Active Business Owner Information Name Role Effective Date Expiration Date SORENSEN, MARK H Owner 12/07/2011 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 Western Surety Co 71201630 12/01/2011 Until Cancelled $4,000.00 12/07/2011 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 05/10/2012