HomeMy WebLinkAboutPermit EL12-0455 - WESTFIELD SOUTHCENTER MALL - NATIONAL UNIVERSITYNATIONAL UNIVERSITY
152 SOUTHCENTER MALI.
EL1 2-0455
City oillTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206-431-3665
Web site: http: / /www.Tukwila WA.gov
Parcel No.: 9202470010
Address: 152 SOUTHCENTER MALL TUKW
Project Name: NATIONAL UNIVERSITY
ELECTRICAL PERMIT
Permit Number: EL12 -0455
Issue Date: 05/16/2012
Permit Expires On: 11/12/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: BILL ALSEPT
Address: 3903 SMITH AVE , EVERETT WA
Contractor:
Name: WILLIAMS MECHANICAL INC
Address: 3903 SMITH AVE , EVERETT WA
Contractor License No: WILLIMI894C5
Phone: (425)754 -8759
Phone: (425)303 -0828
Expiration Date: 03/03/2013
DESCRIPTION OF WORK:
LOW VOLTAGE WIRING, NEW THERMOSTAT & LOCATION
Value of Electrical:
NRES: $250.00
RES: $0.00
Fees Collected:
$63.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: C5 - //`,2
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 the orma I am authorized to sign and obtain this electrical permit.
Signature:
Date: S---/6-12-
-iZ.
Print Name: D-4 j �� S . Cifh1SPdS
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 -0455 Printed: 05 -16 -2012
• 1111
PERMIT CONDITIONS
Permit No. EL12 -0455
* *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 -0455 Printed: 05 -16 -2012
CITY OF TUKWIQ
Community Developme. 'epartment
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: SDt// / ( 2 i f� ter%
Tenant Name: /t/4/ tAA'df c/,Cti've°x'i K
King Co Assessor's Tax No.:
s7'
Suite Number: 6 l Z
Name:
3/ ;/ ,1ts -6, S
Address: >�
Sri '
City: State: Zip:
e.cie
Phone: 4/.2_5_ �S �� Of2z4ax:� -33? `'12`1,
Email:
JS // kJ' / /.t- . --1r/IEC. i-.ti tcrtl', C 6-,e1
Floor:
New Tenant: ® Yes E.. No
Company Name:
/A- oi1lf4j iylrGLl�r��e��
Address:_s96,73 '4 .
City: £iaC fr %
State: tzjii7i Zip: 9.4? 611
Phone:2/2 3®3 t2 ,y Fax: 1./23.-- 33`� V
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): L w i irr />5 5-Z u>IK /b'fi i✓C u/ -Ti}e >(4/5/ 7 ¢ 2ocic11icrt.7
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Z No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change A Remodel ❑ Tenant Improvement
,f Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
❑ 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
Name:
ivc-5 c 6- c.7Ci/
Address:
City:
State:
Zip:
Name:
3/ ;/ ,1ts -6, S
Address: >�
Sri '
City: State: Zip:
e.cie
Phone: 4/.2_5_ �S �� Of2z4ax:� -33? `'12`1,
Email:
JS // kJ' / /.t- . --1r/IEC. i-.ti tcrtl', C 6-,e1
Floor:
New Tenant: ® Yes E.. No
Company Name:
/A- oi1lf4j iylrGLl�r��e��
Address:_s96,73 '4 .
City: £iaC fr %
State: tzjii7i Zip: 9.4? 611
Phone:2/2 3®3 t2 ,y Fax: 1./23.-- 33`� V
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): L w i irr />5 5-Z u>IK /b'fi i✓C u/ -Ti}e >(4/5/ 7 ¢ 2ocic11icrt.7
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Z No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change A Remodel ❑ Tenant Improvement
,f Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
❑ 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)
MULTI - FAMILY AND COMMERCIAL
$152.85 Fees are based on the valuation of the electrical contract.
$81.90 ea
$59.85 ea 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
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)
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:
/tde-1-4-1-11../j.,z4,4144-
Date: ..: /la - /
Print Name: S 5rf",(2) Day Telephone: y23 ?Sy SP%S' 7
Mailing Address:.- 9d9 S < -i 1 "lea
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
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City
its ¢r
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 -0455
Address: 152 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 05/16/2012
Applicant: NATIONAL UNIVERSITY Issue Date:
Receipt No.: R12 -01603
Initials: LAW
User ID: 1632
Payment Amount: $63.00
Payment Date: 05/16/2012 12:03 PM
Balance: $0.00
Payee: DANIEL SANDERS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4021 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 05 -16 -2012
INSPECTION RECORD
Retain a copy with permit
f U2 -oYSc
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 is , (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: A
/A-At f ��
!V t7N / 'v (V.
Type of Inspection:
r�
Address: � �
��
Date Called:
Special Instructions:
Date Wanted:.
l�tl
a.m.
Requester:
Phone No:
n,Approved per applicable codes. a Corrections required, prior to approval.
COMMENTS:
1\
Inspector:
IX
Date:�,
IX 121 .., 1Z
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blv.d:, Suite 100. Call to schedule reinspection.
P.
Contractors or Tradespeople Per Friendly Page
•
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
WILLIAMS MECHANICAL, INC.
4253030828
3903 Smith Ave
Everett
WA
98201
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601413863
Active
WILLIMI894C5
Electrical Contractor
3/3/2011
3/3/2013
Hvac /Rfrg Ltd Energy
Unused
Master Electrician INFORMATION
License SANDEDS967LH
Name SANDERS, DANIEL S
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DEBORAH, WILLIAMS K
Agent
03/03/2011
5/1/2012
BRADLEY P. WILLIAMS
President
02/25/2011
$500.00
DEBORAH K. WILLIAMS
Secretary
02/25/2011
ELECTRICAL CITATION
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
The Hanover Ins Co
1977960
02/23/2011
Until Cancelled
$4,000.00
03/03/2011
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EMOMJ00477
5/1/2012
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMOMJ00475
5/1/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /Ini /bbip /Print.aspx 05/16/2012