HomeMy WebLinkAboutPermit EL12-0461 - WESTFIELD SOUTHCENTER MALL - AMERICAN EAGLE OUTFITTERAMERICAN EAGLE
OUTFITTER
610 SOUThCENTER MALL
EXPIRED I1 -14-12
EL1 2-0461
Parcel No.:
Address:
City o*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
9202470010
610 SOUTHCENTER MALL TUKW
Project Name: AMERICAN EAGLE OUTFITTER
ELECTRICAL PERMIT
Permit Number: EL12 -0461
Issue Date: 05/18/2012
Permit Expires On: 11/14/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
JERAMY SHIVERLY
10609 264 ST E , GRAHAM WA
WEST COAST SECURITY INC
14721 146 AV E , ORTING WA
Contractor License No: WESTCCS940K5
Phone: 253 255 -4138
Phone:
Expiration Date: 05/25/2014
DESCRIPTION OF WORK:
INSTALL (4) CCTV CAMERAS
Value of Electrical:
NRES: $400.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and q
governing this work will be complied
Fees Collected:
National Electrical Code Edition:
$71.40
2008
Date: tCI l 1) 1 l z
xam ed this permit and know the same to be true and correct. All provisions of law and ordinances
with, whether specified herein or not.
The granting of this permit does not pre s he to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe ormance • work I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
.)AKA -zni ICr(
Date: S/ 14 / taN
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 -0461
Printed: 05 -18 -2012
110
PERMIT CONDITIONS
Permit No. EL 12 -0461
* *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 -0461 Printed: 05 -18 -2012
CITY OF TUKWI
Community Developnu )epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /'www.Tukw i1a W A. go
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 **
/ /rf King Co Assessor's Tax No.: "2' 'U G
Site Address: 6' / CJ .GA, 4 T 11 .44e Suite Number: y Y8 Floor:
Tenant Name: A G'r't CG(Ij t=E9l6- ,a-7` "` l 'l fe/^ New Tenant: 0 Yes ❑.. No
deb Cow c ceb
Company Name•
/ACS q' /a/(5
Address: / ( . )9 /
City:
State: k/viil Zip7g
Phone:, 5 / , i Fax:�5JL75
Y�j Exp Date: iv I 7s-
Tukwila Business License No.; Of Z 5 (
Contr Reg No.:
('I
Valuation of Project (contractor's bid price): $ lam/- 0'
Scope of Work (please provide detailed information): 1 hfy f/ Y CCTV Ca / i -/ 2f
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ' No
Property Served by:
APuget 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
ts,
Name:
Address: 2046? '•y
Address:
..s
City:
State:
Zip:
deb Cow c ceb
Company Name•
/ACS q' /a/(5
Address: / ( . )9 /
City:
State: k/viil Zip7g
Phone:, 5 / , i Fax:�5JL75
Y�j Exp Date: iv I 7s-
Tukwila Business License No.; Of Z 5 (
Contr Reg No.:
('I
Valuation of Project (contractor's bid price): $ lam/- 0'
Scope of Work (please provide detailed information): 1 hfy f/ Y CCTV Ca / i -/ 2f
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ' No
Property Served by:
APuget 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
ts,
Name: (,.%ahl / 54 / vim/ y
Address: 2046? '•y
,--
..s
City:
Zip:
��State:
Phone: ZS- );-�l y e' ax.
Sf
Email:
deb Cow c ceb
Company Name•
/ACS q' /a/(5
Address: / ( . )9 /
City:
State: k/viil Zip7g
Phone:, 5 / , i Fax:�5JL75
Y�j Exp Date: iv I 7s-
Tukwila Business License No.; Of Z 5 (
Contr Reg No.:
('I
Valuation of Project (contractor's bid price): $ lam/- 0'
Scope of Work (please provide detailed information): 1 hfy f/ Y CCTV Ca / i -/ 2f
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ' No
Property Served by:
APuget 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:
Signature:
Print Name:
Mailing Address: ( r ( c-5-7
Date: 41:1G42
Day Telephone: 2 S5 c( 0' 1
6 4u (A/ g-
_
City State
H. \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 1I.docx
Revised August 2011
bh
Zip
Page 2 of 2
o
City of Tukwila
n < > g 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 -0461
Address: 610 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 05/18/2012
Applicant: AMERICAN EAGLE OUTFITTER Issue Date:
Receipt No.: R12 -01620
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $71.40
Payment Date: 05/18/2012 09:57 AM
Balance: $0.00
JACOB ZEHNDER, WEST COAST SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 018965
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: 05 -18 -2012
10 -01 -2012
JERAMY SHIVERLY
10609 264 ST E
GRAHAM WA 98338
City • Tukwila
1
Jim Haggerton, Mayor .
Department of Community Development Jack Pace, Director
RE: Permit No. EL12 -0461
AMERICAN EAGLE OUTFITTER
610 SOUTHCENTER MALL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 11/14/2012.
Based on the above, you are hereby advised to:
I) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 11/14/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall
t Technician
File: Permit File No. EL12 -0461
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Printer 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 WEST COAST SECURITY INC UBI No. 602570814
Phone 2532554138 Status Active
Address 10609 264Th St East License No. WESTCCS940K5
Suite /Apt. License Type Electrical Contractor
City Graham Effective Date 5/25/2006
State WA Expiration Date 5/25/2014
Zip 98338 Suspend Date
County Pierce Specialty 1 Limited Energy
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
L
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
LOWVOVS963D9
LOW VOLTAGE
SECURITY AND FIRE
Electrical
Contractor
Limited
Energy
Unused
3/29/2004
3/30/2008
Out Of
Business
Electrical Administrator INFORMATION
License SHIVEJD961DS
Name SHIVELY, JERAMY D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SHIVELY, JERAMY D
Agent
05/25/2006
Bond Amount
SHIVELY, JERAMY D
President
05/25/2006
9806115
SHIVELY, THERESA
Treasurer
05/25/2006
ELECTRICAL CITATION
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
Lexon Ins Co
9806115
05/25/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.0005/26/2011
$250.00
1
DEVELOPERS SURETY
& INDEM CO
741632C
04/27/2006
Until Cancelled
06/16/2011
EJORP02782
$4,000.0005/25/2006
19.28.271 RCW
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
EJORP02774
3/18/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBIEA00914
9/13/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBIEA00915
9/13/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02782
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 05/18/2012