The URL can be used to link to this page

Home My WebLink AboutPermit EL12-0544 - WESTFIELD SOUTHCENTER MALL - MUCHO BURRITOMUCHO BURRITO 971 S OUTh CENTER MALL EL1 2-0544 City ofTukwila • 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: 971 SOUTHCENTER MALL TUKW Project Name: MUCHO BURRITO ELECTRICAL PERMIT Permit Number: EL12 -0544 Issue Date: 06/14/2012 Permit Expires On: 12/11/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: JIMMIE BEEM Phone: (206)274 -9946 Address: 114 AVE C , SNOHOMISH WA Contractor: Name: FREEDOM SYSTEMS INC Address: 114 AVE C , SNOHOMISH WA Contractor License No: FREEDSI9150A Phone: (206)274 -9946 Expiration Date: 08/26/2013 DESCRIPTION OF WORK: CONDUIT ONLY Value of Electrical: NRES: $100.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $63.00 2008 Date: / /c/// 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 ' ume to give autho • o violate or cancel the provisions of any other state or local laws regulating construction or the pe . - �' • ork. I am aut • e • to sign and obtain this electrical permit. Signature: �� %// Date: Print Name: - ollL!lz,z_ 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 -0544 Printed: 06 -14 -2012 PERMIT CONDITIONS Permit No. EL 12 -0544 * *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 -0544 Printed: 06 -14 -2012 CITY OF TUKWI''.1" Community Development Department 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: 97-\ ce King Co Assessor's Tax No.: Suite Number: 2 Slo Floor: \,5• Tenant Name: N \ ∎.h.c\ .c. ri ■kCi Name: J ))41 Yh I e gr-e jM Address: 0,1 �] � C City: c V45I1.4W1i5k/1 State: W Zip: C,aryq Phone: zo(s, Z.- -41,6i1'j„ Fax: 10 3/ Email: / New Tenant:] Yes ❑.. No Company Name: f f t,„(It yv1 lM 5l Address: City: c' `�� State: �ft Zip: qizclt) �k 1tr1 D Phone: Zvi, _ 2 3 Li Fax: (10,_zt Contr Reg No.: :.4, 4 Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): (- eed-S\ 9 f ate. Will service be altered? ❑ 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 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 ,. Name: /lime g- �'r'ry Address: 3,i-- 3-1,„ () -1 L9 i .5J- ,#L-13 ' City: 4, e � State: wilt Zip: gei2, Name: J ))41 Yh I e gr-e jM Address: 0,1 �] � C City: c V45I1.4W1i5k/1 State: W Zip: C,aryq Phone: zo(s, Z.- -41,6i1'j„ Fax: 10 3/ Email: / New Tenant:] Yes ❑.. No Company Name: f f t,„(It yv1 lM 5l Address: City: c' `�� State: �ft Zip: qizclt) �k 1tr1 D Phone: Zvi, _ 2 3 Li Fax: (10,_zt Contr Reg No.: :.4, 4 Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): (- eed-S\ 9 f ate. Will service be altered? ❑ 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 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 CONT : TOR: Signature: Print Name: Mailing Address: 7 H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh Day Telephone: S .A.() \SVV City Date: CO I I LI 17b 12- (2)z1 -9 gi0 w )‘° SI Z(, State Zip Page 2 of 2 Parcel No.: Address: Suite No: Applicant: r 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.ov 9202470010 971 SOUTHCENTER MALL TUKW MUCHO BURRITO RECEIPT Permit Number: Status: Applied Date: Issue Date: EL12 -0544 ISSUED 06/14/2012 06/14/2012 Receipt No.: R12 -01872 Initials: User ID: Payee: LAW 1632 Payment Amount: $63.00 Payment Date: 06/14/2012 02:25 PM Balance: $0.00 JIMMIE BEEM TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01467B ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $63.00 63.00 doc: Receiot -06 Printed: 06 -14 -2012 INSPECTION RECORD Retain a copy with permit 602'0111 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -367 Project: j Nkt*ro Type of Inspection: .0) f�O Address: Date Called: Special Instructions: j Date Wanted:. V2..7 4..m Requester: Phone No: ®Approved per applicable codes. COMMENTS: Corrections required prior to approval. ■ r fry Inspector: Date: 24%21 / +v. n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople l er Friendly Page 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 FREEDOM SYSTEMS INC 2062749946 114 Ave C Snohomish WA 98290 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602501473 Active FREEDSI9150A Electrical Contractor 8/26/2009 8/26/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status FREEDSI943DMFREEDOM SYSTEMS INC Electrical Contractor Limited Energy Unused 3/14/2006 3/14/2010 Expired Electrical Administrator INFORMATION License NORBEL "901 BD Name NORBERG, LUTHER Status Active Business Owner Information Name Role Effective Date Expiration Date BEEM, JIMMIE A Agent 08/26/2009 BEEM, JIMMIE A President 08/26/2009 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 WESTERN SURETY CO 69938973 07/07/2005 Until Cancelled $4,000.00 08/01/2005 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 06/14/2012