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HomeMy WebLinkAboutPermit EL12-0749 - WESTFIELD SOUTHCENTER MALLWESTFIELD MALL 2800 SOUThCENTER MALL EL1 2-0749 Parcel No.: Address: City olit'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 ELECTRICAL PERMIT 9202470010 2800 SOUTHCENTER MALL TUKW Project Name: WESTFIELD MALL Permit Number: Issue Date: Permit Expires On: EL12 -0749 08/09/2012 02/05/2013 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: PAUL LANDRO Address: PO BOX 799 , MARYSVILLE WA, 98270 Contractor: Name: H & M ELECTRIC INC Address: 918 CEDAR , MARYSVILLE WA 98270 Contractor License No: HMELEI *077KR Phone: 425 232 -9807 Phone: 360- 658 -0501 Expiration Date: 05/19/2013 DESCRIPTION OF WORK: DISCONNECT (3) HVAC UNITS, INSTALL NEW DISCONNECT FOR (3) NEW UNITS WITH DUCT DETECTORS. Value of Electrical: NRES: $16,000.00 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 governing this work will be complie Fees Collected: National Electrical Code Edition: $367.70 2008 Date:[ 01 L 12 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not p constructiort� the�perfcifhtance �f work. Signature: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Print Name: ?A) ( IA-002o Date: g4-12- 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 ELI2 -0749 Printed: 08 -09 -2012 PERMIT CONDITIONS Permit No. EL 12 -0749 * *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 -0749 Printed: 08 -09 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. EL12- D"111i otA 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 Site Address: King Co Assessor's Tax No.: /� Suite Number: Floor: Rqp 2 $Ov 50f 4 479L Pf.0I,_* Tenant Name: u etf-P; « New Tenant: ❑ Yes gf..No PROPERTY OWNER Company Name: �T 1t tM Ef ., C Name: O w416.4-Ti , City:M ,,/� State: 4)4 zip ar3v, g270 Address: u300 , go Ma it City: TV (r 1(A.. State: itJ,� zip :QQf Og CONTACT PERSON person receiving all project communication Company Name: �T 1t tM Ef ., C Name: f k. 1 . A . 1 4 0 , , City:M ,,/� State: 4)4 zip ar3v, g270 Address: Pa boo< 7T q Contr Reg No. pituzz, *077K RExp Dates. /9 / ` Zip4F City: /1441,6w, ge State: 6 ✓ ,0 Phones Z3?. %h D% Fa36a4ryU"6S 22 Email:1)4d1gl n&Ec 16001 ELECTRICAL CONTRACTOR INFORMATION` Company Name: �T 1t tM Ef ., C Address: 0. f f? K 7q'T er City:M ,,/� State: 4)4 zip ar3v, g270 Phone l /C019S m f Fa( 360) 6S-23-0S-0/ Contr Reg No. pituzz, *077K RExp Dates. /9 / ` Tukwila Business License No.: a r ,t 021/4 0 4 01 Valuation of Project (contractor's bid price): $ /6600 :WM Scope of Work (please provide detailed information): pt Ntiw� (3) wuAG )41; J L1441(Vew Id buc- '1 pe- rs Will service be altered? ❑ Yes gr. No Adding more than 50 amps? ❑ Yes jef No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 18, Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator 121. Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: .g Puget Sound Energy ❑ Seattle City Light H:' ppli cations \Forms-Applications On Line\201 I Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Page 1 of 2 RESI DENTIAL 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 CHANCES ❑ 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 ❑ Manufacturedhnobile 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. 1 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: Date: 8'-q—/ Print Name: NO( I ' 6L' Day Telephone: 0_12s—) 6 2 32-igo7 Mailing Address: Po [SOX ? ( flaAftsud ��P City H:\Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 201 1 bh cu4 q8 270 State Zip Page 2 of 2 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 -0749 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 08/09/2012 Applicant: WESTFIELD MALL Issue Date: Receipt No.: R12 -02322 Payment Amount: $367.70 Initials: JEM Payment Date: 08/09/2012 10:26 AM User ID: 1165 Balance: $0.00 Payee: DAN NEUHARTH, H -M ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 21906G ACCOUNT ITEM LIST: Description 367.70 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 367.70 Total: $367.70 doc: Receiot -06 Printed: 08 -09 -2012 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. , - CITY OF TUKWILA BUILDING DIVISION : 6300 Southcenter Blvd., #100, Tukwila. WA 98188 cr_ (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 42. -v7'5r Project: (U /�s;'f =. €tom m4i.L. Type of Inspection: /7:-..,Z-A./.,94.. - 2 /Ga.C.i :" Address: v 3C j5(17 /7-/-1f "cam .4 /) I,! Date Called: // - Special Instructions: Date Wanted:. (a.m.. Requester: Phone No: �25 -7-272C) « ,E1 Approved per applicable codes. Corrections required: prior to approval COMMENTS: `�� �3 bo • >fria,L0 0 /7 I l // i 1 // Inspectorki I (/ . /lam v V . I REINS F ECTION FEE REQUIRED. Prior to next inspection fee must be paid(at /6300 Southcenter Blvd., Suite 100. Call to schedule reinspection:' Contractors or Tradespeople Prier 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 H & M ELECTRIC INC 3606580501 Po Box 799 Marysville WA 98270 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601461695 Active HMELEI'077KR Electrical Contractor 5/19/1993 5/19/2013 General Unused Electrical Administrator INFORMATION License MCCANJF077LF Name MCCANN, JOSEPH F Status Active Business Owner Information Name Role Effective Date Expiration Date CHMELIK, SITKIN & DAVIS PS Agent 04/19/2001 Bond Amount MCCANN, KENNETH F President 01/01/1980 6606716 MCCANN, JOSEPH F Vice President 01/01/1980 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 4 FIRST NATIONAL INSURANCE COMPA 6606716 12/13/2008 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 12/18/2008 3 COLONIAL AM CAS & SURETY OF MD LPM4061956 06/24/2002 Until Cancelled 12/14/2008 $4,000.0007/16/2002 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 ESHA000373 3/22/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOUD00654 6/13/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 08/09/2012