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Home My WebLink AboutPermit EL12-0776 - WESTFIELD SOUTHCENTER MALL - MUCHO BURRITOMUCHO BURRITO 971 S OIJTHCENTER MALL EL1 2-0776 City okukwila • 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 -0776 Issue Date: 08/16/2012 Permit Expires On: 02/12/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: JEFF WADZINSKI Address: 18524 SE216 ST , RENTON WA , 98058 Contractor: Name: ILLUMINATIONS NORTHWEST Address: 18524 SE 216 ST , RENTON WA 98058 Contractor License No: ILLUMN *922CD Phone: 425 - 433 -8646 Phone: 425 - 433 -8646 Expiration Date: 03/05/2014 DESCRIPTION OF WORK: INSTALLATION /CONNECTION OF 3 SIGNS (ONE WALL MOUNTED OUTSIDE PUBLIC ENTRANCE, 2 INSIDE TENANT SPACE) Value of Electrical: NRES: $700.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET S Permit Center Authorized Signature: RGY Fees Collected: National Electrical Code Edition: I hereby certify that I have read and examined this pe t 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 erform_ anceeoo ork. I a uthorized to sign and obtain this electrical permit. Q j Signature:� G� ( Date: U ~ I ' Q ! Date: $84.00 2008 Print Name: u )241- ey/ SL,t 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 -0776 Printed: 08 -16 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0776 * *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 -0776 Printed: 08 -16 -2012 CITY OF TUKWIkil Community Developme. 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 ** qr ' ` ,, t King Co Assessor's Tax No.: Site Address: 7( cv,.�VNG- Y�ltdV �t.�.I��vci�4 tvl Suite Number: Floor: Tenant Name: fU uc�n� �f; 7Ci e `c' Name: Address: City: State: Zip: ■0 f /�.m:S `Name: /, e0,1er /lam Ma // � J/ bt_ Address: 71 19 e�4f- City: /,��/ /�c�� State: , K r Zip: 9Q,g O Phone: Fax: PhonEp�_41 33 „ Fax: Email: Contr Reg No.: p Date• New Tenant: 2. Yes ❑.. No (fa Hl 14&tt. 7E44- L3c-el z� kt" s e ✓l 4 ''1 t O cx2, Valuation of Project (contractor's bid price): $ 700 Scope of Work (please provide detailed information): i -// 3 - LW Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes 21.- No Type of Use: Type of work: rti 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: \ApplicationsTorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised August 2011 bh Page 1 of 2 Company Name: _if )% � 1 /1t e m� Hsi`/ C9YlS .1-4 J/ bt_ Address: a /4�(L 14, q City: ` 1 State: 4 Zip:9p PhonEp�_41 33 „ Fax: Contr Reg No.: p Date• Tukwila Business License No.; (fa Hl 14&tt. 7E44- L3c-el z� kt" s e ✓l 4 ''1 t O cx2, Valuation of Project (contractor's bid price): $ 700 Scope of Work (please provide detailed information): i -// 3 - LW Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes 21.- No Type of Use: Type of work: rti 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: \ApplicationsTorms- 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 $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.AgP�PLICATIO NNOT .Yw`.- K'�+',:"':8't. .yf•ryi�a61...1,`;�7k<°a .. 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: Date: Print Name: 0- y G(A2-6,44,I /7 Day Telephone: LA26- — $ D ^c 7 3 3 Mailing Address: �� City H:\Applicalions\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 -0776 Address: 971 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 08/16/2012 Applicant: MUCHO BURRITO Issue Date: Receipt No.: R12 -02367 Initials: User ID: Payee: TLS 1670 Payment Amount: $84.00 Payment Date: 08/16/2012 09:59 AM Balance: $0.00 JEFFFFREY 0 WADZINSKI ILLUMINATIONS NW TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 042797 ACCOUNT ITEM LIST: Description 84.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 08 -16 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ;ti„ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 6-11- 6776 Project: .Adli' i� Type of Inspection: �r0 J Address: �� Date Called: ' — Special Instructions: Date Wanted:. ? /Z5 fa • Requester: f Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: eety mg-De, J /r7 Inspector: r t Date: 0745112--- n REINSPECTION FEE REQUI ED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. l INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6t4o77( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670. Permit Inspection Request Line (206) 431 -2451 44 -- Project: Jccl.i Type of Inspection: Gov Address: 1 x'71 r ktk, Date Called: , _ Special Instructions: x Date Wanted:. 7/24 (m. p'.s Requester: Phone No: Approved per applicable codes. giCorrections required prior to approval. COMMENTS: StJ'iGt4 jZ - QJt&t9 Ev& e to SfL,J a4►9 &RoF Inspector: Date: ov 1L' 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 Peer 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 ILLUMINATIONS NORTHWEST UBI No. 601538431 Phone 4254338646 Status Active Address 18524 Se 216Th St License No. ILLUMN*922CD Suite /Apt. License Type Electrical Contractor City Renton Effective Date 2/4/2008 State WA Zip 980580420 County King Business Type Individual Parent Company Expiration Date. 3/5/2014 Suspend Date Specialty 1 Sign Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHE'066K6 NORTHWESTERN EXPOSURE Electrical Contractor Sign Unused 5/2/1994 5/2/2000 Archived Electrical Administrator INFORMATION License WADZIJ'932OF Name WADZINSKI, JEFFREY Status Active Business Owner Information Name Role Effective Date Expiration Date WASZINSKI, JEFFREY 0 Owner 02/04/2008 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 3 American Contractors Indem CO 100188627 02/24/2012 Until Cancelled $4,000.0003/05/2012 2 PLATTE RIVER INS CO CLB2710757 12/13/2008 Until Cancelled 05/01/2012 $4,000.0001/12/2009 1 AMERICAN CONTRACTORS INDEM CO 100038687 12/13/2007 Until Cancelled 01/19/2009 $4,000.00 12/20/2007 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 08/16/2012