HomeMy WebLinkAboutPermit EL12-0792 - WESTFIELD SOUTHCENTER MALL - PLAY LIVEPLAYLIVE
1230 SOUTHCENTER MALL
EL1 2-0792
City RTukwila
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
Parcel No.: 9202470010
Address: 1230 SOUTHCENTER MALL TUKW
Project Name: PLAY LIVE
Permit Number: EL12 -0792
Issue Date: 08/22/2012
Permit Expires On: 02/18/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: JENNIFER BURGESS Phone: 206 - 774 -9499
Address: 1345 GULF RD , POINT ROBERTS WA, 98281
Contractor:
Name: ADT SECURITY SERVICES INC Phone: 206 -719 -0347
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2013
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE SECURITY SYSTEM
Value of Electrical:
NRES: $479.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $75.60
National Electrical Code Edition: 2008
Date:
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 pr the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: d--zz -
Print Name: !/V (U(Yet,/ A d rogYt
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 -0792 Printed: 08 -22 -2012
PERMIT CONDITIONS
Permit No. EL12 -0792
* *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 -0792 Printed: 08 -22 -2012
CITY OF TUKW)'" .
Community Developmen, Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.g,ov
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:
130
Auti
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name: l el -K
Phone:
Valuation of Project (contractor's bid price): $ 'i
Scope of Work (please provide detailed information):
State: /_ f Zip:
r ax
1 pv L' -n Date:
Tukwila Business License No.;
'1 lad i/1
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: (O✓vi/n' fZ . '7
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
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Page 1 of 2
Name: 2.
Address: 1230
Sri
/ 1 P
City: m Z 4, kr/
State: iiit4 Zip: p ip 14
Phone:
Valuation of Project (contractor's bid price): $ 'i
Scope of Work (please provide detailed information):
State: /_ f Zip:
r ax
1 pv L' -n Date:
Tukwila Business License No.;
'1 lad i/1
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: (O✓vi/n' fZ . '7
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
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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 CO ► !
Signature:
Print Name: h/ 10.,/`� Q (AP/�
Mailing Address: 1 3 "(. .
Day Telephone:
Fahme-
Cityf�S
H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Date:
a�'lz�/Z�l
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 -0792
Address: 1230 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/22/2012
Applicant: PLAY LIVE Issue Date:
Receipt No.: R12 -02417
Payment Amount: $75.60
Initials: WER Payment Date: 08/22/2012 11:48 AM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMIT INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8274 75.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
doc: Receiot -06 Printed: 08 -22 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT: NO.
CITY OF TUKWILA BUILDING DIVISION .
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
PL4 z/ 4 /vim-
Type of Inspection: .
Troy') L- _zie) c:) =. -T:'
Address:
/.,2 3u 5d)ro'l?- JT(-4 iHi- -7
Date Called:
Special Instructions:
Date Wanted:.
_.2 4-if— 2 :
..a.m.
p.m.
Requester:
Phone No:
)PProved per applicable codes.
Corrections required prior to approval.:
COMMENTS:
ri d 03 �-e �� - - &i� '
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Inspector:
Date:_
,
•
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee -must be:.
pail at(6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Palter Friendly Page
•
Electrical Contractor
A business licensed by LEtI 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
ADT LLC
5619883600
11824 N Creek Parkway, N,
Ste 105
Bothell
WA
98011
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603190246
Active
ADTLLL'881DO
Electrical Contractor
3/20/2012
3/20/2014
Limited Energy
Unused
Electrical Administrator INFORMATION
License NICKOT'902DA
Name NICKOLS, TIM
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GURSAHANEY, NAREN K
Partner /Member
03/20/2012
BELEISCH, NELSON D
Partner /Member
03/20/2012
TULSYAN, RAVI
Partner /Member
03/20/2012
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
Federal Ins Co
82295435
03/01/2012
Until Cancelled
$4,000.00
03/20/2012
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 08/22/2012