HomeMy WebLinkAboutPermit EL12-0814 - BEST BUY - MOBILEBEST BUY MOBILE
17250 SOUTHCENTER PKWY
STE 116
EL12 -0814
City ofkI'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
Parcel No.: 7888920020
Address: 17250 SOUTHCENTER PY TUKW
Project Name: BEST BUY
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0814
08/27/2012
02/23/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA 98006
CHUCK BROWN Phone: 206 391 -9977
11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL WA, 98011
Contractor:
Name: POWERCOM INC Phone: (425)489 -8549
Address: 11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL WA 98011
Contractor License No: POWERI *006LH Expiration Date: 06/08/2014
DESCRIPTION OF WORK:
SUITE 116: INSTALLATION OF VOICE /DATA/CCTV /PAGING CABLING
Value of Electrical: NRES: $1,300.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Fees Collected:
National Electrical Code Edition:
$115.50
2008
Permit Center Authorized Signature: ( � Date: 0/4 2-1) [VI-
I hereby certify that I have read an
governing this work will be compli
ex.
d wit
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 - e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: 0.--)Ive..k ,J r tvtn
Date: g 2g 10
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 -0814
Printed: 08 -28 -2012
• PERMIT CONDITIONS
Permit No. EL 12 -0814
* *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 -0814 Printed: 08 -28 -2012
City oilltukwila •
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: 841 SOUTHCENTER MALL TUKW
Project Name: BEST BUY
ELECTRICAL PERMIT
Permit Number: EL12 -0814
Issue Date: 08/27/2012
Permit Expires On: 02/23/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: CHUCK BROWN Phone: (206)391 -9977
Address: 11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL WA, 98011
Contractor:
Name: POWERCOM INC Phone: (425)489 -8549
Address: 11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL WA 98011
Contractor License No: POWERI *006LH Expiration Date: 06/08/2014
DESCRIPTION OF WORK:
INSTALLATION OF VOICE /DATA/CCTV /PAGING CABLING
Value of Electrical: NRES: $1,300.00 Fees Collected: $115.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date:
o/2 7//2
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 or the perforapcegwoylg. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
.(%/0-ra,
Date: r-; 7- ( 2
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 -0814 Printed: 08 -27 -2012
PERMIT CONDITIONS
Permit No. EL12 -0814
* *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 -0814 Printed: 08 -27 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, W.4 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
Ala -okay
(2j 7/j3
(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:
Tenant Name:
&Y!
-1-74043 South Center Mall
Best buy
PROPERTY OWNER
Name: ,- C tY r)
Address: Q; j1' GC At
City: o(cmv State: /t, Zip:Qij(�
CONTACT PERSON — person receiving all project
communication
Name: Chuck Brown
Address:
City: State: Zip:
Phone: (206) 391 -9977 Fax:
Email:
King Co Assessor's Tax No.: 1210 D41 CO V°
Suite Number: 128 Floor:
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PowerCom Inc.
Address: 11824 North Creek Parkway N Suite 103
City: Bothell State: WA Zip: 98011
Phone: (425) 489 -8549 Fax: (425) 487 -1035
?font Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ /300'`r'
Scope of Work (please provide detailed information):
Installation of Voice/Data/CCTV /Paging cabling
Will service be altered? ❑ Yes FA No Adding more than 50 amps? ❑ Yes ® No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service
Pro a erved b :
Puget Sound Energy ❑ Seattle City Light
H:\ApplicationsWorms- Applications On Line t20I 1 Applications\Electncal 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 $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, fumace 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 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.
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:
Bill Anderson
Date: 08/26/2012
Day Telephone: (425) 489 -8549
Mailing Address: 11824 North Creek Parkway N Suite 103 Bothell WA 98011
City
H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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 -0814
Address: 841 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/27/2012
Applicant: BEST BUY Issue Date:
Receipt No.: R12 -02466
Payment Amount: $115.50
Initials: LAW Payment Date: 08/27/2012 03:28 PM
User ID: 1632 Balance: $0.00
Payee: POWERCOM INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 681850
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 08 -27 -2012
INSPECTION RECORD
etain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 y =, _-'•`x(206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
R
64 -opt
Project: I
if
Type of Inspection::
NO
Address : (
i sl.) 5 t - Pi
Date Called:
r.
Special In tructions:
ib-AT-A- CC/n/
Date Wanted
a m,
(f . p.m.
Requester:
Phone No:
(Approved per applicable codes. Ei Corrections required prior. to approval.
I
COMMENTS:
Inspector:
1
n REINSPECTION FEE REQUIRED. Prior to next inspectioni:fee•must.be..':
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule f. einspection:.''
• 1
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.ci.tukwila.wa.us
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: Plan Check/Permit Number: EL 12 -0814
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
® Revision # 1 after Permit is Issued Irttilf LA
❑ Revision requested by a City Building Inspector or Plans Examiner AUG 2 8 1012
Project Name: Best Buy
Project Address: 17250 Southcenter Py, Ste 116
Contact Person: Chuck Brown Phone Number: 206 391 -9977
Summary of Revision:
PeRMir CErre i
Address needs to be updated from 841 Southcenter Mall to
17250 Southcenter Py, Ste 116. We were given the wrong address.
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by: iv
Entered in Permits Plus on
i
\applications \forms- applications on line\revision submittal
Created: 8 -13 -2004
Revised:
Contractors or Tradespeople Printer Friendly Page
•
•
Page 1 of 2
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
POWERCOM INC
4254898549
11824 North Creek Parkway N
SUITE 103
Bothell
WA
98011
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602030026
Active
POWERI "006LH
Electrical Contractor
6/8/2000
6/8/2014
Telecommunications
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
POWERI *937MJ
POWERCOM
INC
Electrical
Contractor
Limited
Energy
Unused
7/10/2007
7/10/2013
Active
POWERI *922KR
POWERCOM
INC
Electrical
Contractor
General
Unused
4/28/2008
4/28/2012
Expired
POWERI*994PK
POWERCOM
INC
Electrical
Contractor
General
Unused
10/12/2001
10/12/2005
Out Of
Business
Electrical Administrator INFORMATION
License ANDERWF89ORM
Name ANDERSON, WILLIAM F 111
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ELEVEN - FOURTEEN INC
Agent
01/01/1980
ANDERSON, WILLIAM
President
12/20/2011
CARITTHERS, ROB
Secretary
12/20/2011
THOMPSON, COLIN P
Secretary
01/01/1980
PARTRIDGE, KEN J
01/01/1980
12/20/2011
MORGAN, GENE R
President
01/01/1980
08/31/2005
Bond Information
https: // fortress .wa.gov /lni/bbip/Print.aspx
08/27/2012