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HomeMy WebLinkAboutPermit EL12-0837 - WESTFIELD SOUTHCENTER MALL - PAPAYA CLOTHINGPAPAYA CLOTHING 1060 SOTJTHCENTER MATT" EL1 2-0837 City ogukwila 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: 1060 SOUTHCENTER MALL TUKW Project Name: PAPAYA CLOTHING Permit Number: EL12 -0837 Issue Date: 09/07/2012 Permit Expires On: 03/06/2013 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 (1) BURGLAR ALARM WITH KEYPAD, (3) DOOR CONTACTS AT ENTRANCES, AND (3) MOTIONS COVERING DOORS. CONTACTS AND MOTIONS ARE WIRELESS SO A WIRELESS RECEIVER WILL ALSO BE INSTALLED Value of Electrical: NRES: $1,957.00 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 k Date: `I 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 performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: GQi'a--/tA "4-t7111M,7-1 Date: 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 -0837 Printed: 09 -10 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0837 * *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 -0837 Printed: 09 -10 -2012 City oiTukwila 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: 1060 SOUTHCENTER MALL TUKW Project Name: PAPAYA CLOTHING Permit Number: EL12 -0837 Issue Date: 09/07/2012 Permit Expires On: 03/06/2013 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 LLC Phone: 561 - 988 -3600 Address: 11824 N CREEK PARKWAY N, SUITE 105 , BOTHELL WA 98011 Contractor License No: ADTLLL *881D0 Expiration Date: 03/20/2014 DESCRIPTION OF WORK: INSTALL (1) BURGLAR ALARM WITH KEYPAD, (3) DOOR CONTACTS AT ENTRANCES, AND (3) MOTIONS COVERING DOORS. CONTACTS AND MOTIONS ARE WIRELESS SO A WIRELESS RECEIVER WILL ALSO BE INSTALLED. Value of Electrical: NRES: $1,957.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: I hereby certify that I have read and 4xam ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie 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 t e performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Wtt Date: 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 -0837 Printed: 09 -10 -2012 • PERMIT CONDITIONS Permit No. EL 12 -0837 * *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 -0837 Printed: 09 -10 -2012 City o0I'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 Parcel No.: 9202470010 Address: 1060 SOUTHCENTER MALL TUKW Project Name: PAPAYA CLOTHING Permit Number: EL12 -0837 Issue Date: 09/07/2012 Permit Expires On: 03/06/2013 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: r V I �V Name: Address: Contractor License No: L1vt-tAA � t ter, Phone: Expiration Date: OA 2.17(� 6{ DESCRIPTION OF WORK: INSTALL (1) BURGLAR ALARM WITH KEYPAD, (3) DOOR CONTACTS AT ENTRANCES, .AND (3) MOTIONS COVERING DOORS. CONTACTS AND MOTIONS ARE WIRELESS SO A WIRELESS RECEIVER WILL ALSO BE INSTALLED. Value of Electrical: NRES: $1,957.00 Fees Collected: $115.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and ex governing this work will be complied The granting construction, ,; e National Electrical Code Edition: 2008 Date: this permit and know the same to be true and correct. All provisions of law and ordinances ether specified herein or not. this permit does not pres e o give authority to violate or cancel the provisions of any other state or local laws regulating e o f wort I am authorized to sign and obtain this electrical permit. IP 1 4 enced within 180 days from the date of issuance, or if the work is suspended Signature: Print Name: Yc)a'n\e\r\� od,q 7 —IZ This permit shall become null and void if the work is not co or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0837 Printed: 09 -07 -2012 PERMIT CONDITIONS • Permit No. EL 12 -0837 * *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 -0837 Printed: 09 -07 -2012 CITY OF TUK Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • /] Electrical Permit No. j l,, L Ol Project No. 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 King Co Assessor's Tax No.: 9202470010 Site Address: 1060 Southcenter Mall Suite Number: Floor: Tenant Name: Papaya Clothing New Tenant: ❑ Yes PROPERTY OWNER Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD Name: Westfield Malls Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM Address: SAME AS SITE City: TUKWILA State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD City: PT. ROBERTS State: WA Zip: 98281 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Contr Reg No.: ADTSESI032O5 Exp Date: 09/25/2013 Tukwila Business License No.: 1'L, . g-17,11Q Valuation of Project (contractor's bid price): $ 1,957 Scope of Work (please provide detailed information): Site is inside Southcenter Mall. Scope of work is to install one Burglar alarm with keypad, 3 Door contacts at entrances and 3 motions covering doors. Contacts and motions are wireless so a wireless receiver will also be installed. Will service be altered? ❑ Yes IZI No • Adding more than 50 amps? ❑ Yes © No Type of Use: Commercial Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: . 0K Puget Sound Energy El Seattle City Light H: \Applications \Forms - Applications On Line\20I I Applications \Electrical Permit Application Revised 8-9 -I I.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 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 0 Signature: R R LECTRICAL CONTRACTOR: Print Name: THLEEN GENGE Mailing Address: 13,4,1 GULF RD Date: 09/07/2012 Day Telephone: (206) 774 -9499 PT. ROBERTS WA 98281 City H:\ Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 1 -9 -1 I.docx Revised: August 2011 bh State Zip Page 2 of 2 Citof 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 SET RECEIPT Copy Reprinted on 09 -07 -2012 at 11:34:54 09/07/2012 RECEIPT NO: R12 -02547 Initials: JEM User ID: 1165 Payee: NORTHWEST PERMITS INC, ADT ACCOUNT Payment Date: 09/07/2012 Total Payment: 178.50 SET ID: 09 -07 SET NAME: Temporary Set SET TRANSACTIONS: Set Member EL12 -0836 EL12 -0837 TOTAL: Amount 63.00 115.50 115.50 TRANSACTION LIST: Type Method Description Amount Payment Check 2168 178.50 TOTAL: 178.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 178.50 TOTAL: 178.50 INSPECTION RECORD 6443 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 r2t: (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Pfr?A1 A /1 1 Type of Inspection: 21,60 ' Addre o mu, ` Date Called: Special Instructions: QRequester: Date Wanted:. r / 0 a:m: Phone No: 'Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 11 Inspector: �11 Date: /0/ /12/ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City Of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Web site: http: / /www.TukwilaWA.gov REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: � 10 c /z Plan ChecWPermit Number: ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # 73 Revision # Z— after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: /GI' Project Address: 0170 Contact Person: 461 Summary of Revision: SwA �L(z dd3� hone Number: Za Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: ❑ Entered in Permits Plus on H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc Revised: May 2011 Contractors or Tradespeople Pf ter Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by L£tI 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 SECURITY SERVICES INC 2067190347 11824 North Creek Pkwy N #105 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601636830 Active ADTSESI03205 Electrical Contractor 9/25/1997 9/25/2013 Limited Energy Unused Other Associated Licenses License icense Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO Electrical Contractor Limited Energy Unused 6/9/1972 1/31/1990 Archived Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 01/01/1980 KOCH, JOHN B President 09/13/2011 BLEISCH, NELSON DAVID Secretary 09/13/2011 FAXAS, MAGIN ANTHONY Treasurer 09/13/2011 SNYDER, MICHAEL President 01/01/1980 09/13/2011 MONROZE, M BRIAN Secretary 06/15/2006 09/13/2011 FLANIGAN, TIMOTHY E Secretary 06/15/2006 09/13/2011 ABROMEIT, RICHARD H Treasurer 08/21/2003 09/13/2011 BOGGESS, JERRY R Secretary 01/01/1980 06/15/2006 DOHERTY, BERNARD J Secretary 01/01/1980 06/15/2006 RUZIKA, STEPHEN J Secretary 01/01/1980 06/15/2006 BECK, JAN S Secretary 01/01/1980 06/15/2006 DINIUS, DAVID Secretary 01/01/1980 06/15/2006 FINNEY, P GRAY Vice President 01/01/1980 06/15/2006 ROBINSON,MICHAEL A Treasurer 08/28/2001 08/21/2003 Bond Information https://fortress.wa.gov/lni/bbip/Print.aspx 09/10/2012 Contractors or Tradespeople Pf ter 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 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 *881 DO 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 09/07/2012