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HomeMy WebLinkAboutPermit EL12-0849 - WESTFIELD SOUTHCENTER MALL - SPECKLED FROGSPECKLED FROG 2800 SOUThCENTER MALL EL1 2-0849 Parcel No.: Address: City oikukwila 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: SPECKLED FROG Permit Number: Issue Date: Permit Expires On: EL12 -0849 09/11/2012 03/10/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: SUNG CHO Address: 8408 18 AV W #8 -105 , EVERETT WA, 982047 Contractor: Name: PRIMA ELECTRIC Address: 8408 18 AV W #8 -105 , EVERETT WA 98204 Contractor License No: PRIMAE *881JL Phone: 425 345 -3428 Phone: 425 345 -3428 Expiration Date: 04/19/2014 DESCRIPTION OF WORK: K -0310: INSTALL (8) 4" RECESSED CANS Value of Electrical: NRES: $1,000.00 Fees Collected: RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: 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 The granting of this permit does not pres construction or the performance of w9rk. Signature: Print Name: $96.60 2008 Date: V 1 k I I I I Z ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I any'authorized to sign and obtain this electrical permit. Date: VI (/i2-- This permit shall become null and voi i 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 -0849 Printed: 09 -11 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0849 * *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 m 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 -0849 Printed: 09 -11 -2012 CITY OF TUKWIIr+* Community Developmen. Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 lutp://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 ** Site Address: K o3 I a S C -- Matt Tenant Name: 9 w F Q. 4 �: "a'., .� a.,�,. : n �,.gR ��'y n +.c � �- u"'-.� rS�ME.. xd •�"II� crx 3�"w,v�,.., n *gym, �d6,.J 4.ri'..�i iF ty Name: -.5 l- -L D pRoPekil Address: o /vax i 306 q Q CityCA Zc � Stat Zipq 1 3 Name: C` (U' a! O Address: &408"--) 84_v\ v.) 44,2 _(O City: /E "�-E- State: wit Zip:g8aE� I Phone: (f%� .34.3r /Z8Fax: [ Email: I `� `f pr +tit 3 mot,\ . Cam King Co Assessor's Tax No.: 4 D-© 2--4--) 0 01 Suite Number: Floor: New Tenant: ❑ Yes K.. No Company Name: p Nn n eL„p , Address: g e+h Akre w 4 City: G\) State: WA 3 Fax: (6 ZipgQ�0 Phone fr (f p Contr Reg No.: , roaeika j LExp Date: 4./..101 cr Tukwila Business License No.; n9 ar . /7 /7 ) T Valuation of Project (contractor's bid price): $ 1 ,0 Scope of Work (please provide detailed information): I oAl rg 8 C e gb+) 4-" Cans Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel X Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes No 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 bh 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 TRACTOR: Signature:�� Print Name: Mailing Address: Crj C-120 Day Telephone: 7q? 1 dh Ave- W t? -Pr 61-ereffr, City H \ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 6 > I 3 -8 kitzi State Ztp 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 -0849 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/11/2012 Applicant: SPECKLED FROG Issue Date: Receipt No.: R12 -02576 Payment Amount: $96.60 Initials: JEM Payment Date: 09/11/2012 10:30 AM User ID: 1165 Balance: $0.00 Payee: SUNG H CHO, PRIMA ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 07782S ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 09 -11 -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) 4.31 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 'c5 p - rt kdili Type of Inspection:< - 2100 Address: 6° M� � l �. �T vl / Date Called: Special Instructions: to r 3 U Date Wanted ,o a.m :p .m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. t8 COMMENTS: (") nspector: ` f. e 1,E4/6/4,\ C n REINSPECTION FEE REQUIRED. Prior to next inspection . fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection._ Date: Contractors or Tradespeople Peer 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 PRIMA ELECTRIC 4253453428 8408 18Th Ave W #8 -105 Everett WA 98204 Snohomish Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601353703 Active PRIMAE'881 JL Electrical Contractor 4/19/2012 4/19/2014 General Unused ciated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HOUSEE'924JQ HOUSE ELECTRIC Electrical Contractor General Unused 4/18/2008 4/18/2012 Expired Electrical Administrator INFORMATION License CHO'SSH929JH Name CHO, SUNG H Status Active Business Owner Information Name Role Effective Date Expiration Date CHO, SUNG H Owner 04/13/2012 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 Contractors Bonding & Insurance Co SH4438 04/10/2012 Until Cancelled $4,000.00 04/13/2012 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 09/11/2012