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HomeMy WebLinkAboutPermit EL12-1049 - WESTFIELD SOUTHCENTER MALL - STARBUCKSSTARBUCKS 506 SOUThCENTER MALL EL12 -1049 City ofiltukwila 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: 506 SOUTHCENTER MALL TUKW Project Name: STARBUCKS ELECTRICAL PERMIT Permit Number: EL12 -1049 Issue Date: 11/06/2012 Permit Expires On: 05/05/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: SHAWN BOWEN Address: 11715 SE 5 ST , BELLEVUE WA, 98005 Contractor: Name: TUBE ART DISPLAYS Address: 2730 OCCIDENTAL AVE S , SEATTLE, WA 98124 Contractor License No: TUBEADI110NH Phone: 206 223 -1122 Phone: 206 223 -1122 Expiration Date: 08/08/2013 DESCRIPTION OF WORK: INSTALL (2) ILLUMINATED SIGNS INSIDE MALL Value of Electrical: NRES: $2,000.00 Fees Collected: $115.50 RES: $0.00 Type of Fire Protection: SPRIN LERS /AFA 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 'th, National Electrical Code Edition: 2008 Date: aaelo_ d this permit and know the same to be true and correct. All provisions of law and ordinances hether 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 - • erformance of work. I am authorized to sign and obtain this electrical permit. r,f/ Signature: Print Name: Date: 1 1— -( 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 -1049 Printed: 11 -06 -2012 PERMIT CONDITIONS Permit No. EL12 -1049 * *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 arty 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 -1049 Printed: 11 -06 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us SITE LOCATION- 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: 5-0 (i4 cAsYre2- Tenant Name: King Co Assessor's Tax No.: do - I 1 (90 �� Suite Number: PM Floor: New Tenant: Yes ❑ ..No %fNiLl3 C ltc 5 Property Owners Name: „-rN yCA/Z fAAeN.U- '6 s 9.jr-��� -t�2 C�wD. c t A Mailing Address: City 'CONTACTPERSON; Who`do we.Contect,wfieri your permit is retidy io be Issued �":� Name: f 3 SKAL -tr- Mailing Address: wA '1% / State Zip Day Telephone: e 2Z. 1122- ice. .ft_ City State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: w�1 Do L-1€4 City Day Telephone: E -Mail Address:. Fax Number: Contractor Registration Number: TJ gtAA I( 0/4 ti Expiration Date: S State Zip Valuation of Project (contractor's bid price): $ 'L.iodoO • Scope of Work (please provide detailed information): (NS •4'44.4.k_ Lt_uGt/ 5 t Cat.) $ F9/2- S' c14- S - 5 I PE IMA Will service be altered? ❑ Yes fo Adding more than 50 amps? ❑ Yes ‹ Type of Use: Type of work: deNew ❑ 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 \4 -2007 - Electrical Permit Applice ion.doc bb Page 1 of 2 IDate Application Accepted: • • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits ... $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTE MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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 CONTRACTOR: Signature: Date: 1 f 4 6 Print Name: 6t4-064"0■S +■ Got Day Telephone ?ate t tat Mailing Address: City State Zip Date Application Expires: Staff Initials: HAApplications\Forns- Applications On Line14.2007 - Electrical Permit Application.doc bh Page 2 of 2 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.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -1049 Address: 506 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 11/06/2012 Applicant: STARBUCKS Issue Date: Receipt No.: R12 -03055 Initials: JEM User ED: 1165 Payment Amount: $115.50 Payment Date: 11/06/2012 11:38 AM Balance: $0.00 Payee: TUBE ART DISPLAYS, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2096 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 tine Per.Pint -OR PrintAti• 11 -OR -9019 Z- INSPECTION NO. INSPECTION RECORD Retain a copy with permit 61z-iolt7 PERMIT NO. ! CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 a ..t(206) 4.31- 3670 Permit Inspection Request Line (206) 431 -2451 Project: t rte/- s Type of. Inspection: /c/a Address: co (e r� Date Called: Special Instructions: Date Wanted:. �: � I (a .. , a:m. p.m. Requester: Phone No: 'Approved per applicable codes. E3Corrections required prior to: approval: COMMENTS: to.K. Inspector: bt4144 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be' paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectiori. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 C�r2-raY � 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: v �R�1e -+� S Type of Inspection: Ziov eD Ili 114610 IA) 6? dti rri i 644.1A1 D1044) Address: 50 to r /[ , / ` Date Called: Special Instructions: Sly Date Wanted: II1 a.m. p.m. Requester: ' Phone No: Approved per applicable codes. 191 Corrections required prior to approval. COMMENTS: k JiR A-4.4-055 C 1A1 ( itl -94"/S ' '\ 14SetY.R -) J D[ Altkm it! ,i �D51 eD Ili 114610 IA) 6? dti rri i 644.1A1 D1044) i Inspector: !j bAldef Date: (1/1i-ff./J.- 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 Prim 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 TUBE ART DISPLAYS INC 2062231122 11715 Se 5Th St Bellevue WA 98005 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 178073073 Active TUBEADI110NH Electrical Contractor 8/8/1989 8/8/2013 Sign Unused Master Electrician INFORMATION License HARGEJP9740S Name HARGETT, JEFFREY P Status Active Business Owner Information Name Role Effective Date Expiration Date KTC SERVICE CORPORATION, Agent 09/19/2003 2/17/2009 DUPAR, SKIP President 09/16/2003 $250.00 HARGETT, JEFFREY Secretary 09/16/2003 ELECTRICAL CITATION MONTERO, WILLIAM Vice President 01/01/1980 4/29/2011 SCHMOLL, DON ELECTRICAL CITATION 01/01/1980 09/16/2003 DUPAR, FRANK A III Agent 01/01/1980 09/16/2003 MAAS, WALTER M III Agent 01/01/1980 09/16/2003 COLLINS, JAMES Secretary 01/01/1980 09/16/2003 Bond Information Page 1 of 2 Bond 3 Bond Company Name TRAVELERS CAS & SURETY CO Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 103378976 08/08/2000 Until Cancelled $4,000.00 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EKENJ00252 2/17/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EKENJ00253 2/17/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ECHAE00604 4/29/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EROBA00544 11/4/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 https:// fortress .wa.gov /lni/bbip/Print.aspx 11/06/2012