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HomeMy WebLinkAboutPermit EL12-1081 - WESTFIELD SOUTHCENTER MALL - OLYMPIC PARKING GARAGEWESTFIELD MALL OLYMPIC PARKING GARAGE 2800 SOUTHCENTER MALL EL12 -1081 Parcel No.: Address: City oPi'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 9202470010 2800 SOUTHCENTER MALL TUKW Project Name: WESTFIELD MALL - OLYMPIC PARKING GARAGE Permit Number: Issue Date: Permit Expires On: EL12 -1081 11/15/2012 05/14/2013 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 ti CHUCK GEORGE Phone: 206 510 -9307 405 EVANS BLACK DR , TUXWILA WA, 98188 Contractor: Name: WESTOWER COMMUNICATIONS INC Address: 9961 SYDNEY HAYES RD , ORLANDO FL 32824 Contractor License No: WESTOCI975J8 Phone: 407 - 852 -1755 Expiration Date: 12/14/2012 DESCRIPTION OF WORK: PROVIDE (1) 50 AMP CIRCUIT FOR LTE POWER CABINET. 1 1/4" CONDUIT WITH #6 WIRE. Value of Electrical: NRES: $3,600.00 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 ex governing this work will be complied v, th, vrhether specified herein or not. $157.50 2008 Date: 1 l T(I 2 d this permit and know the same to be true and correct. All provisions of law and ordinances 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 a - to sign and obtain this electrical permit. Signature: Date: Print Name: . /�c�r -•z /� �n O�L°ia�y 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 -1081 Printed: 11 -15 -2012 • PERMIT CONDITIONS • Permit No. EL 12 -1081 * *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 -1081 Printed: 11 -15 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://vvww.TukwilaWA.gov Electrical Permit No. €L'\'L\ 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.: 2-WV1 W (,J Site Address: 633 Southcenter Mall, Tukwila Wa. 98188 Suite Number: Floor: New Tenant: ❑ Yes 1..No Tenant Name: Verizon PROPERTY OWNER Name: l /PG� 6 4-4/ e°t e i Address: / e t°4f p QG/- ,i Name: Verizon Phone: , 5/0 ?Y 7 Fax: Email: G C &7, e & le%s )/e,- . co,--,, Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: l /PG� 6 4-4/ e°t e i Address: / e t°4f p QG/- ,i T //c- ��yy City: /vlC/.�`iE State: tr/q Zip: ymeo Phone: , 5/0 ?Y 7 Fax: Email: G C &7, e & le%s )/e,- . co,--,, ELECTRICAL CONTRACTOR INFORMATION Company Name: Westower Communications Address: 405 Evens- black Dr City: Tukwila State: wa Zip: 98188 Phone: (206) 391 -2531 Fax: Contr Reg No.: W1 5 TOGI g7,5J xp Date: 12 ...// ...2. /2 Tukwila Business License No.:a o9935-73 Valuation of Project (contractor's bid price): $ 3 b 00 Scope of Work (please provide detailed information): -_/ Ca 6/%11 1 e. e// ►.�/ f� f ve �O 4,7 c9 CC'/ / Poi LTE Will service be altered? ❑ Yes Qf No Adding more than 50 amps? ❑ Yes LY No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm m Telecommunication ❑ Temporary Service Property Served by: M Puget Sound Energy ❑ Seattle City Light H:Wpplications\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 $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 $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 47.-e/ Mailing Address: - z -e,i S b 4c1c- v� H:\Applications\Forms- Applications On Line \201 I Applications\Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh Date: // —' /$ -2d/ Day Telephone: 0o,6 2 '/ 2 / T�C1. City Gr/a 18478 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 -1081 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 11/15/2012 Applicant: WESTFIELD MALL - OLYMPIC PARKING GARAGE Issue Date: Receipt No.: R12 -03123 Payment Amount: $157.50 Initials: JEM Payment Date: 11/15/2012 12:23 PM User ID: 1165 Balance: $0.00 Payee: SAMUEL E RONDEAU TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 021205 ACCOUNT ITEM LIST: Description 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 ("Inn' PPrPint -OR PrintMrl. 11- 1.F -9f11' 6,12-101I INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY. OF.TUKWILA BUILDING DIVISION 6300 ;Southcenter Blvd., #100, Tukwila. WA 98188 4�, (206) 431 -3670 ;Permit Inspection Request Line (206) 431 -2451 Project: fe._,,- i ,!•��) �Y'/_'pf�/��'',r Type of Inspection: Address: IIAA rtiV Date Called: Special Instructions Date Wanted:. `3 ( /Gj a.m p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Date: D all3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • • VeriMiwireless SITE DATA FORM MARKET SERVED (MSA /RSA): SEATTLE SITE NAME: SOUTH CENTER DAS CELL #: 0387 SWITCH: REDMOND - 04 SITE PHONE #: N/A FCC ID: TBD IVR / STATE: 57 -04 -0387 SITE ADDRESS: 633 SOUTHCENTER MALL, TUKWILA WA 98188 orniog %eon DIRECTIONS: FROM VERIZON OFFICE G0: `^ NOV - 52012; 1. DEPART 15900 SE EASTGATE WAY, BELLEVUE, WA 98008 ptRMiI 2. TAKE RAMP FOR 1 -90 WEST TO SEATTLE C� 3. TAKE 1405 SOUTH TO EXIT 1, HWY 181 4. SOUTH ON HWY 181 TO STRANDER BLVD 5. RIGHT ON STRANDER BLVD TO ANDOVER PARK WEST 6. RIGHT ON ANDOVER PARK WEST TO SOUTHCENTER MALL 7. LEFT ON SOUTHCENTER MALL TO SITE. 6. SITE IS LOCATED IN THE CENTER OF THE PARKING GARAGE SW CORNER OF THE MALL PROPERTY. COMBO TO THE DOOR IS: HOLD DOWN BUTTONS #2 & #4 AT THE SAME TIME. LET GO AND THEN PRESS #3. DOOR CAN THEN BE OPENED. FIRE DEPT #: (206) 575 -4404 / 911 POLICE DEPT #: 206 433 -1808 / 911 POWER COMPANY: PSE PHONE: N/A METER #: owner read check meter GENERATOR: N/A TYPE: N/A TOWER LIGHTING REQUIREMENTS TOWER LIGHTS EQUIPPED? : N/A LATTITUDE: N47 27' 28.97" N, LONGITUDE: 122 15' 37.41" W ANT. HEIGHT: MULTIPLE ELEVATIONS IN MALL ELEV: 32' GROUND LEVEL Contractors or Tradespeople Pr er Friendly Page • General /Specialty Contractor A business registered as a construction contractor with LEI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name WESTOWER COMMUNICATIONS INC UBI No. 601979870 Phone 4078521755 Status Active Address 9961 Sidney Hayes Rd License No. WESTOCI975J8 Suite /Apt. License Type Construction Contractor City Orlando Effective Date 4/28/2003 State FL Expiration Date 12/14/2012 Zip 32824 Suspend Date County Out Of State Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SPECTNS983B2 SPECTRASITE NETWORK SRVCS INC Construction Contractor General Unused 1/22/2002 12/7/2004 Archived SPECTC1011RN SPECTRASITE CONSTRUCTION INC Construction Contractor General Unused 12/15/1999 12/7/2002 Archived WESTOCI0770C WESTOWER COMMUNIC COMMUNICATIONS INC Construction Contractor General Unused 9/3/1993 6/1/2000 Archived Business Owner Information Name Role Effective Date Expiration Date PAYNE, CALVIN JAY Director 03/07/2011 Amount JARVIS, MIKE ARTHUR President 01/26/2011 20ECS000527 CARR, MICHAEL DOUGLAS Treasurer 01/26/2011 BARKER, J JOHN EDWARD Vice President 01/26/2011 HARTFORD FIRE INS CO MARTINICH, MATTHEW Vice President 08/04/2003 01/26/2011 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 HARTFORD FIRE INSURANCE 52BSBAD6506 04/02/2003 Until Cancelled $12,000.00 04/28/2003 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 5 Hartford Casualty Ins Co 20ECS000527 12/31/2011 12/31/2012 $1,000,000.00 01/13/2012 4 HARTFORD FIRE INS CO 20ECSQU527 12/31/2007 12/31/2011 $1,000,000.0012 /20/2010 3 TWIN CITY FIRE 2QUENQUO522 12/31/2005 12/31/2007 $1,000,000.0001 /02/2007 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions /Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 11/15/2012