HomeMy WebLinkAboutPermit EL12-1164 - WESTFIELD SOUTHCENTER MALL - SKECHERSSKECHERS
816 SOUThCENTER MAIL
EL12-1 164
City ofTukwila •
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.zov
Parcel No.: 9202470010
Address: 816 SOUTHCENTER MALL TUKW
Project Name: SKECHERS
ELECTRICAL PERMIT
Permit Number: EL12 -1164
Issue Date: 12/13/2012
Permit Expires On: 06/11/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: FE MORAN
Address: 33341 KELLY RD , FRASER MI, 48026
Contractor:
Name: WHITE SECURITY SYSTEMS INC
Address: 1921 PALOMINO DR , BOTHELL WA 98012
Contractor License No: WHITESSO44JP
Phone: 586 - 228 -5788
Phone: 425 - 402 -0366
Expiration Date: 06/14/2014
DESCRIPTION OF WORK:
INSTALL BURGLAR ALARM SYSTEM
Value of Electrical: NRES: $200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$63.00
National Electrical Code Edition: 2008
Date: 1 l— 3 14_
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:
Date: / -/3 -/ Z
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 -1164 Printed: 12 -13 -2012
• PERMIT CONDITIONS
Permit No. EL12 -1164
* *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 -1164 Printed: 12 -13 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No
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 **
`SITELOCATION:
Site Address: 816 Southcenter Mall
Skechers #230
Tenant Name:
PROPERTY OWNER
Name: FE MORAN, JENNI GUARINO
Address: 33341 KELLY ROAD
Name:
Phone: (586) 228 -5788 Fax: (586) 228 -5758
Email:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: FE MORAN, JENNI GUARINO
Address: 33341 KELLY ROAD
City: FRASER State: MI Zip: 48026
Phone: (586) 228 -5788 Fax: (586) 228 -5758
Email:
King Co Assessor's Tax No.:
Suite Number: 1140 Floor:
New Tenant: ® Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: White Security Systems
Address: 1921 Palomino Drive
City: Bothell State: WA Zip: 98012
Phone: (425) 402 -0366 Fax: (425) 483 -5210
Contr Reg No.: WHITESSO44JP Exp Date: 04/20/2003
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 200
Scope of Work (please provide detailed information):
INSTALL OF BURGLAR ALARM SYSTEM
Will service be altered? ❑ Yes I21 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes No
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
n:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 0- 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, 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: \� % �'l Date: I Or- .4"- 0
Print Name: !�a Day Telephone: (425) 402 -0366
Mailing Address: 1921 Palomino Drive Bothell WA 98012
City
H:\ Applications \Forms - Applications On Line\20I 1 Applications\Electrical Permit Application Revised 8 -9 -1 I.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 -1164
Address: 816 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 12/13/2012
Applicant: SKECHERS Issue Date:
Receipt No.: R12 -03318 Payment Amount: $63.00
Initials: WER Payment Date: 12/13/2012 09:10 AM
User ID: 1655 Balance: $0.00
Payee: WHITE SECURITY SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 7164 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
rinr•.• Rer int -(1R
Printarl• 17- 13_9(117
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: Dac-�f ek5
Type of Inspectio •
WOO
1
Address:
Date Called:
Special Instructions:►
Date Wanted:.
!
(p.nirn)
Requester:
Phone No
121Approved per applicable codes.
COMMENTS:
Corrections required prior t� approval.
Inspector:
Date:
/Z IGl
n REINSPECTION FEE REQUIRE. Prior to next inspection, flee must.be •
paid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection.
Contractors or Tradespeople Peter Friendly Page
Electrical Contractor
A business licensed by L$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
WHITE SECURITY SYSTEMS INC
4254020366
1921 Palomino Dr.
Bothell
WA
98012
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601619689
Active
WHITESSO44JP
Electrical Contractor
4/17/1996
6/14/2014
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
WHITEE1121NEWHITE
ENTERPRISES 11
Electrical
Contractor
Limited
Energy
Unused
8/5/1988
8/5/1996
Restored From
Archived
Master Electrician INFORMATION
License WHITERJ971JJ
Name WHITE, RAYMOND J JR
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
WHITE, RAYMOND J JR
Agent
01/01/1980
WHITE, RAYMOND JR
President
06/14/2010
WHITE, JILL
Secretary
06/14/2010
WHITE, RAYMOND J JR
Treasurer
06/14/2010
WHITE, JILL
Vice President
06/14/2010
GUIMOND, DONALD L
01/01/1980
06/14/2010
SY, MARILOU 0
01/01/1980
06/14/2010
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
CBIC
SA1328
02/15/1996
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 No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
12/13/2012