HomeMy WebLinkAboutPermit EL12-1171 - WESTFIELD SOUTHCENTER MALL - BARE MINERALSBARE MINERALS
827 SOUThCENTER MALL
EL12 -1171
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.gov
Parcel No.: 9202470010
Address: 827 SOUTHCENTER MALL TUKW
Project Name: BARE MINERALS
ELECTRICAL PERMIT
Permit Number: EL12 -1171
Issue Date: 12/18/2012
Permit Expires On: 06/16/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: RON ARNETT
Address: 9792 EDMONDS WY #172 , EDMONDS WA, 98020
Contractor:
Name: PACIFIC SIGN ERECTORS
Address: 14915 22ND AVE W , LYNNWOOD, WA 98037
Contractor License No: PACIFSE965CK
Phone: 206 498 -3919
Phone:
Expiration Date: 02/23/2014
DESCRIPTION OF WORK:
INSTALL NEW LED ILLUMINATED SIGN
Value of Electrical: NRES: $500.00
RES: $0.00
Fees Collected: $75.60
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
2008
I hereby certify that I have read an examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli with, whether specified herein or not.
The granting of thi t does not prest'ime to give authority to violate or cancel the provisions of any other state or local laws regulating
construction o ance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name1iV
P-Aa
Date: \L (IV (!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 -1171 Printed: 12 -18 -2012
PERMIT CONDITIONS •
Permit No. EL 12 -1171
* *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 TO - 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 -1171 Printed: 12 -18 -2012
CITY OF TUKWIt
Community Developme. Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:/ :www.Tul:wilaWA.gov
Electrical Pet ...it No.
Project No.
Date Application Accepted
Date Application Expires
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
Site Address: 5 0 - c k - A 1 \ - ` 0 N - -
Tenant Name:41..ff.__ l V` rvCZPAc__S
PROPERTY OWNER
Company Name
I t 1/4.c.:— Scc.Lj E(2- C- -tiprkS t.--<.
Address:
`"Z 9 Z £t- orti t ,,s w 1+ 11 Z-
Name:
1„'
_1
n9,
Address:
f
1, V)q 1/o
City:
(t {
, L c v
State: /' ip\_. Zip.
, [
CONTACT PERSON - person receiving all project
communication
Name.
Address:
�1 t z ho �Gp r ts�1 GJr`*- l-1'2
City:��t�p S State /k'
Zip�Z�
Phone: Fax:
Email:
King Co Assessor's Tax No.: l'1 /I} 1 - U I v
Suite Number: (a2-7 Floor: 1.
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name
I t 1/4.c.:— Scc.Lj E(2- C- -tiprkS t.--<.
Address:
`"Z 9 Z £t- orti t ,,s w 1+ 11 Z-
City State: ff , Zip�3
n ltiw S 11 '
Phone: Fax zoe - -i9s O,t� ,6 -9 ' - -YF3 Y
Contr Reg No.petc_t _5�96sc icExp Date:/ �2., f ILA
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 0
Scope of Work (please provide detailed information): ( L E-0
l� lam) vv ∎ 1 4 v---�
Will service be altered? ❑ Yes ,r No Adding more than 50 amps? ❑ Yes k No
Type of Use:
Type of work:
1' New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
Puget Sound Energy ❑ Seattle City Light
HAApplications \Forms- Applications On Line12011 Applications\Electrical Permit Application Revised 8- 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
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 O ELECTRICAL CONTRACTOR:
Signature:
Print Name c2t---1
Date:
Day Telephone: "- t98 ._3 7/
Mailing Address:
City
H: \Applications \Forms - Applications On Line\201 I Applications \Electrical Permit Application Revised 8-9-11 docx
Revised. August 2011
bh
State Zip
Page 2 of 2
City o['ukwilar
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: htro: //www.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R12 -03339
Initials: JEM
User ID: 1165
Payee: PACIFIC SIGN ERECTORS INC.
Payment Date: 12/18/2012
Total Payment: 201.60
SET ID: 1218 SET NAME: PACIFIC SIGN ERECTORS
SET TRANSACTIONS:
Set Member Amount
EL11 -0618 63.00
EL12 -1171 75.60
EL12 -1172 63.00
TOTAL: . @C
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 4001
ACCOUNT ITEM LIST:
Description
201.60
TOTAL: 201.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 201.60
TOTAL:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
6tt2-rfl.
CITY OF TUKWILA BUILDING .DIVISI.ON`.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 .R (206) 431 =3670
Permit Inspection Request Line (206) 431 -2451
Project f ,,,l�
Type of Inspection:
too
Address: l 2,1 � M A
`� "v
Date Called:
Special Instructions.
'j
Date Wanted:.
_
fe/
/..
a.m
m.
Requester:
Phone No:
4
fpproved per applicable codes.
COMMENTS:
Corrections required prior to approval:.
/)
+ r.
REINSPECTION FEE REQUIRED. Prior to next.inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call,to schedule..reinspection:"
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: e tI Aie L
7
Type of Inspection:
�C�
Addresgz
Date Called:
Special Instructions:
'51(�
Date Wanted :.
i i 1
a.m.
Requester:
Phone No:
❑ Approved per applicable. codes. Corrections required prior to approval.
COMMENTS:
&1A.L�1�
11 ic L
_ f
Inspector:
fit
Date: 4115
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Piter 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
PACIFIC SIGN ERECTORS INC
2064983919
9792 Edmonds Way #172
Edmonds
WA
98020
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602362290
Active
PACIFSE965CK
Electrical Contractor
2/12/2004
2/23/2014
Sign
Unused
Master Electrician INFORMATION
License ARNETRC973L3
Name ARNETT, RONALD C JR
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ARNETT, RON E
Cancel Date
02/12/2004
Bond Amount
ARNETT, TERESA J
3
02/12/2004
9812448
ARNETT, RON C
Agent
02/12/2004
ELECTRICAL CITATION
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
3
Lexon Ins Co
9812448
02/05/2012
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
02/06/2012
2
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4075093
02/05/2008
Until Cancelled
03/20/2012
$4,000.00
02/04/2008
1
CBIC
SF3972
02/05/2004
Until Cancelled
04/19/2008
$4,000.0002/12/2004
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
EHAGR00405
9/12/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHECD00310
1/5/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https:// fortress .wa.gov /lni/bbip/Print.aspx 12/18/2012