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Permit EL13-0093 - CHILDREN'S PLACE - LOW VOLTAGE
CHILDREN'S PLACE 1026 SOIJTHCENTER MALL EL1 3-0093 City otkukwila • 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.Qov ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 1026 SOUTHCENTER MALL TIIKW Project Name: CHILDREN'S PLACE Permit Number: EL13-0093 Issue Date: 01/28/2013 Permit Expires On: 07/27/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: MIKE LEWIS Address: PO BOX 14215 , MILL CREEL WA, 98082 Contractor: Name: LOW VOLTAGE SYSTEMS INC Address: PO BOX 14215 , MILL CREEK WA 98082 Contractor License No: LOWVOVS955DB Phone: 425-328-7745 Phone: 425 948-4098 Expiration Date: 03/02/2013 DESCRIPTION OF WORK: INSTALL CAMERAS AND SECURITY Value of Electrical: NRES: $1,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $115.50 2008 (A) Date: W-9 –11 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: #iirke r C 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. Date: doc: EL -4/10 EL13-0093 Printed: 01-28-2013 • PERMIT CONDITIONS • Permit No. EL13-0093 **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 EL13-0093 Printed: 01-28-2013 • 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** SITE LOCATION 1D? -L King Co Assessor's Tax No.: Site Address: -408+ Southcenter Mall Suite Number: 633 Floor: Tenant Name: Children's Place PROPERTY OWNER Name: Mike Lewis Name: Westfield Southcenter Mall City: Mill Creek State: WA Zip: 98082 Address: 1081 Southcenter Mall Contr Reg No.: LOWVOVS955DB Exp Date: 03/13/2013 City: Tukwila State: WA Zip: 98188 CONTACT PERSON,(person receiving alt project.-' communication Name: Mike Lewis Address: 14215 Mill Creek City: Mill Creek State: WA Zip: 98082 Address: P.O. Box 14215 Contr Reg No.: LOWVOVS955DB Exp Date: 03/13/2013 Tukwila Business License No.: City: Mill Creek State: WA Zip: 98082 Phone: (425) 328-7745 Fax: Email: New Tenant: 0 Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Low Voltage Systems Address: 14215 Mill Creek City: Mill Creek State: WA Zip: 98082 Phone: (425) 948-4098 Fax: (425) 348-7290 Contr Reg No.: LOWVOVS955DB Exp Date: 03/13/2013 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 1,200 Scope of Work (please provide detailed information): Install Cameras and Security Will service be altered? ❑ Yes © No Adding more than 50 amps? 0 Yes ® No Type of Use: Commercial Type of work: ❑ New 0 Addition 0 Service Change m. Low Voltage 0 Generator ❑ Fire Alam Property Served by: . ❑ Puget Sound Energy • Seattle City Light HAApplicatioas\Eonns-Applications On Line \2011 Applications\Electrical Pen it Application Revised 8-9-11.docx Revised: August 2011 bh ❑ Remodel O Telecommunication O Tenant Improvement O Temporary Service 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, fiirnace 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 O 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. !WILDING OWNER OR ELECTRICAL CONTRACTOR: Signature:Date: 01 /25/2013 Print Name: Cornell Huggins Day Telephone: (425) 948-4098 Mailing Address: P.O. Box 14215 Mill Creek WA 98082 Cary H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 0.9.11.docx Revised: August 2011 Uh State Zip Page 2 of 2 City 1Tukwila. 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: 1026 SOUTHCENTER MALL TUKW Suite No: Applicant: CHILDREN'S PLACE RECEIPT Permit Number: EL13-0093 Status: PENDING Applied Date: 01/28/2013 Issue Date: Receipt No.: R13-00583 Initials: WER User ID: 1655 Payment Amount: $115.50 Payment Date: 01/28/2013 10:41 AM Balance: $0.00 Payee: LOW VOLTAGE SYSTEMS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 7561 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1302801-1 01/28/2013 BR1 T121 Mon Jan28,2013 10:59AM Trans#6-7 Name: LOW VOLTAGE SYSTEMS, INC LOW V Addr: PO BOX 14215 MILL CREEK,MA 98082 6 $67.00 BUSLCN - Business Licenses Customer#: 00054642 Activity#: 00011728 7 $115.50 DCDGEN - DCO Permits Pius General Fund ID: LOW VOLTAGE PERMIT EL13 0093 2 ITEM(S): TOTAL: $182.50 Check (007561) PAID $182.50 www.tukwilawa.gov 206-433-1835 Total: $115.50 115.50 Printed: 01-28-2013 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 h(3-rw93 Project'?KJ) ( P - /�LOXAE Type of Inspection: �`t90 Address: ,4 2-410!-4i,t Date Called: Special Instructions: • P d Date Wanted: i--- 3/o� a.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 9 1 Date: , OS n REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector<711654A/62, I INSPECTION RECORD hI3 ,00rRetain a copy with permit INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Project:6410R045 iti Type of Inspection: 140 0 Address: /024 " Date Called: Special Instructions: 4 Z��kl ri 6_ �,aJ Date Wanted:3 1 r,,,, Requester: Phone No: ElApproved per applicable codes. COMMENTS: ViCorrections required prior to approval. khr P$k47 Inspector: 'I Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pfter Friendly Page • Electrical Contractor A business licensed by MI 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 LOW VOLTAGE SYSTEMS INC 4259484098 Po Box 14215 Mill Creek WA 98082 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602465935 Active LOWVOVS955DB Electrical Contractor 3/2/2005 3/2/2013 Limited Energy Unused Master Electrician INFORMATION License HUGGICG966J3 Name HUGGINS, CORNELL G Status Active Business Owner Information Name Role Effective Date Expiration Date GILBERT, JEFFREY P Agent 03/02/2005 Bond Amount HUGGINS, CORNELL G President 03/02/2005 9804631 DOGGETT, BILL C Secretary 03/02/2005 DOGGETT, BILL C Treasurer 03/02/2005 COLONIAL AM CAS & SURETY OF MARYLAND DAWSON, ROGER C Vice President 03/02/2005 04/07/2011 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 2 Lexon Ins Co 9804631 02/18/2011 Until Cancelled $4,000.0003/01/2011 1 COLONIAL AM CAS & SURETY OF MARYLAND LPM4068198 02/18/2004 Until Cancelled 04/07/2011 $4,000.0003/02/2005 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 01/28/2013