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HomeMy WebLinkAboutPermit EL13-0297 - HELZBERG DIAMONDS - LOW VOLTAGEHFTZBERG DIAMONDS 601 S OUThCENTELR MALL EL1 3-0297 Parcel No.: Address: City iTukwila • 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 9202470010 601 SOUTHCENTER MALL TUKW Project Name: HELZBERG DIAMONDS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL13-0297 03/26/2013 09/22/2013 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 GREG BJORNERUD Phone: 360-989-8441 9730 CHANNEL DR NW , OLYMPIA WA, 98502 SIGNATURE SECURITY INC Phone: 360-750-6000 2917 WASHINGTON ST STE 104 , VANCOUVER WA 98660 Contractor License No: SIGNASI99OBJ Expiration Date: 01/21/2015 DESCRIPTION OF WORK: INSTALL SECURITY SYSTEM AND CCTV Value of Electrical: NRES: $1,700.00 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: Date: $115.50 2008 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 presumuthority to violate or cancel the provisions of any other state or local laws regulating construction or the performanr` of w• I am authorize• to sign and obtain this electrical permit. Signature: / A / Date: 3 -?4- 1 "c Print Name: ne L,'.;,r) -e 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 EL13-0297 Printed: 03-26-2013 1110 PERMIT CONDITIONS Permit No. EL13-0297 **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 EL13-0297 Printed: 03-26-2013 CITY OF TUKWI'4 Community Developme... Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:i!www.TiikwilaWA.gov Electrical Pel _.pit Project No. Date.'ApplicationAccepted:" Date Application Expires ..- • " .. . . . ... .: ..: For: a 'ly) "" "° : " " 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: 6 O 1 4 4o King Co Assessor's Tax No.: Suite Number: Tenant Name: 1--ke tZ ka< PROPERTY OWNER Name: (/^' i Name: Address: l /� C( -7 3 U C -cr. rn i,. ( pi-. 4JC—,--) Address: State: Zip: Phone: City: State: Zip: CONTACT .PERSON '= person receiving; all project communication' Name: (/^' i '-"\ Address: l /� C( -7 3 U C -cr. rn i,. ( pi-. 4JC—,--) City: State: Zip: Phone: 360 5gi-S=yr�( Fax: -t-5'- Email: Contr Reg No.: cr" re s h. ( YA-cr .' l , C. a' - Floor: New Tenant: 1 1 Yes Pi 0 ELECTRICAL CONTRACTOR INFORMATION Company Name: �", i ,- Addresk X 3 3 22 r City:State: v(,..,.,r (...3C, -..,c,. (...3C,-..,. Zi• 4tr6GE-- Phone:, -,Fax: —LGE --/0(C) Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1700 , 0 Scope of Work (please provide detailed information): c Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition El Service Change ❑ Remodel 71 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light 1 H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx ' �` JJJ . �.J Revised August 2011 ` 0 bh 0 Tenant Improvement 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 OR ELECTRICAL CONTRACTOR: Signature:. Print Name: C/ ,S Mailing rv.P✓ti— Mailing Address: S% 3‘) (Ltd t~ ( 1-1 \Applications\Forms-Applications On Line \2011 Applications\Electncal Permit Application Revised 8-9-11 docs Revised August 2011 hh Date: 3- aN ' ( 3 Day Telephone: ay 4_4 (0<-C- SCOis=c c City 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: EL13-0297 Address: 601 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 03/26/2013 Applicant: HELZBERG DIAMONDS Issue Date: Receipt No.: R13-01130 Payment Amount: $115.50 Initials: WER Payment Date: 03/26/2013 09:42 AM User ID: 1655 Balance: $0.00 Payee: CONNIE RUSSELL (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 174616 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 rl..n• DeneirJ_AR Drinlnrl• AZ_9C:_7A1Z INSPECTION RECORD 613_07 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 z (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 14020 Type of Inspection: 42—I 00 Address: 0 I. rifIlA.. Date Called: Instructions: ..��JffJj � S�/V,` Date Wanted:. ���/Special a.m. P•m• Requester: Phone No: pApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 0 I J Date: 0/2.1 h ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain 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 614-0297 ft - (206) 431-36M Project: 1/6,740Type of Inspection: 7 Address: / �/j tot r! Date Called: i Special Instructions: ( 4 5`"" k 111 Date Wanted:. gloY a.m. /ppm. Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: I,J ST* Ci-rA r mir s Xcs — 144( katitr Nis* Inspector: It: n REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: &dog 3 Contractors or Tradespeople Pinter 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 SIGNATURE SECURITY INC 3607506000 Po Box 3322 Vancouver WA 98668 Clark Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601989460 Active SIGNASI99OBJ Electrical Contractor 1/11/2001 1/21/2015 Limited Energy Hvac/Rfrg Ltd Energy Master Electrician INFORMATION License RUSSEJC967M2 Name RUSSELL, JAMES C Status Active Business Owner Information Name Role Effective Date Expiration Date RUSSELL, CONNIE R Violation Amount 01/01/1980 2/10/2012 HAMBERT, JOHN Agent 01/01/1980 $250.00 Bond Information Page 1 of 1 Bond Bond Company Name 1 DEVELOPERS SURETY & INDEMNITY Bond Account Number Effective Date 845944C 01/11/2001 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount Received Date $4,000.00 01/11/2001 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 EROMA00716 2/10/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMEHU01432 10/4/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 03/26/2013