HomeMy WebLinkAboutPermit EL13-0346 - FUEGO - REMODELFUEGO
1031 SOUThCENTER MALL
EL1 3-0346
City (ffukwila
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
Parcel No.: 9202470010
Address: 1031 SOUTHCENTER MALL TUKW
Project Name: FUEGO
Permit Number: EL13-0346
Issue Date: 04/11/2013
Permit Expires On: 10/08/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: JENNIFER BURGESS Phone: 206 774-9499
Address: 1345 GULF RD , POINT ROBERTS WA, 98281
Contractor:
Name: TYCO INTEGRATED SECURITY LLC Phone: 561-988-3646
Address: 11824 N CREEK PKWY, SUITE 105 , BOTHELL WA 98011
Contractor License No: TYCOIIS88600 Expiration Date: 09/21/2014
DESCRIPTION OF WORK:
INSTALL CONTROL PANEL AND (1) SMOKE DETECTOR ABOVE PANEL, CONNECT TO DUCT SMOKE
DETECTORS WITH EXISTING ASSOCIATED CABLING. (SITE CONTACT: LORNA MISS 206
999-8272)
Value of Electrical: NRES: $1,279.00 Fees Collected: $115.50
RES: $0.00
Type of Fire Protection: SPRINKLERS/AFA
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 wi
ne
National Electrical Code Edition: 2008
Date: `A, [Ili
this permit and know the same to be true and correct. All provisions of law and ordinances
ther specified herein or not.
The granting of this permit does not presum 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: Date:
Print Name: i i a V Q& S a 0„ V vl
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
EL13-0346 Printed: 04-11-2013
PERMIT CONDITIONS
Permit No. EL13-0346
**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
EL13-0346 Printed: 04-11-2013
CITY OF TUK4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. r\ t)21-410
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
4_ 21412
Site Address:
lot
Southcenter Mall, ##r`"—
Tenant Name:
Fuego
PROPERTY OWNER
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Name: Fuego
City: PT. ROBERTS State: WA Zip: 98281
Address: 2800 Southcenter Mall, #C9
Email: jennifer@nwpermit.com
City: TUKWILA State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: JENNIFER BURGESS/NWPERMIT-AGENT
Address: 1345 GULF RD
City: PT. ROBERTS State: WA Zip: 98281
Phone: (206) 774-9499 Fax:
Email: jennifer@nwpermit.com
King Co Assessor's Tax No.: 9202470010
Suite Number: # Floor:
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: TYCO IS LLC
Address: 11824 NORTH CREEK PKWY N # 105
City: BOTHELL State: WA Zip: 98011
Phone: Fax:
Contr Reg No.: TYCOI IS88600 Exp Date: 09/21/2014
Tukwila Business License No.:
Q.,�/15---011 13 rte
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Install control panel and 1 smoke detector above panel, connect to duct smoke detectors with existing associated cabling.
Site contact: Lorna Miss at 206-999-8272.
1,279
Will service be altered? ❑ Yes ❑✓ No
Type of Use: COMMERCIAL
Type of work:
❑ New ❑ Addition 0 Service Change
® Low Voltage ❑ Generator ® Fire Alarm
Property Served by:
Puget Sound Energy 0 Seattle City Light
HAApplications\Forms-Applications On Line\2011 Appltcations\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Adding more than 50 amps? ❑ Yes No
❑ 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, 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
O Circuits added/altered without service change $54.60
(up to 5 circuits)
O Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
O 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
O 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:
Date:
04/11/2013
Print Name: Brtana chtavone /NW Permit Day Telephone: (206) 774-9499
Mailing Address: 1345 GULF RD, PT ROBERTS, WA 98281
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
MT 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. ci. tukwila. wa. us
SET RECEIPT
Copy Reprinted on 04-11-2013 at 13:38:47 04/11/2013
RECEIPT NO: R13-01293
Initials: JEM
Payment Date: 04/11/2013
User ID: 1165 Total Payment: 238.35
Payee: NORTHWEST PERMIT INC, ADT ACCOUNT
SET ID: 0411 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member Amount
EL13-0346
EL13-0347
EL13-0348
TOTAL:
115.50
63.00
59.85
63.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2261 238.35
TOTAL: 238.35
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
ELECTRICAL PERMIT - RES 000.322.101.00.0
178.50
59.85
TOTAL: 238.35
INSPECTION RECORD
Retain a copy with permit:
INSPECTION NO. ....PERMIT N0.
CITY OF TUKWILA BUILDING:D.IV:ISIOW
6300 Southcenter Blvd., #100, Tukwila. WA 98188 c? -7.- (206) 431:=3670
Permit Inspection Request Line (206) 431-2451 k-..<
(03-03?
Project:
Type of Inspection: .
2100
Address: '
/031
lOttLi
Date Called:
Special Instructions:
Date Wanted:.
;57. Bt.,
•ii`m'.
p. wm
Requester:
..
! . W
Phone No:
Approved per applicable codes.
Corrections requiired'priior to approval.
COMMENTS:
A
/0- I 0
Inspector:
n REINSPECTION FEE REQUIRED. Prior to next inspection; fee.must,be:
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule' reinspection:
Contractors or Tradespeoplter Friendly Page
R
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
TYCO INTEGRATED SECURITY LLC
5619883646
11824 N Creek Pkwy, Ste 105
Bothell
WA
98011
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601636830
Active
TYCOIIS88600
Electrical Contractor
9/21/2012
9/21/2014
Limited Energy
Hvac/Rfrg Ltd Energy
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
AMERIDT283LZAMERICAN
DISTRICT
TELEGRAPH CO
Electrical
Contractor
Limited
Energy
Unused
6/9/1972
1/31/1990
Archived
ADTSE5103205
ADT SECURITY
SERVICES INC
Electrical
Contractor
Limited
Energy
Unused
9/25/1997
9/25/2013
Re -
Licensed
Master Electrician INFORMATION
License SMITHJD976C0
Name SMITH, JACK D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CT CORPORATION SYSTEM
Agent
09/21/2012
MCGRATH, DANIEL J
Manager
09/21/2012
BLEISCH, NELSON D
Partner/Member
09/21/2012
FAXAS, MAGIN A
Partner/Member
09/21/2012
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
Federal Ins Co
82302097
08/23/2012
Until Cancelled
$4,000.00
09/21/2012
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
httns://fortress.wa.gov/lni/bbin/Print.asnx 04/11/2013