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Permit EL13-0359 - QUESTKIDS - REMODEL
QUESTKIDS 2800 SOUTHCENTER MALL EL1 3-0359 City oilkukwila 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: 2800 SOUTHCENTER MALL TUKW Project Name: QUESTKIDS LLC Permit Number: Issue Date: Permit Expires On: EL13-0359 04/17/2013 10/14/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: Address: Contractor: Name: Address: Contractor License No: gek Avytp f O' `cok MICHAEL HOFMANN Phone: 360 400-2352 PO BOX 196 , ROY WA, 98580 tkt Po Ove 1 Phone: 1-3.1 two 21 -Al Expiration Date: 0,(1,412d H DESCRIPTION OF WORK: R-0492: WIRE FOR LIGHTS AND PLUG IN KIOSK Value of Electrical: NRES: $600.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINIU,ERS/AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $79.80 2008 Date: 04b• t ' I hereby certify that I have read and exami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • with, hether specified herein or not. The granting of this permit does not p construction or e lerfo m, ce-o Signature: to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. Print Name: f' / / h-- 1/1 4.4'12/ Date: 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 EL13-0359 Printed: 04-17-2013 • PERMIT CONDITIONS • Permit No. EL13-0359 **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 EL13-0359 Printed: 04-17-2013 CITY OF TUKWI,,I4 Community Developme. Jepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Date,;Application Accepted:' Date Application E*pires: •or of 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: -0O JU'J 1' �� �1 ��i /VA 1 / ve 3 -He- / Tenant Name: King Co Assessor's Tax No.: PROPERTY OWNER Name: p I % /K)%!_11 - /4) &n-4-f/r-, Name: fl City:State ZiI'8-5-100 �'7 Address: a auz.3 S 601-1.1 6..t7 N4 eir- 7h )1 /l City:. k iAn 1 , 3 State: tAio Zip: CONTACT:PERSON _.person receiving all project communication Name: p I % /K)%!_11 - /4) &n-4-f/r-, Address: 1;00 S lc I I 30 City:State ZiI'8-5-100 �'7 Phone: 3 �s—Za LL1 a'-3 Lx' t 6C J -,s -v 3"Z,, Em*/L 4 ilii (1) A i own e A? c_ f"Y1 (_ t 6a'_„, Suite Number: R j)qt Z- Floor: New Tenant: © Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: /-//� tvi o .6/r.::, dn c., Address: , 2 "3c / Tr) City: f„�U, State(t Zip '0 Phone: 36i) 1/60 035_LFax: r:43/645---6-2/ 32c7 J / Contr Reg No.: -c,yzExp Date: l-���-����L� s/1Y Tukwila Business License No.; ()JD ,, G l Ql f 1 t Valuation of Project (contractor's bid price): $ 67e) 0 . (P.) Scope of Work (please provide detailed information): w Lyqs (p/ 5 14 ) Will service be altered? ❑ Yes 1'I, No Adding more than 50 amps? ❑ Yes ND No Type of Use: Type of work: E New ❑ Addition ❑ Service Change El Remodel ® Tenant Improvement ❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ,Puget Sound Energy 0 Seattle City Light 1-1 \Applications\Forms-Applications On Line\20l 1 Applications\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh 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 $1 1.55 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signatu Print Name:/ ?7 Llel ✓tj ,/ Gy`0 �` v i Jt'AJ Day Telephone: �() 1/6.)0 a'JE21 Mailing Address: Date: 9-17 -(3 City H \Applications\Forms-Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh 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: EL13-0359 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 04/17/2013 Applicant: QUESTKIDS LLC Issue Date: Receipt No.: R13-01348 Payment Amount: $79.80 Initials: JEM Payment Date: 04/17/2013 03:42 PM User ID: 1165 Balance: $0.00 Payee: HI AMP ELECTRIC, MICHAEL J HOF MANN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 164510 ACCOUNT ITEM LIST: Description 79.80 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 79.80 Total: $79.80 Prinrarl• fl4-17-2(113 s INSPECTION RECOR3-6351 ti 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: 1/45 o ves-r Type of Inspection: zoo Address:®O ' led, it Date Called: COMMENTS: Special Instructions: Date Wanted:. 41/4a.m: Olt Requester: / Phone No: 11aALOt . XApproved per applicable codes. Corrections required prior to approval. COMMENTS: j f /j k (ioiJS 11aALOt . • 1 '-/%4141,/ jt Inspector: 11;41A14 I Date:bi s,1 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 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 6'i'& a359 Project: 1, rr r -v )5 VVV Type of Inspection: �O� i gpoic-j Address: :50 7W Date Called: ' Special Instructions: Date Wanted:. /� a.m,. p.m. Requester: Phone No: E] Approved per applicable codes. © Corrections required prior to approval. ' COMMENTS: — bl Ctf -r/5LJ,1 i gpoic-j RtrA{' i h -C Le AEQJI15 AN) r raaJ . 4/Alves ' • Inspector: jitit5 ,, ( / 1517 Date: atik 15 , n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by Lai 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 HI AMP ELECTRIC 3604002352 Po Box 196 Roy WA 98580 Pierce Corporation Parent Company HI AMPS INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602373008 Active HIAMPAE942DM Electrical Contractor 3/14/2006 3/14/2014 General Unused Master Electrician INFORMATION License HOFMAMJ950PC Name HOFMANN, MICHAEL JAMES Status Active Business Owner Information Name Role Effective Date Expiration Date HOFMANN, MICHAEL J Agent 03/14/2006 Bond Amount HOFMANN, MICHAEL J President 03/14/2006 105389469 COOL-HOFMANN, TASSY J Vice President 03/14/2006 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 2 TRAVELERS CAS & SURETY CO 105389469 02/13/2010 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 01/29/2010 1 CBIC SG5393 01/27/2006 Until Cancelled 02/13/2010 $4,000.0003/14/2006 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 EMURD00432 2/2/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EANMI00281 11/8/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBJOR00284 9/27/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httos://fortress.wa.aov/lni/bbin/Print.asnx 04/17/2013