HomeMy WebLinkAboutPermit EL13-0671 - PAPER DESTINY - LOW VOLTAGEI L9Oi TTEI
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City oPI'ukwila
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: 271 SOUTHCENTER MALL TUKW
Project Name: PAPER DESTINY
ELECTRICAL PERMIT
Permit Number: EL13-0671
Issue Date: 07/11/2013
Permit Expires On: 01/07/2014
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: MARK SORENSEN
Address: 11816 167 PL NE , REDMOND WA, 98052
Contractor:
Name: ADVANTAGE AUDIO VISUAL SYSTEMS
Address: 11816 167 PL NE , REDMOND WA 98052
Contractor License No: ADVANAV899RG
Phone: 425-466-9959
Phone: 877 484-6217
Expiration Date: 12/07/2013
DESCRIPTION OF WORK:
PULL WIRE: (3) MUSIC SPEAKERS
Value of Electrical:
NRES: $600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
Washington Cities Electrical Code:
$82.20
2011
Date: (` t'
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 performan work. I am authorized to sign and obtain this electrical permit.
Date: 7-/(--/3
Signature:
Print Name:
Mk SogENsE �v
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 -7/13
EL13-0671 Printed: 07-11-2013
• PERMIT CONDITIONS •
Permit No. EL13-0671
**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 -7/13
EL13-0671 Printed: 07-11-2013
CITY OF TUKWAO
Community Developm Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Petit 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
Site Address:
27/ SouTRCEN rEK MAIL[ -
Tenant Name: PAC Y1 OS PAPER
King Co Assessor's Tax No.:
Suite Number: 2-7 / Floor: l
PROPERTY OWNER
Name: N KIK sbmm.sa�
Address: 1(81 l2 (7+ PL NE
Name:
Phone:
q2 5 y/ �p �p,�'� Fax:
/ IY 1
Email:
Address:
Phone: /42,s-406 139159 Fax:
1
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: N KIK sbmm.sa�
Address: 1(81 l2 (7+ PL NE
City: REV'M b N State: /1 Zip: 01 p O
I` i�C 1 D
Phone:
q2 5 y/ �p �p,�'� Fax:
/ IY 1
Email:
New Tenant: Yes ❑ .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: AIDVAN AG
1v66 Visup Sys -E
Address: (062 (G7* p
�.
City: o-,
el,M b N l> State:
`�� t Zip:'2
U Qos
Phone: /42,s-406 139159 Fax:
1
Contr Reg No.:
Exp Date:
Tukwila Business License No.; n US -0.9 3 ((73
Valuation of Project (contractor's bid price): $ (p opo t'
Scope of Work (please provide detailed information): at, w(R.E ; CEJ' 7 MUS/ c S Pe pCKERS
M'
Will service be altered? ❑ Yes ._.t No Adding more than 50 amps? ❑ Yes No
Type of Use: V \
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\2013 Apphcattons\Electncal Permit Application Revised 7-I-13.docx
Revised: July 2013
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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: MOJA. 15-1".E
Print Name:
M ihr.K SoR-I.EN
Mailing Address: ((B I CQ (674- 14- p.t Iv E
H:\Applications\Fonms-Applications On Line \2013 Apphcations\Electncal Pennt Application Revised 7-I-13.docx
Revised: July 2013
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Date: 7- ((- ( 3
Day Telephone: 72S ' l 6 ty - g9S9
'gE1).m o VIA ?8052—
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: EL13-0671
Address: 271 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 07/11/2013
Applicant: PAPER DESTINY Issue Date:
Receipt No.: R13-02107
Payment Amount: $82.20
Initials: WER Payment Date: 07/11/2013 11:26 AM
User ID: 1655 Balance: $0.00
Payee: MARK SORENSEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 025588
ACCOUNT ITEM LIST:
Description
82.20
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 82.20
Total: $82.20
oe..edef na
Printari• n7_11_9(111
INSPECTION RECORD
Retain a copy with
permit
a ain
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
e2,5o&7 I
Project:Vpfk , I4
Type of Inspection:
.2440
Address:
211 il
Date Called:
Special Instructions: ,
Date Wanted:
'p
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval. 7
COMMENTS:
E r�
Inspector: lNick
Date: D7 it)
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORDal,
Retain a copy with permit`
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 2-- (206) 431-3670
Permit Inspection Request Line (206) 431-2451
jc
Project: 47te 3611s4 ,
X51
e of Inspection:
O
Address:4)4.....
�
D•te Called:
Special Instructions:
At c,
Date Wanted:tef
7 i
am:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
I COMMENTS
n r
ct40- tni careof
v
Inspector:i.:3646,
1
I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:01
Contractors or Tradespeople Peer Friendly Page
I
Electrical Contractor
A business licensed by LEtI 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 ADVANTAGE AUDIO VISUAL SYSTEMS UBI No. 602444342
Phone 8774846217 Status Active
Address 11816 167Th Pl Ne License No. ADVANAV899RG
Suite/Apt. License Type Electrical Contractor
City Redmond Effective Date 12/7/2011
State - WA Expiration Date 12/7/2013
Zip 98052 Suspend Date
County King Specialty 1 Limited Energy
Business Type Individual Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License INGRABD927RD
Name INGRAM, BENJAMIN D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SORENSEN, MARK H
Owner
12/07/2011
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
1
Western Surety Co
71201630
12/01/2011
Until Cancelled
$4,000.00
12/07/2011
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
EHRAL01195
6/18/2013
RCW Code
19.28.101 RCW
Type
ELECTRICAL CITATION
Status
Satisfied
Violation Amount
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx 07/11/2013