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HomeMy WebLinkAboutPermit EL13-0915 - ZALES - KIOSK - TENANT IMPROVEMENTZALES KIOSK 2800 SOUTHCENTER MALL EL13-0915 City oPI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 2800 SOUTHCENTER MALL TUKW Project Name: ZALES KIOSK Permit Number: EL13-0915 Issue Date: 09/20/2013 Permit Expires On: 03/19/2014 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: DMITRY NEDZELSKLY Phone: (425) 879-9133 Address: 14219 20TH PL W , LYNNWOOD WA, 98087 Contractor: Name: STAR ELECTRIC SERVICES INC Address: 14219 20TH PL W , LYNNWOOD WA 98087 Contractor License No: STAREES937NA Phone: (425)879-9133 Expiration Date: 08/08/2015 DESCRIPTION OF WORK: ADDED 2 4-PLEX OUTLETS TO A TEMPORARY ZALES KIOSK - R017Z. Value of Electrical: NRES: $300.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $69.30 Washington Cities Electrical Code: 2011 Date: 4 b// ? 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 e perfor . nce of work. I am authorized to sign and obtain this electrical permit. A •, I (` Signature: or Print Name: 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 -7/13 EL13-0915 Printed: 09-20-2013 • PERMIT CONDITIONS Permit No. EL13-0915 **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 EL13-0915 Printed: 09-20-2013 CITY OF TUKWill Community DevelopmWff Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pe" No. Project No. g1,1 5- 091 51 Date Application Accepted: Date Application Expires: 01/,26//3 03 /2o/i3 (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 2,0 0 King Co Assessor's Tax No.: Site Address:41960- s_cD1114gleig Suite Number:I .S kiV5kFloor: Tenant Name: kinL (-IeMfary,) go /7 2 -New Tenant: Yes ❑.. No PROPERTY OWNER Name: li s .- - C& (d p rQtp - 41V +GOC c1e Address: f-0. �x /30,)to City: Ca r is',a / State: /'t A. Zip: L1c2 013 CONTACT PERSON — person receiving all project icatio communication / Name nf% r 'vedze/,.L. L i Address:////t, woe"City: woe"State: / 4. Zip: o Phone: /!�a9J,r 0 1 p ?g Fax: _e e/e dr/cSe rVF ce�a'' .rl U ELECTRICAL CONTRACTOR INFORMATION Company NameStar peciriscgervicesl. Address: //Q /9 (20_01 , r City: k Kw,tedState: Zip: gpts rd. Phone: ‘Iti-,7_9/_.?3Fax: Contr Reg No. #re, gI f� UQ37. xp Date: r� p/ Wi s. Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 260 •00 r Scope of Work (please provide detailed information): added A ,y'.j f e -,p a. .ervtffir&ry (es kids k . Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel /f SrTenant Improvement ❑ Low Voltage ElGenerator 0 Fire Alarm ElTelecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 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 $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: Print Name 1/1(7 "gd€ / tC I / ,e9 / Mailing Address:/3104,61/ H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Day Telephone: city 9 r7 Zip Page 2 of 2 • City of Tukwila �1 'yam 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: EL13-0915 Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/20/2013 Applicant: ZALES KIOSK Issue Date: Receipt No.: R13-02692 Initials: User ID: LAW 1632 Payment Amount: $69.30 Payment Date: 09/20/2013 12:11 PM Balance: $0.00 Payee: STAR ELECTRIC SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 021115 ACCOUNT ITEM LIST: Description 69.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 69.30 Total: $69.30 _ D.i.,fsa• no_1n_',n1Z INSPECTION NO. INSPECTION RECORD Retain a copy with permit 643-0,11( 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: 2A'ui Vt4514. Type of Inspection: • Zr Address:a°0 1 Date Called: Special Instructions: Date Wanted: a. qt/ 4. 1 ' Requester: Phone No: 93 Approved per applicable codes. COMMENTS: 1 LJ Corrections required prior to approval. "7 /1664C -c n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: Date: 01/244 INSPECTION NO. INSPECTION RECORD r t5'�q�� Retain a copy with permit CL f PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: z juts td S� Type of Inspection: Ov — ACI*(4_?k 1444•1.6 ric R.6Q4leti> 4R._ Address:...„...,Date o© r1i Called: 'r"` Special Instructions: Date Wanted:COI a.mu p.m. Requester: Phone No: LJApproved per applicable codes. Corrections required prior to approval. COMMENTS: — ACI*(4_?k 1444•1.6 ric R.6Q4leti> 4R._ _, rhiL-Ti t•sio CARGO‘175 Inspector:` I r Date: 07 2_1 }I21 jI / REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer Friendly Page O 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 STAR ELECTRIC SERVICES INC UBI No. 602734410 Phone 4258799133 Status Active Address 14219 20Th PI W License No. STAREES937NA Suite/Apt. License Type Electrical Contractor City Lynnwood Effective Date 8/8/2007 State WA Expiration Date 8/8/2015 Zip 98087 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status STAREE'939CZ STAR ELECTRIC Electrical Contractor General Unused 2/9/2007 2/9/2009 Expired Electrical Administrator INFORMATION License NEDZEDV942PR Name NEDZELSKIY, DMITRIY V Status Active Business Owner Information Name Role Effective Date Expiration Date NEDZELSKIY, DMITRIY V President 08/01/2007 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 3 TRAVELERS CAS & SURETY CO 105464623 08/05/2010 Until Cancelled $4,000.00 08/09/2010 2 DEVELOPERS SURETY & INDEM CO 748028C 08/08/2007 Until Cancelled 08/28/2010 $4,000.0008/13/2007 1 DEVELOPERS SURETY & INDEM CO 745446C 02/07/2007 Until Cancelled 03/24/2008 54,000.00 08/01/2007 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. aov/lni/bbin/Print. asvx 09/20/2013