HomeMy WebLinkAboutPermit EL13-1116 - ZALES - LOW VOLTAGEZALES
1000 SOUTHCENTER MALL
EL13-1116
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: htto://www.TukwilaWA.eov
ELECTRICAL OTC PERMIT
9202470010 Permit Number:
1000 SOUTHCENTER MALL Issue Date:
Permit Expires On:
Project Name: ZALES
EL13-1116
11/6/2013
5/5/2014
Owner:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
Contact Person:
Name: KURT BERGAMASCO
Address: 3220 124 ST SE , EVERETT, WA, 98208
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
Phone: (425) 315-4302
INTERFACE SECURITIES SYSTEMS Phone: (314) 595-0100
3773 CORPORATE CENTER DR, EARTH
CITY, MO, 63045
INTERSS8794T Expiration Date:
DESCRIPTION OF WORK:
INSTALL CCTV SYSTEM AND SECURITY SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: LOW VOLTAGE
Fees Collected: $77.90
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date:
• o
I hearby 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 performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: (4.
Print Name: /2072�.--i2 G.4f- {t? -a-5'("v
Date: /1 — 4 73
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7003 UNDERGROUND/SLAB
CITY OF TUKW111
Community Developm7ff Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Petit No. U9-3 1 (-1Q
Project No.
Date Application Accepted: 1 t wt 13
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
King Co Assessor's Tax No.:
Site Address: /D 0 O Soo -r/-1 C/t,v7IL /Z MA 61 Suite Number:/ 5.1- T
Number://),0 Floor:
Tenant Name: zAL, rS C(="/zf', /CA 7/De-/
PROPERTY OWNER
Name: w riS7._/:-_- /a L) L L G
Address: Z eB� i
�,,,,jr c 'rg,
City: S-rA.fTL,Q State: 1_e)4 Zip: ?B(8B
CONTACT PERSON - person receiving all project
communication
Name: W..)4_,7- 8x2.•4/14,4,SG i7
Address: 3z 2 c7 / z y y $ Sit
City: fr-vE., `�/- Statek,A Zip:9,2o6
//
Phone: q1 S, 31.c: 4.13,02_ Fax:
Email: 1,644.1,:-.5,(1;4. Gq 1,444. S C S (0 1,v7T2 FIG
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
' 'A-ct Sl_cv�.17y x.
SylT
Address: 775-0,5,G .� U lc -6..G /G
City:404,4_ Ea:Az/f State: « Zip. 060g
Phone: so 2 „ 3S3 _ yy% Fax:
Contr Reg N,iJ%t£✓ S$ 7QY Exp Date:
Tukwila Business License No.; Nevi- evi- _jkp ^ ✓l,/ J (4,)
SSS , C o 1x -s.
Valuation of Project (contractor's bid price): $ -5--"GtO0
Scope of Work (please provide detailed information): /I.'S r'L LCC7V Sc�S7/ 4'1 14-'2'
5fe a,e / r y ._.5.p.1?;* 04-1
Will service be altered? ❑ Yes &o Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
(Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication 0 Temporary Service
Property ServedSeby:
JJ' Puget Sound Energy 0 Seattle City Light
H:Wpplications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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Page 1 of 2
Yrt
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: /?iia--
g�G2G.,4t4 tSca
Date: / / - / 3
Day Telephone:
Mailing Address:
City
H:Wpplications\Forms-Applications On Line\2013 Apphcations\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY PAID
PermitTRAK
: $77.90
EL13-1116 Address: 1000 SOUTHCENTER MALL Apn: 9202470010
$77.90.
ELECTRICAL
$77.90
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R8
000.322.101.00.00
$77.90
$77.90
Date Paid: Wednesday, November 06, 2013
Paid By: KURT A BERGAMASCO
Pay Method: CREDIT CARD 006259
Printed: Wednesday, November 06, 2013 10:18 1 of 1
AM
CriW
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMI N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3
Permit Inspection Request Line (206) 431-2451
Project: ��•���/
Type of inspection:
2,Cao
Address:�
1000
Date Called:.
Special Instructions:
Date Wanted:
1 I d
P.m.
Requester:
Phone No:
pproved per applicable codes.
Corrections required prior to approval.
OMMENTS:
C
Inspector:
f'15)64Jek
Date:.
(4 Ij
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 P ter 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
INTERFACE SECURITY SYSTEMS LLC
3145950100
3773 Corporate Center Dr
Earth City
MO
63045
Out Of State
Business Type Limited Liability Company
Parent Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602747888
Active
INTERSS8794T
Electrical Contractor
7/30/2013
7/30/2015
Limited Energy
Unused
Other Associated Licenses
LicenseSpecialty
Name
Type
Specialty 1
2
Effective
Date
Expiration
Date
Status
INTERSS879MT
INTERFACE SECURITY
SYSTEMS, LL
Electrical
Contractor
Limited
Energy
Unused
7/30/2013
7/30/2015
Inactive
Electrical Administrator INFORMATION
License HICKSMS872MT
Name HICKS, MARK S
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CORPORATION SERVICE COMPANY
Agent
07/30/2013
SHAW, MICHAEL J
Partner/Member
07/30/2013
MCLEOD, MICHAEL J
Partner/Member
07/30/2013
OBERMEYER, KEITH W
Partner/Member
07/30/2013
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
American Fire &
Casualty Co
327014871
07/30/2013
Until Cancelled
$4,000.00
07/30/2013
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
https://fortress.wa.gov/lni/bbip/Print.aspx 11/06/2013