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Permit EL14-0552 - TALBOTS - CAT6 DROPS
TALBOTS 2606 SOUTHCENTER MALL EL1 4-0552 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: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No: 9202470010 Permit Number: EL14-0552 Address: 2606 SOUTHCENTER MALL Issue Date: 6/12/2014 Permit Expires On: 12/9/2014 Project Name: TALBOTS Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD, AR, 92013 Contact Person: Name: JIM HLYWIAK Phone: (407) 792-2043 Address: 3400 JE. DAVIS DR , LITTLE ROCK, AR, 72209 Contractor: Name: STALEY INC Phone: (501) 565-3006 Address: 3400 JE DAVIS DR , LITTLE ROCK, AR, 72209 License No: STALEI*907CK Expiration Date: 2/10/2014 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL 30 CAT6 DROPS FOR REGISTERS, PHONES, ACCESS POINTS, PRINTERS, AND TRAFFIC COUNTERS. Valuation of single family: $0.00 Valuation of mf/comm: $3,400.00 Type of Work: LOW VOLTAGE Fees Collected: $169.89 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: 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: Print Name: in 1 ���t, ✓ - I1f tL/ -- Date: & A 2 / f L/✓ 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: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98/88 http: www.TukwilaW-'A.,ov Electrical Permit No. j —" ( L- Project No. Date Application Accepted: ete (I ? ` I _ 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** S1TE'LOCATION King Co Assessor's Tax No.: Site Address: 2-le 0 61 SA..e.tl•- (i � t-iet2.. M tam.-�. Suite Number: Tenant Name: 1—A PROPERTYOVYNER,", Name; Address: City: State: Zip: CONTPERS ACT t ON ;person receiving all project s "� commwiication .i d. Name: t..iM ft-Ly 01/4 - Address: It `�0 .., E— Dm ` cS :DTz-w- Ctty. L1 g©e(z- State: Zip:117.2 0 Phone: 44O7- 752 - 7.0ax: 467-321 • get t -/ Email: ;t_t4aii t1 i-k-A .it,it_-c0y-, New Tenant: Floor: '! Yes ..No ELECTRICAL ONTRACTOR INFORMATION, Company Name: Srisc_L-�L-1Nt C - Address: 3 qo 0 J E. AV S S,V&- City: Li 1tL.E K-/>,_Li�., i State: cZip:,�,z� CJ Fax: 63-7 -7' - `I5r01 Phone: SO t-Sie6 Contr Reg No . Lt j * eio? Exp.Date: hv lle Tukwila Business License No.;$us_�pKR 9 /4 7 , $ I. Valuation of Project (contractor's bid price): $ 3 O« . O 0 Scope of Work (please provide detailed information): i 4S n44 (30) (4-T t, blzoP S roYL I __4..S.STE- .5 pi44c ,Jx.5 y.ce-SS 'Raita-re Peco1. >✓:I. - AFF G CO? tt s Will service be altered? ❑ Yes Er No Adding more than 50 amps? ❑ Yes Ercio Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 0 Remodel ❑ Tenant Improvement [Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Pronert Served by: Puget Sound Energy ❑ Seattle City Light 2 s H:\Applicauone\Porms-Applications On Lme\2014 Appltcanans\Electncal Permit Application Revised 1-1-14 docx Revised: January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ 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 $1 I.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, fumace 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERiMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: 'ElJ Date: (O ) 12j I t f Print Name: "Wo.I40 Pt; l LE.. Day Telephone: 7Z.0 — Z - 4 (107 "Mailing Address: (.04'7 S . 2 (Z '' ST. ft\Appbcattons\Forms-Applications On Lme\2014 Applicatluns\Electrical Pei nut Apphcal ion Rewsed 1-1-14 docx Revised: January 2014 bh 1 r LA-M. a 803 1 City 7 State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $169.89 EL14-0552 Address: 2606SOUTHCENTER MALL Apn: 9202470010 $169.89 ELECTRICAL $161.80 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $161.80 TECHNOLOGY FEE $8.09 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2343 R000.322.900.04.00 0.00 $8.09 $169.89 Date Paid: Thursday, June 12, 2014 Paid By: STALEY INC Pay Method: CREDIT CARD 057191 Printed: Thursday, June 12, 2014 11:25 AM 1 of 1 SYSTEMS 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 Project:4140 J nspection `'Y Type of Inspection:/4- / ‘, Address: ;60 , /j, I ` ' Date Called: Special Instructions: Date Wanted: %1 (7 a m m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 7-) / f H ( Inspector: 4.r.—it „%)t Date: a6kp t l `/ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Staley Inc Page 1 of 3 Washington State Department of Labor & Industries Staley Inc Owner or tradesperson O'Gary, Gregory Principals O'Gary, Gregory, PRESIDENT Morehart, Edmond A, VICE PRESIDENT Staley, Brent E, VICE PRESIDENT Harper, Brenda K, SECRETARY Staley, Royce E JR, CHIEF EXECUTIVE OFFICER 3400 JE Davis DR LITTLE ROCK, AR 72209 501-565-3006 License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. STALEI*907CK Effective — expiration 02/10/2010— 02/10/2016 Designated administrator FERRELL, GARY G. License type Electrical Administrator Bond TRAVELERS CAS & SURETY CO Bond account no. 105357133 Active. Meets current requirements. License no. FERREGG962PO $4,000.00 Received by L&I Effective date 02/10/2010 02/01/2010 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602390484&LIC=STALEI*907CK&SAW= 06/12/2014