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Permit EL14-0569 - MICROSOFT KIOSK - KIOSK
MICROSOFT KIOSK 2800 SOUTHCENTER MALL K-0577 EL1 4-0569 Parcel No: Address: Project Name: 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 9202470010 2800 SOUTHCENTER MALL K0577 MICROSOFT KIOSK Permit Number: EL14-0569 Issue Date: 6/17/2014 Permit Expires On: 12/14/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, AR, 92013 RHONDA MILLER 3400 SE DAVIS DR NE , LITTLE ROCK, AR, 72209 STALEY INC 3400 JE DAVIS DR , LITTLE ROCK, AR, 72209 STALEI*907CK Phone: (720) 259-4667 Phone: (501) 565-3006 Expiration Date: 2/10/2016 DESCRIPTION OF WORK: INSTALL COAX CABLE FROM TELEPHONE ROOM TO KIOSK (ROUTER) THEN 15 TO 20 DATA CABLES FROM ROUTER (INSIDE KIOSK). Valuation of single family: $0.00 Valuation of mf/comm: $8,451.00 Type of Work: LOW VOLTAGE Fees Collected: $266.81 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 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: Date: *El IH 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: an Date: 01(1 1 Print Name: 1 1 1 SGkr`'C I '- 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 98188 htIp:r'www.TukwilaWV,A.gov Electrical Permit No. 6Ut-k 0 'L 1 Project No. Date Application Accepted: Date Ari« 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: 2-i3C ' SCvgf CEn-1tE . MALL - Tenant Name: M 1 [',(t'. so F'T- iL-i ess `ROPERTY OWNER,;. Name: Address: City: lS AA0 State: / t- Zip :9.013 Name: e-k- r-Lp t4 M i Address: 3 4O O O tPos City: Li �P�AC . State: L Zip: 2Zs-19 Phone:T23ass., Li ax: 303-�—Cj-LtSUI Email: -rrni kerttA S to_t. ; King Co Assessor's Tax No.: Suite Number: K OS 7 7 Freer: M ALI- w141 New Tenant: ❑ .....Yes Er:: No Company Name: s7tk F i 1 et C , Address:.3 00 J E i3AU 1 S DLvC- City: State: Zip.72. 2-0?LI t Ct_F 40C1C, Phone: Fax: 50l-SGS-3oo� 303--?7 9 -cisoi Contr Reg No 1.E i i O,1 C_ L Exp Date: 211 ip J a. Tukwila Business LicengsuNtso- o ci ci 47 (rs S i Valuation of Project (contractor's bid price): $ 4'S ( 0 U Scope of Work (please provide detailed information): IA S'T a4 _L-i Co AY- QAt:k l .L iE P Kcr, F l2 0Crr, "VC, ¥J CAS ((nil-0/ 1- H Erg t $' 1-0 2_0 d Un >t p .,tt-cr (;-is►1a 166030 Will service be altered? ❑ Yes Q No Adding more than 50 amps? ❑ Yes Q io Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Se d by: IV -Puget Sound Energy [J Seattle City I,ight HIApplicatronslForms-Applications On Lmd20I4 .Applications` ilectncal Permit .Apphcabon Revised 1-1-14 docx Revised. January 2014 hh Page I 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) S 7.65 ea ❑ Meter/mast repair S68.25 ❑ 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 O 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 $I0.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES bs 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: VIr-NONC14.A, Date: loir-71 Print Name: V.- i(h.1.D /i L L_ 2.. Day Telephone: % 2.0 ' 2.59 --46 c, 7 Mailing Address: 7 5'. 2A 21.<1" q SU 3 1 C It� Slate Zip \Applicanons\Forms-Apphcatious On Line\2014 AppItcahons\Eleetncal Puma Application Revised 1-1-14 docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $266.81 EL14-0569 Address: 2800 SOUTHCENTER MALL K0577 Apn: 9202470010 $266.81 ELECTRICAL $254.10 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $254.10 TECHNOLOGY FEE $12.71 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R2399 0.00 $12.71 $266.81 Date Paid: Tuesday, June 17, 2014 Paid By: STALEY INC Pay Method: CREDIT CARD 098186 Printed: Tuesday, June 17, 2014 2:03 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit _fat/,) i 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: rt Type of Inspection: Address: 72OO r1, Le'Os-71 Date Called: Special Instructions: 1Pi i Date Wanted: a.m. Requester: Phone No: till /in Approved per applicable codes. D Corrections required prior to approval. 'OMMENTS: Ch. r/ HAmt/ Inspector: Date: th12 X//1 r 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 3 411.114 Washington State Department of Lab©r & 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 CT Corporation System, AGENT Doing business as Staley Inc WA UBI No. 602 390 484 3400 JE Davis DR LITTLE ROCK, AR 72209 501-565-3006 Business type Corporation 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. FERREGG962P0 $4, 000.00 Received by L&I Effective date 02/10/2010 02/01/2010 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602390484&LIC=STALEI*907CK&SAW= 06/17/2014