HomeMy WebLinkAboutPermit EL14-1033 - HAT CLUB - DUPLEX RECEPTACLES AND DATA CAT5E DROPHAT CLUB
810 SOUThCENTER MALL
EL14-1033
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: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
9202470010 Permit Number:
810 SOUTHCENTER MALL Issue Date:
Permit Expires On:
Project Name: HAT CLUB
EL14-1033
10/22/2014
4/20/2015
Owner:
Name:
Address:
Contact Person:
Name:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
RYAN HAGGARD
Address: 16702 65 AVE SE , SNOHOMISH, WA,
98296
Contractor:
Name: HAGGARD ELECTRICAL CONTRNG INC
Address: 16702 65 AVE SE , SNOHOMISH, WA,
98296
License No: HAGGAEC8610J
Lender:
Name:
Address:
111
Phone: (206) 953-5778
Phone: (360) 668-9361
Expiration Date: 9/11/2016
DESCRIPTION OF WORK:
PROVIDE (2) DUPLEX RECEPTACLES AND (1) DATA CATSE DROP.
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: TENANT IMP
Fees Collected: $81.80
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
2014
2012
Permit Center Authorized Signature:
Date: 0 Z 2
`I
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 ado the conditions attached to this permit.
Signature: Date: /U Zc t L(
Print Name:.'=/i,K "Lea l4,5
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
http://www.TukwilaWA.gov
Electrical Permit 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
King Co Assessor's Tax No.:
Site Address: 810 Southcenter
Tenant Name: Hat Club
PROPERTY OWNER
Name: Westfield Corp.
Address: 8700 NE Vancouver Mall Dr
City: Vancouver State: wa
Zip: 98662
CONTACT PERSON — person receiving all project
communication
Name: Ryan Haggard
Address: 16702 65th AVE SE
City: Snohomish State: WA Zip: 98296
Phone: (206) 953-5778 Fax:
Email:
a2-0211'i v
Suite Number: 232 Floor:
New Tenant: ® Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Haggard Electrical Contractors
Address: 16702 65th AVE SE
City: Snohomish State: WA Zip: 98296
Phone: (360) 668-9361 Fax:
Contr Reg No.: I 1 A613 Aet. v(01 or Exp Date: Ch 1i,Jig
, , Tukwila Business License No.; p_ 0, 615Z3(s I
Valuation of Project (contractor's bid price): $ 500
Scope of Work (please provide detailed information): Provide 2 new duplex receptacles and 1 data cat5e drop
Will service be altered? ❑ Yes m No Adding more than 50 amps? 0 Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service
Property Served by:
® Puget Sound Energy ❑ Seattle City Light
11:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-I-14.docx
Revised'. .lanuary 2014
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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
***EFFECTIVE JANUARY I, 2014 EACH
PERMIT 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 OWNERR ELF CTRICAL CONTRACTOR:
Signature:
Print Na
Mailing Address: 16702 65th AVE SE Snohomish WA 98296
H:\Applications\Form-Applications On Line\2014 Applications \Electrical Permit Application Revised 1-1-14.docx
Revised. Januarc 2014
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Date:
10/22/2014
Day Telephone: (206) 953-5778
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY PAID
PermitTRA
L14-1033
ress:,
A`SOUTHCENTER MALL
4pn: 9202470010
1
ELECTRICAL
$77.90
PERMIT FEE MULTI-FAM/COMM
TECHNOLOGY FEE
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3360
R000.322.101.00.00
0.00
$77.90
R000.322.900.04.00
0.00
$3.90
$81.80
Date Paid: Wednesday, October 22, 2014
Paid By: HAGGARD ELECTRICAL CONTRACTORS
Pay Method: CHECK 18597
Printed: Wednesday, October 22, 2014 8:17 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit 1033
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: On,
Type of Inspection:
Adet---Address:
Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
WIApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
z
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:
Type of Inspection:
Address:
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
414- rol3
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:
K
t ,
Type of Inspection
Address:
Date Called:
Special Instructions: (
Date Wanted:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: /2,7 /1
HAGGARD ELECTRICAL CONTDNG INC
Page 1 of 2
C. Washington State Department of
Labor & Industries
HAGGARD ELECTRICAL CONTRNG INC
Owner or tradesperson
HAGGARD, RYAN LYLE
Principals
HAGGARD, RYAN LYLE, PRESIDENT
HAGGARD, ELIZABETH ANN, VICE
PRESIDENT
Doing business as
HAGGARD ELECTRICAL CONTRNG INC
WA UBI No.
603 418 023
16702 65TH AVE SE
SNOHOMISH, WA98296
360-668-9361
SNOHOMISH County
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.
HAGGAEC861OJ
Effective — expiration
09/11/2014— 09/11/2016
Designated administrator
HAGGARD, RYAN
License type
Electrical Administrator
Bond
American Contractors Indem CO
Bond account no.
100256726
Received by L&I
09/11/2014
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
License no.
HAGGAR*964CL
$4,000.00
Effective date
09/10/2014
Expiration date
Until Canceled
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603418023&LIC=HAGGAEC861 OJ&SAW= 10/22/2014