HomeMy WebLinkAboutPermit EL14-1069 - T-MOBILE KIOSK - POWERT-MOBILE KIOSK
2800 SOUTHCENTER MALL
EL14-1069
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.eov
ELECTRICAL OTC PERMIT
9202470010
2800 SOUTHCENTER MALL K1062
Project Name: T-MOBILE KIOSK
Permit Number: EL14-1069
Issue Date: 10/30/2014
Permit Expires On: 4/28/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
KJ HILL
7056 S 220 ST , KENT, WA, 98032
SEATAC ELECTRIC INC
7056 S 220TH ST , KENT, WA, 98032-
1910
SEATAEI077RW
Phone:
Phone: (253) 872-5553
Expiration Date:
DESCRIPTION OF WORK:
PROVIDE POWER TO T-MOBILE KIOSK. INCLUDES THE REMOVAL OR RELOCATION OF ANY EXISTING ELECTRICAL
SYSTEMS PERTAINING TO THE AFOREMENTIONED SCOPE OF WORK.
Valuation of single family: $0.00
Valuation of mf/comm: $1,000.00
Type of Work: TENANT IMP
Fees Collected: $104.37
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:
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.
Signat
Print Name:
Date:I a! 30 N
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
Tenant Name: 1
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA. aov
Electrical Permit No. E LEA — t OW 9
Project No.
Date Application Accepted:
Date Application Expires:
(For office use onl})
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
Site Address: 2$00 S3 llv-ei► "1 14€4
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name: (3 K \
Address:.)0s--6 5 ' Zw 3L,
City: V,Q/li- State:: j(Zip:tly637.
/ 0
Fax:
Phonetts-3
,072 55
Email:,
King Co Assessor's Tax No.: nip �A2%o �- 11 oo��
Suite Number: �i� V c(J li Floor:
New Tenant: Pg Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: .e&t 94t c Decine.
Address: -7OS^le, 5. ZZO s2,
City: Ku) 4... State: tivief Zip:Qr13 z
Phone: C2(
$ 7 2 _ SSAFax _
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ b0. "
Scope of Work (please provide detailed information): t rC)V fth p bkft _ ,110 /4rLS/C
*ZAcia4 ►*e .ov91 dr 14-1cLefil'un at" ahf ex Pn'h5 eL(CfiAr<fl s11s , p- ili)Ali'u 114
u. fl,,1 e 'auc1 ape U a- rt-,
Will service be altered? ❑ Yes
No Adding more than 50 amps? ❑ Yes po No
Type of Use:
Type of work:
New D Addition ❑ Service Change ❑ Remodel D Tenant Improvement
❑ Low Voltage E Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx,
Revised: January 2014
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
0 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
0 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 $10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACL
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signa'fure:_ g�,�, r
Print Name: I 1 Day Telephone: �,S/ l754) Y°42
Mailing Address: 10 —7 Ca Si 22LY ' 54-,
Date:
Ia/3o%`1
L/Q74- I.J, - 9'o 3 Z
City State Zip
H \Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14.docx
Revised January 2014
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS
i � 7 •N,dY�a� k tC6 4 M} a # ? � � ' * �fi? h '"'4i$':�
PermitTRAK ° z =
ACCOUNT
D T E 5"3'Sp'
rf
QUANTITY I
�^
PAID
'� � L '`1 w� '.
$104 37
r . .,4 sa4 , r C ..,._ ,- : 04. 4,_ ..,r.
EL14 1069ff Address 2800 SOUTHCENTER¶MALL K1062 ApnY 9202470010
$104 37
ELECTRICAL
$99.40
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$99.40
TECHNOLOGY FEE
$4.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3439
R000.322.900.04.00
0.00
$4.97
$104.37
Date Paid: Thursday, October 30, 2014
Paid By: SEATAC ELECTRIC INC
Pay Method: CREDIT CARD 030526
Printed: Thursday, October 30, 2014 2:22 PM 1 of 1
CSYSTEMS
INSPECTION NO.
CITY OF TUKWILA BUILDING DI
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
VISION
(206) 431-3670
7 -tfaba4 tro 54
Type of Inspection:
A/A-L-
tA
ddress:'
tiALL k /0/, 1—
Date Called:
Special Instructions: '
Date Wanted:
/2, 3 f
qrwrii:
Requester:
Phone No:
Ifo4 Zo _
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector
irr-""a Date: /u
2,hilt
El
tjg r
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
SEA TAC ELECTRIC INC
Page 1 of 10
4111.4 Washington State Department of
Labor & Industries
SEA TAC ELECTRIC INC
Owner or tradesperson
HARGREAVES, TOM
Principals
HARGREAVES, TOM, PRESIDENT
JORDAN, TOM, VICE PRESIDENT
BEAN, ERIC, SECRETARY
BEAN, ERIC, TREASURER
HARGREAVES, TOM, AGENT
HARGREAVES, KATHERINE, SECRETARY
(End: 12/10/2008)
7056 S 220TH ST
KENT, WA98032
253-872-5553
KING County
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993-12/17/2015
Designated administrator
HARGREAVES, TOM
License type
Master Electrician
Bond
Active.
Meets current requirements..
Active.
Meets current requirements.
License no.
HARGRT*974CD
DEVELOPERS SURETY & INDEM CO $4,000.00
Bond account no.
798649C
Received by L&I Effective date
12/03/2008 12/16/2008
Expiration date
Until Canceled
Bond history
Savings
(in lieu of bond)
$4,000.00
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 10/30/2014