HomeMy WebLinkAboutPermit EL15-0271 - ROUND ONE BOWLING & AMUSEMENT - AUDIO, VIDEO, CCTV AND DATA SYSTEMSROUND ONE BOWLING &
AMUSEMENT
2351 SOUTHCENTER MALL
EL15-0271
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 9202470010 Permit Number: EL15-0271
Address: 2351 SOUTHCENTER MALL Issue Date: 3/25/2015
Permit Expires On: 9/21/2015
Project Name: ROUND ONE BOWLING & AMUSEMENT
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940, CARLSBAD, WA,
92013
Contact Person:
Name:
CRAIG HOLMES
Address:
7528 OLYMPIC VIEW DR, STE 110,
EDMONDS, WA, 98026
Contractor:
Name:
LEIBOLD COMMUNICATIONS
Address:
7528 OLYMPIC VIEW DR STE 110
EDMONDS, WA, 98026
License No:
LEIBOC*8760E
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Phone: (425) 245-8846
Phone: (206) 286-8981
Expiration Date: 9/5/2015
PHASE 1: PREWIRE FOR AUDIO, VIDEO, CCTV AND DATA SYSTEMS.
PHASE 2: INSTALL AUDIO, VIDEO, CCTV CAMERAS AND DATA CONTROL EQUIPMENT
Valuation of single family: $0.00 Fees Collected: $378.32
Valuation of mf/comm: $14,400.00
Type of Work: LOW VOLTAGE 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:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: iL�L.IX Jam-` Date: —� /.S-
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: x !) Date:
Print Name: ,mac L.iq
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
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tulovila, WA 98188
" http 6wwy,TukA.1aWA.g�v
SITE LOCATION
Electrical Permit No. G L',,T— 0X] (
Project No.
Date Application Accepted:
Date Application Expires:
use
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"
King Co Assessor's Tax No.:
Site Address: � C3 n u Suite Number: i &OC Floor:
Tenant Name: RO (A," A 1 New Tenant: R1 .....Yes ❑..No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address: _�
City:
at
Phone: _ F x:
Email:
in
ELECTRICAL(C%4TR,4CT,OftIN RMATION
Company Name:
Address: a r
City: Stat : i
Phone: ax:
Contr Reg No.: L� 1 G* Ex Date:
Tukwila Business License No.; — -7
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): e s Q_I ; A.r euI ; r 1 e i N i Q-Q . CL- V,
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Tvne of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
(P Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
[�J Puget Sound Energy ❑ Seattle City Light
H:\Applications\forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1.1-14.docx
Revised: January 2014
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701
Pagel 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)
PERMIT APPLICATION NOTES -
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
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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:
Print N
R
Mailing Address: lrS C V 1 V`t
H:WpplicationsTorms•Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Date: 3 f Z L
Day Telephone:
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City State Zip
Page 2 of 2
DESCRIPTIONS•
PermitTRAK
QUANTITY
PAID
$378.32
EL15-0271 Address: 235150UTHCENTER MALL
Apn: 9202470010
$378.32
ELECTRICAL
$360.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$360.30
TECHNOLOGY FEE
$18.02
TECHNOLOGY FEE
• R4901
R000.322.900.04.00 0.00
$18.02
$378.32
Date Paid: Wednesday, March 25, 2015
Paid By: AUDIO VIDEO COMMUNICATIONS
Pay Method: CHECK 1869
Printed: Wednesday, March 25, 2015 1:42 PM 1 of 1 !,�!!!
�JSY57EM5
INSPECTION RECORD
Retain
INSPECTION NO.
a copy with permit
CITY OF" TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: OA16
Type of Inspection:
Address:
1 91::�
Date Called:
Special Instructions: I
Date Wanted: 77 nPM
Z'(s
Requester:
I� I
Phone No: X) ®3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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) 438-9350
Project: ®✓� �
Type of Inspection:
V
Address: y
2,3 ilv✓
Date Called:
Special Instructions: I
Date Wanted: a.m.
L/ �
O p•
Requester: .�
Phone No: C � Q 373
U REINSPECTION FEE REQUIRED. Prior to next inspection, tee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
INSPECTION RECORD
i
Retain a copy with permit
INSPECTION NO. PERMIT Nu,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670
Permit Inspection Reciuest Line (206) 438-9350
Project:— -
k
"i bv(—
Type of lnspec6iin:
(C* I
&4 , 'vi
Address:
Date called:
-Ca
Special instructions:
tv
Date wanted',---
_m-
p.m.
Requester'
Phone No: I
RI INSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection.
LEIBOLD COMMUNICATIONS
Page l of 2
Home; Inicio e n l.spanol Contact
Safety
Washington State Department of
Labor & Industries
LEIBOLD COMMUNICATIONS
Owner or tradesperson
HALL, MEGAN L
Principals
HALL, MEGAN L, PARTNER/MEMBER
HOLMES, CRAIG A, PARTNER/MEMBER
BATES & ELY PLLC, AGENT
Doing business as
LEIBOLD COMMUNICATIONS
WA UBI No.
603 322 276
Parent company
AUDIO VIDEO EXCLUSIVES LLC
License
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7528 OLYMPIC VIEW DR STE 110
EDMONDS, WA98026
206-286-8981
SNOHOMISH County
Business type
Limited Liability Company
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
........._....................._.............................
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
LEIBOC*8760E
Effective — expiration
09/05/2013— 09/05/2015
Designated administrator
...................
NISSEN, DEAN
License type
Electrical Administrator
Bond
............._.
Suretec Insurance Company
Bond account no.
5167381
Received by L&I
09/05/2013
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
NISSED*066CE
$4,000.00
Effective date
08/21/2013
Expiration date
Until Canceled
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603322276&LIC=LEIBOC*8760E&SAW= 3/25/2015