HomeMy WebLinkAboutPermit EL15-0404 - HOLLISTER - LIGHTING REPLACEMENTHO STER
857SOUTHCENTER MALL
EL15-0404
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: EL15-0404
Address: 857 SOUTHCENTER MALL Issue Date: 5/4/2015
Permit Expires On: 10/31/2015
Project Name: HOLLISTER
Owner:
Name:
WESTFIELD PROPERTY TAX DEPT
Address:
PO BOX 130940, CARLSBAD, , 92013
Contact Person:
Name:
BARNEY CABUAG
Phone: (425) 248-8726
Address:
Contractor:
Name:
ORCA ELECTRICAL CONTRACTORS
Phone: (425) 487-2636
Address:
2704 171 ST SE, BOTHELL, WA, 98012
License No:
ORCAEEC944NU
Expiration Date: 9/11/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE LIGHTING WITH NEW LIGHTING.
Valuation of single family: $0.00
Valuation of mf/comm: $10,500.00
Type of Work: TENANT IMP
Fees Collected: $303.98
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
r '��
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.
Signatu
Print Ni
Date:
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.
S: 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
Tukwila, WA 98188
http://www.Tukwi[aWA..ov
SITE LOCATION
Electrical Permit No.
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"
0157 / A King Co Assessor's Tax No.:
Site Address: o/ �u �f1 l oalf �✓ G ��� Suite Number:1� Floor:
Tenant Name: t/0 ff', u - _ New Tenant: ❑ .....Yes FQ No
PROPERTY OWNER
Name: 142
Address:
City: - S te: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: State: Zip:
Phone: , —a Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
mil-
Company Name: �N U
/
Address:,) i? _
S
City: + State:
Wr - / Zip: FO-W
Phone: [ �S�ro Fax:
�,g� _
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ / J-0,0QQ��/�
Scope of Work (please provide detailed information): IK- ltye7lX Y �'"r�t�i � /y�/.L �� 4,14 J
Will service be altered? ❑ Yes (� No Adding more than 50 amps? ❑ Yes EJf No
Type of Use: (�
Tvne of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
NJ Puget Sound Energy ❑ Seattle City Light
H:\Appl w'ons\Form-Applications On LineU014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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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) .... :..........................................
$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 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT A,PPLICATtON-NOTES , er r
N
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 Name: XJ �/�� + ✓l ` 4
Mailing A
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised]-]-] 4.do"
Revised: January 2014
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Date: S- �� /
Day Telephone:�7 a '� yL— '%e? 'r
State
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$303.98
EL15-0404 Address: 857 SOUTHCENTER MALL
Apn: 9202470010
$303.98
ELECTRICAL
$289.50
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$289.50
TECHNOLOGY FEE
$14.48
TECHNOLOGY FEE
TOTAL14
R000.322.900.04.00 0.00
$14.48
$303.98
Date Paid: Monday, May 04, 2015
Paid By: BARNEY CABUAG
Pay Method: CREDIT CARD 01315Z
Printed: Monday, May 04, 2015 12:20 PM 1 of 1
TLJ U SYSTEMS
INSPECTION RECORD
Retain a copy with permit6,5--oloq
INSPECTION N0, PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
Address: �5 Z J�
Date Called:
Special Instructions:
Date Wanted: a.m.
p.m
Requester:
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
7 Retain a copy with permit
INSP CTION N0, 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:
Address:
Date Called:
Special Instructio :
Date Wanted: ` a.
(J m
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
nspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fed must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD (-0
��6 g:�
Retain a copy with permit
INSPECTION NO. PERMIT NC
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:
Address: `6VV
Date Called:
Special Instruction :
Date Wanted: a.m
Requester:
Phone No:
Approved per applicable codes. A Corrections required prior to approval.
COMMENTS:
a&->j6 D ✓ t
F �
IInspector: \ /� IDate: Pt, AL P</
REINS PECTION 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:
Address: �lld1/
Date Called:
Special Instructi ns:
Date Wanted: Z a.m
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
IINSPECTION RECORD
Retain a copy Wfth permit I
INSVt TION 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: KDj4 4 /A/
Address:
21
Date Called:
1
Special Instructiohs:
Date wantea. -51 /1/
Requester:
11 Approved per applicable codes. El Corrections required prior to approval.
I I 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: F C
Type of Inspection:
Address:
Date Called:
Special Instructiods'.
Date Wanted.
Requester:
P one No:
11 Approved per applicable codes. 1:1 Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection.
INSPECTION RECORD
h permit
iNgPECTION NO. - ]Retain a copy wit I PER NO.
. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project-
I-LA5.1-IT41&
............. ..
Type of Inspection: 7)
Address.
IS dAVL,--
Date Called:
Special Instructi6ns.
Date Wante Ka-rn
iqm.
Requester'.
11 Approved per applicable codes. ri Corrections required prior to approval.
REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedule reinspection.
INSPECTION RECORD
L Retain a copy with permit
INSPECTION NO. PERMIT NO T
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 Inspec0ow
—Called:
Address. V J
Bate
3pecial Instructiods.
Date Wantea: a,rn.
Requesterr:''
P: one No:
11 Approved per applicable codes. 1-1 corrections required prior to approval.
L—i paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ORCA ELECTRICAL CONTRACTORS
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Safety
Washington State Department of
Labor & Industries
ORCA ELECTRICAL CONTRACTORS
Owner or tradesperson
CABUAG,JOHANNA M
Principals
CABUAG,JOHANNA M,PARTNERIMEMBER
CABUAG , JACOB K M
SR, PARTNER/MEMBER
Doing business as
ORCA ELECTRICAL CONTRACTORS
WA UBI No.
602 644 540
License
A-Z Index Help My Secure L&I
Claims & Insurance Workplace Rights Trades & Licensing
2704 171ST ST SE
BOTHELL, WAS8012
425-585-0101
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
GENERAL
License no.
ORCAEEC944NU
Effective — expiration
08/31/2006— 09/16/2016
Designated administrator
Active.
dABUAG,BARNEY
Meets current requirements.
License type
License no.
Master Electrician
CABUAB`966MB
Bond
Wesco Insurance Co
$4,000.00
Bond account no.
46WBO34916
Received by L&I
Effective date
09/16/2013
10/09/2013
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
.................... __._.......... _.
Infraction no.
EDUNY00316
Satisfied
.........................
Issue date
RCW/WAC
01/30/2014
19.28.101 RCW
Violation city
Violation amount
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602644540&LIC=ORCAEEC944NU&SAW= 5/4/2015
ORCA ELECTRICAL CONTRACTORS
Page 2 of 2
BOTHELL
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
2964613-901.
Infraction no.
ECERM00661
Issue date
03/28/2011
Violation city
BOTHELL
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work. ( Christopher
Lehr)
Workers' comp
$250.00
Satisfied
..........................
RCW/WAC
19.28.271 RCW
Violation amount
$250.00
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
120,780-00
... ..............................
Doing business as
ORCA ELECTRICAL CONTRACTORS LL
Estimated workers reported
Quarter 4 of Year 2014 "4 to 6 Workers"
L&I account representative
T2 / SUSAN OLUO (425)290-1361 - Email: OLUS235@lni.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
O Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602644540&LIC=ORCAEEC944NU&SAW= 5/4/2015