HomeMy WebLinkAboutPermit EL16-0072 - FOREVER 21 - INTERIOR SIGNFOREVER 21
836 SOUTHCENTER MALL
EXPIRED
07/23/16
ELl 6=0072
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
Parcel No: 9202470010 Permit Number: EL16-0072
Address: 836 SOUTHCENTER MALL Issue Date: 1/25/2016
Permit Expires On: 7/23/2016
Project Name: FOREVER 21
Owner:
2012
Name:
WESTFIELD PROPERTY TAX DEPT
Address:
PO BOX 130940, CARLSBAD, WA,
WA Cities Electrical Code:
92013
Contact Person:
2012
Name:
KIRSTEN HANSON Phone: (206) 623-3100
Address:
727 S 96TH ST, SEATTLE, WA, 98105
Contractor:
Name: HEATH NW INC Phone: (206) 623-3100
Address: 727 S 96TH ST, SEATTLE, WA, 98108
License No: HEATHN1981JZ Expiration Date: 4/9/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REMOVE AND INSTALL ILLUMINATED INTERIOR SIGN ON LEVEL ONE: LINGERIE
Valuation of single family: $0.00 Fees Collected: $104.37
Valuation of mf/comm: $990.00
Type of Work: TENANT IMP 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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: �_� C Date: 1—e
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.
Signa
Print
Date: 1-2 i• . le
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 TUKR _ A
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htty://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. r —0c)
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.:gl Z 02'Y7G0 l d00
Site Address: 836 500710EAJ7ele MALL 7'01Cw14h WA '7016 Suite Number: Floor: t
Tenant Name: 5096y6R 11 New Tenant: ❑ .....Yes ®..No
PROPERTY OWNER
Name: .t
•G
Address:?.,,.► 309,16
gU
City: �a^ a State: O R Zip; 11
CONTACT PERSON — person receiving all project
communication
Name:
Ki.s•k nso
Address:
7 2'I S. Z fl.
City: SCa '�
State: \41A Zip:,761o5
Phone: 2o6.623. 3104
Fax. 206.6 2? /7 z3S
Email: ���e h hee•��,no�•i•�wta�•.
�ti'
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (47# AIAR7-/f W FS -r
Address: '727 .S Fd A S " A
City: 13, a 441 State: WA Zip: 98/o
Phone:,26ir_ 623_ 3160 Fa"'2d6.623. 1765
Contr Reg No.:%,qjV1' 70 i Z -Exp Date: 1i' 1.14
Tukwila Business License No.; WS . OT` 4&7'7
Valuation of Project (contractor's bid price): $ q 6. "
Scope of Work (please provide detailed information): REMOVE ! RE/A1S74LL 14LyM1ANA7E 10 1,vTC&1-0 .
9/6N ON LFyEL orale : Liol!jcr e.
Will service be altered? ❑ Yes
02f -No
Adding more than 50 amps?
❑
Yes OZ"No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
❑
Tenant Improvement
VLow Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
FPuget Sound Energy ❑
Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
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)
$80.90
❑
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)
$10.80 ea
❑
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
Mailing Address: % 2-'7 S 96 ' S Ire�
H:\Applications\Forms-Applications On Linc\2014 Applications\Elcctrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Date: I - 22 -/,/
Day Telephone:_ 906- 62-S • 3100
Se. �41< Lv'A 98/08
City state zip
Page 2 of 2
,
Date Paid: Monday, January 25, 2016
Paid By: A & D SIGNS INC
Pay Method: CHECK 1651
Printed: Monday, January 25, 2016 8:07 AM 1 of 1 vsrer
DESCRIPTIONS
PermitTRAK
ACCOUNTQUANTITY
PAID
$104.37
EL16-0072 Address: 836 SOUTHCENTER MALL
Apn: 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
TOTALPAID$104.37
R000.322.900.04.00 0.00
$4.97
Date Paid: Monday, January 25, 2016
Paid By: A & D SIGNS INC
Pay Method: CHECK 1651
Printed: Monday, January 25, 2016 8:07 AM 1 of 1 vsrer
6/1/2016
City of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
KIRSTEN HANSON
727 S 96TH ST
SEATTLE, WA 98105
RE: Permit No. ELI 6-0072
FOREVER 21
836 SOUTHCENTER MALL
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 7/23/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 7/23/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Rachelle Riple
Permit Technician
File No: ELI 6-0072
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
HEATH NW INC
Home Inido en Espanol Contact.
Safety
Washington State Department of
Labor & Industries
HEATH NW INC
Page 1 of 4
Search L&I
A -Z Index Help vly Se cure 1',x`.1
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 727 S 96TH ST
Principals SEATTLE, WA98108
p 206-623-3100
Gibson, Wendy D, PRESIDENT KING County
GIBSON, JOE, VICE PRESIDENT
Gibson, Wendy, AGENT
PAULSEN, DARRYL, PRESIDENT
(End: 08/09/2011)
GIBSON, Joseph, PRESIDENT
(End: 08/09/2011)
OLDS, JOHN, VICE PRESIDENT
(End: 08/09/2011)
GIBSON, JOE, TREASURER
(End: 08/09/2011)
PAULSEN, DARRYL, AGENT
(End: 08/09/2011)
Doing business as
HEATH NW INC
WA UBI No.
Business type
602 195 548
Corporation
Parent company
Governing persons
JJ & D SIGNS INC
JOSEPH
P
GIBSON
WENDY GIBSON;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
........................ ....................................
Meets current requirements.
License specialties
SIGN
License no.
HEATHN1981JZ
Effective — expiration
04/09/2002— 04/09/2016
Designated administrator
GIBSON, JOE
License type
Electrical Administrator
Bond
Cincinnati Ins Co
Bond account no.
0581509
Active.
Meets current requirements.
License no.
GIBSOJ*971 R9
$4,000.00
SUS -Oat 1A�0 1
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHN198IJZ&SAW= 1/25/2016