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Permit EL16-0306 - WESTFIELD SOUTHCENTER MALL - POWER/DATA FLOOR BOXES IN MALL CONCOURSE
SOUTHCENTER MALI. 2800 SOUTHCENTER MAIL EL16-0306 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 Parcel No: 9202470010 Permit Number: EL16-0306 Address: 2800 SOUTHCENTER MALL K0662 Issue Date: 4/7/2016 Permit Expires On: 10/4/2016 Project Name: SOUTHCENTER MALL Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940, CARLSBAD, WA, 92013 Contact Person: 2012 Name: SHANE JOHNSON Phone: (253) 852-7777 Address: 25130 74TH AVE S, KENT, WA, 98032 2012 Contractor: 2014 Name: STATIC ELECTRIC INC Phone: (253) 468-3296 Address: 34009 48TH AVE E, EATONVILLE, 2014 WA, 98328 2012 License No: STATIE1951C8 Expiration Date: 2/25/2017 Lender: 2012 Name: Address: LWI:'�Q DESCRIPTION OF WORK: ADD (2) NEW POWER/DATA FLOOR BOXES IN MALL CONCOURSE. EXTENDEXISTING CIRCUITS Valuation of single family: $0.00 Fees Collected: $104.37 Valuation of mf/comm: $1,000.00 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 LWI:'�Q 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. Sign Prin' Date: H — ? 1 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 TUKWi Community Development Department • Permit Center • 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 ht!p://www.TukwilaWA.gov Electrical Permit No. — 34 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" SITE LOCATION l l King Co Assessor's Tax No.: Site Address: Z gGD IS h Ce_^��,-- r -n-01 1 I Suite Number: KO 6(0 Floor: Tenant Name: New Tenant: ❑..... Yes EJ.. No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: } Address- D Y `l City: e State: Zip: Phone. .ZS 2Fax- 7.�-tCe Email: S� � s I t` f i C• 01 L ... ELECTRICAL CONTRACTOR INFORMATION Company Name: r Address: t City: ,4,,n v-41 IP State: Zings3z$ Phone: ZS 3_h LS -3 nG Fax: Contr Reg No.: swry S Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Moo • 0C) Scope of Work (please provide detailed information): /K -Ar) (z) r v 3 e C z hJ cox ( Sh" 4 r Will service be altered? ❑ Yes /CK— No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm PrODertv Served b : Puget Sound Energy ❑ Seattle City Light HAApplicationsTorms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes ["No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 $65.00 ❑ (no added/altered circuits) $80.90 ❑ Service change with added/altered circuits.................$81.90 $86.25 number of added circuits ....................... $11.55 ea ❑ Circuits added/altered without service change ............ $54.60 (up to 5 circuits) 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 Name: Date: kA- -7- I t Day Telephone: 7S3 --f4(o8 -� z--9 t, Mailing Address: S9cn!� a14-.tyi jle IIX)qg3zK City State Zip H:\ApplicationsTorms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS QUANTITY PermitTRAK $186.17 EL16-0305 Address: 467 SOUTHCENTER MALL Apn: 9202470010 $81.80 ELECTRICAL $77.90 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $77.90 TECHNOLOGY FEE $3.90 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.90 EL16-0306 Address: 2800 SOUTHCENTER MALL K0662 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 TOTAL PAID BY RECEIPT:R8130 R000.322.900.04.00 0.00 $4.97 $186.17 Date Paid: Thursday, April 07, 2016 Paid By: SHANE JOHNSON Pay Method: CREDIT CARD 035811 Printed: Thursday, April 07, 2016 8:58 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit & 0,z7d, INSPECIFION NO. PERMIT NO. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3670 n: Project: � � Type of Inspectio �M Address: mooj Date Called: Special Instructions: K•©��� Date Wanted: a.m. Requester: Phone No: v �3 Approved per applicable codes. . E Corrections required prior to approval. Inspector: c � (uate: ��/2�✓//,fes F] REINSPECTIOP FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 S uthcenter Blvd„ Suite 100. Call to schedule reinspection. INSPECTION RECORD164'�3v� Retain a copy with permi t J 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: eb}�ti Address: � p0 Date Called: Special Instructions: I Date Wanted: .m. p.m. Requester: /* Phone No: 2ZI 4-3�Fr7 ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: LIJ4 a -4j K - -Dater C�1-1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection. Inspector: LIJ4 a -4j K - -Dater C�1-1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection. INSPECTION RECORD a Z Retain a copy with permit 006�� 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: SG a / Type of Inspection: LMS5 - 6 t V Address: 666 Date Called: oo Com-- C-%,t&N �/� CA -1 Special Instructiont. Date Wanted: a.m. -'` Requester: /jam J •=L� Phone No: z. ElApproved per applicable codes. � Corrections required prior to approval. COMMENTS: f� F LMS5 - 6 t V Com-- C-%,t&N �/� CA -1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r INSPECTION RECORD l '® 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:` Al.'O� Type of Inspection Address: fav Date Called: Special Instructions: &INN Date Wanted: 07 !m. p.m Requester: J 44� Phone No: 2-5-3 ��� �Y 14 Approved per applicable codes. LJ Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Call. to schedule reinspection. STATIC ELECTRIC INC inWashington State Department of Labor & Industries STATIC ELECTRIC INC Owner or tradesperson Principals JOHNSON, SHANE E, PRESIDENT JOHNSON, SHANE E, AGENT Doing business as STATIC ELECTRIC INC WA UBI No. 602 455 807 License Hoine 1-:spaflol contact Safety & Health Claims & Insurance 34009 48th Ave E EATONVILLE, WA 98328 253-468-3296 PIERCE County Business type Corporation Page I of 2 Search L&I t - A-'7, Index Help My L&I Workplace Rights Trades & Licensing 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. STATIEI951 C8 Effective — expiration 02/25/2005— 02125/2017 Designated administrator ... _.............. JOHNSON,SHANE License type Electrical Administrator Bond ................. DEVELOPERS SURETY & INDEM CO Bond account no. 574726C Received by L&I 02/28/2005 Savings .................. 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. JOHNSS`973PH $4,000.00 Effective date 02/17/2006 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. t -&I Account ID Account is current. 131,984-01 ..................... _.......... Doing business as STATIC ELECTRIC INC https://secure.lnima.gov/verify/Detail.aspx?UBI=602455807&LIC=STATIEI951 C8&SAW= 4/7/2016