HomeMy WebLinkAboutPermit EL16-0428 - T-MOBILE - CAMERAST -MOBILE
973 SOUTHCENTER MALL
EL16-0428
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: 9202470090 Permit Number: EL16-0428
Address: 973 SOUTHCENTER MALL Issue Date: 5/12/2016
Permit Expires On: 11/8/2016
Project Name: T -MOBILE
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940, CARLSBAD, WA,
92013
Contact Person:
2012
Name: WENDY COILE
Phone: (253) 796-7231
Address: 19625 62 AVE S #C112, KENT, WA,
2012
98032
2014
Contractor:
2012
Name: TYCO INTEGRATED SECURITY LLC
Phone: (253) 796-7252
Address: 19625 62 AVE S, STE C112, KENT, WA,
2012
98032
2012
License No: TYCOlIS88600
Expiration Date: 9/21/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL 2 CAMERAS
Valuation of single family: $0.00
Fees Collected: $211.05
Valuation of mf/comm: $5,259.00
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:I A 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 N�
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.
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 TUKh 1LA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.gov
Electrical Permit No.
Proj ect No.
Date Application Accepted:
Date Application Expires: _
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 V,7 y� _ 1_ , �U ,F 0 4 q f
J d i112�./t King Co Assessor's Tax No.:
Site Address: %q'-7'����o-:i1] SuiteNumber:�% Floor:
Tenant Name: 1 �''['� New Tenant: ❑ .....Yes ,,Fj"No
CONTACT PERSON — person receiving all project
communication
Name:
Type of Use:
Address:
I c� > 1��
! ll4�h
City:
Z'
State: lffk
Ph
71 Fax:
EM1
Ale -
Valuation of Project (contractor's bid price): $ �����,
Scope of Work (please provide detailed information): Y.cKt
Will service be altered? ❑ Yes
N0
Type of Use:
City:``•, j-
/`
Type of work:
Ph
6 �,�
❑ New ❑ Addition
❑ Service Change
Low Voltage ❑ Generator
El Fire Alarm
Pro Served b :
❑ Puget Sound Energy ❑
Seattle City Light
A:1Applications\Fortis-Applications On Line\2014 Applications0ectrical
Permit Application Revised 1-1-14.doex
Revised: January 2014
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ELECTRICAL CONTRACTOR INFORMATION
Compan e:
Address����
City:``•, j-
/`
f State: �J /J Zip: ?1112
�
Ph
6 �,�
Fax:
Y
T ila Business License No.;
Adding more than 50 amps?
Ir Remodel
❑ Telecommunication
❑ Yes No
❑ Tenant Improvement
❑ 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
(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
A
eter/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 track ............... $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:
Signature: C�" Date:
Print Name: -- Day Telephone: X- Wk -V-1
Mailing Address (�/ O l��e - A o'ao
City State Zip
MApplications\Forms-Applications On Liner2014 ApplicationslElectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$211.05
EL16-0428 Address: 973 SOUTHCENTER MALL
Apn: 9202470090
$211.05
ELECTRICAL
$201.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$201.00
TECHNOLOGY FEE
$10.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R8453
11000.322.900.04.00 0.00
$10.05
$211.05
Date Paid: Thursday, May 12, 2016
Paid By: WENDY COILE
Pay Method: CREDIT CARD 007946
Printed: Thursday, May 12, 2016 10:38 AM 1 of 1 ( I t 1 "%
SYSTEMS
INSPECTION RECORD /
Retain a copy with permit
INSPECTION NO. P RMIT NZ).
CITY OF TUKWILA BUILDING DIVISION
6300 SOULhcenter Blvd., 4100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:Qt4-(—
Address:75
� A /
Date Called:
Special Instructions:
Date Wanted: a.
Pm
l
Requester:
Phone No:
71
u REINSPECTION FEE REQUIRED, Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Tyco Integrated Security LLC
Home 1-Spanol Ccmtact.
Safety & Health
Washington State Department of
Labor & Industries
Tyco Integrated Security LLC
Owner or tradesperson
Principals
MAXIE, ROBERT C, PARTNER/MEMBER
CABANILLAS, KATHRYN
L, PARTNER/MEMBER
Van Dover, Mark T., MANAGER
CT CORPORATION SYSTEM, AGENT
BLEISCH, NELSON D, PARTNER/MEMBER
(End: 04/23/2013)
FAXAS, MAGIN A, PARTNER/MEMBER
(End: 04/23/2013)
MCGRATH, DANIEL J, MANAGER
(End: 04/23/2013)
Doing business as
Tyco Integrated Security LLC
Page 1 of 2
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19625 62nd Ave S Suite C112
KENT, WA 98032
253-796-7252
KING County
WA UBI No. Business type
601 636 830 Limited Liability Company
Governing persons
ANTHONY
MCGRAW
DANIEL J MCGRATH;
MAGIN A FAXAZ;
MARK VAN DOVER;
NELSON D BLEISCH;
ROBERT C MAXIE;
US HOLDINGS LLC TYCO FIRE & SECURITY;
License
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.
TYCOIIS88600
Effective — expiration
09/21/2012— 09/21/2016
Designated administrator
.........-, "'
.
Parrett, Leslie R ..
License type
Electrical Administrator
Bond
.........._.....
Federal Ins Co
Active.
Meets current requirements.
License no.
PARRELR860QL
$4,000.00
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601636830&LIC=TYCOIIS88600&SAW= 5/12/2016