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Home My WebLink AboutPermit EL16-0958 - AT&T WIRELESS - DATA WIRINGAT&T WIRE SS 1010 SOUTHCENTER MALL EL16-0958 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: EL16-0958 Address: 1010 SOUTHCENTER MALL Issue Date: 10/17/2016 Permit Expires On: 4/15/2017 Project Name: AT&T WIRELESS Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940, CARLSBAD, OR, 92013 Contact Person: Name: SAVANNAH WAGNER Address: 124 SE 11TH AVE - SUITE B, PORTLAND, OR, 97214 Contractor: Name: OHM SYSTEMS LLC Address: PO BOX 86833, PORTLAND, OR, 97286 -0833 License No: OHMSYSL951QS Lender: Name: Address: DESCRIPTION OF WORK: LOW VOLTAGE DATA WIRING Valuation of single family: $0.00 Valuation of mf/comm: $5,000.00 Type of Work: LOW VOLTAGE Phone: (503) 484-5700 Phone: (503) 484-5700 Expiration Date: 12/24/2017 Fees Collected: $192.57 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signatu Date: " I& 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 gree to the con " ' s attached to this permit. // Signature: Date: � % <'F Print Name: J�/¢✓!f> �/ 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 TUKI*.,.,A AOA&% • Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htty://www.TukwilaWA.gov Electrical Permit No. Project 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 /0/0 �� t'��'r��1� King Co Assessor's Tax No.: Site Address: 12-M0/�1 CQ(X r ai Suite Number: 1 Floor: An Tenant Name: 4� ry L S S New Tenant: Yes ❑ ..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: U'r 1 �/� ers On Address: r) I City: State: Zip: Phone:Z OQ �3 10 2-M?ax: Email: Valuation of Project,(contractor's bid price): Scope of Work (please provide detailed infoi ELECTRICAL CONTRACTOR INFORMATION Company Name: 0 `A �.tpm Address: r) I City: O ay.VICt State: Or Zip:q /M Phone:Sv3 4&� i)� Fn,� UT 1 CJS% Contr Reg No.: Exp Date: Tukwila Business License No.; U(,QVt54 �► Vq_ Issue a - Com c'r Ci v� i,� vutvtGe � cow fi�rvr�. T? -r, vim ' Will service be altered? ❑ Yes No Adding more than 50 amps? Type of Use: t o /' I n LMe of work: ❑ New Al ❑ Addition ❑ Service Change ❑ Remodel Low Voltage ❑ Generator ❑ Fire Alarm X Telecommunication Proverty Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H:Wppliations\Fonns-Applications On Linc\2014 AppliationAElectrical Permit Application Revised 1-1-14.docx Revised: January 2014 hh v Yes ❑ No ❑ Tenant Improvement ❑ Temporary Service 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) ❑ 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 .............................. ❑ Low voltage systems ........................ (alarm, furnace thermostat) PERMIT APPLICATION NOTES - ................ $68.25 ......... $59.85 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. k Print Name:—D a vai tVu.(n 1/ 1/ l7 191 iv, rr Mailing Address: �167 It -11 H:Wppliations\Fornis-Applications On L nc\2014 Applications0ecuic9l Permit Application Revised 1.1-14.d. Revised: January 2014 bb Day Telep one:'r7c'r T Iyy �Y �' X21 City state zip Page 2 of 2 DESCRIPTIONS PermitTRAK ' • i PAID $192.57 EL16-0958 Address: 1010 SOUTHCENTER MALL Apn: 9202470010 $192.57 ELECTRICAL $183.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $183.40 TECHNOLOGY FEE $9.17 TECHNOLOGY FEE • # R9659 R000.322.900.04.00 0.00 $9.17 $192.57 Date Paid: Monday, October 17, 2016 Paid By: SAVANNAH WAGNER Pay Method: CREDIT CARD 117112 Printed: Monday, October 17, 2016 9:21 AM 1 of 1 � YS 7EFA5 INSPECTION RECORD Retain a copy with permit _0 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. edAi Address: Q0 PO Date Called: Special Instructions: Date Wanted:a. 3,oP.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. LkA r' Z�l r.�ff.V�FMEPPM� nspector: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. ' INSPECTION RECORD Retain a copy with permit INSPECTION NO. t(206) . CITY OF TUKWILA BUILDING D 6300 Southcenter Blvd., #100, Tukwila. WA 981881-367 Permit Inspection Request Line (206) 438-9350 Project:kr* Type of Inspection Address: Date Called: Special Instru tions: Date Wanted: r a. ml, it 6 Requester: Phone No: 19 Approved per applicable codes. 11 Corrections required prior to approval. r N� 2M IInspector: c-��j ,L�� Ij Iuate: III faIIt" REINSPECTIONIFEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. OHM SYSTEMS LLC Home Lspanol Contact Safety & Health Washington State Department of 4LJ Labor & Industries OHM SYSTEMS LLC Page 1 of 2 Search L&I A-'LIndex Help MyL.Ki Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 86833 BALDWIN, CHAD E PORTLAND, OR 97286-0833 503-484-5700 Principals BALDWIN, CHAD E, PARTNER/MEMBER DAY, FRANK, AGENT WA UBI No. Business type 602 549 354 Limited Liability Company 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. OHMSYSL951QS Effective — expiration 11/08/2005-12/24/2017 Designated administrator Active. BALDWIN, CHAD E Meets current requirements. License type License no. Electrical Administrator BALDWCE956MO Bond ................ Violation city Developers Surety & Indem Co $4,000.00 Bond account no. $250.00 258500C Received by L&I Effective date 10/08/2012 10/12/2012 Expiration date 10/17/2016 Until Canceled Bond history Savings Nonsavings accounts during the previous 6 year period. License Violations Infraction no. EJORP06371 Issue date Satisfied ....................... RCWMIAC n 03/26/2015 19.28.101 RCW 1 Y �� Violation city Violation amount PORTLAND $250.00 Help us improve Type of violation https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=602549354&LIC=OHMSYSL95IQS&SAW= 10/17/2016