HomeMy WebLinkAboutPermit EL16-1068 - 85C BAKERY - PREWIRE AND CAMERA WORK85C BAKERY
1341 SOUTHCENTER MALL
ELl 6=1 068
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: 9202470090 Permit Number: EL16-1068
Address: X.) SOUTHCENTER MALL 100 Issue Date: 11/22/2016
Permit Expires On: 5/21/2017
Project Name: 85C BAKERY
Owner:
2015
Name: WESTFIELD PROPERTY TAX DEPT
2014
Address: PO BOX 130940, CARLSBAD, WA,
2015
92013
2014
Contact Person:
2015
Name: DAN KEENAN
Phone: (206) 919-6552
Address: 16000 BOTHELL EVERETT HWY STE
2015
125, MILL CREEK, WA, 98012
2015
Contractor:
2015
Name: CHAMPION SECURITY SOLUTIONS INC
Phone: (206) 919-6552
Address: 16000 BOTHELL EVERETT HWY #125,
MILL CREEK, WA, 98012
License No: CHAMPSS841P1
Expiration Date: 10/21/2018
Lender:
Name:
Address:
DESCRIPTION OF WORK:
PREWIRE AND CAMERA WORK
Valuation of single family: $0.00
Fees Collected: $322.56
Valuation of mf/comm: $12,000.00
Type of Work: LOW VOLTAGE
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 296-46B:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature: W&W M Date: I l
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 I s regulating construction or the performance of work. I am authorized to sign and obtain this
development ermit and agree to the conditions attached to this permit.
Signature:_
Print Name:
Date: /( .4a- 1l0
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 4
•
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:HArww.TukwilaWA.Pov
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"
SITE LOCATION
15�0 King Co Assessor's Tax No.:
Site Address: cJ6ykc� kSuite Number: Floor:
Tenant Name: 0S New Tenant:.... Yes ❑.. No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: I J
Address:��CIcwG� (.-VS Z1
(�oC)uo
City: r , G e -4�, State: 0�, Zip: 98p 1 Z
c
Phone: , �tq W -T2_ Fax:
Email:{
0.n. \CILN+ 1J��1 S'-ccwrl �'61wkiu,��
r�
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
tutl I Jo u-'h�+h
Address:
l
City: 1�� rec State: tp'C(BoIL
Phone: �. Z Fax:
Contr Reg No.: GI^6kK S�g q I 1 Exp Date:
Tukwila Business License No.;
(_,0 1,.—
Valuation of Project (contractor's bid price): $ %a , 6fl o
Scope of Work (please provide detailed information): c` (NJ f L
r
Will service be altered? ❑ Yes J�g No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-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
MISCELLANEOUS FEES
(no added/altered circuits)
❑
❑
Service change with added/altered circuits.................$81.90
❑
Temporary service (generator) ...................................
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ............
$54.60
(excluding garage or outbuilding)
(up to 5 circuits)
❑
❑
Circuits added/altered without service change ............
$54.60
Number of concessions .........................
(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 Pian 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:
Print Name:
Mailing
H:\Applications\Fortes-Applications On Line\2014 Applications\Electrical Permit Application Revised 1.1-14.docx
Revised: July 2013
bh
Day Telephone:
City
Date:
State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$322.56
EL16-1068 Address: 1368 SOUTHCENTER MALL 100 Apn: 9202470090
$322.56
ELECTRICAL
$307.20
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$307.20
TECHNOLOGY FEE
$15.36
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL' R9901
$15.36
$322.56
Date Paid: Tuesday, November 22, 2016
Paid By: CHAMPION SECURITY SOLUTIONS IN
Pay Method: CHECK 1052
Printed: Tuesday, November 22, 2016 9:30 AM 1 of 1l?l"
SYSTEMS
INSPECTION RECORD —T
-A
Retain a copy with permit
l6A � 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 ��Ilk
Project:
Type of Inspection:
6.A)r4l,
Address: `
Date Called:
Special Instructions:
Date Wanted:
i a.m.
1
Requester:
.
Phone No:
� paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection.
Z 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:. 5—
Type of Inspection:
Address: 6Y M!�l
Date Called:
Special Instructions:
eml
Date Wanted: Ca.rn
4e3 m.
Requester:
Phone No:
Approved per applicable codes. � Corrections required prior to approval.
COMMENTS: /
86- d o � V L-t.A
F1 REINSPECTION 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 rz,16 --1061
INSPECTION NO. P RMIT 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 Instructions
Date Wanted:
P.M.
Requester:
Phone No:
0, Approved per applicable codes. 1-1 Corrections required prior to approval.
CHAMPION SECURITY SOLUTTI-"N INC
Home Espanol Contact
Safety & Health Claims & Insurance
4001�'Washington State Deparbnent of
k,h Labor & Industries
CHAMPION SECURITY SOLUTION INC
Owner or tradesperson
Principals
KEENAN, DANIEL J, PRESIDENT
APPERSON, CHARLES D, VICE PRESIDENT
KEENAN, DANIEL J, AGENT
Doing business as
CHAMPION SECURITY SOLUTION INC
WA UBI No.
604 015 574
License
16000 Bothell Everett Hwy #125
MILL CREEK, WA 98012
206-919-6552
SNOHOMISH County
Business type
Corporation
Governing persons
CHARLES
DONALD
APPERSON
DANIEL J KEENAN;
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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
LIMITED ENERGY
License no.
CHAMPSS841 P1
Effective — expiration
10/21/2016-10/21/2018
Designated administrator
. ....
SKUJA, ERIK A .
License type
Master Electrician
Bond
................
Wesco Insurance Co
Bond account no.
46WBO79770
Received by L&I
10/21/2016
Savings.
savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Active.
Meets current requirements.
License no.
SKUJAE'9670C
$4,000.00
Effective date
09/14/2016
Expiration date
Until Canceled
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https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=604015574&LIC=CHAMPSS841PI&SAW= 11/22/2016