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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; Page 1 of 2 (Search L&I A -Z Index I l elp My L'u 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 Help us improve https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=604015574&LIC=CHAMPSS841PI&SAW= 11/22/2016