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Permit EL17-0119 - DIN TAI FUNG - CABLING AND WIRING
DIN TAI FLING 181 S OUTH CEN1 ER MALL EL17-0119 Parcel No: Address: 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 9202470130 Permit Number: EL17-0119 181 SOUTHCENTER MALL Project Name: DIN TAI FUNG Issue Date: 2/13/2017 Permit Expires On: 8/12/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 MIKE SANDRU Phone: (425) 223-3164 13330 SE 30 ST, BELLEVUE, WA, 98007 KLEPPS INC Phone: (425) 223-3164 Address: 13330 SE 30 ST , BELLEVUE, WA, 98005. License No: KLEPPI*938C6 Expiration Date: 2/26/2019 Lender: Name: Address: DESCRIPTION OF WORK: 89 DATA AND PHONE CABLES, CAT5-E WIRING FOR IP 58 CAMERAS, AUDIO SYSTEM WITH 20 SPEAKERS AND 3 VOLUME CONTROLLERS, COAX CABLE FOR 5 TV'S Valuation of single family: $0.00 Valuation of mf/comm: $13,500.00 Type of Work: LOW VOLTAGE Fees Collected: $377.90 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date: c)—`1 �� �7 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. Signature: pAf� ' / Print Name: M ( 1l .Y S / tV R U Date: D 2 (3-Po/6 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. t. ),---1 —7— 0 l1 Project No. Date Application Accepted: Date Application Expires: (For office use only) 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 King Co Assessor's Tax No.: 9202470130 Site Address: 18,1 Southcenter Mall, Tukwila, WA, 98188 Suite Number: Tenant Name: Din Tai Fung PROPERTY OWNER • Name: Mike Sandru Name: Wedtfield South Center City: Bellevue State: wa Zip: 98005 Address: 2800 Southcenter Mall Contr Reg No.: Exp Date: City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Mike Sandru Address: 13330 SE 30th St City: Bellevue State: wa Zip: 98005 Address: 13330 SE 30th St Contr Reg No.: Exp Date: Tukwila Business License No.; City: Bellevue State: wa Zip: 98007 Phone: (425) 223-3164 Fax: (425) 223-3164 Email: mike@klepps.com Floor: First Floor New Tenant: ® Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Klepps inc Address: 13330 SE 30th St City: Bellevue State: wa Zip: 98005 Phone: (425) 223-3164 Fax: (425) 223-3164 Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 13,500 Scope of Work (please provide detailed information): 89 Data and Phone Cables, Cat5-E wirining for IP 58 cameras, audio system with 20 speakers and 3 volume controlers, Coax Cable for 5 TV. Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement O Low Voltage 0 Generator ❑ Fire Alarm ® Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Handouts \Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, fumace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $] 1.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES - 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: p Print Name: M l K. JM t( ) R \J Day Telephone: Mailing Address: 13330 SE 30th ST Bellevue WA 98005 City Date: 02/13/2017 (206) 227-3642 W:\Permit CenteriApplications-Ha douts\Pernit Applications WDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $377.90 EL17-0119 Address: 181 SOUTHCENTER MALL Apn: 9202470130 $377.90 Credit Card Fee $11.01 Credit Card Fee R000.369.908.00.00 0.00 .$11.01 ELECTRICAL $349.42 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $349.42 TECHNOLOGY FEE $17.47 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10809 R000.322.900.04.00 0.00 $17.47 $377.90 Date Paid: Monday, February 13, 2017 Paid By: MIHAI SANDRU Pay Method: CREDIT CARD 011762 Printed: Monday, February 13, 2017 12:07 PM 1 of 1 CiSYSTEMS INSPECTION RECORD Retain a copy with permit (1,1 INSPECTION NO. PE MIT N0. CITY OF TUKWIL.A BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 3670 Permit Inspection Request Line (206) 438-9350 Project: f Type of Inspection: ,✓ r bi Address: n1 Date Called: Special Instructions: I1 Date Wanted:ii 10 Requester: Phone No: { x I Approved per applicable codes. E Corrections required prior to approval. COMMENTS: Inspector: Date: O`d lob7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee mustUbe paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:I Ai A) rLI Type of Inspection®v(4 ji Aitl Address: /gi iti.- Date Called: Special Instructions: 1-J � Date Wanted: ed; Requester: Phone No: �z^7 .361Z, Approved per applicable codes. E Corrections required prior to approval. COMMENTS: co v(-6, gwe„, ti\I a:01101,6re 07/7REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: I INSPECTION NO. INSPECTION RECORD Retain a copy with permit P,'MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: �t'Y�� / J.,VJ Type of Inspection: �U 414- l V Address: / O1 Date Called: Special Instructions: Z. -\,/Requester: Date Wanted:a.m 3� 3. 1, Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: akiAgp LAD) Inspector:_J g ili Date: 03/15 l7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. KLEPPS INC Home Espafiol Contact Safety & Health 0 Washington State Department of Labor & industries Claims & Insurance Page 1 of 2 Search L&I A -Z Index Workplace Rights KLEPPS INC Owner or tradesperson Principals CLEP, SORIN DANIEL, PRESIDENT CLEP, NATALIA, VICE PRESIDENT CLEP, NATALIA, AGENT Doing business as KLEPPS INC WA UBI No. 602 365 814 13330 SE 30th St BELLEVUE, WA 98005 425-223-3164 KING County Business type Corporation Governing persons NATALIA CLEP SORIN DANIEL CLEP; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. KLEPPI*938C6 Effective — expiration 02/26/2007— 02/26/2019 Designated administrator CLEP, SORIN DANIEL License type Active. Meets current requirements. Active. Meets current requirements. License no. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602365814&LIC=KLEPPI*938C6&SAW= 2/13/2017 KLEPPS INC Electrical Administrator CLEP*SD945JJ Bond DEVELOPERS SURETY & INDEM CO Bond account no. 745539C Received by L&I 02/26/2007 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 02/13/2007 Expiration date Until Canceled Page 2 of 2 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 150,839-00 Account is current. Doing business as KLEPPS INC Estimated workers reported Quarter 4 of Year 2016 "7 to 10 Workers" L&I account representative T2 / CHRISTOPHER WASSON (360)902-6331 - Email: WASQ235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602365814&LIC=KLEPPI*938C6&SAW= 2/13/2017