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Permit EL17-0192 - FOOTACTION - LANDLORD TENANT IMPROVEMENT
FOOTACTION 1051 SOUTHCENTER MALL ELI 7-0192 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.eov ELECTRICAL OTC PERMIT 9202470010 1051 SOUTHCENTER MALL Project Name: FOOTACTION Permit Number: EL17-0192 Issue Date: 3/10/2017 Permit Expires On: 9/6/2017 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 Contact Person: Name: SHANE JOHNSON Address: 25130 74TH AVE S , KENT, WA, 98032 Contractor: Name: STATIC ELECTRIC INC Address: 34009 48TH AVE E , EATONVILLE, WA, 98328 License No: STATIE1951C8 Lender: Name: Address: Phone: (253) 852-7777 Phone: (253) 468-3296 Expiration Date: 2/25/2019 DESCRIPTION OF WORK: REDEMISE OF NEW SUITES. NEW MALL STORGAE ROOM WITH 16 FLOURESCENT FIXTURES. RELOCATE EXISTING CIRCUITS FOR LIGHTS AND RECEPTACLES TO OTHER EXISTING SERVICE. LANDLORD WORK Valuation of single family: $0.00 Valuation of mf/comm: $13,000.00 Type of Work: TENANT IMP Fees Collected: $358.38 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: GO -31-7 c?--( 2014 2014 2014 2015 Date: �' to -t3 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: Print Name: e Date: 3 —I U Z C)I> 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 TUKV--'A Community Developr:ti_..t Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pei mit No. EL -7 o ©1'rte 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 Site Address: i (5 (4 -Lr (' k ( c ( 1 Tenant Name: , — /.L4 ; o /\ PROPERTY OWNER jj_ Name: k� � �on ��Ci"1 Address: 390001 ,�0.`A�-e_ P Name: 0 State: City: E , if Address: Phone: -),... l -4 t94" (-37. i (9: _ City: State: Zip: CONTACT PERSON — person receiving all project communication jj_ Name: k� � �on ��Ci"1 Address: 390001 ,�0.`A�-e_ P Address: 3 9 0001 `' ! y� '� 0 State: City: E , if Zip: n g.3 Zs,, Phone: -),... l -4 t94" (-37. i (9: _ Email: a Ske.4e i € S .41'e tec 1 c .61Z King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: n Address: 390001 ,�0.`A�-e_ P City: Et-- State: Zip: ci s318_ Phone: Z..3 —qtag .37m0Fax: Contr Reg No.: 5.—tExp Date: �r152� Z—Z S -l1 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ I 1 d G .00 Scope of Work (please provide detailed information): le Jelin1'SQ oV Sui C5. New ey,n, 11 St jr ra e re�G ld / I �p 1 vore fCe - e.F,„ s .E_,II`..g Circvikj-- or 1)) Ian rC[epJ i) r '�e o-I�c�r e iVi-,"1_ cervi (c_. �t�0 IvrU&ci(, Will service be•altered? ❑ ,Yes 1 No Adding more than 50 amps? ❑ Yes 4, No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel Ntr, Tenant Improvement 0 Low Voltage 0 Generator • 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017 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 O Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) O Service change with added/altered circuits $83.54 number of added circuits $12.00 ea O Circuits added/altered without service change $55.69 (up to 5 circuits) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O 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 $11.02 ea 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: Print Name: 51' \ n �(.1 1y SGA^N Day Telephone: Mailing Address: 00°) A-' - ^n i>41 e City W:\Perniit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: 'January 2017 bh Date: 0 -2G1`T aS-14ti) C'371(0 (.0A . 9g3.24 - State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY I PAID $69.87. EL17-0192 Address: 1051 SOUTHCENTER MALL Apn: 9202470010 $69.87, Credit Card Fee $2.04 Credit Card Fee R000.369.908.00.00 0.00 $2.04 ELECTRICAL FINAL 05/01/2017 JBEN $67.83 ELECTRICAL FINAL 05/01/2017 JBEN TOTAL FEES PAID BY RECEIPT: R11393 R000.359.000.00.01 0.00 $67.83 $69.87 Date Paid: Monday, May 01, 2017 Paid By: SHANE JOHNSON Pay Method: CREDIT CARD 022818 Printed: Monday, May 01, 2017 3:28 PM 1 of 1 CSYSTEMS Cash Register Receipt City of Tukwila Receipt Number {, R11054 DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY ' PAID $358.38 EL17-0192 Address: 1051 SOUTHCENTER MALL Apn: 9202470010 $358.38 Credit Card Fee $10.44 Credit Card Fee R000.369.908.00.00 0.00 $10.44 ELECTRICAL $331.37 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $331.37 TECHNOLOGY FEE $16.57 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11054 R000.322.900.04.00 0.00 $16.57 $358.38 Date Paid: Friday, March 10, 2017 Paid By: SHANE JOHNSON Pay Method: CREDIT CARD 060911 Printed: Friday, March 10, 2017 8:10 AM 1 of 1 CaSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit P•RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Ism �.rQ L Type of Inspection: Fli /4'% Address: /®57 7 AlAt! Date Called: Special Instructions. Date Wanted: m Requester: Phone No: 7 3 /0 3246 I �l Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: q/t to; f 11,01-X e Date: ocf 0117 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit it?•1704�—oc�v 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: oar-itcrrod Type of Inspection: A-7-likk., Address:/0Address:/00 /v V f Date Called: Pah p s cA) far mFe LJ(TL4 Special Instructions: Date Wanted:a.m 5-01/ P.m. Requester: - 11ito a . m3Partod && 9 Phone No: 3 60‘,572,3 EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: r 55 0 66-A_N, Pro &C eAkiZA-Vt) Pah p s cA) far mFe LJ(TL4 S*,Ptf ii- - PAI Ri5 InS P5 C flcA) r-6/- - 11ito a . m3Partod && 9 I (GJ) o d i1 iE Inspector: rJJ Date: 94� . t !1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CO L. 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: HDOfPa rA—Cno Type of Inspection: A ---•N -- Address:la lfiAlt.,Date Called: Special Instructions: Date Wanted: Z a:m '. Requester: I Phone No: 263 ys_2_ 7777 EJApproved per applicable codes. LQU Corrections required prior to approval. COMMENTS: gDAUSj Gam, To ftwai- oDiktr-s5 sPA-c6 Inspector: Date: 01 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6.4 112/ PE MITNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.,#100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 71 Type of Inspection: /1-CTIOA/ '--- Address: /0) I /XV. Date Called: Special Instructions: Date Wanted: 1 5 a.m. p.m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 61>Atic-3 NI6Le-D kmage 5crik.,(11 cif t_e4-6 Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PER IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Lime (206) 438-9350 Project: 6171-C7-70/41 Type of Inspection: /NAIL - Address: /0 cl Date Called: Special Instructions: Date Wanted: 3 3 P.M. Requester: Phone No: Approved per applicable codes. COMMENTS: 0 Corrections required prior to approval. rPt W-P1,6sal 06-5r \faccift-Aor 5 P Act Date: 31/i7 REINSPECTIQN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection. STATIC ELECTRIC INC Ham Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Page 1 of 2 Search L&I A -Z Index help My IRI Workplace Rights Trades & Licensing STATIC ELECTRIC INC Owner or tradesperson Principals JOHNSON, SHANE E, PRESIDENT JOHNSON, SHANE E, AGENT Doing business as STATIC ELECTRIC INC WA UBI No. 602 455 807 34009 48th Ave E EATONVILLE, WA 98328 253-468-3296 PIERCE County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. STATIEI951 C8 Effective — expiration 02/25/2005— 02/25/2019 Designated administrator JOHNSON, SHANE Active. Meets current requirements. License type License no. Electrical Administrator JOHNSS'973PH Bond ................ Wesco Insurance Co Bond account no. 46-WB075720 Received by L&I 05/06/2016 Bond history Savi No ngs savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 05/04/2016 Expiration date Until Canceled 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 Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602455807&LIC=STATIEI951 C8&SAW= 3/10/2017 STATIC ELECTRIC INC 131,984-01 Doing business as STATIC ELECTRIC INC Estimated workers reported Quarter 4 of Year 2016 "4 to 6 Workers" L&I account representative T2 / LINDA ALGUIRE (360)902-4678 - Email: POT_H235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 01/20/2017 Inspection no. 317943430 Location 20811 84 Ave, S. Kent, WA 98032 Violations Page 2 of 2 O 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=602455807&LIC=STATIEI951 C8&SAW= 3/10/2017