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HomeMy WebLinkAboutPermit EL17-0684 - SEPHORA - MAKE-UP STATIONS AND CIRCUITSSEPHORA 616 SOUTHCENTER MALL ELI 7-0684 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 616 SOUTHCENTER MALL Project Name: SEPHORA Permit Number: EL17-0684 Issue Date: 9/8/2017 Permit Expires On: 3/7/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 RYAN DIAZ 8312 PERGRINE LOOP SE , OLYMPIA, WA, 98513 VARSITY ELECTRIC LLC 8312 PEREGRINE LOOP SE , OLYMPIA, WA, 98513 VARSIEL833JJ Phone: (360) 218-4111 Phone: (360) 218-4111 Expiration Date: 4/11/2019 DESCRIPTION OF WORK: NEW MAKE-UP STATIONS TO BE ADDED. WILL BE ADDING 4-6 DEDICATED CIRCUITS FOR STATIONS. WORK TO BE DONE IN STORE Valuation of single family: $0.00 Valuation of mf/comm: $8,000.00 Type of Work: TENANT IMP Fees Collected: $253.18 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: 61— sc3 7 1 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. Signat;Q_ Date: 9 k) /17 Print Name: 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: 2206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKT LA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. t �'-()1p gy 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.: Site Address: (.o1 LP Sb xx-vkeG+.sT Suite Number: Floor: Tenant Name: 5 ? coe-w PROPERTY OWNER Name: R.i4,43 DIAz Name:Wes-m>z1�17yT�f CilllIn Address: 0.30K 1-2,014 0 Email: ievr.3NJG01sii e_ Cm►µvs,C.-• eovi't' City: gb Stater Zip:12_0 1-Z� CONTACT PERSON - person receiving all project communication Name: R.i4,43 DIAz Address: 92l. Ipcizee9joc- CLop sc City: Olyktp,4 State: N>a Zip'.��j7? Phone: 36,0 2/8.-Y/// Fax: Email: ievr.3NJG01sii e_ Cm►µvs,C.-• eovi't' New Tenant: ❑ Yes g.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: bst2 atzi3wztor LW1 SC City: (>11-.~1A State: too, Zip: 4 $303 Fax: Phone: ZI C) 2t$ -LA III Contr Reg No.: vi'a-12S tC6,033_11 Exp Date: ji/ % Tukwila Business License No.; Valuation of Project (contractor's bid price): $ BOC() Scope of Work (please provide detailed information): tiiA•l L JP.JG42-v. f S�Tion . -To E p»bb, U,'W 3E la:b toe. (o DEW ciern-D cetS ct iv r voN17" Io ?' s-ro2G. Will service be altered? ❑ Yes 2 No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 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 (7), RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ 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 ❑ 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 $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: Si_ ature: -1� Date: 447 v; , �q Print Name: Mailing Address: 6g12 ?LP -E ch'JT 6' Day Telephone: City W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh 3 'c.) 9)7 PtiPpl— wf 99s—I3 State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY PAID $253.18 EL17-0684 Address: 616 SOUTHCENTER MALL Apn: 9202470010 $253.18 ELECTRICAL $241.12" PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $241.12 TECHNOLOGY FEE $12.06 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12280 R000.322.900.04.00 0.00 $12.06 $253.18 Date Paid: Friday, September 08, 2017 Paid By: VARSITY ELECTRIC LLC Pay Method: CHECK 5009 Printed: Friday, September 08, 2017 2:16 PM 1 of 1 CliWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6/1.-ovy PE 7MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Type of Inspection: r Address: 61( / Date14, Called: -.:;:. Special Instructions: Date Wanted: g/ L[.� p.m . Requester: Phone No: 340 ?? ! 79W 7 7 LJ Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 7/, REINSPECTIONFEE 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 INSPECTION NO. PE'MIT NO. CITY OF TUKWILA BUILDING DIVISION v(; 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: c 14\ -1-40e of Inspe cti U !, 5 ` ,OU Address: 6, r o l` VV 1 a e Called: Special Instructions: f : I c Date Wanted: ?7/5 m Requester: Phone No: 360 w? 7717 cg) Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 - l" +` - ✓6S CoL.,o Md - C)AiDJi r3 � etyC Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. VARSITY ELECTRIC LLC Honk Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries [Search L&I Page 1 of 2 A -Z Index Help My L&I Workplace Rights Trades & Licensing VARSITY ELECTRIC LLC Owner or tradesperson Principals Diaz, Ryan Julius, PARTNER/MEMBER Dillion, Wendy, AGENT Doing business as VARSITY ELECTRIC LLC WA UBI No. 604 062 497 8312 Peregrine Loop SE OLYMPIA, WA 98513 360-218-4111 THURSTON County Business type 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 GENERAL License no. VARSIEL833JJ Effective — expiration 04/11/2017— 04/11/2019 Designated administrator .............................................. Diaz, Ryan C License type Electrical Administrator Bond ........... Ironshore Indemnity Inc Bond account no. SUR40013787 Received by L&I 04/11/2017 Savings No 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. DIAZ*RC835DT $4,000.00 Effective date 04/11/2017 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. 638,882-00 HeIp us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604062497&LIC=VARSIEL833JJ&SAW= 9/8/2017 VARSITY ELECTRIC LLC Doing business as VARSITY ELECTRIC LLC Estimated workers reported Quarter 2 of Year 2017 "0" Workers L&I account contact T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235@Ini.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued agaiest this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 © Washington State Dept. of Labor & Industries. Us 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=604062497&LIC=VARSIEL833JJ&SAW= 9/8/2017