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HomeMy WebLinkAboutPermit EL17-0731 - SAFARI - TENANT IMPROVEMENTSAFARI 2867 SOUTHCENTER MALL ELI 7-0731 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 9202470010 2867 SOUTHCENTER MALL Project Name: SAFARI Permit Number: EL17-0731 Issue Date: 9/21/2017 Permit Expires On: 3/20/2018 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 SHANE JOHNSON Phone: (253) 852-7777 25130 74TH AVE S , KENT, WA, 98032 STATIC ELECTRIC INC Phone: (253) 468-3296 34009 48TH AVE E , EATONVILLE, WA, 98328 STATIE1951C8 Expiration Date: 2/25/2019 111 DESCRIPTION OF WORK: NEW ELECTRICAL IN BATHROOM AND PARTY ROOM, CONSISTING OF 4 NEW RECEPTACLES AND BATH LIGHTING. NEW RECEPTACLE AT ENTRANCE FOR CASHWRAP, FLOOR BOX FOR INFLATABLE, 4 NEW RECEPTACLES ALONG DEMISING WALL Valuation of single family: $0.00 Valuation of mf/comm: $4,500.00 Type of Work: TENANT IMP Fees Collected: $202.30 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: itle") Date: 2014 2014 2014 2015 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 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: . l Date: ° ` ? I " z G1 7 Print Name: `��,rl Q ` AhSc-'� 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 TUKCA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov \11) Electrical Permit No. L/h'' O"l%'I Project No. Date Application Accepted: Date Application Expires: (For once 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: 5OtAkcCi-kr ti101 Tenant Name: Sz-‘ 4 PROPERTY OWNER Name: .\ e ✓U 1.1 YiS c), Address: &),a 1 HUvs, Si,. e• . Name: Phone: 253 _ N(0 g_ 3Z%(, Fax: City: E ��lt IA t . f I e State: I \(� Address: Phone: s3 -H ws.32_16 Fax: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: .\ e ✓U 1.1 YiS c), Address: &),a 1 HUvs, Si,. e• . Address: 3 O Z Phone: 253 _ N(0 g_ 3Z%(, Fax: City: E ��lt IA t . f I e State: I \(� Zip: 983 g Phone: s3 -H ws.32_16 Fax: Email: C` 5-I.,d—t�C. f ec+( , c• 6 i z King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: X Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name:5 �j^ Address: &),a 1 HUvs, Si,. e• . City: E.,4.4, v ; lie State: �4_, Zip: 983 ZS Phone: 253 _ N(0 g_ 3Z%(, Fax: Contr Reg No.: S.t-pcT r E l; 9 Si -k p Date: Z .-2.c — I q Tukwila Business License No.; Valuation of Project (contractor's bid price): $ ( SO . GU Scope of Work (please provide detailed information): Np 1„) ej Auer `N0OM COnSIc`I-,�'1 fr`- ()Cc.) (Noc is-vclPC ,...J ot4--P6.--rt,Th e r- c4,$)ijCv)oris- 6�x ecer1,-,cVis GNI ,-,5 1 6` 5 �eM�'Sl`r`S ij4 PI Will service be altered? ❑ Yes N Type of Use: Type of work: ❑ New 0 Addition ❑ Low Voltage 0 Generator Property Served by: Puget Sound Energy ❑ Seattle City Light W:\P mit CentenApplications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh , 1 6.1411'& C/rN Ail n U e 1 r ho -1141 1 i k_R_JI t U1 i,J ` (`PC 4`) L C It �/� NNOC f (e `� Adding more than 50 amps? ❑ Yes No ❑ Service Change ❑ Fire Alarm ❑ Remodel O Telecommunication X -'Tenant Improvement ❑ Temporary Service 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, furnace 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 $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: Mailing Address: 3G Z.1 U -I .r S� . C_ ra3T_1-,,,t`11e Date: 431 — 7 t 2_o i Day Telephone: 7 S3 —14 6 t-- Z'to IAJfi- cM3 2-8- City State W:\Permit Center\Applications-Handouts \Permit Applications \Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $202.30 EL17-0731 Address: 2867 SOUTHCENTER MALL Apn: 9202470010 $202.30 Credit Card Fee $5.89 Credit Card Fee R000.369.908.00.00 0.00 $5.89 ELECTRICAL $187.06 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $187.06 TECHNOLOGY FEE $9.35 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12388 R000.322.900.04.00 0.00 $9.35 $202.30 Date Paid: Thursday, September 21, 2017 Paid By: SHANE JOHNSON Pay Method: CREDIT CARD 020017 Printed: Thursday, September 21, 2017 2:00 PM 1 of 1 SYSTEMS s 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) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: �1)4Q-II Type of Inspection: � Address:�A f Date Called: Special Instructions: Date Wanted: % �� l .113.../ p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 0 Inspector: Date: (1(03 17 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 1NSPECJflON NO. 4731 PERMT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Address: Special -Instruction 56F-Asii IType of inspe Date Called: Date Wanted: /_G4kt__ fJ Approved per applicable codes. E] Corrections required prior to approval. COMMENTS: t1kDJA1_ 0F Inspector: Date: ol 17 1 1 REINSPECTION EE 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 a(7o73 l INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: -5,1644A Type qr _spection: J1 6-Afitsct, Address: 2e6,7 Date Ca led: Special Instruction . �� � alit, alit a( Date Wanted: 143/ Q' p.m. Requester: ��� I Phone No: 3 606 572,3 Approved per applicable codes. I }[I Corrections required prior to approval. COMMENTS: �- ,___ obtwAjci ervci,\ ' Ii0v)WA— (f d` 1' ; - V t -14-i p AcCeS6iALe _ g c PT -t 5 rkP P P 15or o_ Inspector: Date: 103117 REINSPECT! CMN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 2 - 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) 431-3 Permit Inspection Request Line (206) 438-9350 Project: C Type of Inspection: r- t Address: 217‘,7 1 Date Called: Special Instructions: Date Wanted: 1, % / a:m. m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: IVO APP-OvilD6' Inspector: 1. Date: 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 INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36� Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection V141+ ti Address: ;367 Date Called: Special Instruction : Date Wanted: i z� m. Requester: Phone No: ZO Lad 3246 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: CA' Inspector: II 64461\ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be Date:© paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. STATIC ELECTRIC INC Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of 4) Labor & Industries Search L&I Page 1 of 2 SEARCH'`/ A -"Z, Ir dex Help My I.,&I 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 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 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= 9/21/2017 STATIC ELECTRIC INC 131,984-01 Doing business as STATIC ELECTRIC INC Estimated workers reported Quarter 2 of Year 2017 "1 to 3 Workers" L&I account contact T2 / LINDA ALGUIRE (360)902-4678 - Email: P0TH235@lni.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 against this contractor. 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 © Washington State Dept. of Labor & Industries. 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