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Home My WebLink AboutPermit EL17-0783 - KITANDA - FINAL CONNECTIONKITANDA 436 SOUTHCENTER MALL ELI 7-0783 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 Permit Number: 436 SOUTHCENTER MALL Issue Date: Permit Expires On: Project Name: KITANDA EL17-0783 10/6/2017 4/4/2018 Owner: Name: Address: Contact Person: Name: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 KIRSTEN HANSON Address: 727 S 96TH ST, SEATTLE, WA, 98105 Contractor: Name: HEATH NW INC Address: 727 S 96TH ST , SEATTLE, WA, 98108 License No: HEATHNI981JZ Lender: Name: Address: Phone: (206) 623-3100 Phone: (206) 623-3100 Expiration Date: 4/9/2018 DESCRIPTION OF WORK: FINAL CONNECTION FOR (1) S/F INTERNAL LED ILLUMINATED WALL SIGN AND (1) D/F INTERNALLY LED ILLUMINATED INTERIOR BLADE SIGN Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: LOW VOLTAGE Fees Collected: $83.44 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 10 IM 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: (./f' j�-- Date: MA/ ! l 7 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 g/),Electrical Permit No. �� V 1 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: outhcenter Mall Tenant Name: Kitanda PROPERTY OWNER Name: Westfield Property Tax Department Address: PO Box 130940 City: Carlsbad State: CA Zip: 92013 CONTACT PERSON — person receiving all project communication Name: Kirsten Hanson Address: 727 South 96th st City: Seattle State: WA Zip: 98108 Phone: (206) 623-3100 Fax: (206) 623-1785 Email: kirstenh@heathnorthwest.com King Co Assessor's Tax No.: 920247001000 Suite Number: 1005 Floor: 1 New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Heath Northwest Address: 727 south 96th St City: Seattle State: WA Zip: 98108 Phone: (206) 623-3100 Fax: (206) 623-1785 Contr Reg No.: HEATHNI981 JZ Exp Date: 04/09/2018 Tukwila Business License No.; Bus -0994477 Valuation of Project (contractor's bid price): $ /200 Scope of Work (please provide detailed information): Final Connection for (1) S/F internal LED Iluminated wall sign and (1) D/F interally LED illuminated interior blade sign. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes ® No Type of Use: Signage Type of work: 0 New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement 1r Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy ❑ Seattle City Light W:\Permit Cent&Applications-Handouts\Permit Applications\PDF's\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, 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 O 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 ***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: �� Ctiv\Ar t Print Name: Kirsten Hanson Mailing Address: 727 South 96th St. Seattle, WA 98108 Date: ) Day Telephone: (206) 623-3100 City W:\Permit CenteMpplications-Handouts\Permit Applications \PDF'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 $162.27 EL17-0783 Address: 436 SOUTHCENTER MALL Apn: 9202470010 $83.44 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.97 EL17-0784 Address: 13138 INTERURBAN AVE S Apn: 0003000108 $78.83 ELECTRICAL $75.08 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $75.08 TECHNOLOGY FEE $3.75 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12510 R000.322.900.04.00 0.00 $3.75 $162.27 Date Paid: Friday, October 06, 2017 Paid By: JJ & D SIGNS Pay Method: CHECK 1957 Printed: Friday, October 06, 2017 12:37 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 n,' Permit Inspection Request Line (206) 438-9350 0 INSPECTION NO. Rra7>Mi T NO. Project: i riap4r Type of Inspection: /A l Address: v56 1 Date Called: Special Instructions: 541445 Date Wanted: / /L' .m.. p. ,• Requester: Ke.....56" Phone No: 2,067 625 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 v Inspector: Date: 211 7 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 INSPCTION NO. PE MIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 9 ,� c Type of Inspection: Address: �6 ,� A /( A Date Called: Special Instructions: 5114 Date Wanted: f..(- 2 1.2...,,,,vm. Requester: cjiLt _l 5 f 4'1 _ Phonel �, DO No:, N°•2 -41 QApproved per applicable codes. Corrections required prior to approval. COMMENTS: Aetio> To 614415- KEOL11(4,6, Inspector: Date: t 22417 REINSPECTION FE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. HEATH NW INC Horne Espafiol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 4 ARCH' A -Z IEdex Help I ip 11,&I Workplace Rights Trades & Licensing HEATH NW INC Owner or tradesperson Principals Gibson, Wendy D, PRESIDENT GIBSON, JOE, VICE PRESIDENT Gibson, Wendy, AGENT PAULSEN, DARRYL, PRESIDENT (End: 08/09/2011) GIBSON, Joseph, PRESIDENT (End: 08/09/2011) OLDS, JOHN, VICE PRESIDENT (End: 08/09/2011) GIBSON, JOE, TREASURER (End: 08/09/2011) PAULSEN, DARRYL, AGENT (End: 08/09/2011) Doing business as HEATH NW INC WA UBI No. 602 195 548 Parent company JJ & D SIGNS INC 727 S 96TH ST SEATTLE, WA 98108 206-623-3100 KING County Business type Corporation Governing persons WENDY GIBSON JOSEPH P GIBSON; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties SIGN License no. HEATHNI981JZ Effective — expiration 04/09/2002— 04/09/2018 Designated administrator ............................. _... GIBSON, JOE License type Electrical Administrator Bond Cincinnati Ins Co Bond account no. Active. Meets current requirements. License no. GIBSOJ*971 R9 $4,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHNI981 JZ&SAW= 10/6/2017 HEATH NW INC (,, 0581509 Received by L&I Effective date 04/02/2015 04/08/2015 Expiration date Until Canceled Cincinnati Ins Co $6,000.00 Bond account no. 0581499 Received by L&I Effective date 04/02/2015 04/04/2015 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EJORP07209 Issue date 03/21/2017 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Offering, bidding, advertising, or performing electrical installations, alterations or maintenance outside the scope of the firm's specialty electrical contractors license. Infraction no. EJORP06463 Issue date 05/07/2015 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. (UNCERTIFIED EMPLOYEE ROBERT ISDELL) Infraction no. ECHAE00783 Issue date 04/05/2012 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. Satisfied RCW/WAC 19.28.041 RCW Violation amount $500.00 Satisfied ................... RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied ...................... RCW/WAC 19.28.101 RCW Violation amount $750.00 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHNI981 JZ&SAW= 10/6/2017 HEATH NW INC Infraction no. ECHAE00784 Issue date 04/05/2012 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296 -46B -900(10)(a), effective after 12/30/2008 see WAC 296 -46B -901(10)(a). Infraction no. ECHAE00788 Issue date 04/05/2012 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296 -46B -900(10)(a), effective after 12/30/2008 see WAC 296 -46B -901(10)(a). Infraction no- ECHAE00787 Issue date 04/05/2012 Violation city Seattle Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. Infraction no. EBOES00611 Issue date 10/25/2011 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B.901(3)(6). Satisfied ........................... RCW/WAC 19.28.101 RCW Violation amount $187.50 Satisfied .......................... RCW/WAC 19.28.101 RCW Violation amount $187.50 Satisfied .................. RCW/WAC 19.28.101 RCW Violation amount $750.00 Satisfied ....................... RCW/WAC 19.28.101 RCW Violation amount $250.00 IWorkers' comp Page 3 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHNI981 JZ&SAW= 10/6/2017 HEATH NW INC r�J Do you know if the business has employees? If so verify the business is up-to-date on workers' comp premiums. Account is current. L&I Account ID 029,420-00 ............................... Doing business as HEATH NORTHWEST INC Estimated workers reported Quarter 2 of Year 2017 "11 to 20 Workers" L&I account contact T3 / STEPHANIE HENDERSON (360)902-5598 - Email: HSTE235@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 No inspections during the previous 6 year period. Page 4 of 4 © 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=602195548&LIC=HEATHNI981 JZ&SAW= 10/6/2017