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Home My WebLink AboutPermit EL17-1009 - UNIQLO - DATA CABLINGUNIQLO 161 SOUTHCENTER MALL ELI 7-1009 Parcel No: Address: C.1.) 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: 161 SOUTHCENTER MALL Project Name: UNIQLO Issue Date: Permit Expires On: EL17-1009 12/13/2017 6/11/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: WESTFIELD PROPERTY TAX DEPT PO BOX 130940, CARLSBAD, WA, 92013 CORRIE BENDER 1402 LAKE TAPPS PKWY SE - SUITE 104 -158 , AUBURN, WA, 98052 PACIFIC BUSINESS SYSTEMS INC Address: 22013 26TH ST E , SUMNER, WA, 98391 License No: PACIFBS991JT Lender: Name: Address: Phone: (253) 261-0900 Phone: (253) 862-7600 Expiration Date: 4/30/2019 DESCRIPTION OF WORK: INSTALL DATA CABLING Valuation of single family: $0.00 Valuation of mf/comm: $7,300.00 Type of Work: LOW VOLTAGE 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: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Date: I��_ 1 7 ? 1 N 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: Date: J� _ ( <-7r— Print r— 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 and the Washington Cities Electrical Code. 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 TUK Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. tL-�% _ Loo Ct 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 M4 / i 64 Site Address: 1�1 Southcenter-Rafkroar Tenant Name: UNIQLO PROPERTY OWNER Name: Corrie Bender Name: Westfield Southcenter Mall City: Auburn State: WA Zip: 98092 Address: 141 Southcenter Parkway Email: benderc@pacificbusinesssystems.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Corrie Bender Address: 1402 Lake Tapps Pkwy SE Ste 104-158 City: Auburn State: WA Zip: 98092 Phone: 253-862-7600 Fax: 253-862-5900 Email: benderc@pacificbusinesssystems.com King Co Assessor's Tax No.: Suite Number: #0718 Floor: 1 New Tenant: ® Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Pacific Business Systems, Inc. Address: 1402 Lake Tapps Pkwy SE Suite 104-15 City: Auburn State: WA Zip: 98092 Phone: 253-862-7600 Fax: 253-862-5900 Contr Reg No.: PACIFBS991 JT Exp Date: 04/30/2019 Tukwila Business License No.; BUS -0997645 Valuation of Project (contractor's bid price): $ 7300 Scope of Work (please provide detailed information): Install Data Cabling Will service be altered? ❑ Yes EJ No Adding more than 50 amps? ❑ Yes No Type of Use: Retail Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel ❑ Tenant Improvement l Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: II Puget Sound Energy 0 Seattle City Light W:\Permit Center \Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-I-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 O 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 ***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 OWNE ' e ' AL CONTRACTOR: Signature: - Print Name: Corrie Bender Day Telephone: 253-862-7600 Mailing Address: 1402 Lake Tapps Pkwy SE Suite 104-158 Auburn WA 98092 Date: /2— ^ (- — City W:'Permit Center\Applications-Handouts \Permit Applications \PDF's\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS 1 PermitTRAK ACCOUNT QUANTITY PAID $253.18 EL17-1009 Address: 161 SOUTHCENTER MALL Apn: 9202470130 $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: R13021 R000.322.900.04.00 0.00 $12.06 $253.18 Date Paid: Wednesday, December 13, 2017 Paid By: PACIFIC BUSINESS SYSTEMS INC Pay Method: CHECK 1105 Printed: Wednesday, December 13, 2017 2:18 PM 1 of 1 SYSTEMS INSPECTION RECORD ,--a Retain a copy with permit 1 %'/(._a I INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION J` 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project:,Type ti 01,-0 of Inspection: V ,. ti...,- Address: �• f I ,4,,,z Date Called: Special Instructions: Date Wanted:a. JG✓ , rr p.m. Requester: Phone No: Approved per applicable codes. L.! Corrections required prior to approval. OMMENTS: 0 CAN, Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 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) 431-3 Permit Inspection Request Line (206) 438-9350 Project: Lid( k Type of Inspection: �1®� f t� VtPC Address: /6 i 1,4_, Date Called: Special Instructions: DATA- Date Wanted: / 0 .m p.m. Requester: Phone No: EiApproved per applicable codes. Ei Corrections required prior to approval. COMMENTS: - 4,49 u0/5 Inspector: j t e,1JE-4\ Date: at(ol/to REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection. PACIFIC BUSINESS SYSTEMS I 21.1141, Washington State Department of ILA/Labor & Industries 1 -tome Espanol Contact Search L&I A -L Index llelp Safety & Health Claims & Insurance Workplace Rights PACIFIC BUSINESS SYSTEMS INC Owner or tradesperson Principals BENDER, CORRIE D, PRESIDENT BENDER, CORRIE, AGENT Doing business as PACIFIC BUSINESS SYSTEMS INC WA UBI No. 601 601 545 22013 26TH ST E SUMNER, WA 98391 253-862-7600 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 LIMITED ENERGY HVAC/RFRG License no. PACIFBS991JT Effective — expiration 04/30/2001— 04/30/2019 Designated administrator BENDER, CORRIE D Active. Meets current requirements. License type License no. Master Electrician BENDECD962NF Bond Ohio Cas Ins Co Bond account no. 32S404296 Received by L&I 06/14/2013 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 07/28/2013 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. Page 1 of 2 ARCH Myrtd Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601601545&LIC=PACIFBS991 JT&SAW= 12/13/2017 PACIFIC BUSINESS SYSTEMS INCL 977,523-00 Doing business as PACIFIC BUSINESS SYSTEMS Estimated workers reported Quarter 3 of Year 2017 "4 to 6 Workers" L&I account contact T3 / NATHAN KOZAK (360)902-6243 - Email: KOZN235@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 against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 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=601601545&LIC=PACIFBS991JT&SAW= 12/13/2017