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Home My WebLink AboutPermit EL18-0483 - T-MOBILE - FINAL CONNECTION FOR ILLUMINATED CABINETT -MOBILE 984 SOUTHCENTER MALL ELI 8-0483 Parcel No: Address: 0 City of Tukwila O 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.Aov ELECTRICAL OTC PERMIT 9202470010 Permit Number: EL18-0483 984 SOUTHCENTER MALL Project Name: T -MOBILE Issue Date: 5/25/2018 Permit Expires On: 11/21/2018 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 KIRSTEN HANSON 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: 4/9/2020 DESCRIPTION OF WORK: FINAL CONNECTION FOR (1) S/F ILLUMINATED CABINET OVER MAIN ENTRANCE. READING "T -MOBILE" AND 1 D/F ILLUMINATED BLADE SIGN READING "T -MOBILE". BOTH USE LED ILLUMINATION Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: TENANT IMP Fees Collected: $83.44 Electrical Service Provided by: PUGET 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: Cs" �-� 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 atta , this -41 Signature: Print Name: Date: II /B 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov 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** ' I n� �,, %� King Co Assessor's Tax No.: g 1'6 2 1 OC / Site Address: CIO 50'4-1'//11c�Li i r trial Suite Number:' Floor: Tenant Name: i 1 /�1fib A L New Tenant: ❑ Yes PROPERTY Name: �/ � tf4) n �t t lsr77 Addres .1:1 So Vn 9yfki -.T- City:seQ,Ai T� state:Nrk. Zipq�c Name: 1/3�31 Email: +`1 l gS rP h 1'f F' Alii n6 to t/1/a. coo - -rA e Address: City: State: Zip: CONTACT PERSON » rcceivin8 all plop communication Name: �/ � tf4) n �t t lsr77 Addres .1:1 So Vn 9yfki -.T- City:seQ,Ai T� state:Nrk. Zipq�c ( iyFax:Phone: Email: +`1 l gS rP h 1'f F' Alii n6 to t/1/a. coo - .No I4LEC11U AL C i O* Y1,Ilr MA Company Name: .' Ik v ,- Address: 127 s o�FJ li 916,sr City:EA JI/, State: W , Zip: qffo- VV Phone: axe t 1 ),/0 I Fax: Contr Reg No.: Rein 14NLq�oZExp DateLJC,ij� /6/4 Tukwila Business License No.; 0 q / 7 f Valuation of Project (contractor's bid price): $ n 1 Scope of Work (please provide detailed information): rtnwI l"t,�7Y1 eCh / 5/F ///ufl/1) Cliir ova illtuft .4ybine ., glA.d/ vl.r /vl b, Q -`t dn4 (r,� 2,5"bilt Urn it -what -- Will service be altered? ❑ Yes El No Type of Use: 5/011 Tvoe of work: �c✓! New ❑ Low Voltage ❑ Generator Property Served by: O Puget Sound Energy 0 Addition Adding more than 50 amps? ❑ Yes OrNo ❑ Service Change 0 Fire Alarm 0 Seattle City Light W:\Pennit CentenApplications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-I-17.docx Revised: January 2017 bh ❑ Remodel ❑ Telecommunication 0 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 ***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: Signatur Date: Print Name: a .16i 012- Day Telephone: .26(.1a�`!„J 3(I�iv Mailing Address: 1):1 $0-1)14/ 4 i t s/ elf City State Zip W:\Pennit CenterWpplicau is -Hand uts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID 54.34 EL18-0483 Address: 984 SOUTHCENTER MALL pn: 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 S18-0035 Address: 15455 53RD AVE S pn: 1157200044 270.90 SIGN $258.00 PERMANENT SIGN PERMIT FEE R000.322.100.00.00 0.00 $258.00 TECHNOLOGY FEE $12.90 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14579 R000.322.900.04.00 0.00 $12.90 $354.34 Date Paid: Friday, May 25, 2018 Paid By: JJ & D SIGNS INC. Pay Method: CHECK 2052 Printed: Friday, May 25, 2018 12:50 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: .-:riaAti.„6 Type of Inspection: fi-Air Address: ffl, I/ Date Called: Special InstructioL: I 514J Date Wanted: . . Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 0 e' Inspector: Date: REINSPECTIOI4 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection, 10/1/2018 City of Tukwila Department of Community Development KIRSTEN HANSON 727 S 96TH ST SEATTLE, WA 98105 RE: Permit No. ELI 8-0483 T -MOBILE 984 SOUTHCENTER MALL Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 11/21/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 11/21/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Permit Technician File No: ELI8-0483 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 HEATH NW INC CoWashington State Department of Labor & Industries Page 1 of 3 Home Kspaliol Contact Search L&I A -Z Index Ilett) My L&I Safety & Health Claims & Insurance Workplace Rights 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 STREET 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— 04/09/2020 Bond Cincinnati Ins Co Bond account no 0581509 $4,000.00 Received by L&I Effective date 04/02/2015 04/08/2015 Expiration date Until Canceled Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHNI981JZ&SAW= 5/25/2018 HEATH NW INC 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. Satisfied ....................... RCW/WAC 19.28.041 RCW Violation amount $500.00 Infraction no. EJORP06463 Satisfied ............... RCW/WAC 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) 19.28.271 RCW Violation amount $250.00 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 029,420-00 ........._........... Doing business as HEATH NORTHWEST INC Estimated workers reported Quarter 1 of Year 2018 "31 to 50 Workers" L&I account contact T3 / STEPHANIE HENDERSON (360)902-5598 - Email: HSTE235@Ini.wa.gov Account is current. 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. IWorkplace safety and health Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602195548&LIC=HEATHNI981 JZ&SAW= 5/25/2018