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HomeMy WebLinkAboutPermit EL19-0682 - HOMEGROWN - ADD 200 AMP FEEDERS, LIGHTS, OUTLETS AND SWITCHES UP TO CODEHOMEGROWN 841 SOUTHCENTER MALL ELI 9-0682 Parcel No: Addeo: City of Tukwila a Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: ZO6'438'93S0 Web site: http://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT 9202470010 Permit Number: EL19-0682 841 SOUTHCENTER MALL Project Name: HOMEGROWN Issue Dae: 8/26/2019 Permit Expires On: 2/22/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: WESTFIELD PROPERTY TAX DEPT POBOX l30940'QRBBA�WA, 92013 DAVE EVANGELIST° 234 5TH AVE S , EDMUNDS, WA, 98020 PENINSULA ELECTRIC CORP PO BOX 1401 , POULSBO, WA, 98370 License No: PENINEC950JD Lender: Name: Address: Phone: (253) 376-3978 Phone: (360) 697-2145 Expiration Date: 4/4/2021 DESCRIPTION OF WORK: TENANT IMPROVEMENT - NEW 200 AMP FEEDERS, LIGHTS, OUTLETS AND SWITCHES UP TO CODE Valuation of single family: $IOU Valuation of mf/comm: $71,065.00 Type of Work: TENANT IMP Fees Collected: $1,352.66 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Buliding Code Edition: International Residentiai 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: 2017WA State Energy Code: Date: 2017 2017 2015 \ r/ 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 law gulating construction or the performance of work. I am authorized to sign and obtain this development p t :nd ag ee rlo the nditionyatached to this permit. Signature: - / C Print Name: C V cir�� JJ_ vi 'dose, 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 Deportment Permit Center 6300 Southeemer Blvd., Suite 109 Tukwila, WA 98188 hilly,' www,TukwilaWA.gm, ELECTRICAL 'PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan re‘ Applications will not be accepted through the mail or by fax. **Please Print • . •••• ,.• . Site Address: King Co Assessor's Tax No.: '641 la.brs\\°%' NUMbCr: 532 - Tenant Name: ft m rOw" -Sou-kAAciA4-4/{ Nr1 Address: z/ 4 6" city: Eamo4s Phone: 2 New Tenant: Floor; Y c s j.No Company Name: .17).eiv.\c - Address: zg-zo-- orp- 141 avvom 3 'R.PouAc\00 state:\AA 6%37 Phonc:Z(vb 07_ 4_,L, Fax: 3 (e D _ It 4 ante Reg No:pEmwu.ss &AbDate: 4 (412( I tikwila Business License No.. Valuation of Project (contractor's bid price): s I )0051_9% Scope of Work (please provide detailed infoi mdtion --er\(?lrSi I pAfs eaterra..,-/ o. u1/4) -\the. c_octQ. Will service be altered'? Type of Use: Type of work: El New 0 Addition 0 Sep, ice Change 0 Low Voltage 0 Generator 0 Fire Alarm Property Served bv: Puget Sound Energy El Seattle y Light APPI,,,a4M,11.1,1".1, PC1,1111 ‘prikatt,,41, POf F P. um ,1“..twoRc, !" 11101Q than 50 amps ' Li Remodel [g Tenant Improvement 0 I elecommun lea' ion 0 Temporary Service Page I 01'2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $180.00 (including an attached garage) El] Garages, pools, spas and outbuildings $120.00 Ca El Low voltage systems (alarm) ........... .............. ..S00.00 RESIDENTIAL REMODEL AND SERVICE CHANGES 0 Service change or alteration $1)0 00 (no added/altered circuits) El Service change with added/altered circuits..... .......... S100.00 number of added circuits S10.00 ca O Circuits addecEaltered without service change..... $60.00 (up to 5 circuits) O Circuits added/altered without service changc $60.00 (6 or more circuits) S10.00 ea LI Metcr/mast repair S80.00 O Low voltage systems S00.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL 1 ee..; ire based on the valuation of the electrical contract. MISCELLANEOUS FEES LJ Temporary service (residential) $60.00 O Temporary service (generator) S90.00 \ lanUTOetured mobile home ser\ S100 00 (excluding garage or outbuilding) O 1. arnivals S100,00 Number of concessions S11.00 ea tach ride and generator truck ......... S 11.00 ca ''''*LFFLCTIVE JANLARY 1. 2014 EACH PERMIT WILL 13F ASSESSED A 5% ECHNOLOGY FLE*** Value of Construction - In all cases, a value olc strucloii imount 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 ReViCW - Applications for which no permit is issued o thin 180 days following the date of application shall expire by limitat The Building Official may grant one extension of time tnr an additional period not to exceed 90 days. The eN tension shall he requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND k\AMINED THIS APPLICATION AND KNOW TM' SAME TO 13E TRUE UNDER PENALTY OF PERJURY BY THE; LAWS OE TI Si \ rF oF iloN. AND I .AM ALFHORIZED ro APPLY FOR THIS PERMIT, BUILDING 0 N OR E ,EC ICA ,ONTR Sigt aturc: Print Name Chu VVQ- re6sedCk---Se/1` Mailing Address: Pet 'Q)L 4'O\ Colt, APPli,alioos PDT 1 - • Dalc• 4f5/2-0Z0q Day Telephone: 2(40 0 -(99-1— +I (42 W 1S-70 .11 WIQ Zip Page 2 of 2 DESCRIPTIONS ACCOUNT Q ANTITY PAID $1,352,66 PermitTRAK EL19-0682 Address: 841 SOUTHCENTER MALL Apn: 9202470010 $1,352.66 ELECTRICAL $1,288.25 PERMIT FEE MULTI-FAM/COMM R000. 22.10 .00.00 0.00 $L288,25 TECHNOLOGY FEE $64.41 TECHNOLOGY FEE R000.322.900.04.00 0,00 $64.41 TOTAL FEES PAID BY RECEIPT: R18416 , . S1,352.66 Date Paid: Monday, August 26, 2019 Paid By: PENINSULA ELECTRIC CORP Pay Method: CHECK 17993 Printed: Monday, August 26, 2019 2:57 PM INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Called: Special instructions: Date Wanted: Requester: Phone No: 62-4 J $ O Approved per applicable codes. OMMENTS: Corrections required prior to approval. 1lnspecto j REINSPECT, N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter BLvd.. Suite 100. CaEL to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of nspe on: Address: Pi 1 Date Called: Spec* l Instructions: Date Wanted: Requester: Phone No: proved per applicable codes. Z1Corrections required prior to approval. COMMENTS: c.4 ---c) L J k c4rNr-D 0 ' ea * (PmaLims, i•JA-11,1A-t, e -- f1\ CA4 L P i A - ago t ilr— Inspector: Date: f0 REINSPECT! aN 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. EMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100. Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type nspe n: Address: "1-49 e C ed: Special ns c ns: Date anted: )6O Oo4PJr - a,xn. p.m. Requester: Ph ne N : ,.., • '7 (.1 ' Approved per applicable codes. Corrections required prior to approval. COMMENTS: "1-49 6k )6O Oo4PJr .a-lize Pki Inspector: Date: REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P ', IIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3570 Permit Inspection Request Line (206) 438-9350 Project: ff Type of Inspection: Address: , ,+ date Called. Special Instructions: Date Wanted: p.m. tReque5ter: Phone No: _ Approved per applicable codes. © Corrections required prior to approval. CO[ 'Ih ENTS: j REINSPECTION EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cal! to schedule reinspection. REINSPECTION EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cal! to schedule reinspection. PENINSULA ELECTRIC CORP n State Department of aoor & Industries Hume Espaiml Contact. Safety & Health Claims & Insurance [Search L&1 A-V,Intlex Help VI Page 1 of 2 Workplace Rights Trades & Licensing PENINSULA ELECTRIC CORP Owner or tradesperson Principals FREDERICKSEN, CHARLIE J., PRESIDENT FREDERICKSEN, JENNIFER A., VICE PRESIDENT FREDERICKSEN, CHARLIE J., AGENT Doing business as PENINSULA ELECTRIC CORP PO Box 1401 POULSBO, WA 98370 360-697-1416 KITSAP County WA UBI No. Business type 602 486 170 Corporation Governing persons JENNIFER ANN FREDERICKSEN CHARLIE JASON FREDERICKSEN; Certifications & Endorsements License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. PENINEC950JD Effective — expiration 04/0412005— 04/04/2021 Designated administrator FREDERICKSEN, CHARLES License type Electrical Administrator Bond CBIC Bond account no. SF9067 Active. Meets current requirements. License no. FREDEC*957D1 $4,000;00 Received by L&I Effective date 04/04/2005 03/31/2005 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Cyr Tr-, If _cry-% 4 O, 1 -7/1 0_7 Tr'—T1171, T TXTT7t,CIC TT -1 0(' A Ill— Help us improve 0/14/1/110 PENINSULA ELECTRIC CORP No license violations during the previous 6 ye#1111.44iriod. Workers' comp Public Works Requirements Workplace safety and health Page 2 of 2 jaorlington ':itatrr Dept ot Labor & Inarrstnes Use or thip se srrtver ro the bvp,s of the state of 'IlLisrOngtoti Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI-602486170&LIC=PENINEC950JD&SAW= 8/26/2019