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HomeMy WebLinkAboutPermit EL19-0731 - HOLLISTER - LOW VOLTAGE MUSIC SPEAKERS AND SECURITY CAMERAS WIRINGHOLLISTER 857 SOUTHCENTER MALL ELI 9-0731 Parcel No: Address: City of Tukwila a t of Community Development 6]O0SouthcenterBoulevard, Suite #1OO 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: EL19'0731 857 SOUTHCENTER MALL Project Name: HOLLISTER Issue Date: 9/9/2019 Permit Expires On: 3/7/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT POBOX l9O94O,[ARLSBAD WA, 92013 MARK SORENSEN 11816 167TH PLNE, REDMOND, WA, 98052 ADVANTAGE AUDIO VISUAL SYSTEMS LLC 11816 167TH PL NE , REDMOND, WA, 98052 ADVANAV821DA Phone: (4Z5)466-9959 Phone: Expiration Date: DESCRIPTION OF WORK: LOW VOLTAGE MUSIC SPEAKERS, AND SECURITY CAMERAS WIRING V&uaton of single family: $0,00 Valuation of mf/comm: $9'000.00 Type of Work: LOW VOLTAGE Fees Collected: $28029 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 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 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. | am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: 0.494_ Print Name: M k S Efise�� Date: ��~ '—�«9 Cli" / 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: ~**ELECTR|[ALPERMIT COND|T|ONS~*~ 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 NIPA 70 - NEC, and requirements for electrical installations, Chapter 296-468 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, revisons to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 R8UGH'|NELECTR|[AL 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 Electrical Permit No. bk./VA 019)1 Project No. Date Application Accepted: Date Application Expires: (For office use onl)' 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: 7 SovyAc Tenant Name: PROPERTY OWNER Name: M Ike, K 30ReAseo Address: !I 8/ 6, 161 I, NE -- Name: Phone: Liss, ifivo . 1151 Fax: Email: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: M Ike, K 30ReAseo Address: !I 8/ 6, 161 I, NE -- City: iState: A Zip: (ii 805 -t-171v1 DM p Phone: Liss, ifivo . 1151 Fax: Email: King Co Assessor's Tax No.: Suite Number: New T Floor: Yes LI..No ELECTRICAL CONTRACTOR INFORMATION Company Name: p\p‘mr,.1.1.4kos Au.D4 D \fisuAL AddresS. /18/6, )(74Sp City: eji'M 0 /4 P State: WA Zip: Phone: Is.ii‘6.3/.51 Fax: Contr No.: ANN sii A Exp Date: 3,C, 2.0, Tukwila Business License No., 5us , 0 iCt 3 11 73 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Vol -I -AGE Mks fl sPeoker3 ‘Ntri mcs - Gow VolAING-E. set U CAlvledra 5 Will service be altered? J Yes No Adding more than 50 amps? E..] Yes Type of Use: Type of work: El New 0 Addition 0 Service Change Remodel Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service 0 Tenant Improvement Property Served by: D Puget Sound Energy 0 Seattle City Light WP -mit Center Applications-liandoinsWerrnit Applications \PDFAElecirical Permit Application Revised 1-17-19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $180.00 (including an attached garage) O Garages, pools, spas and outbuildings $120.00 ea o Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration 5120.00 (no added/altered circuits) D Service change with added/altered circuits 5100.00 number of added circuits $10.00 ea O Circuits added/altered without service change $60.00 (up to 5 circuits) O Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea O Meter/mast repair $80.00 El Low voltage systems $60.00 (alarm, furnace thermostat) MULTI-FAMDLY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $60,00 O Temporary service (generator) $90.00 L3 Manufactured/mobile home service $100.00 (excluding garage or outbuilding) O Carnivals .....,... .......... ......... $100.00 Number of concessions 511,00 ea Each ride and generator truck $11.00 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 THF, SAME TO BE TRUE UNDER PENALTY OF PERJURY BY TRE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: MJ< sokEt.ise Mailing Address: 1181(0 167*" P1 - Date,: Day Telephone: 112 6 S9 WAPermit CenterkApplications-Handouts \Permit ApplicationsTDFsliElectrical Permit Application Revised I-17-19.docx ivviA78 05 City State Zip Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 205-433'1870 CITY OF TUKWILA 0017340000802374464500 Date: 09/09/2019 09:54:21 AM CREDIT CARD SALE VISA CARD NUMBER: +*********0503 K TRAN AMOUNT: $280.29 APPROVAL CD: 009542 RECORD #: 000 CLERK ID: Rochelle X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433 -1870 CITY OF TUKWILA Date: 09/09/2019 09:54:21 AM CREDIT CARD SALE VISA CARD NUMBER: ****+***~+0503 K TRAN AMOUNT: $280.29 APPROVAL CD: 089542 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY . PAID $280.29 E119-0731 Address: 857 SOUTHCENTER MALL Apn: 9202470010 $280.29 Credit Card Fee $8.16 Credit Card Fee 8000.369.908.00.00 0.00 $8.16 ELECTRICAL $259.17 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $259.17 TECHNOLOGY FEE $12.96 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT R18515 R000.322.900.04.00 0.00 $12.96 $280.29 Date Paid: Monday, September 09, 2019 Paid By: MARK SORENSEN Pay Method: CREDIT CARD 009542 Printed: Monday, September 09, 2019 9:54 AM 1 of 1 CRIINSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. P R1 11iT NO. CITY OF TLJKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (2061 431-3670 Permit Inspection Request Line (206) 438-9350 `Project. Type of Inspection: Address: Date Called: Special Instruct{=ns: =Date 1f anted: a,rn_, p.m. Requester: Phone No proved per applicable codes. Corrections required prior to approval. t M ENTS: Date: 0 REINSPECTION' FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Special Instruc I n : 5P644\ 0-5 C&rV d ate Called: Date Wanted: Requester: Phone No: y 17 721 a.m. p.m. Approved per applicable codes. EiCorrections required prior to approval. COMMENTS: nspec or: Date: 1 0 /03 REINSPECTIONFEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ADVANTAGE AUDIO VISUAL SYtLC I()IUC Ino Cctritacit Safety & Health Claims & Insurance 4111111Washington State Department of k La bor & Industries Search L&I Page 1 of 2 A-V Index 11,,Ip My 1,M Workplace Rights Trades & Licensing ADVANTAGE AUDIO VISUAL SYS LLC Owner or tradesperson Principals ADVANTAGE AUDIO VISUAL SYSTEMS, PARTNER/MEMBER SORENSEN, MARK HOWARD, PARTNER/MEMBER INGRAM, BENJAMIN D, PARTNER/MEMBER CORPORATION SERVICE COMPANY, AGENT Doing business as ADVANTAGE AUDIO VISUAL SYS LLC WA UBI No. 603 304 757 11816 167TH PL NE REDMOND, WA 98052 425-466-9959 KING County Business type Limited Liability Company Certifications & Endorsements License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. ADVANAV821DA Effective -- expiration 03105I2018-03!0512020 Designated administrator Ingram, Benjamin 0 License type Electrical Administrator Bond Western Surety Co Bond account no 63508543 Active. Meets current requirements. Active. Meets current requirements. License no. INGRABD927RD $4,00(M)0 Received by L&I Effective date 03/01/2018 01/31/2018 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. 0,T Tr,— A1-1-tr ANT AN/Q-71T-NA A NV= Help us improve ADVANTAGE AUDIO VISUAL 14S LLC Workers' comp Public Works Requirements Workplace safety and health Page 2 of 2 !,tate Dept abor !i1(1,;stry:Ueot to t.1), Idyjs trq; Help us roprove https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603304757&LIC=ADVANAV82 1 DA&SAW= 9/9/2019