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
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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=
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