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Permit EL19-0781 - HOLLISTER - CIRCUITS TO EXISTING ELECTRICAL SERVICE
HOLLISTER 857 SOUTHCENTER MALL ELI 9-0781 Parcel No: Address: City of Tukwila a 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 9202470010 857 S3UTMCENTERMALL Project Name: HOLLISTER Permit Number; EL19'0781 Issue Date: 9/23/2019 Permit Expires On: 3/21/2820 Owner: Name: Address: Contact Person: Name: WESTFIELD PROPERTY TAX DEPT POBOX l3094O,[ARB8AD WA, 92013 MITCH BECK Address: 2O42ONE1l6THCIRCLE ,BRUSH PRAIRIE, WA, 98606 Contractor: Name: RIVIERA ELECTRIC LLC Address: 7312 NE PAR LN , VANCOUVER, WA, 98662 License No: R|V|E[L942D8 Lender: Name: Address: Phone: (503) 740-2731 Phone: (503) 740-2291 Expiration Date: DESCRIPTION OF WORK: CIRCUITS TO NEW TENANT SPACE. EXISTING ELECTRICAL SERVICE: APPROX 45 CIRCUITS Valuation of single family: $0.00 Valuation of mf/comm: $00,00.00 Type of Work: TENANT IMP Fees Collected: $1,507.11 EectricaI Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwifa: nternational Building Code Edition: lnternational Residential Code Edition: lnternational Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI 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 1,1 I hearby certify that I have read and examined this permit and know the same to be true and correct. AU 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 Iocal laws|t' g constructionthe the performance of work. 1 am authorized to sign and obtain this development permit a o the cond"onsttached to this permit Signature: Date: Z 5_7; Print Name: 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 ateacbwmrksite. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: Alt electrical work shall be in accordance with NFPA 70 NEC, and requirements for electrical instatlations, Chapter 296-466 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 Inspecion 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.TukwilaWA.gov Electrical Permit No. bik.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 Site Address: 75? - Tenant Name: ((r5 AV/ King Co Assessor's Tax No.: Suite Number: 4/4"0 Floor: PROPERTY OWNER Name: • Address: zo //2 0 /t/..6 4 /4 C,rat te_ Address: 20 Yt Name: Guo -F 4,/ /4(4 /( Address: Yet 4.vo c 0 i.k. City: State: Zip: CONTACT PERSON — person receiving all project communication Name: • Address: zo //2 0 /t/..6 4 /4 C,rat te_ Address: 20 Yt Phone: 5123 7e/ o ZZIrax: City: gi . State: Zip: ,i;t60 c Phone: 5-6 5 70 zzv Fax: Email: krillie ra- se /e 0 Yet 4.vo c 0 i.k. New Tenant: 0 Yes D ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: ^ • ect /cac i - Address: zo //2 0 /t/..6 4 /4 C,rat te_ City: 4I State: 44_ Zip: fe,6-0 6 Phone: 5123 7e/ o ZZIrax: Contr Reg No.:Kit/fee / 914,z0 23, Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 's -(€C4F1 Se -vv/ 710 4CIJq$,eC Will service be altered? P Yes [Z No Adding more than 50 amps? I:3 Yes ZJ No Type of Use: Type of work: 0 New 0 Addition 0 Service Change Et Remodel lat Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: J Puget Sound Energy 0 Seattle City Light WAPermit CenterlApplications•Handouts \ Permit Applications \PDFs \Electrical Permit Application Revised I -17- tRdo cis Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $180.00 (including an attached garage) 0 Garages, pools, spas and outbuildings $120.00 ea 0 Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $120.00 (no added/altered circuits) O Service change with added/altered circuits $100.00 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 O Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY 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 O Manufactured/mobile home service $100.00 (excluding garage or outbuilding) O Carnivals $100.00 Number of concessions ............ ..... $11.00 ea Each ride and generator truck $11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% lECHNOLOGY 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 C NTRACTOR: Signature: Print Name: MI rC Mailing Address: Zo 42 ,k/6 f/6 W:\Permit Center NApplications-HandoutsTermit Applications1PDPs1E lean cal Permit Application Revised I -I 7- 19.do ea Date: Day Telephone: 5o3 790 221 I v54 vof- 91'60 6 City Statc Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $1,507.11 EL19-0781 Address: 857 SOUTHCENTER MALL Apn: 9202470010 $1,507.11 Credit Card Fee $43.90 Credit Card Fee R000. 69.908.00 00 I 0.00 $43.90 ELECTRICAL $1,393.53 PERMIT FEE MU T -FAM/COMM R000. 22. 01.00.00 0.00 51,393.53 TECHNOLOGY FEE 569.68 TECHNOLOGY FEE R000.322.900.04.00 0.00 $69,68 TOTAL FEES PAID BY RECEIPT: R18645 $1,507.11 Date Paid: Monday, September 23, 2019 Paid By: MIRCHA BECK Pay Method: CREDIT CARD 02998G Printed: Monday, September 23, 2019 12:35 PM 1 of 1 5YSTEMS 0 0 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 09/23/2019 12:34:33 PM CREDIT CARD SALE VISA CARD NUMBER: **********3204 K TRAN AMOUNT: $1,507.11 APPROVAL CD: 02998G RECORD #: 000 CLERK ID: Rachelle 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: 09/23/I019 12:34:33 PM CREDIT CARD SALE VISA CARD NUMBER: *********^3204 K TRAN AMOUNT: $1^507.11 APPROVAL CD: 02998G RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. P R 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 Inspection: Address. Date Called: Special $nstructio s: Date Wanted: a.m. p.m. Requester: Phone No: proved per applicable codes. 0t Il LENTS: Corrections required prior to approval. Inspector: IDate: REINSPECTIO FEE REQUIRED. Pr'i'or 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 €TIT 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type o tnspectio QJt.t Address: Al Date Called: a.m.� p.rn.w. Special Instructs ns: Date Wanted: Requester: Phone Na: 6( 7 (7 7 7j.53 7 .. Approved per applicable codes. Corrections required prior to approval. pect©Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Gait to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: Type of nspection: Address: Date Called: Spec a n uc ns: !Date Wanted: am. p.m. Requeste: Ph ne No: Approved per applicable codes. ections required prior to approval. n pector Date: REINSPECTIOt FEE REQUIRED. Prior to next inspection. fee rust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. RIVIERA ELECTRIC LLC Home F,snatiol Contact Safety & Health Ck Washington State Department of ,i Labor & Industries Claims & Insurance Search LI lialQx I tell, Workplace Rights RIVIERA ELECTRIC LLC Owner or tradesperson Principals BECK, MIRCHA, PARTNER/MEMBER Doing business as RIVIERA ELECTRIC LLC WA UBI No, 602 597 971 12004 NE 4th Plain Road STE D BOX 103 VANCOUVER, WA 98682 503-740-2291 CLARK 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 Active. Meets current requirements. License specialties GENERAL License no. RIVIEEL942D8 Effective — expiration 03/28/2006— 05/03/2020 Designated administrator BECK, MIRCHA License type Electrical Administrator Bond Ohio Cas Ins Co Bond account no. 741118C Received by L&I 08/26/2019 Bond history Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. BECK*M•9440L $4,000.00 Effective date 08/26/2019 Expiration date Until Canceled Workers' comp Public Works Requirements Workplace safety and health • r• rr-s. T1-1 T_/11,1en'ICI'll TT 7111-:17T 11 A ^ITN° 0-0 A IST— Page 1 of 2 My L&I Trades & Licensing Help us improve C1P11 /1(11 fl RIVIERA ELECTRIC LLC Page 2 of 2 tilt, Washington State Dept of Labor & ndustries. Use of this site is subject to the laws of Me state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=6025979718LLIC=RIVIEEL942D8&SAW---- 9/23/2019