HomeMy WebLinkAboutPermit EL19-0816 - MEET FRESH - FIRE ALARM SYSTEM AND DEVICESMEET FRESH
121 SOUTHCENTER MALL
ELI9-0816
Parcel No:
Address:
+� 4
City of Tukwila
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
9202470130 Permit Number: EL19-0816
121 SOUTHCENTER MALL
Project Name: MEET FRESH
Issue Date: 10/3/2019
Permit Expires On: 3/31/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
DESIREE FORQUIGNON
1743 1ST AVE S , SEATTLE, WA, 98134
GUARDIAN SECURITY SYSTEMS INC
Address: 1743 FIRST AVE S , SEATTLE, WA,
98134
License No: GUARDSS233K5
Lender:
Name:
Address:
Phone: (206) 678-3846
Phone: (206) 622-6545
Expiration Date: 9/30/2020
DESCRIPTION OF WORK:
FIRE ALARM SYSTEM, TENANT IMPROVEMENT, ADDING (10) DEVICES.
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: LOW VOLTAGE
Fees Collected: $85.94
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 Signatu
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date: 10
|hearbycertify 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 Iocal laws regulating construction or the performance of work. 1 am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: ~�' ` �� Date:
Print Name:
This permit shall become null and void if the woris not commenced within 180 days for the Eiate 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 oterwise made readily accessible to the Electrical
lnspector 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 buildirig, such equipmerlt 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 :(Z06)438'935u
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://vvww.TukwilaWA.gov
Electrical Permit No. 52— / e3. /0
Project No.
Date Application Accepted: /0 -
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
King Co Assessor's Tax No.:q()/2.4-10 1. 0
Site Address: tAt IDC)11-kif\P..)[A-P WA\
Tenant Name: tA-P
ki-AA
Suite Number: V(4-- Floor:
New Tenant: fl Yes
PROPERTY OWNER
Nam1D. ( Ok, 1‘(('4 SC3likl->kA,
Namekkel
City:3 State: f‘i Zip:cost 2)f
AddressT07,5..)5c vapt
Emailakmui:ctv‘oi\--oci uctvi i cur‘,4,p_aw cit4 . u
City: .,cx,(Ad(liA State: Nk
zip:(3,3(..)1
CONTACT PERSON — person receiving all project
communication
Nam1D. ( Ok, 1‘(('4 SC3likl->kA,
Address:
City:3 State: f‘i Zip:cost 2)f
Phoneococeis_3s14,(0 Fax:
Emailakmui:ctv‘oi\--oci uctvi i cur‘,4,p_aw cit4 . u
ELECTRICAL CONTRACTOR INFORMATION
Company.,--
NamekAvn6iavv5PA.
Address:
VI, V't-- Ave 6
City'l PAAU- State: \f A Zip
Phone. Fax:
putons-3954-te
Contr keg Na,.: Exp Date:4 (ozb
WA(Thei-423-6k5
Tukwila Business License No..
WA6-0c1ctet.[-)
Valuation of Project (contractor's bid price): $
TLQ.cc/-2;ty-ikiNt_ / 4 AAC4
OKTV Pjf\i\-11\+ C51.Cs‘ IAA W)i) CitX6(1)_44)
Scope of Work (please provide detailed information):
Will service Ie altered? EJ Yes No
Type of Use: N\XN\QN(--t.(--k
Tvpe of work:
0 New 0 Addition 0 Service Change
1Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
Cg:LPuget Sound Energy 0 Seattle City Light
WAPertnit Center \ Applications -Handouts \Pennit Applications \PDFskElectrical Permit Application Revised 1-1-17,doca
Revised: January 2017
bh
Adding more than 50 amps? J Yes No
0 Remodel
0 Telecommunication
'K.._ Tenant Improvement
ID 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:
Signature ' ! kyLi cp4\
Date: \O 3\ \
Print Narne: c J 1(VS- - (CO9 A��� ` Day Telephone: �jQL )Cel9S— 'S1--1'42
Mailing Address: �U thk `k(e . 6 f " > „L \N\r, 171
City i
W:Wcrmit Ce ter1Applications-Handouts\Permit App
Revised: January 2017
bh
cation
Fs\Eketrical Permit Application Revised I-1-17.docx
State Zip
Page 2 of 2
Per itTRAK
DESCRIPTIONS
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
85.94
EL19-0816 Address: 121 SOUTHCENTER MALL Apn: 9202470130
85.94
Credit Card Fee
$2.50
Credit Card Fee
R000.369.908.00.00
0.00
$2.50
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
TOTAL FEES PAID BY RECEIPT: R18740
0.00
$3.97
$85.94
Date Paid: Thursday, October 03, 2019
Paid By: DESIREE FORQUIGNON
Pay Method: CREDIT CARD 611384
Printed: Thursday, October 03, 2019 11:51 AM 1 of 1
CirliWSYSTEMS
0 0
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 10/03/2019 11:51:13 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3607 K
TRAN AMOUNT: $85.94
APPROVAL CD: 611384
RECORD #: 000
CLERK ID: kandace
{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
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206)431-367O
Permit Inspection Request Line (206) 438-9350
'Project: tot
6er Fr L15- 5
Type of Inspection:
Address:
12-1 r
i
Date Called:
Special Instructions:
rlPr
Date Wanted:
a.m. ,
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
nsp o Date:
REINSPECTIOf4 FEE REQUIRED. Prior to next inspection. fee ust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Horne Espa?rol Contact
Safety & Health Claims & Insurance
4111) Washington State Department of
Labor & Industries
0
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Workplace Rights Trades & Licensing
GUARDIAN SECURITY SYSTEMS INC
Owner or tradesperson
Principals
CLOSE, FRANK A, PRESIDENT
DWTR&J CORP, AGENT
DUNHAM, JOHN R
(End: 11/03/2016)
Doing business as
GUARDIAN SECURITY SYSTEMS INC
WA UBI No.
600 189 667
1743 1ST AVE S
SEATTLE, WA 98134
206-622-6545
KING County
Business type
Corporation
License
Verify the contractor's active registration / ticense / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
HVAC/RFRG
License no.
GUARDSS233K5
Effective — expiration
05/25/1977— 09/30/2020
Designated administrator
CLOSE, FRANK A
License type
Master Electrician
Bond
HARTFORD FIRE INS CO
Bond account no
72BSBFT5007
Active
Meets current requirements.
Active
Meets current requirements.
License no.
CLOSEF*9730H
$4,000.00
Received by L&I Effective date
06/18/2010 06/11/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EZINS00499
Issue date
05/24/2018
Violation city
Satisfied
RCVVNVAC
19.28.271 RCW
Violation amount
Help us improve
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. Employing
uncertified trainee Tristan Palmer
Infraction no.
ECHAP01949
Issue date
05/11/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to request an inspection within 3
business days after completion of the
installation or 1 business day after energizing,
whichever occurs first as referenced in WAC
296-46B-901.
Infraction no.
ETUCP00413
Issue date
04/07/2017
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.
Infraction no.
ENASE00559
Issue date
10/16/2013
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
Class B eligible work - Failing to obtain an
electrical/telecommunications work permit, or
post a provisional electrical work permit, or
valid Class B latel prior to beginning the
electrical/telecommunication installlation or
alteration as referenced in WAC 296-46B-901.
Infraction no.
ENASE00558
Issue date
10/14/2013
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.041 RCW
Violation amount
$500.00
Satisfied
RCWANAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$100.00
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