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HomeMy WebLinkAboutPermit EL19-0880 - HOMEGROWN - DATA CABLE TO BACK HALF OF RESTAURANTHOMEGROWN 841 SOUTHCENTER MALL ELI 9-0880 Parcel No: Address: City of Tukwila a t of Community De 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 841 SOUTHCENTER MALL Project Name: HOMEGROWN Permit Number: EL19'0880 Issue Date: 10/24/2019 Permit Expires On: 4/21/2020 Owner: Name: WESTFJELD PROPERTY TAX DEPT Address: POBOX 13O94O,[ARLSBAD,WA, 92013 Contact Person: Name: WENDY BYNUM Address: PO BOX 1401 , POULSBO, WA, 98370 Contractor: Name: Address: License No: Lender: Name: Address: PENINSULA ELECTRIC CORP PO BOX 1401 , POULSBO, WA, 98370 PEm|N[C950D ''' Phone: (360) 697-1416 Phone: (360) 697-2145 Expiration Date4/4/2021 DESCRIPTION OF WORK: LOW VOLTAGE DATA CABLE TO THE F3ACK HALF OF RESTAURANT. ORIGINAL PERMIT EL19-0682 Valuation of single family: $0.00 Valuation of mf/comm: $5`040\00 Type of Work: LOW VOLTAGE Fees Collected: $21527 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City ofTukwila: lnternatiorial Building Code Edition: International Residential Code Edition: Iriternational 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: Date: 2017 2017 2017 2015 |hearbycertify that I have read and examined this permit and know the same to be true and correct. All provisions of aw 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. I am authorized to sign and obtain this development permit and agree to the conditioris attached to this permit. Signature: Print Name: Date 10/2-4M 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 worpermit 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 296-469 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 Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: www.TukwilaWA.gov SITE OCATION Electrical Permit No. LA9- 0506 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** King Co Assessor's Tax No.: Site Address: $4\. 5c1t-l-AACC'4er Aktil 1-("-4A.\ Suite Number: Floor: New Tenant: X...„Yes E]..No Tenant Name: —k-r)rVk e arfkA_P\ PROPERTY OWNER Name: Dave, Address: 2,3 + 5-0, Ave S Name: at . iS / LLC Address: t 1 0 'eS ik ietVt Suife 310 City: ,s ea AA it) State: \ppl Zip: cisl 2:2 CONTACT PERSON — person receiving all project communication Name: Dave, Address: 2,3 + 5-0, Ave S City: State: 1.4 A_ Zip:125 021, Phone: 23_310_3,--715 Fax: 42,6 _Tri_ -1 41q-7 Email: A (ACV rAn ree i fst-09 vi 1(o, roi-6-tvudiat. ELECTRICAL CONTRACTOR INFORMATION Company Name: peA 4 a;, ta Eiedwc e6cp. Address: 0 os state H -to -- - Po e City: pf)t4 t9Ob State:110A Zip:ely370 Phone: .RI p_tol.i... i 4.1(0 Fax: Contr Reg No.: pov.vvEc5ayD Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 5, 040- (7° Scope of Work (please provide detailed information): addirt 4- h back vv tc 6401A- coAsuAA.er) 6( • u Will service be altered? 0 Yes No Type of Use: Type of work: New E Addition 0 Service Change El Remodel Low Voltage 0 Generator 0 Fire Alarm Telecommunication Property Served by: lA Puget Sound Energy 0 Seattle City Light WAPermit Center \ Applications-IlandoutsTermit Applications \ PDF's Electrical Permit Application Revised 1-17- I 9.docx Adding more than 50 amps? Yes El Tenant Improvement Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE New single family dwellings $180.00 (including an attached garage) Garages, pools, spas and outbuildings $120.00 ea LJ Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES El Service change or alteration $120.00 (no added/altered circuits) El Service change with added/altered circuits $100.00 number of added circuits $10.00 ea 1:1 Circuits added/altered without service change.... $60.00 (up to 5 circuits) 1:1 Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea P Meter/mast repair $80.00 El Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation ofthe electrical contract. MISCELLANEOUS FEES • Temporary service (residential) $60.00 • Temporary service (generator-) $90.00 11 Manufactured/mobile home service $100.00 (excluding garage or outbuilding) n Carnivals $100.00 Number of concessions $11.00 ea Each ride and generator truck $11.00 ea ***EFFECTIVE JANUARY 1, 2014 Mal 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: OWNER Date: 10/2 - Print Name: \r\le kr\kr\f) ea;ce. MtAY Day Telephone:3100:6 91- I 41 (4, Mailing Address: PO. ?It)* ,4)1 Pmkslov.) StateCityZip WAPermit CenierApplications-llandouts \ Permit Applications \ PDF's \ Electrical Permit Application Revised 117-19.docx Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila I ACCOUNT 1 QUANTITY I PAID $215.27 EL19-0880 Address: 841 SOUTHCENTER MALL Apn: 9202470010 $215.27 ELECTRICAL $205.02 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $205.02 TECHNOLOGY FEE $10.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18911 R000.322.900.04.00 0.00 $10.25 $215.27 Date Paid: Thursday, October 24, 2019 Paid By: PENINSULA ELECTRIC CORP Pay Method: CHECK 18199 Printed: Thursday, October 24, 2019 11:40 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. 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: _��`�j j e vC Type of Inspection: Address:Date ' ifru.., Called: Special Instructions: © 1) AT Date Wanted: a.m. p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prio o approval. COMMENTS: A Inspector: Date: n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PENINSULA ELECTRIC CORP 0 ashington State Department of Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 SEARCif A -Z Index Help Myt&1 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 WA U131 No. 602 486 170 PO BOX 1401 POULSBO, WA 98370-0140 360-697-1416 KITSAP County Business type Corporation Goveming persons JENNIFER ANN FREDERICKSEN CHARLIE JASON FREDERICKSEN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. PENINEC950JD Effective — expiration 0410412005— 04/04/2021 Designated administrator FREDERICKSEN, CHARLES License type Electrical Administrator Bond CHIC Bond account no. SF9067 Received by L&I 04/04/2005 No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active Meets current requirements. Active Meets current requirements. License no. FREDEC*957D1 $4,000.00 Effective date 03/31/2005 Expiration date Until Canceled Certifications & Endorsements 9ITflIAQ11fl2T Tr=_PPXVINTPC(:)5(1TTI,C&C A \X7= Help us improve 1 f1/7L1P)(110