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HomeMy WebLinkAboutPermit EL19-1018 - SAFARI - OUTLETS AND RELOCATE LIGHTINGSAFARI 2876 SOUTHCENTER MALL ELI9-1018 Parcel No: Address: City of Tukwila Department of Community Development ' 63DOSouthcenterBoulevard, Sube#1O8 �� � Tukwila, VVash|ngtnn9A1Q8 �~ Phone:�o�'u�,'���o --- -- --'~ lnspection Request Line: 206~438'9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 9202470010 Permit Number: EL19'1018 2876 SOUTHCENTER MALL Project Name: SAFARI Issue Date: 12/9/2019 Permit Expires On: 6/6/2020 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: POBOX l3O94O,[ARL58AD,WA, 92013 Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: ANTHONY DORE 10138 NE 144 PL , KIRKLAND, WA, 98034 NEW LIFE ELECTRIC LLC l0l38NE144THPL,K|RKLAND'WA, 98034 NEWLILE892JH Phone: (206) 755-3606 Phone: (206) 755-3606 Expiration Date: 4/8/2021 DESCfflPTJON OF WORK: ADD OUTLES AND RELOCATE UGHTING Valuation of single family: $0.00 Valuation of mf/comm: $7,00.00 Type of Work: TENANT IMP Fees Collected: $241.25 Electrical Service Provded by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: Internationat Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 Natiorial 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 Iocal laws regulating construction or the perforrnance of work, 1 am authorized to sign and obtain this development permit and age to the conditions attached to this permit. Signature: Print Name: p0��� 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 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 296-466 WAC and the Washington Cities Electrical Code. 5: When any portion of the electrical installation is to be hldden 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 Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For of ice 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: 2 !76 5co-rn c r -g- MI Tenant Name: 5A FA rZ 1 ( C :1 PROPERTY OWNER Name: W �r)..T (itia, r) Address: 2. ec, so 07-t/ t_1: t2. f'tAt-` City: 5eA7,R.� State: 14/4 Zip: Cjt 1st. CONTACT PERSON — person receiving all project communication Company Name: lV EW L1 Ft EL6C-rtiC t - LC Name: A A, i pGi Address: [01-;1. N E 1 c1 W T K PI -- LCity: Phone: zoo 7 SS 3( 0f Fax: City: 1L 1 L N 1P State: N p, Zip: 9 034 Phone: 2© k,- 3G Fax: Tukwila Business License No.; Email: !Vt►-, i.( FG E I- ELI Ez-lC- �7 4 c ,,, kli__ Cu!`1 King Co Assessor's Tax No.: Suite Number: 2 ! 7 0 Floor: 2 New Tenant: O.....Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: lV EW L1 Ft EL6C-rtiC t - LC Address: (b1 3s N .- r 14 H rl n. City: v 1 le.4.L/oh A State: 1N A Zip: 1 fr.,.. c� Phone: zoo 7 SS 3( 0f Fax: Contr Reg No.: N cw t'1 LE$ i Z1.4 Exp Date: Ell/ / f lI I ' Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 7, 000, or.) Scope of Work (please provide detailed information): A !7 D S Np 12-E: t -©E ict TF Will service be altered? ❑ Yes Ea No Adding more than 50 amps? Q Yes ® No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication Property Served by: 0 Puget Sound Energy 0 Seattle City Light W:1Permit Cent er1Applications-HandoutsWermit A DFs\ElectricalPermit Application Rev[sed i-17.19.tbcx Tenant Improvement 0 Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE El New single family dwellings (including an attached garage) o Garages, pools, spas and outbuildings El Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES El 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) El Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea o Meter/mast repair $80.00 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 • Temporary service (generator) $90.00 • Manufactured/mobile home service $100.00 (excluding garage or outbuilding) El Carnivals $100.00 Number of concessions ...... . ........ $11.00 ea Each ride and generator truck $11.00 ea 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 demonsti ated. I HEREBY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 11 I 119 Print Name: 'n'ICA'`i Ooa-tE. Mailing Address: 1 01 3 IS ./1/4/ 1 L-11-1 /11 WAPermit CenterkApplications-HandemsWerrnit Apptaations\PDFs\Electrical Permit Application Revised 1 - 17-19.cbcit Day Telephone: 12- u&N 0 City 20G, 7 3(306 tA., A 9 8631 Stale Zip Page 2 of 2 Cash Register Receip City of Tukwila 4 Receipt Number 11-19240 DESCRIPTIONS . .. PermitTRAK ACCOUNT QUANTITY I PAID ... $241.25 EL19-1018 Address: 2876 SOUTHCENTER MALI Apn: 9202470010 $241.25 Credit Card Fee $7.03 Credit Card Fee R000.369.908.00.00 0.00 $7.03 ELECTRICAL $223.07 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $223.07 TECHNOLOGY FEE $11.15 TECHNOLOGY FEE TOTALFEES PAID BY RECEIPT: R19240 R000.322.900.04.00 0.00 111.1.31911 $241.25 Date Paid: Monday, December 09, 2019 Paid By: NEW LIFE ELECTRIC LLC Pay Method: CREDIT CARD 105693 Printpri• Mr -me -lay DPrPmher 09. 7019 R:01 AM 1 of 1 emu/ CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 200'433'1870 CITY OF TUKWILA 0017]40080802]74464500 Date: 12/09/2019 07:59:41 AM CREDIT CARD SALE VISA CARD NUMBER: *~********1841 K TRAN AMOUNT: $24I.25 APPROVAL CD: 105693 RECORD #: 000 CLERK ID: Bill 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 INSPECTION RECORD Retain a copy with permit. NSP;CflON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: Type of pe on: gfrL- Address: Date Cal ed: SpecaaL Instrucuons: Date Wanted , a.rn.. p.rn Requester: Phone No: proved per applicable codes. rrections required prior to approval. pec Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd,. Suite 100, Cali to schedule reinspection. INSPECTION RECORD Retain a copy with permit NSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Type i~ tnspe n: • • , Date Called: Special Instructions: Date Wanted: Requester: Phone N©: proved per applicable codes. Corrections required prior Ito approval. Date: REINSPECT ON FEE REQUIRED. Prior to next inspection. a must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .1-40 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P•F` IIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of In cti4n: Address: Date Called: Special Instructions: Date tllfanted: a.m. p.m. Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: inspecto Date: 711 REINSPECTION FEE REQUIRED. Prior to next inspection. fee musunbe paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PIVUT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 438-9350 0 Project: � r Typeof Inspect�4 n Address:,� (p Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: 6,0 7 Approved per applicable codes, rections required prior to approval. REINSPECTIO ' FEE REQUIRED. Prior to next inspecti • n. fe - must.. be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. NEW LIFE ELECTRIC LLC CO Labor industries oniovilni,weAL_P Contractors NEW LIFE ELECTRIC LLC Owner or tradesperson DORE, ANTHONY Principals DORE, ANTHONY, PARTNER/MEMBER DORE, JENNIFER A, PARTNER/MEMBER DORE, ANTHONY, AGENT Doing business as NEW LIFE ELECTRIC LLC WA LiBI No. 603 100 822 10138 NE 144TH Place KIRKLAND, WA 98034 206-755-3606 KING County Business type Limited Liability Company Governing persons ANTHONY DORE License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active Meets current requirements. License specialties GENERAL Licnse no. NE•VVLILE892JH Effective — expiration 04108/2011-04/08/2021 Designated admiMstrator Dore, Anthony A Active Meets current requirements. License type License no. Master Electrician DORE*AA920PB Bond Ohio Cas Ins Co Bond account no, 251588C Received by L&I 08/26/2019 Bond history Savings No '''' accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 08/26/2019 Expiration date Until Canceled Certifications & Endorsements OMWBE ''' Ofic49!"!. No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. Page 1 of 2 novs,79T VI:H=4111 1 (1112112,T TC=I‘TPWIT TT PRO? TI-T.R7C, W= 1 ?AWN -11 Q