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HomeMy WebLinkAboutPermit EL10-0295 - WESTFIELD SOUTHCENTER MALL - SOUTHCENTER SHOE REPAIRThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. El-1 0-0295 Southcenter Shoe Repair 969 Southcenter Mall RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 13 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. S OUTHCENTER SHOE REPAIR 969 SOUTHCENTER MALL EL1 0-0295 City o*I'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 9202470010 Address: 969 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0295 Issue Date: 04/22/2010 Permit Expires On: 10/19/2010 Tenant: Name: SOUTHCENTER SHOE REPAIR Address: 969 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: KEVIN HAYWARD Phone: 206 - 437 -2218 Address: 7056 S 220 ST , KENT WA Contractor: Name: SEA TAC ELECTRIC INC Phone: Address: 7056 S 220TH ST , KENT WA Contractor License No: SEATAEI077RW Expiration Date: 12/17/2011 • DESCRIPTION OF WORK: DEMO OF EXISITING RETAIL SPACE, INSTALLING NEW LIGHTS AND OUTLETS PER RELOCATIONS OF WALLS IN SPACE 05 -19 -10 REVISION #1: INSTALL (1) FIRE ALARM DEVICE TO SCOPE OF WORK Value of Electrical: NRES: $6,400.00 Fees Collected: $212.90 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: 4 Date: I hereby 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 th pe f mance of work. I am authorized to sign and obtain this electrical permit. Signatu r Date: --4161 L0 Print Name: titer This permit shall become null and void if the work is not commenced within 18p days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL10 -0295 Printed: 05 -19 -2010 Citygif Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 9202470010 Address: 969 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0295 Issue Date: 04/22/2010 Permit Expires On: 10/19/2010 Tenant: Name: SOUTHCENTER SHOE REPAIR Address: 969 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: KEVIN HAYWARD Phone: 206- 437 -2218 Address: 7056 S 220 ST , KENT WA Contractor: Name: SEA TAC ELECTRIC INC Phone: Address: 7056 S 220TH ST , KENT WA Contractor License No: SEATAEI077RW Expiration Date: 12/17/2011 DESCRIPTION OF WORK: DEMO OF EXISITING RETAIL SPACE, INSTALLING NEW LIGHTS AND OUTLETS PER RELOCATIONS OF WALLS IN SPACE Value of Electrical: NRES: $6,100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $212.90 National Electrical Code Edition: 2008 Loa` Date: k—) i 0 I hereby 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 n presume give authority to violate or cancel the provisions of any other state or local laws regulating construction or the e ormanc work. authorized to sign and obtain this electrical permit. Signature: Date: (-1 -11)- /0 Print Name: Keu I Y1 I yl, ct This permit shall become null ` and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL10 -0295 Printed: 04 -22 -2010 Parcel No.: 9202470010 Address: Suite No: Tenant: • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 969 SOUTHCENTER MALL TUICW SOUTHCENTER SHOE REPAIR PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0295 ISSUED 04/22/2010 04/22/2010 1: ** *ELECTRICAL * ** 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 NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: )4V-WI /Lib o' Date: f -"c?a doc: Cond -Elec ELI 0-0295 Printed: 04 -22 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. T L-\,O 00/--q5— Project No. (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: G9 'SaVitcr4/- /r?ot // Tenant Name: Southcenter Shoe Repair King Co Assessor's Tax No.: Suite Number: New Tenant: "b ", OOI 0 Property Owners Name: Westfield Corporation Mailing Address: 11601 Wilshire Blvd. 110th Floor Los Angeles City 0 CA State Floor: Yes ❑..No Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Kevin Hayward Mailing Address: 7056 South 220th Street E -Mail Address: kevin.h @seatacelectric.com Day Telephone: 206 -437 -2218 Kent WA City State Fax Number: 253- 872 -4112 98032 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: SeaTac Electric, Inc. Mailing Address: 7056 South 220th Street Contact Person: Kevin Hayward E-Mail Address: kevin.h @seatacelectric.com Contractor Registration Number: seataei077rw Kent WA City State Day Telephone: 206 - 437 -2218 Fax Number: 253- 872 -4112 Expiration Date: 12/11 98032 Zip Valuation of Project (contractor's bid price): $ 6100.00 Scope of Work (please provide detailed information): Demo of existing retail space, installing new lights and outlets per relocations of walls in space. Will service be altered? ❑ Yes D No Type of Use: Commercial Adding more than 50 amps? El Yes ❑ No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc bh ❑ Remodel 12 Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added /altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added /altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured /mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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 demonstrated. 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Kevin Hayward Mailing Address: 7056 South 220th Street Date: April 21st, 2010 Day Telephone: 206 -437 -2218 Kent City WA State 98032 Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Apphcanons\Forms- Appltcanons On Ltne \4 -2007 - Electncal Permit Application.doc bh Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 9202470010 Permit Number: EL10 -0295 Address: 969 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 04/22/2010 Applicant: SOUTHCENTER SHOE REPAIR Issue Date: Receipt No.: R10 -00683 Payment Amount: $212.90 Initials: WER Payment Date: 04/22/2010 11:07 AM User ID: 1655 Balance: $0.00 Payee: SEA TAC ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9008 212.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -22 -2010 ry -a29S� INSPECTION RECORD Retain a copy with permit $P PERMIT NO. CITY OF TUKWILA BUILDING DIVISION • f- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 IN ECTION NO. Project:5 t' §006 ( Type of Inspection: v Address: 767 ow, Date Called: Special Instructions: a Date Wanted: S Xi La p.m• Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: d Date: 0) 0 El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 60-02,7c1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION f= 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec5- A 54 10)Alg\ ` . Type of Inspection: �M �J Address: �.jIU� � HAW Date Called: - LAQL Fltikt Gill Tm Fc` os Lochf Special Instructi8ns: Date Wanted: a Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 9( - thh ?act,- 60K-Nit - LAQL Fltikt Gill Tm Fc` os Lochf 1. Flt, 4& W alt ith L 5 ligkivizel,, 14A-Ate. 14A-Ate. Ti E G►tc)tT3 1 i 1 )4_6° ItA 4 etvw or PiQt` Inspector: e-A\ Date: ❑ $60:00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: a-.r• -, -- — r. r�ti._.q.- ,K..�...v .;rw- •w - -' ;' - t` --��•. ri .7` v".'"�c.;^ - y- ;'i--�i'y wy� ;-: x' (1,40 -oZ`K INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION� - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec�` c , L, J�`' ft/� Repfrrt Type of Inspection: '�+�� yr`"' �j 06,5 Address: [ ect Date Called: f Special Instructions: Date Wanted: %�,l 5 2t) a:fttt, p.m. Requester: Phone No: 2Z Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ' GElumifk CoJEP� ./40- 1,4( e tem Inspector: Ji� DateD 1, ft) r7 $60.00 REINSPIECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: - • eax�,...'!s:.:,- ..- ,,._.- -'..r. - 5��.- -:s..?L.- ✓^`iti.. "ti...�_i- '-r; rr-' '•:,,^':rc,}t� -: ^+:c -i, `.:- �c.�.'-"""r- yd"."=y- a��-' -' E: .'a:-�s • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Web site: http: / /www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: •lt°1 Plan Check/Permit Number: C4.._ Gp 02-91S ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # L1 Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: ,-nk,trt-t -rte- -r s►-teF Project Address: ATI kt_ekt-Ter2 1,4,.,4,,, Contact Person: -rr,vyl ce124- Phone Number: 7. - Diu — w-t32_ Summary of Revision: Pao- -i►C 4 (WS.- 1vt (1 ftttc. c -vo or ut-e ito ND .cep EIVED CITY OF TUKWRA MAY 19 2010 Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on vt- -(Cl —( H:VApplications\Forms- Applications On Line\2009 -08 Revision Submittal.doc Created: 8 -13 -2004 )4P,_ Contractors or Tradespeople Peer Friendly Page Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Sea Tac Electric Inc 2538725553 7056 5 220Th St Kent Wa 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601510212 Active SEATAEI077RW Electrical Contractor 12/16/1993 12/17/2011 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SEATAEC131QC Sea Tac Electrical Contractors Electrical Contractor General Unused 11/3/1987 11/3/1995 Archived MASTER ELECTRICIAN INFORMATION License HARGRT *974CD Name Hargreaves, Tom Status Active Business Owner Information Name Role Effective Date Expiration Date Hargreaves, Tom Agent 12/17/1993 Bond Amount Hargreaves, Tom President 12/17/1993 798649C Bean, Eric Secretary 12/10/2008 Bean, Eric Treasurer 12/10/2008 MERCHANTS BONDING CO (MUTUAL) Jordan, Tom Vice President 01/01/2002 01/22/2009 Hargreaves, Katherine Secretary 12/17/1993 12/10/2008 Burks, Roy Vice President 12/17/1993 12/15/1995 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 DEVELOPERS SURETY & INDEM CO 798649C 12/16/2008 Until Cancelled $4,000.00 12/03/2008 5 MERCHANTS BONDING CO (MUTUAL) WA11373 12/16/2004 Until Cancelled 01/22/2009 $4,000.00 12/17/2004 4 CUMBERLAND CAS & SURETY CO MB912300132 12/16/2001 Until Cancelled 12/16/2004 $4,000.0001/09/2002 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 12/16/1993 Until Released Bond $4,000.00 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type https://fortress.wa.gov/lni/bbip/Print.aspx 04/22/2010