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