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Home My WebLink AboutPermit EL09-0165 - WESTFIELD SOUTHCENTER MALL - CHAMPSThis 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. EL09 -0165 CHAMPS 1030 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 9 11 Personal Information — expiration dates, or bank or other financial RCW 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. CHAMPS 1030 SOUTHCENTER MALI. CANCELLED 03-04-09 ELO9-0 165 CitAf 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 ELECTRICAL PERMIT Parcel No.: 6364200010 Address: 1030 SOUTHCENTER MALL TUKW Suite No: Permit Number: EL09 -0165 Issue Date: 03/04/2009 Permit Expires On: 08/31/2009 Tenant: Name: CHAMPS Address: 1030 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WEA SOUTHCENTER LLC BSIP Phone: Address: TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 Contact Person: Name: TRACE TURPIN Phone: 425- 931 -9717 Address: 908 E 5TH ST , ARLINGTON WA Contractor: Name: CHECKPOINT SECURITY SYS GRP INC Address: 8180 UPLAND CIR , CHANHASSEN MN Contractor License No: CHECKSS035B8 Phone: 800 888 -4443 Expiration Date: 07/28/2009 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE SECURITY SYSTEM Value of Electrical: NRES: $3,575.00 Fees Collected: $150.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 3' Li "V 61 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 do s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ance of work. I am au to sign and obtain this electrical permit. Ni...... Signature: Date: `l d Print Name: 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 EL09 -0165 Printed: 03 -04 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: CHAMPS • • 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 PERMIT CONDITIONS 1030 SOUTHCENTER MALL TUKW Permit Number: Status: Applied Date: Issue Date: EL09 -0165 ISSUED 03/04/2009 03/04/2009 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: Date: 3 - / - 0 doc: Cond -Elec EL09 -0165 Printed: 03 -04 -2009 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. (o Project No. (For once 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 11 Mot Co Assessor's Tax No.: (0 36 a 0010 Site Address: ] 0 3 0 lj o t1`1-4,� en+er / L of )1 Suite Number: 32+ Floor: New Tenant: 51 Yes ❑..No Tenant Name: C 0. Ni r 5 Li- 4 9 R Property Owners Name: Mailing Address: City State Zip 1. CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: ! O ?� E 5f S f r Day Telephone: 3 1— 9 7( 7 A 'el 54., City E -Mail Address: U/A 9'3012? State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Q P a I AT C/ S e M 5 M f Mailing Address: U I.8 0 (� Q) J ( r c� e C V\c, h c, 5 5 e„ 11 N 7 5 31 7 City State Zip Contact Person: e l u r Day Telephone: 1 -1- ) -s - 7 3 1- 7) 7 E -Mail Address: �" face. , t iA r' 'i in of e c K i' • C O,Ati Fax Number: zf 'T 0` 4`)1-366-7 Contractor Registration Number: PC HE -k$ S� pirattiion Date: 7 p actt9 C • a Valuation of Project (contractor's bid price): $ 3 J i / r _ o Scope of Work (please provide detailed information): 5 e C u1 t-1- s +e,v Will service be altered? ❑ Yes t No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement *Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: CM. Puget Sound Energy ❑ Seattle City Light H:Wpplications \Forms - Applications On Line \I -2009 - Electrical Permit Applicanon.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change . $52 00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems .......... .. $57.00 (alarm, fumace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) ... $60 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 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 EL CAL C 1 NTRA Signature: Print Name: Mailing Address: I 0 IDate Application Accepted: Day Telephone: Ar I c`As +a/t City Date: 3/11° 1 y-c25_93J - i7 ■Airi ,1?aa� Date Application Expires: H,V.pphcauonfforms- Applicauons On Uneit•2009 • Electncal Permit Application doc bh State Zip Staff Initials: Page 2 of 2 Parcel No.: 6364200010 Address: Suite No: Applicant: CHAMPS 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 1030 SOUTHCENTER MALL TUKW RECEIPT Permit Number: Status: Applied Date: Issue Date: EL09 -0165 CANCEL 03/04/2009 03/04/2009 Receipt No.: R09 -00356 Initials: WER User ID: 1655 Payee: Payment Amount: Payment Date: Balance: $150.00 03/04/2009 11:28 AM $0.00 TRACE TURPIN TRANSACTION LIST: Type Method Descriptio Amount Payment Check ACCOUNT ITEM LIST: Descript ion 1000 150.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 150.00 Total: $150.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -01 -2009 April 21, 2009 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Checkpoint Systems Attn: Nicole Leonardson 8180 Upland Circle Chanhassen, MN 55317 RE: Request for Refund Electrical Permit No. EL09 -0165 Champs —1030 Southcenter Mall Dear Ms. Leonardson, This letter and reimbursement check are being sent to you per the request for the refund of electrical permit EL09 -0165 received from Trace Turpin. The Building Official has reviewed the written request for refund and made his determination; enclosed is a check in the amount of $120.00, which is 80% of the permit fee. Sincerely, 1 cc: File: Encl Marshall echnician Trace Turpin Permit No. EL09 -0165 P:\Pemiit Ccntcr\Refunds\ELOO -0165 Pemit Refund 2.doc jem Page 1 of 1 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax 206 -411 -.3665 CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. INVOICE NUMBER '_._ _ '_,DATE__ '+P.O:'NUMBER;a • .'' • .. -:+'^ •, hOESCRIFSION:Yr 1042009302 I 04/15/2009 80% EL09 -0165 REF. 120.00 PLEASE DETACH BEFORE DEPOSITING aA CITY OF TUKWILA g 6200 Southcenter Boulevard Tukwila WA 98188 -2544 1900 PAY One Hundred Twenty Dollars and No Cents TO THE CHECKPOINT SYSTEMS ORDER ATTN: NICOLE LEONARDSON OF 8180 UPLAND CIRCLE CHANHASSEN, MN 55317 PAYABLE THROUGH U.B. BANK 151 Andover Perk East Tuk.Af. WAOAIAA 19 -10 1250 mV Y 6 ;'t7 April 7, 2009 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Trace Turpin 908 E 5th Street Arlington, WA 98223 RE: Request for Refund Electrical Permit No. EL09 -0165 Champs —1030 Southcenter Mall Dear Mr. Turpin, This letter is in response to your written request for the refund of electrical permit EL09 -0165. The Building Official has reviewed your written request for refund and made his determination. Enclosed is a check in the amount of $120.00, which is 80% of the permit fee. Sincerely, ifer Marshall it Technician File: Permit No. EL09 -0165 Encl P:\Pemat Center\Refunds\EL09 -0165 Permit Refund.doc jem Page 1 of l 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. INVOICE NUMBER ''.DATE. • _ •P.O.NUMBER,cfA:% -n` "v, Z._ta+� OESCRIPTIO W ;._',: � aL8.7 :y•'+ •1 ?twv,.,' . ;,ruPr JY.r::Yy_.7'YrC��O 7�C5+ Y.. 1040609320 i 04/01/2009 80% EL -09 -0165 REFUND 120.00 PLEASE DETACH BEFORE DEPOSITING WILAk IV CITY OF TUKWILA 6200 Southcenter Boulevard Tukwila WA 98188 -2544 7909 PAY One Hundred Twenty Dollars and No Cents TO THE TURPIN;. TRACE ORDER 908 E 5TH ST OF ARLINGTON, WA 98223 ... .. PAYABLE THROUGH U.S. BANK 151 Andover Park East Tukwila. VJA RRIRR 1919 =10 1250 MEMO i?4 x a 011617 i ! 04/06/2009 Hfn ti tip . sOION, * * * * * * ** *120.00 { City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director MEMORANDUM TO: Laurie Anderson FROM: Jennifer Marshall ty" DATE: 03/09/2009 SUBJECT: Champs Permit Number EL09 -0165 Please draw a check in the amount of $120.00 (one hundred and twenty dollars) to be payable to Trace Turpin at 908 E 5th St, Arlington WA 98223. It has been determined that another contractor will be doing this scope of work. This check is a reimbursement for 80% of the electrical permit fees (account number. 000.322.101.00). Please forward the check to me and I will forward it on to the applicant. Thank you! 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 --- HECErVED OITV OF TUi(WH A MAR 0 4 2009 SIT CEffER E / -ores .-� .74 Ckec 4- s cA 4-0 A-1-VA ; lV c cie LOnQJ50A ?(-An is (tan() (7. /,'D nnns ),nssi„ MAC Untitled Page • • Page 1 of 2 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 CHECKPOINT SECURTY SYS GRP INC Phone 8008884443 Address 8180 UPLAND CIRCLE Suite /Apt. City State Zip County Business Type Parent Company CHANHASSEN MN 55317 OUT OF STATE Corporation UBI No. 601764866 Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 ACTIVE CHECKSS035B8 ELECTRICAL CONTRACTOR 1/28/1997 7/28/2009 ALARM * *088LE LIMITED ENERGY HVAC /RFRG LTD ENERGY Business Owner Information Name Role Effective Date Expiration Date CHAMPEAU, STEVE Cancel Date 01/01/1980 Bond Amount KHALIL, NICK 1 01/01/1980 LPM801345800 COPORATION SRVCS INC AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 FIDELITY Ft LPM801345800 12/12/1996 Until $4,000.00 https: // fortress .wa.gov /lni/bbip /Detail.aspx ?License= CHECKSS035B8 03/04/2009