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HomeMy WebLinkAboutPermit EL09-0560 - WESTFIELD SOUTHCENTER MALL - T-MOBILEThis 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 -0560 T- Mobile 973 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 11 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. T- MOBILE 973 SOUTHC ENTER MALL EXPIRED 03 -27 -10 ELO9-0560 City ilk 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.tulcwila.wa.us Parcel No.: 6364200010 Address: 973 SOUTHCENTER MALL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0560 Issue Date: 09/02/2009 Permit Expires On: 03/01/2010 Tenant: Name: T- MOBILE Address: 973 SOUTHCENTER MALL , TUKWILA WA Owner: Name: WEA SOUTHCENTER LLC BSIP Phone: Address: TOTAL 13 PARCEL NUMBERS , 2010 NEW PLAT MAJOR 920247 Contact Person: Name: JASON TAYLOR Phone: 253 - 922 -2146 Address: 5113 PACIFIC HWY E ,1-11- ✓R WA Contractor: Name: SIGN -TECH ELECTRIC LLC Address: 5113 PACIFIC HWY E, SUITE 12 , Contractor License No: SIGNTEL988BG Phone: 253 - 922 -2146 Expiration Date: 01/07/2010 DESCRIPTION OF WORK: CONNECT 1 WALL SIGN TO EXISITING 120V DESIGNATED CIRCUIT Value of Electrical: NRES: $185.00 Fees Collected: $60.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: o„Ins Date: 614s-e)---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 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 electrical permit. Signature: Date: / Print Name: bEar 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 -0560 Printed: 09 -02 -2009 Parcel No.: 6364200010 Address: Suite No: Tenant: T- MOBILE • • 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 973 SOUTHCENTER MALL TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0560 ISSUED 09/02/2009 09/02/2009 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: Date: 9---05 Z `(9 Print Name: 2 6erzy- t'6,012.5 doc: Cond -Elec EL09 -0560 Printed: 09 -02 -2009 CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. tt a 6 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 X73 (,3cP4 On 10 King Co Assessor's Tax No.: q 202 Li -iO U 0 Site Address: 50 +L rc /w 31t' Suite Number: Floor: Tenant Name: I — bo &, It. New Tenant: ❑ Yes No Property Owners Name: kie VI � e, lot 614clo1'i 644-40,""4 Mailing Address: 6 5 3 `+ 4c€ L.,.4 et.-- .3 /vc� City u/�4 State 9tfl er Zip CONTACT PERSON —Who do we eontaetwben your permit is ready to be issued Name: Ja. r e. f 0v- Mailing Address: 57 Pc t�� c /-� �✓y 47 E -Mail Address: �:,Sc� :b,q�1ec tecf /rt G. CCfr+". Day Telephone: 253 - 9 2 2" 21 w,q 964/2q City Fax Number: 25-3-92Z 21 5-2 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Si:? vl (L� c (,L E kN c re- Mailing Address: S) 3 Pam. �l. L cv�J E �, re. /Gi / �'T 2 41 Contact Person: ja 5014... } (vim C s Zip _ tate tp Day Telephone: 2 5 3- Z2 - Z 4 6 E -Mail Address: � G 1 . S( v i C 4 , l i t f e C L t c ? ICY G • COwt Fax Number: 253 — 9 2 2 -21(12 J Contractor Registration Number: �jf (- ,0'7--e L 9$8' 26 Expiration Date: 61 `d7 / 2 UI 0 Valuation of Project (contractor's bid price): $ /66-` Scope of Work lease provide detailed information): r iee.r % L lf' �iCjl� ,U ex ,:s Tr &A 7 /2O✓ bi 1 C:viGit' '- ✓ v( w i � Will service be altered? ❑ Yes (-ITNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change �] Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: Appticationt\romu- Applications On line \1 - 2009 - ©ectial Permit Applicationdoc hh Adding more than 50 amps? ❑ Yes ji]'No ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 1 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 552.00 (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, furnace 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 ELECTRICAL CONTRACTOR: Signatur Print Name. ti bt�.1 �k ) f'cJ✓' Mailing 'S ! f 3 ac. ��,' � E Date: `3'%4 Zv 9 Day Telephone: 2 S 3- 9 2 Z- 2( L-°. I✓ ✓A City State e 2L( Zip IDate Application Accepted: I Date Application Expires: Staff Initials: H:Wppbcmiooaomn- Applications On LinMI -2009 - Electrical Permit Applicatioadoc 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.: 6364200010 Permit Number: EL09 -0560 Address: 973 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/02/2009 Applicant: T- MOBILE Issue Date: Receipt No.: R09 -01381 Initials: User ID: Payee: WER 1655 Payment Amount: $60.00 Payment Date: 09/02/2009 02:11 PM Balance: $0.00 SIGN -TECH TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5989 60.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 60.00 Total: $60.00 PAY` `ENT RECEIVED doc: Receiot -06 Printed: 09 -02 -2009 2- INSPECTION NO. INSPECTION RECORD Retain a copy with permit Etol-0560 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: r10611,1 Type of Inspection: 2 100 rive c op Address: 173 4444.„ Date Called: - C4a05ua iD f)E s fCAI To 6'newrt Special Instructions: 5 r4'V Date Wanted: 04//n a.m. or Requester: Phone No: OApproved per applicable codes. Corrections required prior to approval. COMMENTS: — (oJ4p c) to 1 -ra 86 -n 6p 6 &n A4! CoJ ,JECT 7o 602.44v41? rat. & rive c op - -mAds r'vcti l '7D BE stwete, Jrr H-14 lci -aSuQ - C4a05ua iD f)E s fCAI To 6'newrt J Uh Inspector: 66 Date: 01 ,8 0 ❑ $60.00 REINS CTION FEE REQUIRED. Prior to inspection, fee rriust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1 D _ INSPECTION RECORD �/ Retain a copy with permit �P Q INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 1108u-6 Type of Inspection: :??b411)( ACaS 'Ta So -t ¶ roc( ,AisPt Moil of ?auht. 5U Ly Address: q 73 0� e ` f7VV Date Called: 44P L- IT1^J4 LA-13E-0 r Special Instructions: 1 5 , /�J Date Wanted: 0923 a.m (pm: . Requester: Phone No: nApproved per applicable codes. Corrections required prior to approval. COMMENTS: :??b411)( ACaS 'Ta So -t ¶ roc( ,AisPt Moil of ?auht. 5U Ly - PKo \h9f, AC , s5 'iv S/GAi Q'4Po'i/ &T3 F3e._ 145PfiT(Qn h - nk tiC114oP5 44P L- IT1^J4 LA-13E-0 - 144e PC-gn►r ?os of./ 5 rrt 14 A COAI $ ricAmS Lock-1'10/J Inspector: 7 El $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 3/0 Receipt No.: Date: Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JASON TAYLOR 5113 PACIFIC HWY E FIFER WA 98424 RE: Permit No. EL09 -0560 973 SOUTHCENTER MALL TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 03/27/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206- 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 03/27/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. EL09 -0560 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 Untitled Page • to Page 1 of 2 Electrical Contractor A business licensed by LEtJ 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 SIGN -TECH ELECTRIC LLC 2539222146 5113 PACIFIC HWY E #12 FIFE WA 98424 PIERCE Limited Liability Company UBI No. Status License No. 602152490 ACTIVE SIGNTEL988BG License Type ELECTRICAL CONTRACTOR Effective Date 1/7/2002 Expiration Date 1/7/2010 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED ADMINISTRATOR INFORMATION License MORRIT *943K6 Name MORRISON, TRAVIS Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date MENDENHALL, JOHN C PARTNER /MEMBER 01/07/2002 Received Date MENDENHALL, LINDA D PARTNER /MEMBER 01/07/2002 Until Released Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 01/14/2002 Until Released Bond $4,000.001/18/2002 https: // fortress .wa.gov /lni/bbip/Detail.aspx 09/02/2009