HomeMy WebLinkAboutPermit EL08-0995 - WESTFIELD SOUTHCENTER MALL - CINNABONThis 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.
EL08 -995
Cinnabon
2800 Southcenter Mall #K -2628
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
8
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.
C]ENNABON
2800 SOUTHCENTER MALL
K-2628
CANCELLED 07 -21 -08
ELO8-995
Parcel No.:
Address:
Suite No:
Cityiiif 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
6364200010
2800 SOUTHCENTER MALL TUKW
Permit Number:
Issue Date:
Permit Expires On:
EL08 -0995
07/16/2008
01/12/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
CINNABON
2800 SOUTHCENTER MALL, K -2628 , TUKWILA WA
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
SCOTT JENNINGS
4826 B ST NW, STE 101 , AUBURN WA
KIRBY ELECTRIC INC
4826 B ST NW, STE 101 , AUBURN WA
Contractor License No: KIRBYEI077BN
Phone:
Phone: 253 859 -2000
Phone: 253 859 -2000
Expiration Date: 01/13/2009
DESCRIPTION OF WORK:
TEMPORARY SERVICE FOR NEW KIOSK
Value of Electrical:
$200.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
ex
wi
gee
Date:
$75.00
2005
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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 performanc of work. I am authorized to sign and obtain this electrical permit.
Signature: < Date: .7 // 6/08
Print Name:
V 1`.- (t1 1(4 (c-14
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
EL08 -0995
Printed: 07 -16 -2008
Parcel No.: 6364200010
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
]PERMIT CONDITIONS
2800 SOUTHCENTER MALL TUKW
CINNABON
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -0995
ISSUED
07/16/2008
07/16/2008
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 m 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 m 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: %l l 6(V e�
doc: Cond -Elec
Mod y 16a elt■
EL08 -0995 Printed: 07 -16 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
Electrical Permit No. iVO D` 01
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:
King Co Assessor's Tax No.: 6 36 1-i.-p— ( O
&X .5 zAA II cep - fie,--- M1 (1 4- c,-,)8
Tenant Name: C[ vi h o (C7r 614,02-1,1 New Tenant:
Property Owners Name: the i z (c G -s' P .
Mailing Address: 1((oo 1 tU i ((S('z ((< B(v8.
Suite Number: .D, Floor:
Los z t(e
City
vZ
Yes ❑ .. No
(A- 9°°(?5
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be isiued
Name:
Sco +f 0-e vi in vt y s
Mailing Address: 480 6 a S'4 - ,/It,�
lo(
E -Mail Address: .CG TT e e (ct.46
Day Telephone: .953 -a S 7— ..oc Ct
��C)
City State Zip
Fax Number: DSS--8'S9 —D-4 3
ELECTRICAL CONTRACTOR INFORMATION
Company Name: K1'f �j y EIec ;<
Mailing Address: 1-1 eafo 1 Si-. /d/t.- &f-e 10
sco-t-t 0— e11 Li)
„v y S
E -Mail Address: Sco ky e le c4-rm c • (� t
Contractor Registration Number:
Contact Person:
City
Day Telephone:
Fax Number:
t /A- 9e-cc,/
State Zip
a 5-3-
57S, - .236
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information
•'�iiau���i'tLZ'Tv����i.�_�a� t i1 •
Will service be altered? ❑ Yes X No
Adding more than 50 amps? JT 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:
IK Puget Sound Energy
❑ Seattle City Light
H:\Applications'Ponns- Applications On Lineal -2007 - Electncal Permit Application.doc
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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 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:
Signature:
Print Name:
\ t(y fCtfcttte-_
Mailing Address: 1-4e Co TS SA- A/ S r - (v (
Date:
Day Telephone: 2 (- L
Au 98,00
City
State Zip
Date Application Accepted: f}'],
Date Application Expires:
Staff Initials:
H ,AppILcat onsWorms. Applications On Lme4-2007 - Electrical Permit Application doe
bh
111\r`
Page 2 of 2
City of f Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
August 19, 2008
Brenda Brousseau
Kirby Electric Inc.
4826 B St NW, Ste 101
Auburn WA 98001
RE: Request for Refund
Electrical Permit Nos. EL08 -0995 & 0996
Cinnabon — 2800 Southcenter Mall, K -2628
Dear Ms. Brousseau,
This letter is in response to your written request for the refund of electrical permits EL08 -0095
and EL08 -0096. The Building Official has reviewed your written request for refund and made
his determination. The plan review fee will not be refunded and has been forfeited as a result of
the plan review having already been completed. The actual permit fee has been refunded at 80%
to cover the administration fees for a total of $159.20. Enclosed is a check for that amount.
Sincerely,
File: Permit No. EL08 -0995 & 0996
Encl
P:\Pernril Center1Refunds\EL08 -0995 & 0996 Permit Refimd.doc
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Page 1 of 1
CITY OF TUKWILA, WA 98188 -2544
ACCOUNTS PAYABLE CHECK
NO.
INVOIC2'4UMBER•
. DATE
P.O. NUMBER
.DESCRIPTION. '
- AMOUNT
081808313
08/12/2008
EL08 -0995, 96 REFUND
159.20
PLEASE DETACH BEFORE DEPOSITING
THE FACE OF THIS DOCUMENT OAS A COLORED BACKGROUND -NOT A WHITE BACKGROUND
PAY
ITV P TUKWILA
6268 Souihcenter Boulevard
Tukwila WA 98188 -2544
One Hu dred Fifty 'Nine Dollars• and Twenty Cents
• KFR3Y ELECTRIC INC .
;4828 ° "B" ST NW, STE 161
AUBURN, WA 98001 •
THE BACK OF THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK - HO,LD AT AN ANGLE TO VIEW
City of Tukwila
Permit Center
Memo
ALgist 11, 2008
To: Laurie Anderson
From: Brenda Holt
Re: EL08 -0995 and EL08 -0996
Please refund $159.20 which equals 80% of the permit fees paid for the above reference
permits. The scope of work under this permit was covered under EL08 -693. Please make
the check out to the following and I will forward it to them:
Kirby Electric
4826 'B' Street NW, Suite 101
Aubum, WA 98001
Xc: File No. EL08 -0995 and File No. EL0 8-0996
H: \Doament&Letters\ELO8 -0995 - refund memo.doc
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✓ •
w
-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
SET RECEIPT
RECEIPT NO: R08 -02593
Initials: JEM Payment Date: 07/16/2008
User ID: 1165
Payee: KIRBY ELECTRIC, INC.
Total Payment: 230.00
SET ID: S000001080 SET NAME: Trap set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
EL08 -0995 75.00
EL08 -0996 155.00
TOTAL: 230.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 508008 230.00
TOTAL: 230.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
ELECTRICAL PLAN - NONRES
000.322.101.00.0 199.00
000.345.832.00.0 31.00
TOTAL: 230.00
4Q24 07/16 " < ?.10 TOTAL 230.00
JUL 212000
•
L OMMUNITY
OEVELOP11dFNT
Kirby Electric Inc.
E L ECTR 1 (Inc.
COMMERCIAL °INDUSTRIAL
Telephone (253) 859 -2000
4826 "B" St. NW Ste. 101 Fax (253) 859 -2363
Auburn, WA 98001
July 17, 2008
City of Tukwila
Department of Community Development
6300 Southcenter Blvd Ste 100
Tukwila, WA 98188
Attn: Brenda
Re: Cinnabon
On 7/16/2008 we were issued two permits with the anticipation of getting the jobs.
Fortunately, we did get the job but the General Contractor already purchased the
electrical permit - #EL08 -693.
We would like to please have the two permits refunded. They are as follows:
EL08 -0995 $ 75.00 (please cancel temp permit) A---- °�� r0 RFF�JIJD 807 s
ELOS-0996 $155.00 (please cancel plan review) .4- -, WIN REVIEW FEE or 51,00 *PIMP,
Paid by Kirby Electric Inc check #508008 $230.00M,. k Tozovito $670 OF$ fi2
Attached please find original permits, inspection records, interior lighting summary and E.
permit conditions for both of the above permits.
Please release the permits from Kirby Electric, Inc account and please issue a check for
the refund.
Thank you.
Brenda J. Brousseau
Office Manager
Untitled Page
•
Page 1 of 2
Electrical Contractor
A business licensed by LEtl 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.
KIRBY ELECTRIC INC
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
KIRBY ELECTRIC INC
2538592000
4826 B ST NW STE 101
AUBURN
WA
98001
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License
Next License
Associated License
Specialty 1
Specialty 2
601433048
ACTIVE
KIRBYEI077BN
ELECTRICAL CONTRACTOR
1/15/1993
1/13/2009
KIRBYE*101QE
KIRBYDE962LZ
GENERAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License KIRBYDE962LZ
Name KIRBY, DOUGLAS E
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
KIRBY, DOUGLAS E
Cancel
Date
01/01/1980
Bond
Amount
KIRBY, SHANNON
4
01/01/1980
WA 12415
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
4
MERCHANTS
BONDING CO
(MUTUAL)
WA 12415
01/14/2005
Until
Cancelled
$4,000.0011
/04/2004
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= KIRBYEI077BN
07/16/2008