HomeMy WebLinkAboutPermit EL08-0445 - WESTFIELD SOUTHCENTER MALL - GUESSThis 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 -445
Guess
467 Southcenter Mall
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page Code Exemption = 8rlef E plainatoty Desclriptim Statuteftle
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
8
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.
GUESS
467 SOUTHCENTER MALL
CANCELLED 06-30-08
ELO8-445
Cit31111f 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
Parcel No.: 6364200010
Address: 467 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -445
Issue Date: 04/23/2008
Permit Expires On: 10/20/2008
Tenant:
Name: GUESS
Address: 467 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: ARLEN LONGETEIG Phone: 425 - 917 -2109
Address: PO BOX 2849 , RENTON WA
Contractor:
Name: INSIGNIA SIGN INC Phone: 425 917 -2109
Address: PO BOX 2849 , RENTON WA
Contractor License No: INSIGSI055JS Expiration Date: 04/10/2009
DESCRIPTION OF WORK:
INSTALL 1 SET OF LED BACKLIT LF;11ERS TO INTERIOR STOREFRONT. CONNECT TO CIRCUIT
PROVIDED BY OTHERS
Value of Electrical: $500.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
4)St
Fees Collected:
National Electrical Code Edition:
$70.00
2005
Date: 4— )-Vt/
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 gail,� performance of work. I am authorized to sign and obtain this electrical permit.
1
,v sty c v-ibc,e�
Signature:
Print Name:
Date:
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 -445 Printed: 04 -23 -2008
•
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
Parcel No.: 6364200010
Address: 467 SOUTHCENTER MALL TUKW
Suite No:
Tenant: GUESS
PERMIT CONDITIONS
Permit Number: EL08 -445
Status: ISSUED
Applied Date: 04/23/2008
Issue Date: 04/23/2008
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 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 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:
../(/t5u7(-L
Date:
CW,5-i7/%L mex-ea%/74
doc: Cond -Elec
EL08 -445 Printed: 04 -23 -2008
CITY OF TUKWILIP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
Electrical Permit No.
ELOB-�yS
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:
9C7 5o (.714ce er
Tenant Name:
lieSS
King Co Assessor's Tax No.: li t](¢ 1'01)^ DO t 0
41.1r// . ?/vd Suite Number: -5-089 Floor:
New Tenant: '� Yes ❑ ..No
Property Owners Name: Wes
Mailing Address: 633 Sali..-{I ce..ifer Z3 /ud
tG /6///14.
City
c✓Q
State
9 cP /8'4
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: //r5- /e i Lole74e..
.ao 130x ;r"9
Mailing Address:
Day Telephone: 4/o2..5- 9/ 7 - /09
Re /0"J
City
Fax Number:
E -Mail Address: �r /ems C 5 i:ti/Si S Ana. • 6.0
■i4
State
9eosv
Zip
yas- V 7. o/.5-3
ELECTRICAL CONTRACTOR INFORMATION
Company Name: .2,05/ .m Ji'o 5i
Mailing Address: Po D oX Gad /i`9
Contact Person:
.Q.^/e.✓ L etv i itl s�'y,ji Sim � cem1
Contractor Registration Number: -2-4)-5-Z- C.7 5X '55J5
E -Mail Address:
City
Day Telephone:
Fax Number: 4107-5 9/ 7 ' 0 /S3
9cfasY.
State Zip
yaS- 9/7- ..//0
Expiration Date: / - /0
Valuation of Project (contractor's bid price): $ SOD
Scope of Work (please provide detailed information): 1-as fa // / ,set 27 L4 D 4 / C7li e55
/e-14,--5 -4, in /e, -for- lArbv--)c - Cirea.frravidcd 6y e-Aers.
Will service be altered? ❑ Yes 'I No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
Y°' New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:Wpplicaaons\Fonns- Applicanons On Lineal -2007 - Electrical Permit Application doc
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❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$140.00
$75.00 ea
$55.00 ea
❑ Low voltage systems
(alarm, furnace thermostat)
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: 47 -�e•.� GD�� �' ��
Mailing Address: /%O Bag'
Day Telephone:
City
Date: - DdP
125. q /7- ..2-/o 9
w,v 9,POs‘
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
HA Applicanons\Fonns- Applicanons On Lme\4 -2007 - Electrical Permit Application.doc
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Page 2 of 2
1
Department of Community Development
August 19, 2008
Christina Meredith
Insignia Sign, Inc.
325 Burnett Av N
RE: Request for Refund
Electrical Permit No. EL08 -445
Guess — 467 Southcenter Mall
Dear Ms. Meredith,
Jim Haggerton, Mayor
Jack Pace, Director
This letter is in response to your written request for the refund of electrical permit EL08 -445.
The Building Official has reviewed your written request for refund and made his determination.
Enclosed is a check in the amount of $56.00, which is 80% of the permit fee.
Sincerely,
arshall
hnician
File: Permit No. EL08 -445
Encl
P:\Permit Center∎Refunds\ELO8 -445 Permit Refund.doc
jem
Page 1 of I
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washin,cton 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665
9.
CITY OF TUKWILA, WA 98188-2544
ACCOUNTS PAYABLE CHECK
NO.
•_.awouzeilubsseR • •
• DATE
P.O. NUMBER • •
' DESCRIPTION'. • •
.. _!-.._
I. lAMOUNT
081808323
08/12/2008
56.00
EL08-445 PERMIT REF.
56.00
PLEASE DETACH BEFORE DEPOSITING
,THE FAC,EOF THIS_DOCUMENT HASI:kCOLOR ED BACKGROU,ND'J,NOT'A WHITE
PAY
TO THE
ORDER
OF
• CITY OF TUKWILA
6200 Southcenter Boulevard
Tukwila WA 98188-2544
Fifty Six Dollars and No Cents
INSIGNIA SIGN INC
325 BURNETT AVE N
RENTON, WA 98057
PAYABLE THROUGH
U.S. BANK
1S1 Antiovar Park East
Tultvala, WA G183
19-10
1250
gicia4vES100/ZA`
tii"---AriNurvieEik1V.XV
'0';',,, '''' ---oti - ''
; 41...t '*o.., , .
•. -, Tailiai IM:''''
..:-. •IZ,NuMBE '
- --iltdrAfv1611. tigrt:
1. '-..:-., F,w'' — -- ..troy . ''..
011154
08/18/2008
56.00
?ez
-64-0,44-a
.. THE BACK. OPTHI. 5-DOCUMENT S'AN ARTIF,ICIAL
City of Tukwila
Permit Center
Memo
Aigust 11, 2008
To: Laurie Anderson
\Atotr
From: Brenda Holt
Re: EL08 -445
Please refund $56.00 which equals 80% of the permit fee paid for the above reference
permit. The scope of work under this permit was cancelled. Please make the check out to
the following and I will forward it to them:
Insignia Sign Inc
325 Bumett Avenue N
Renton, WA 98057
Xc: File No. EL08-445
HADocumentslLetters1EL08 -445 - refund memo.doc
bh
•
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: EL08 -445
Address: 467 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 04/23/2008
Applicant: GUESS Issue Date:
Receipt No.: R08 -01283
Initials: WER
User ID: 1655
Payment Amount: $70.00
Payment Date: 04/23/2008 11:05 AM
Balance: $0.00
Payee: INSIGNIA SIGN INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3439 70.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 70.00
Total: $70.00
1527 04/23 9711 TOTAL 70.00
doc: Receipt -06 Printed: 04 -23 -2008
06 -25 -08
Dear Mr. Benedicto,
I am writing to request a refund for electrical permit number EL08 -445. We filed
this permit in May but we are no longer doing this job. Another company has already
filed and received the electrical permit through the City of Tukwila and they will be
doing the work themselves. If you could arrange a refund it would be much appreciated.
If you have any further questions or need any more information, please contact Arlen or
myself at 425- 917 -2109.
Thank you,
Christina Meredith
Insignia Sign, Inc.
325 Burnett Avenue North
Renton, WA 98057
425 -917 -2109 ph
425-917 -0153 fax
0&-.40 ca,ttetb441-2-/"Pwaii4
cua go; fra/tat
247'
CITYROFEjUMML4
JUN 2 6 Z008
PERMIT CENTER
Look Up a Contractor, Electrician or Plumber License Detail
•
Washington State Department of Labor and Industries
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.
License Information
License
INSIGSI055JS
Licensee Name
INSIGNIA SIGN INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601507324
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 2849
Address 2
City
RENTON
County
KING
State
WA
Zip
98056
Phone
4259172109
Status
ACTIVE
Specialty 1
SIGN
Specialty 2
UNUSED
Effective Date
4/10/1995
Expiration Date
4/10/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
THOMSBE954L8
Master Electrician Information
License
THOMSBE954L8
Name
THOMSON, BRYAN E
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BOWEN, BRYAN E
01/01/1980
THOMSON, CINDY A
01/01/1980
BOWEN, BRYAN E
AGENT
01/01/1980
•
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= INSIGSI055JS 04/23/2008