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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 bh ❑ 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 bh 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