HomeMy WebLinkAboutPermit EL08-0863 - WESTFIELD SOUTHCENTER MALL - SERENITY NAILS & SPAThis 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 -863
Serenity Nails and Spa
1139 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
9
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.
SERENITY NAILS
& SPA
1139 SOUTHCENTE MALL
CANCELLED
ELO8-863
Parcel No.:
Address:
Suite No:
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
6364200010
1139 SOUTHCENTER MALL TUKW
Permit Number:
Issue Date:
Permit Expires On:
EL08 -863
06/27/2008
12/24/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
SERENITY NAILS & SPA
1139 SOUTHCENTER MALL , TUKWILA WA
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA
BRIGET GONCZY
PO BOX 179 , RENTON WA
HOLMES ELECTRIC CO
Address: PO BOX 179 , RENTON WA
Contractor License No: HOLMEEC549BH
Phone:
Phone: 425 - 227 -6691
Phone: (425)255 -8666
Expiration Date: 10/31/2008
DESCRIPTION OF WORK:
FIRE ALARM SYSTEM
Value of Electrical: $3,186.00
Type of Fire Protection:
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature: L.,
Fees Collected:
National Electrical Code Edition:
$144.00
2005
Date: Le —.1.7 "d ej
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
constructio e performance of
Signature-
Print Name:
AtO
esume to give - uthority to violate or cancel the provisions of any other state or local l aws regulating
Date: /vf/or
k. I am a orized to sign and obtain this electrical permit.
This permit shall become null and void if the ork ' - 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 -863
Printed: 06 -27 -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
1139 SOUTHCENTER MALL TUICW
SERENITY NAILS & SPA
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -863
ISSUED
06/27/2008
06/27/2008
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 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 t presume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or performance of work.
Signature:
4, /L
Print Name: EX2_9
Date:
doc: Cond -Elec
EL08 -863 Printed: 06 -27 -2008
CITY OF TUKWILA
Community Developmenepartment
Permit Center
6300 Southcenter Blvd., Suite 100 \l�
Tukwila, WA 98188 1
http:l /www.ci.tukwila.wa.us � 1
Electrical Pipit No. E - 9 43
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;I.00A'I'ION
113q
Site Address: -' - bef\A NZU( , rJ\pk -
Tenant Name: c... 3erc'l (N l
Property Owners Name: ( NVIEOZ)
Mailing Address: 1-4.5 <S _7T1kCEUL1 -
King Co Assessor's Tax No.: (o3109.20-00 16
Suite Number: 1 415 Floor:
New Tenant:.. Yes ❑ ..No
City
IA1 qJ *
State Zip
•C' -E t$43 : - *hi.* we co nOet;wileii lyour peon it is; ready to be issued
Name( '{L1 )t T (1°?J( L{ Day Telephone:
Mailing Address: C. j 11°1 l k T- )
City
E -Mail Address:` AiA/L(2 � c‘ \CS.. e NI\ Fax Number:
(425 Di Lem s 6 (4" Li/
L,JA
k-- State S%
ELEcmcAL Co
RWIA'ION
Company Name: k O( N 5 EAx- (D.C.
Mailing Address: Q
Contact Person: MEC�^'(
'11)L -k2 G0i) ass
E -Mail Address' fl LUCT) 60-Z) C5/-‘ (&
Contractor Registration Number: 4-k W.-- 4 X30
City State Zip
Day Telephone: 425
Fax Number: x(25 0-0 ? &2L
Expiration Date: /0 /-E1 I D
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): 1
toil
Let &el AO
U A4.-) c'cvek3eis Pimo r)? -e-1 K L 3n io ; 5
Will service be altered?
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage p Generator
Pro.e -rved b :
Puget Sound Energy
❑ Seattle City Light
❑ Yes
17a10
Adding more than 50 amps? ❑ Yes No
❑ Service Change
le' Fire Alarm
H:\ApplicationsWonns- Applications On Line\4 -2007 - Electrical Permit Application.doc
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
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)
MULT MILY 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
PERM :APPUCATI:Wmi
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.
1 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 0 — ER OR ELECT CAL CONTRACTOR:
Signatu
Print Name: 4, 01 147 (,R,
Mailing Address: Ii .► _l, / I L l
Day Telephone:
IDate Application Accepted:
City
Date: (JJ/ 7 /Jk
State
�sr
Zip
Date Application Expires:
Staff Initials:
H \Applicatioos\Forma- Application On LindA -20Q7 - Electrical Permit Application.doc
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.citukwila.wa.us
RECEIPT
Parcel No.: 6364200010 Permit Number: EL08 -863
Address: 1139 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/27/2008
Applicant: SERENITY NAILS & SPA Issue Date:
Receipt No.: R08 -02326
Payment Amount: $144.00
Initials: WER Payment Date: 06/27/2008 09:39 AM
User ID: 1655 Balance: $0.00
Payee: HOLMES ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 146520 144.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 144.00
Total: $144.00
4195 06/27 9711 TOTAL 144.00
rinc RArpint -f1R Printari• OR- 27- 7f1f1R
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
July 28, 2008
Briget Gonczy
Holmes Electric
PO Box 179
Renton, WA 98057
RE: Permit Fee Refund
Dear Ms. Gonczy:
Enclosed is a check in the amount of $115.20 for the permit fee paid at the time of permit
issuance for the project located at 1139 Southcenter Mall, Tukwila, Washington. The
scope of work under this permit was covered by a separate permit and contractor.
If you have any questions, please feel free to contact our office at 206 - 431 -3670.
Sincerely,
Ow-
Brenda Holt,
Permit Coordinator
encl
xc: Permit No. EL08 -863
H:\Documents\Letters\EL08 -863 - refund letter.doc
bh
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
THE! BACK - OF; THIS 'DOCUMENT ,HAS 'AN ?ARTIEi, CIAL.., WMERMARK .Y,HO ILO; AT4AN,ANGLETO VIEW
CITY OF TUKWILA, WA 98188 -2544
ACCOUNTS PAYABLE CHECK
NO.
two= NUMBER
• " bAtE ; .
P.O: NUME R '
DESCRIPTION '
wow'
072108303
07/16/2008
07/21/2008
80% REFUND EL08 -863
115.20
PLEASE DETACH BEFORE DEPOSITING
iTHE ._FACE'OF:THISSD0C.UM_ENT1H-A
:QLO,REDZBACKG`ROUND r?NQT_A'AWFiITE Bi4:CKGR;011,,N
PAY
TO THE
ORDER
OF
CITY OF TUKWILA
6200 Southcenter Boulevard
Tukwila WA 98188 -2544
PAYABLE THROUGH
U.S. BANK
151 AndoverPark East
Tukwila WA 88188
19-10
1250
V ..p CiRa ti `a
rf
r4
}.
pS t
011112
07/21/2008
115.20
One Hundred Fifteen Dollars and Twenty Cents
HOLMES ELECTRIC
PO BOX 179
RENTON, WA 98055
akdiAA1
City of Tukwila
Permit Center
Memo
July 10, 2008
To: Laurie Anderson
From: Brenda Holt
Re: EL08 -863
Please refund $115.20 which equals 80% of the permit fee paid for the above reference
permit. The scope of work under this permit has been cancelled. Please make the check out
to the following and I will forward it to them:
Holmes Electric
PO Box 179
Renton, WA 98055
Xc: File No. EL08 -863
H:\Doaments\LettersEELo8 -883 - refund memo.doc
bh
G, H::ILMES
ELECTRIC
07/01/08
Bill Rambo
Regarding: Permit EL08 -863
Holmes Electric was notified 06 -16 -08 to proceed with job
Serenity Nails and Spa at 1139 Southcenter Mall SPC 1413
Tukwila, WA. On 07 -01 -08 Holmes Electric was asked not to do
job as another electrical contractor would be doing the fire alarm.
Due to this Holmes Electric would like to request a refund of
$144.00 and cancel the above referenced electrical permit.
Please submit refund to Holmes Electric PO Box 179 Renton, WA
98055.
For any questions please call Briget Gonczy 425 - 227 -6691
Thank you,
Briget Gonczy
6/.. azi,e(1
rzglaid .070
it
4.
0703
P.O. Box 179 • Renton, Washington 98057 • (425) 235 -8000
t\6'ro
RECEIVED
JUL 012008
PERMIT CENTER
I
Look Up a Contractor, Electrician or Plumber License Detail
0 Ili
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
HOLMEEC549BH
Licensee Name
HOLMES ELECTRIC CO
Licensee Type
ELECTRICAL CONTRACTOR
UBI
177003752
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 179
Address 2
City
RENTON
County
KING
State
WA
Zip
98057
Phone
4252558666
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/8/1946
Expiration Date
10/31/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
RICHAM*178LZ
Electrical Administrator Information
License
RICHAM* 178LZ
Name
RICHARDS, MICHAEL
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
RICHARDS, MICHAEL W
01/01/1980
RICHARDS, EUGENE M
01/01/1980
HOLMES, MICHAEL J
01/01/1980
HOLMES, JERAY A
AGENT
01/01/1980
Page 1 of 2
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= HOLMEEC549BH 06/27/2008