HomeMy WebLinkAboutPermit EL10-0020 - JC PENNEYThis 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.
EL10 -0020
JC Penney
4475 South 134th Place
RECORDS DIGITAL D- ) EXEMPTIO
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
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Personal Information —
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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)
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the PRA records or information exempt or
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Redactions contain Credit card numbers, debit
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Personal Information —
expiration dates, or bank or other financial
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42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
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JC PENNEY
4475 S 134 PL
EL 10-0020
CityOf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2613200084
Address: 4475 S 134 PL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0020
Issue Date: 01/12/2010
Permit Expires On: 07/11/2010
Tenant:
Name: JC PENNEY
Address: 4475 S 134 PL , TUKVVILA WA
Owner:
Name: NORTH STREAM DEVELOPMENT Phone:
Address: 720 4TH AVE STE 102 , KIRKLAND WA
Contact Person:
Name: JOHN SIMONS Phone: 206 - 419 -9374
Address: PO BOX 4236 , RENTON WA
Contractor:
Name: LIGHTEK COM INC
Address: PO BOX 4236 , RENTON WA
Contractor License No: LIGHTCI999KZ
Phone: 425 271 -5210
Expiration Date: 05/09/2011
DESCRIPTION OF WORK:
RETROFIT LUMINAIRES FOR ENERGY EFFICIENCY - 8 TROFFERS IN OFFICE, 10 STRIPS IN
WAREHOUSE. SEATTLE CITY LIGHT REBATES
Value of Electrical: NRES: $2,075.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $136.50
National Electrical Code Edition: 2008
Date: 1* I
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 grantin of -rmit d es npt-presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio r e p rform o`fwork. I am authorized to sign and obtain this electrical permit. (
Signature: " Date: l
Print Name: M 04‘-
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
ELI 0-0020 Printed: 01 -12 -2010
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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.: 2613200084
Address: 4475 S 134 PL TUKW
Suite No:
Tenant: JC PENNEY
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0020
ISSUED
01/12/2010
01/12/2010
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
laws regulatin�con�tlruction or t
Signature:
Print Name:
of presume to give authority to violate or cancel the provision of any other work or local
performance of work.
Date: (4v
doc: Cond -Elec
ELI 0-0020 Printed: 01 -12 -2010
CITY OF TUKWIL.
Community Developme Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http. //www. ci. tukwila. wa. us
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 **
WO ► / _ King Co Assessor's Tax No.: c t 132o — OG gJI
Site Address:
l t 1 � 1 aktd: ket_ Suite Number: Floor:
Tenant Name: ''a C Kive / — C a �,rv� 1 � �1q New Tenant: ❑ Yes [2(,.. No
Property Owners Name: ( �J
Mailing Address:
City
State
Zip
� o
Name: rvt 5 ^ 6 /
Mailing Address: f d kO )\ 14 a>
t ))
E -Mail Address: e 1- (
Day Telephone: d'l( 4'(c - c .?-7 c(
City _ S tate Zip
Fax Number: ` j/ _ L6' 79 0
Company Name: L l Yc7Z {� -
Mailin g Address: l� Qat' � LI1- ?z
Contact Person: h K- cr i'V1 a tt S
E -Mail Address: e L t k. pCv
Contractor Registration Number: tag--4--c 1 IC 3-
ktut,._ U44 'Mc'?
City / Sgtate Zip
Day Telephone :W 1�� t q ?y
Fax Number: to " d I- -1 47 0 e
Expiration Date: /ci ( t
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes [ No
Type of Use:
Adding more than 50 amps? ❑ Yes
No
Type of work:
El New ❑ Addition ❑ Service Change
El Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
A Seattle City Light
H: \Applications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel tiz Tenant Improvement
❑ Telecommunication El Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
PERMIT APPLICATION" NOTES:: -.
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 QW EIt OR 1 ,ECTRICAL CONTRACTOR:
Signature:
Print Name:
` S
Mailing Address: pt'J k1/4vi- 45-7 0
Date:
ay Telephone:W— L((ci -7 ri L(
( Pis'
State Zip
City
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: Wpplications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
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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
Parcel No.: 2613200084
Address: 4475 S 134 PL TUKW
Suite No:
Applicant: JC PENNEY
RECEIPT
Permit Number: EL10 -0020
Status: PENDING
Applied Date: 01/12/2010
Issue Date:
Receipt No.: R10 -00040
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $136.50
Payment Date: 01/12/2010 08:57 AM
Balance: $0.00
LIGHTEK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 012165
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -12 -2010
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION I' �I
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
Project ifidi j
Type of Inspection:
, /oO
Address: I ` ,7�i D
Iii 75,...i
Date Called:
1
Special Instructions:
i
Date Wanted: '
i
a.m.
n17
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
PV
J
Inspector:
Date: 0 i 24 O
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
ter:
'3�.`a•?Sl�v�i.r%>Ja?'":'i t? _. ,_ w3Fsi�''x^:t�t..z;7.;^�5.,'++, _ . r'!...,.,,.�,� ..
Untitled Page
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Page 1 of 2
Electrical Contractor
A business licensed by L8tl 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
LIGHTEK COM INC
4252715210
PO BOX 4236
RENTON
WA
98057
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
601950222
ACTIVE
LIGHTCI999KZ
ELECTRICAL CONTRACTOR
5/9/2001
Expiration Date 5/9/2011
Suspend Date
Specialty 1
Specialty 2 UNUSED
LIGHTING MAINTENANCE
MASTER ELECTRICIAN INFORMATION
License SIMONJL976BG
Name SIMONS, JOHN L
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
SIMONS, JOHN L
AGENT
05/09/2001
Received
Date
SIMONS, JOHN L
PRESIDENT
05/09/2001
Until
Released
Assignment of Savings Information
Savings
Assignment of
Savings Account
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
1
5/9/2001
Until
Released
Bond
$4,000.00
5/14/2001
https://fortress.wa.gov/lni/bbip/Detail.aspx
01/12/2010