HomeMy WebLinkAboutPermit EL10-0105 - WESTFIELD SOUTHCENTER MALL - MOTHERHOOD MATERNITYThis 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 -0105
Motherhood Maternity
1057 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
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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
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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.
MOTHERHOOD MATERNITY
1057 SOUTHCENTER MALL
EL1O-0105
CitAf 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
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 1057 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL10 -0105
Issue Date: 02/16/2010
Permit Expires On: 08/15/2010
Tenant:
Name: MOTHERHOOD MATERNITY
Address: 1057 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: VAL YANK Phone: 206 -255 -5540
Address: 902 NW 49 ST , SEATTLE WA
Contractor:
Name: CITY LITES NEON INC Phone:
Address: 902 NW 49TH , SEATTLE WA
Contractor License No: CITYLNI099DG Expiration Date: 03/07/2011
DESCRIPTION OF WORK:
INSTALL AND MAINTAIN ONE FLOURESCENT BACKLIT WALL SIGN AND ONE LED LIT BLADE
SIGN BOTH INSIDE MALL
Value of Electrical: NRES: $185.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date:
),-1(p-(0
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 or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature: _ Date: (b 1 C7
i
Print Name:
N-91 4 L-5
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 0-0105 Printed: 02 -16 -2010
Parcel No.: 9202470010
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
1057 SOUTHCENTER MALL TUTOR
MOTHERHOOD MATERNITY
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0105
ISSUED
02/16/2010
02/16/2010
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 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:
1Mc,, "5 :\Jc�Jlc5
Date: -((bI l0
doc: Cond -Elec
ELI 0-0105 Printed: 02 -16 -2010
CITY OF TUK
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. wa. us
•
Electrical Permit No. ` L- 10 010C
Project No.
(For offi ce 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
kb
Site Address: 1633 Sbuthcenter Mall
Tenant Name: Motherhood Maternity
Property Owners Name: WEA Southcenter LLC
Mailing Address: 11601 Wilshire Blvd. Los Angeles, Ca
Ring Co Assessor's Tax No.: 'l)-tlg-i"l1 - 06 I 0
Suite Number: 1057 Floor: 1St
New Tenant: ..... Yes ❑...No
City
State
ZIP
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Val Yank
Mailing Address: 902 NW 49th St Seattle, Wa 98107
E -Mail Address: val @citylightssign.com
Day Telephone: (206) 789 -4747
city State ZIP
Fax Number: (206) 789-3316
ELECTRICAL CONTRACTOR INFORMATION
Company Name: City Lights Sign Co.
mailing Address; 902 NW 49th St. Seattle, Wa 98107
Contact Person: Scott Russell
E -Mail Address: scott@citylightssign.com
Contractor Registration Number. C1TYLN 1099DG
city
Day Telephone: (206) 255-5540
Fax Number: (206) 789 -3316
state zip
Expiration Date: 03/07/2011
Valuation of Project (contractor's bid price): $ t! Os
Scope of Work (please provide detailed information): install and maintain one fluorescent backlit wall sign anti
one LED lit blade sign both inside of the mall.
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy
❑ Seattle City Light
IVAppli imslFcrnat- Apptisa5ces0aIs42010Apphstics0y- %QS0- Ssotriesl%emitAppysffiim.doe
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RESIDENTIAL
NEW RSID .NTLALS .RVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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)
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 884.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
JIUILDING OWNER OR ELECTRICAL CO Ti' RACTOR:
Signature:
Print Name- Scott Russell
Mailing Address: 902 NW 49th St. Seattle, Wa 98107
Date: 02/15/2010
Day Telephone: (206) 255 -5540
City
StErte
Date Application Accepted:
Date Application Expires:
StalTlnitials:
IVAppSotirnsTesra -Apps L:$?3910 AppHseasms \1.2010- }]ewisd Dmnit Appliaticm.dx
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Page 2of2
•
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.: 9202470010 Permit Number: EL10 -0105
Address: 1057 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/16/2010
Applicant: MOTHERHOOD MATERNITY Issue Date:
Receipt No.: R10 -00258
Payment Amount: $63.00
Initials: WER Payment Date: 02/16/2010 10:36 AM
User ID: 1655 Balance: $0.00
Payee: CITY LITES NEON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2648 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
PAYMENT
RECEIVED
rtnr. Rar. int -0R PrintPrt• 02 -16-2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36,
too-otos"
Project: rt on
000p
ype of Inspection:
2loo
Address:
/057
ktoieV
Dat Called:
Special I structi ns:
Date Wanted:
2- 17
m e
G-
Requester:
Phone No:
LY( Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
&/\Wel
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 02111 f t O
Receipt No.:
Date:
Contractors or Tradespeople Pter Friendly Page
•
Page 1 of 2
Electrical Contractor
A business licensed by LEt1 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 City Lites Neon Inc UBI No. 601075911
Phone 2067894747 Status Active
Address 902 Nw 49Th St License No. CITYLNI099DG
Suite /Apt. License Type Electrical Contractor
City Seattle Effective Date 3/7/1991
State Wa Expiration Date 3/7/2011
Zip 98107 Suspend Date
County King Specialty 1 Sign
Business Type Corporation Specialty 2 Unused
Parent Company
ADMINISTRATOR INFORMATION
License DAVISM`001 RB
Name Davis, Martha A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Davis, Martha
EtNbsp;
01/01/1980
Received
Davis, Martha
Agent
01/01/1980
Date
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Insurance Information No records found for the previous 6 year period
Summons /Complaint Summons and Complaints are not filed with the department for this
https://fortress.wa.gov/lni/bbip/Print.aspx
02/16/2010
Assignment of Savings
Effective
Release
Assignment
Impaired
Received
Savings
Account Number
Date
Date
Type
Date
Amount
Date
2
3/5/1991
Until
Released
Bond
$4,000.00
Insurance Information No records found for the previous 6 year period
Summons /Complaint Summons and Complaints are not filed with the department for this
https://fortress.wa.gov/lni/bbip/Print.aspx
02/16/2010