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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 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. 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 bh Pagelof2 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 bh 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