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HomeMy WebLinkAboutPermit EL10-0455 - K & G FASHION SUPERSTOREThis 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 -0455 K &G Fashion Superstore 17501 Southcenter Parkway, Suite 200 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 10 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. K & G FASHION SUPERSTORE 17501 SOUTHCENTER PY SUITE 200 EL1O-0455 City ofkukwila • 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.: 2623049067 Address: 17501 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0455 Issue Date: 06/16/2010 Permit Expires On: 12/13/2010 Tenant: Name: K & G FASHION SUPERSTORE Address: 17501 SOUTHCENTER PY - SUITE 200 , TUKWILA WA Owner: Name: CLPF - TUKWILA LP Phone: Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #300 Contact Person: Name: KENT VANDER WEIDE Phone: 425 - 788 -7710 Address: PO BOX 100 , DUVALL WA Contractor: Name: ZORKO ELECTRIC INC Phone: 425 - 788 -7710 Address: PO BOX 100 , DUVALL WA Contractor License No: ZORKOEI1210K Expiration Date: 09/12/2010 DESCRIPTION OF WORK: LOW VOLTAGE CABLE FOR CAS /PHONE /DATA (80 TOTAL RUNS). CABLING FOR CCTV CAMERAS (4 LOCATIONS) CABLING FOR SPEAKERS (20 TOTAL) Value of Electrical: NRES: $22,037.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $488.10 National Electrical Code Edition: 2008 Date: U' r v ( v 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 s pe 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction o e pe ,man of wo •. I am authorized to sign and obtain this electrical permit. ))//� Signature: �I. d Date: G'i(� -! f o Print Name: A vas- 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 EL10 -0455 Printed: 06 -16 -2010 City of Tukwila Departfnent 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.: 2623049067 Address: Suite No: Tenant: 17501 SOUTHCENTER PY TUKW K & G FASHION SUPERSTORE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0455 ISSUED 06/16/2010 06/16/2010 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: Date: 6-(6-/ doc: Cond -Elec EL10 -0455 Printed: 06 -16 -2010 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. E1A 01 OLi SS. Project:No: (For offrce 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 ** King Co Assessor's Tax No.: 940)--3014 — l O (07 Site Address: 1 7 Suite Number: 2-el..) Floor: Tenant Name: K 4' (4,57 Lv- Property Owners Name: T5 }'� F1112���y e/t' 6-5 Mailing Address: 2-O T -' >- V �• �� New Tenant: ❑ Yes EY. No -,A)4 City CONTACT PERSON - Who do:we contact when your permit is ready to be issued Name: {`S4 fc L A i.a . - Mailing Address: .c? =o E -Mail Address: t/' 4.t143 . State Zip Day Telephone: A ? Z 7 7( error ?"60 /, City State Zip Fax Number: 47.5 7$b5 7 7 30 ELECTRICAL CONTRACTOR INFORMATION Company Name: 1 : 1 i t . 1 1 41, E t Q A c , ` - r --- Mailing Address:. . .1:181C /0a ��. Val 9 Fsa / 9 Contact Person: 4.2. t V Q. A) �� E -Mail Address: 1C9.A14-11& 34LA1-are.‘1LA.0 Contractor Registration Number: iL li-e ..\. t. l to City State Zip Day Telephone: 4 Z.J -Z 8cs - /7 /c1 Fax Number: if Z" - 7 tie - 7 % S Expiration Date: 91 it /um ' Valuation of Project (contractor's bid price): $ Z2- - (, 1 Scope of Work (please provide detailed information): L L. C,<Alole, -c A t>\ (^J fz,l co 4— C C.T\i VA e--- (14 IC - ,, U t 2e,.1Ler S c ZC� 10& -I Will service be altered? ❑ Yes ®-No Adding more than 50 amps? ❑ Yes fg No Type of Use: Re/'(CA t t Type of work: ❑ New ❑ Addition Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm H:\Applications \Forms - Applications On Line \4-2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 Date Application Accepted: • RESIDENTIAL 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) 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 $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: v Date: Print Name: , gNwl_ ' e 5 Day Telephone: 4Z-g. 7 V6 -711 Mailing Address • 0 R - C /CO City car A1 9$ 01 Zip State Date Application Expires: Staff Initials: H: \Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh 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.tulcwila.wa.us RECEIPT Parcel No.: 2623049067 Permit Number: EL10 -0455 Address: 17501 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 06/16/2010 Applicant: K & G FASHION SUPERSTORE Issue Date: Receipt No.: R10 -01076 Initials: User ID: Payee: WER 1655 Payment Amount: $488.10 Payment Date: 06/16/2010 01:56 PM Balance: $0.00 ADAM STEVENS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 442306 ACCOUNT ITEM LIST: Description 488.10 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 488.10 Total: $488.10 PAYMENT •RECEIVED doc: Receiot -06 Printed: 06 -16 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -367 Project: Type of Inspection: Address: Tj /191 5-C. l''(J . Date Called: Special Instructions: pi 10 (Dt -� orrtecks sPOssv-02-5 Date Wanted: % m cp.m. Requester: Phone No: ligiApproved per applicable codes. - - ❑ Corrections required prior to approval. COMMENTS: Inspector: Date: 07 !v ri $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: "�.n,...�- t�:...<- �.�w...'�, _..a,A,f,..�c:nt- fil+\�.�c T- �'•.�: v�-'� ' •:��a -fir. �•= :5•^*� :4�' -tia} a�""��' INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 NO. p (206)431 -3670 Project: dlO� Type of Inspection: �DO Address: /750 I 3.C. P1 . Date Called: Special Instru�ccttioo�ns /: L�% C.t�� `� ���, t>%� 1 5o /JIJ Date Wanted: '7 A. �i Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OM M ENTS: -11 - ' �A-� Koori (,'E- runl4� ticotka l,} t Inspector: d.;767tWerc Date: a I 7 iC7 $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: Q Contractors or Tradespeople Peer Friendly Page Electrical Contractor A business licensed by Lai 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 Zorko Electric Inc 4257887710 Po Box 100 Duvall Wa 98019 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601099999 Active ZORKOEI121 OK Electrical Contractor 9/12/1988 9/12/2010 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status VANDEWS978BW Vander Weide, Sid Master Electrician General Unused 1/7/2003 1/5/2009 Expired VANDES *145NB S d der Weide, Administrator General Unused 8/2/1986 1/5/2003 Superceded VANDEWS162CD Vander Weide, Sid H Electrician Journeyman Unused 2/4/1984 1/5/2006 Superceded MASTER ELECTRICIAN INFORMATION License VANDEK`975CS Name Vanderweide, Kent Status Active Business Owner Information Name Role Effective Date Expiration Date Vanderweide, Kent Et Nbsp; 01/01/1980 Received Date Vanderweide, Kent Agent 01/01/1980 Until Released Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 5 8/30/1988 Until Released Bond Insurance Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 06/16/2010