HomeMy WebLinkAboutPermit EL10-0491 - WESTFIELD SOUTHCENTER MALL - INDI BITESThis 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.
El-1 0-0491
Indi Bites
2600 Southcenter Mall #FC -7
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.
INDI BITES
2600 SOUTHCENTER MALI.
FC -7
EL1 0-0491
City PTukwila
•
Department of Community Developfnent
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 2600 SOUTHCENTER MALL TUKW
Suite No:
Permit Number: EL10 -0491
Issue Date: 06/28/2010
Permit Expires On: 12/25/2010
Tenant:
Name: INDI BITES
Address: 2600 SOUTHCENTER MALL - FC -7 , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: JOSEF SCHNEIDER Phone: 206 - 440 -0203
Address: 2305 N 178 ST , SHORELINE WA
Contractor:
Name: SCHNEIDER ELECTRIC INC Phone: 206 - 440 -0203
Address: 2305 N 178 ST , SHORELINE WA
Contractor License No: SCHNEEI014LC Expiration Date: 07/24/2011
DESCRIPTION OF WORK:
CONDUIT ONLY PERMIT FOR EL10 -0490
Value of Electrical: NRES: $250.00
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: l.e —019 - l 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 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:
Print Name:
Date: - 28 -'r.
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 -0491
Printed: 06 -28 -2010
•
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.: 9202470010
Address:
Suite No:
Tenant: INDI BITES
PERMIT CONDITIONS
2600 SOUTHCENTER MALL TUKW
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0491
ISSUED
06/28/2010
06/28/2010
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:
l /
DS ¢, Sa17gt
Date: 6 -2F t/0
doc: Cond -Elec
EL10 -0491 Printed: 06 -28 -2010
CITY OF TUKWIL
Community Developmen 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 **
Site Address:
Z &.9,2 /" "Ig■ (/
Tenant Name: I 41 317E5
Property Owners Name: GS �"t+'t� d r .s�1 °r?"‘") �j{�r
Mailing Address:
King Co Assessor's Tax No.: 912-02,11-1-6/0/ 0
Suite Number: PC— 7 Floor:
New Tenant: Yes .. No
Name: Josef 4 dems'
Mailing Address: 2305 At (7 f114 $t /
E -Mail Address: j �S�r c0 S�%t�e�'Ier— �/CC, t o�
City
State
Zip
Day Telephone: ZcG —440 - 0 203
S'/9o►'riia & IVA- 7e737
City State Zip
Fax Number: 296 --lip — O (071-
ELECTRICAL CONTRACTOR INFORIVIATIO1
Company Name:
Mailing Address:
Sc 44e,•a!/ ��C�7' cy 14C
z? o. N. l 78 fti 56,
Contact Person: J as e 56 4,ie,`d-
.mil ofelih 6
E -Mail Address: I v • SC-47 vier-, eik co/n
Contractor Registration Number: 5 c ft /EE7.: o t ¢LG
City
0- ye /3,7
State Zip
Day Telephone: Zv(o ' — °2.0
Fax Number: Z.Qly -*ft- 067¢
Expiration Date: 1/24-12 0 //
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): ins "kr 1 v1 - f
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
. ❑ New ❑. Addition ❑ . Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
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Page 1 of 2
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)
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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: 23 05 /1 / 7
Date: r 0
Day Telephone: 2 —14-o — 102-0 3
s-�• Sri 0 e e/ e, W` 9F/23
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line \2010 Applications \l -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
RECEIPT
Parcel No.: 9202470010 Permit Number: EL10 -0491
Address: 2600 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/28/2010
Applicant: INDI BITES Issue Date:
Receipt No.: R10 -01175
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $63.00
Payment Date: 06/28/2010 10:44 AM
Balance: $0.00
JOSEF SCHNEIDER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 04524C
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -28 -2010
INSPECTION RECORD.
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION E-r •
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
e1to- 019i
L6
Project: '4®! jTr5Type
J
of Inspection:
00
Address: 2600 flitt,
Date Called:
Special Instructions:
1•r 0414
f.�0 V ' /
67\0017-
Date Wanted:
7.3
a.
Requester:
Phone No:
1pApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
•
[8(711‘1M
Ej $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 07 3/0 IA
Receipt No.:
Date:
Lm,.. s._�n+�.. �r�-. �at�a,. r- G;•,.- ��.;: n+. ��^- �`" v�rr,- sa* r' �- �' �4- r�- s^ u�. IY�. S' r.. C�''.^ 4, t-- 1�:,... w- 1�✓ :�c�.- ;�-G`"- ti.^r- h^�"v- ^ -..,..
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
too-Dycii
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: lAh k.�
Type of Inspection:
O
7
00 Address:
rtortv
Date Called:
Special Instructions:
FaiRequester:
Date Wanted:
V7
a.m
p.m
I
Phone No:
0 Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
D -�
Mf�J tantt95/5o( -ri-r
/t/el
El 60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date:
w
Receipt No.:
Date:
- �,.r�- .r!y- •_ , Jw.n _n:.:Y�..�.�.. -Y. .:#* 3�s1'* R_-.,...^!°'.,. a'- ya.. t"_ hi},- <.`>%f''s:�r.YSvFKx,._��+_._,_,
Contractors or Tradespeople Pitter Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Schneider Electric Inc
2064400203
2305 N 178Th St
Shoreline
Wa
98133
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601953858
Active
SCHNEEI014LC
Electrical Contractor
6/3/1999
7/24/2011
General
Unused
MASTER ELECTRICIAN INFORMATION
License SCHNEJJ950JQ
Name Schneider, Josef J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Schneider, Josef
&Nbsp;
01/01/1980
Schneider, Josef
Agent
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
COLONIAL AM CAS &
SURETY OF MD
LPM4054407
06/24/2001
Until Cancelled
$4,000.00
08/23/2001
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
5/27/1999
Until
Released
Bond
$4,000.00
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/28/2010