HomeMy WebLinkAboutPermit EL10-0494 - WESTFIELD SOUTHCENTER MALL - SOUTHCENTER SHOE REPAIRSOUTHCENTER SHOE
REPAIR
969 SOUTHCENTER MALL
EL1O-0494
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.tulavila.wa.us
Parcel No.: 9202470010
Address: 969 SOUTHCENTER MALL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0494
Issue Date: 06/29/2010
Permit Expires On: 12/26/2010
Tenant:
Name: SOUTHCENTER SHOE REPAIR
Address: 969 SOUTHCENTER MALL , TUKWILA WA
Owner:
Name: WESTFIELD PROPERTY TAX DEPT Phone:
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: ADAM MILLER Phone: 425 - 485 -9600
Address: 7204 NE 175 ST , KENMORE WA
Contractor:
Name: CLARITY SIGNS INC Phone: 425 845 -9600
Address: 7204 NE 175 ST STE 204 , BOTHELL WA
Contractor License No: CLARISI927BH Expiration Date: 01/11/2012
DESCRIPTION OF WORK:
INSTALL INTERNALLY ILLUMINATED CHANNEL LETTERS SIGN
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: tl —)4-- l t/
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 perfo .. ance of work. I am autho l ed to sign and obtain this electrical permit.
Signature: Date: ?_ /0
Print Name:
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 -0494 Printed: 06 -29 -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:
969 SOUTHCENTER MALL TUKW
SOUTHCENTER SHOE REPAIR
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0494
ISSUED
06/29/2010
06/29/2010
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.
Date:
doc: Cond -Elec
EL10 -0494 Printed: 06 -29 -2010
CITY OF TUKWILA.
Community Developmen Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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 **
R(0 King Co Assessor's Tax No.: R }(/ �� ' 60 ( 0
Site Address: % Suite Number: g 9 Floor: /
Tenant Name: New Tenant: EL Yes ❑ .. No
Property Owners Name:
Mailing Address: !% e.O( /7,77't2 �f v
City
CONTACT PERSON ' Who.do we contact wlien your permitis ready -to be issue
Name:
State
7Z/ °/
Zip
/C /Lf22:- ? Day Telephone: r �Zs— 0
Mailing Address: �Z4 ` , /7 y c-7r/At 91-a 2�
City State Zip
Fax Number: ,y ?s"'- /- '"X a/
E -Mail Address: //via& c 1�'Li� �i �ir/S'• (D'- -
Company Name:
Mailing Address:
5—
Contact Person: ,47",(7/A ,U. ///i /GLt`
E -Mail Address: /€..-/
Contractor Registration Number: (:2Ai /sy-/ 97 7Z/A
City
State Zip
Day Telephone: G/15— 9/5"-- 24. e
Fax Number: % r = / / - 61."---
Expiration Date: / ///
Valuation of Project (contractor's bid price): $
ZS-73
Scope of Work (please provide detailed information): /l 47r.//�9 - 74 /yS227 z,
-
Will service be altered? ❑ Yes 1-1.1" No Adding more than 50 amps? ❑ Yes
Type of Use: /14V/7/0 l��`7il'7,/ -. 77vr--(J 4i<--)
Type of work:
❑ New .,.. ❑ Addition ❑ . Service Change ❑ Remodel. Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:\Applications\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
bh
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date: 1� /2 S Z°.
Day Telephone: YZf—�- 2,) - '--', _
State Zip
City
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line \2010 Applications \1 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
•
wq City of Tukwila
sy
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2
IS
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 -0494
Address: 969 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/29/2010
Applicant: SOUTHCENTER SHOE REPAIR Issue Date:
Receipt No.: R10 -01183
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $63.00
Payment Date: 06/29/2010 09:53 AM
Balance: $0.00
ADAM MILLER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 095301
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 -29 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copyiwvith permit
(tw -09111
PERMIT
CITY OF TUKWILA BUILDING. DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
N0.
PERMIT NO.
(206)431 -3670 1
Project: 3.c. s 00 Refer
Type of Inspection:
/�
Address: clop, t
l/ti./
Date Called:
Special Instructidns:
Si CVr
10:00
Date Wanted:
/ c
rn.
P%
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Date: 07/ cc/ 0
El $60.00 REINSP CTION FEE REQ IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(00 -1(9
PERMIT NO. ' /J
�• lil"JU�j/,
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd .#100, Tukwila, WA 98188
i
Pro a
,Y.:. 300e 14PA-ti
Type of Inspection:
POO
?KW' ti GADbei A
Address:? 9 / s j
Date Called:
KDAJ or
lik(AjCl i1fTho�S kl) &AibiAc,
AT TAI 5-FO ' 1 &
Special Instru tions:
Date Wanted:
/
/3
m.
69. o0
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
?KW' ti GADbei A
75 To
eft w c Pt\ frfs
KDAJ or
lik(AjCl i1fTho�S kl) &AibiAc,
AT TAI 5-FO ' 1 &
' A
rf l� Date:
07/1 PO
1�% r
0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
.,__ .....�-` •�,,. -..�_: vz•r -- ^�.4 ;__ r; ^.,��..,w. _,_�.3- n. Yss.*. t��..;^i =���zr-x:�yr�..n.�,.��, °_..., =�-�
Contractors or Tradespeople Prri ter 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
Clarity Signs Inc
4254859600
7204 Ne 175Th St
STE 204
Bothell
Wa
980286516
King
Corporation
UBI No. 602754457
Status Active
License No. CLARISI927BH
License Type Electrical Contractor
Effective Date 1/8/2008
Expiration Date 1/11/2012
Suspend Date
Specialty 1 Sign
Specialty 2 Unused
ADMINISTRATOR INFORMATION
License NYGREGH919CJ
Name
Status
Nygreen, Greg H
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Clarity Signs, Inc.
&Nbsp;
01/08/2008
7/1/2009
Johnstone, Larry A
Agent
01/08/2008
$250.00
Nygreen, Greg H
Chief Executive Officer
01/08/2008
ELECTRICAL CITATION
Miller, Adam M
President
01/08/2008
6/4/2010
Miller, Adam M
Secretary
01/08/2008
$250.00
Nygreen, Greg H
Treasurer
01/08/2008
ELECTRICAL CITATION
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
1
STATE FARM FIRE e
CAS CO
98 -GU- 5133 -1
12/07/2007
Until Cancelled
$4,000.00
01/08/2008
Assignment of Savings Information No records found for the previous 6 year period
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ECHIR00445
7/1/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHIR00443
6/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00329
6/4/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00341
6/3/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00339
6/3/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EOXFJ00338
6/4/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/29/2010