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HomeMy WebLinkAboutPermit EL10-0651 - WESTFIELD SOUTHCENTER MALL - SKI BONKERSThis 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 0-0651 Ski Bonkers 2800 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 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. SKI BONKERS 2800 SOUTHCENTER MALL EL1O-0651 City oilkukwila • Department of Community Development 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: 2800 SOUTHCENTER MALL TUKW Suite No: Permit Number: EL10 -0651 Issue Date: 08/11/2010 Permit Expires On: 02/07/2011 Tenant: Name: SKI BONKERS Address: 2800 SOUTHCENTER MALL , Owner: Name: WESTFIELD PROPERTY TAX DEPT Phone: Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: DAVE RICHARDSON Phone: (425)672 -6797 Address: 16212 BOTHELL -EVE HWY SUITE F PMB 135 , MILL CREEK WA Contractor: Name: ELECTRI -CITY INC Phone: 425 - 672 -6797 Address: 16212 BOTHELL HWY STE F PMB 135 , MILL CREEK WA Contractor License No: ELECTI *110BA Expiration Date: 01/01/2011 DESCRIPTION OF WORK: SET UP EMERGENCY GENERATORS WITH TEMP CABLES, CORD CAPS, SPIDER BOXES. Value of Electrical: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PSE Fees Collected: $78.75 National Electrical Code Edition: 2008 /V Permit Center Authorized Signature: / Date: vd l/J // L 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 pert'. ance o . I am authorized to sign and obtain this electrical permit. Signature: r. _ /Alf _ Date: '6 • /% /' 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 E L10 -0651 Printed: 08 -11 -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: PERMIT CONDITIONS 2800 SOUTHCENTER MALL TUKW SKI BONKERS Permit Number: Status: Applied Date: Issue Date: EL10 -0651 ISSUED 08/11/2010 08/11/2010 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 perf ce of work. Signature: Print Name: Date: ,4 / / / /1' doc: Cond -Elec EL10 -0651 Printed: 08 -11 -2010 y7 - /S6 /x CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 - http://www.ci.tukwila.wa.us • Electrical Permit No. I0 -/ Project No. (For office 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 Site Address: 4100 S'ui5Ce/7t`erM // (/ //�zo, 8/<<' $onke/'S Tenant Name: King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ Yes Pf ..No Property Owners Name: I*' 4 SendhGP./IiP/- LL ,e35 //° Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: 5.024 6 7,92 6 74 7 Mailing Address: E -Mail Address: , a - / / 1 = & ; 1 2 , - 4 e 7 e ' -4777 , C , (o4 City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: ,E /eCt/i - Inc • Mailing Address : /6a /il BOW/LzyB S'�!!}£T 4 9 /g.5- Contact Person: ii/Glir E -MaiI Address: dL!✓eee, ai7-eiyv/ .e0/Y7 Contractor Registration Number: .6;44 CTS 1f' /MBA /jl// /C2e, aht Woia City State Zip Day Telephone: 41-6--7.1-4,7f Fax Number: 4415--h1.2 67'999 Expiration Date: / / / / /i't0 // Valuation of Project (contractor's bid price): $ SOD, OA Scope of Work (please provide detailed information): S2/ Ip 2merge4C6 griJe%Al'D/S td /M P ea4ks, doted cai S� 4D/der boxes. Will service be altered? ❑ Yes VI No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy ❑ Seattle City Light H: Applications \Forms- Applications On Linet2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 Adding more than 50 amps? ❑ Yes 7J No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 1 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 V( Temporary service (generator) $78.75 ❑ Manufactured /mobile home service $84.00 (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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: C72- gaedi Date: 00/,0 /0 Print Name: /Olc ie.Baker Day Telephone: 145-4 73-67 7 Mailing Address: $m4 QS 7irst/14ZyG City State Zip Date Application Accepted: n Date Application Expires: 2 ; //f (l Staff Initials: A.) H:\Applications \Forms - Applications On Line12010 Applications \7 -2010 - Electrical Pemtit 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.tukwila.wa.us RECEIPT Parcel No.: 9202470010 Permit Number: EL10 -0651 Address: 2800 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 08/11/2010 Applicant: SKI BONKERS Issue Date: Receipt No.: R10 -01556 Initials: LAW User ID: 1632 Payment Amount: $78.75 Payment Date: 08/11/2010 01:01 PM Balance: $0.00 Payee: ELECTRI -CITY INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 034439 78.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 78.75 Total: $78.75 PAYMENT F(Fi'/FD doc: Receiot -06 Printed: 08 -11 -2010 2-- INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 6A-6'6C! DIVISION (206) 431 -3670, PERMIT NO. Project: Z 1 (30\1a-4-5 Type of Inspection: Address: 2- 7 0O � .{Af IOW Date Called: Special Instructions: Date Wanted: Ci % a:m: Requester: ` Phone No: g, Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: elec.(045 ,,,oe 0,6/. Inspector: Date: 07/03/0 n REINSPECTIONIFEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PERMIT NO. Project: � � ���5 hl Type of Inspection: 00 Address: 00 r1p, .f Date Called: Special Instructions: " j , (10 I4& `'"1 Date Wanted: /°2-- a P•m• Requester: P&G' Phone No: 99l Sg? % pApproved per applicable codes. Corrections required prior to.approval. 7 COMMENTS: © 4or c vi ow kW 5 651 71,,45 (W>J Ir, ) �� 1 ,�� y 126 JSFi Attyk.hk> Inspector: Date: it/ 6411(eRt 1:07 REINSPECTION EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per Friendly Page • Electrical Contractor A business licensed by LQJ 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 ELECTRI -CITY INC 4256726797 16212 Bothell Hwy Ste F Pmb135 Mill Creek WA 98012 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601133632 Active ELECTI *110BA Electrical Contractor 1/1/1989 1/1/2011 General Unused MASTER ELECTRICIAN INFORMATION License MACDOM *953DA Name MACDONALD, MALCOLM A Status Active Business Owner Information Name Role Effective Date Expiration Date RICHARDSON, DIANA L Violation Amount 01/01/1980 10/22/2008 RICHARDSON, DAVID J ELECTRICAL CITATION 01/01/1980 $500.00 RICHARDSON, DIANA L Agent 01/01/1980 ELECTRICAL CITATION Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 12/13/1990 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EDUNV00256 10/22/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EDUNV00252 10/22/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EMILD00204 1/26/2006 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 ESTRL00225 3/14/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EJORP02283 7/2/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02284 7/2/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02285 7/2/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 08/11/2010