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Home My WebLink AboutPermit EL10-0823 - SIMPLY THAIThis 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 -0823 Simply Thai 375 Strander Boulevard 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 9 Personal Information — expiration dates, or bank or other financial RCW 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. SIMPLY THAI 375 STRANDER BL EL 10-0823 Parcel No.: Address: Tenant Name: Citylgf 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 2623049064 375 STRANDER BL TUKW SIMPLY THAI ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0823 10/15/2010 04/13/2011 Owner: Name: REGENCY CENTERS LP Address: C/O PROPERTY TAX DEPT , PO BOX 790830 78279 Contact Person: Name: MALCOLM MACDONALD Phone: 425 - 672 -6797 Address: 23008 56 AV W , MOUNTLAKE TERRACE WA 98043 Contractor: Name: ELECTRI -CITY INC Phone: 425 - 672 -6797 Address: 16212 BOTHELL HWY STE F PMB 135 , MILL CREEK WA 98012 Contractor License No: ELECTI *110BA Expiration Date: 01/01/2011 DESCRIPTION OF WORK: CONNECT EXISTING CIRCUIT TO REPLACEMENT ROOF TOP HVAC UNIT Value of Electrical Work: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $75.60 National Electrical Code Edition: 2008 Date: b V ' S 4 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 performs cce of work. I am authorized to sign and obtain this electrical permit. ici Signature: V Date: 17(6-/Z ai0 Print Name: F0051 V , 1 v l4 L 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 -9/09 ELI 0-0823 Printed: 10 -15 -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.: 2623049064 Address: Suite No: Tenant: 375 STRANDER BL TUKW SIMPLY THAI PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0823 ISSUED 10/15/2010 10/15/2010 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: 3 V. N�) Date: /1312.010 doc: Cond -Elec ELI 0-0823 Printed: 10 -15 -2010 Site Address: CITY OF TUKAA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. tL-1, U" 0 0..13 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 ** King Co Assessor's Tax No.: 2-10- 30 L{ to _ 3 7 _ g I j t Tenant Name: wL 5'U4O(y TKA Suite Number: Property Owners Name: R /12._.v. c sr, L P Mailing Address: S'S.3S S W .aoL.ow> l�mi New Tenant: Floor: ❑ Yes ❑..No Lake 0.11,-)•1 • 0 2 City State �7 o3S Zip NTACT PERSON - Who do we contact when` your pernut is ready to be issued �c o, w. %N..coio t,.a iG1 Mailing Address: ,Z 3 OO g SC" X',Z Day Telephone: y 7-C- 612 61/7 LA) A(A."4 -0442. iei,- w vt-- . 9Se a 43 City State Zip Fax Number: '127' 67 2 6111 E -Mail Address: Mc( 4v )- C1+1 INL , C oM• ELECTRICAL CONTRACTOR INFORMATION: Company Name: Mailing Address: tie -c-t, Z3oo g C I�t GJ %4(la�vddw L TQ,/fc-a 4- (b.1 Kr 574 `E'? City State Zip Contact Person: (a4_ a A> o ve) Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: £ L GC's' 1 v 1 10 $4 Expiration Date: Valuation of Project (contractor's bid price): $ Soo o n Scope of Work (please provide detailed information)• CDs/. Ness—e.4 a- 't1.4t11 ct - u,4 .4, ref. 4e 14ari c voi4- Will service be altered? ❑ Yes Ni No Type of Use: Type of work: New ❑ Addition El Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: [Fr., Puget Sound Energy ❑ Seattle City Light H: Wpplicationa\Forms- Applications On lineal -2007 - Electrical Permit Applicationdoc bh Adding more-than 50 amps? ❑ Yes gi No El Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 • 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, fumace 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 PERmMTT APPLICATION N� 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 ELECTRICA CONTRACTOR: Signature: Print Name: W14kozo14KA IA Mailing Address: 2300 8' cG h W IDate Application Accepted: Date: 47/1/o o Day Telephone: L City W In- State 7Fo"5 Zip Date Application Expires: Staff Initials: H:Applicationa\Fonns- Applications On line\4 -2007 - Electrical Permit Application.doc bh Page 2 of 2 1 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 Parcel No.: 2623049064 Address: 375 STRANDER BL TUKW Suite No: Applicant: SIMPLY THAI RECEIPT Permit Number: EL10 -0823 Status: PENDING Applied Date: 10/15/2010 Issue Date: Receipt No.: R10 -02081 Initials: WERE User ID: 1655 Payment Amount: $75.60 Payment Date: 10/15/2010 09:02 AM Balance: $0.00 Payee: ELECTRI -CITY INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 034671 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 10 -15 -2010 INSPECTION RECORD Retain a copy with permit 604133 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ,,, $iqPt7 l OA i Type of Inspection: 2100 Address: 315 Si- PrWIDCA Si-. Date Called: Special Instructions: /0 — 1 Date Wanted: /O 2v � .m. p ` Requester: Phone No: VI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 6,g. (tAJAIJ Inspector: REINSPECTION1FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Icy 2-0/10 Contractors or Tradespeople Peer Friendly Page 1 Electrical Contractor A business licensed by LEtI 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 ELECTRI -CITY INC UBI No. 601133632 Phone 4256726797 Status Active Address 16212 Bothell Hwy Ste F Pmb135 License No. ELECTI*110BA Suite /Apt. License Type Electrical Contractor City Mill Creek Effective Date 1/1/1989 State WA Expiration Date 1/1/2011 Zip 98012 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company 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 10/15/2010