HomeMy WebLinkAboutPermit EL10-0913 - WESTFIELD SOUTHCENTER MALL - CERES ROASTING COMPANYThis 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 0-0913
Ceres Roasting Company
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
10
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.
CERES ROASTING
COMPANY
2800 SOUTHCENTER MALL
EL1O-0913
Parcel No.:
Address:
Tenant Name:
Citygf 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: / /wwwci.tukwila.wa.us
ELECTRICAL PERMIT
9202470010
2800 SOUTHCENTER MALL TUKW
CERES ROSTING COMPANY
Permit Number: EL10 -0913
Issue Date: 11/12/2010
Permit Expires On: 05/11/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD CA 92013
COREY MCKINNON
7056 S 220TH ST , KENT WA 98032
Contractor:
Name: SEA TAC ELECTRIC INC
Address: 7056 S 220TH ST , KENT WA 98032
Contractor License No: SEATAEI077RW
Phone: (253)872 -5553
Phone:
Expiration Date: 12/17/2011
DESCRIPTION OF WORK:
INSTALL (1) TWISTLOCK RECEPTACLE FOR TEMPORARY SERVICE AT A KIOSK.
Value of Electrical Work:
Type of Fire Protection:
NRES: $1,000.00
RES: $0.00
UNKNOWN
Electrical Service provided by: PSE
Permit Center Authorized Signature:
Fees Collected:
$96.60
National Electrical Code Edition: 2008
Date: / /`/d //d
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 wor I - authorize • to sign and obtain this electrical permit.
Signature:
Print Name:
ytn t NA/ o /\/
Date: t y 7.-e/0
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
EL10 -0913
Printed: 11 -12 -2010
4/
wq� City of Tukwila
\ti 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
CERES ROSTING COMPANY
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0913
ISSUED
11/12/2010
11/12/2010
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 WAG
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:
Ge ncy {M Lk ttiNo /V
Date:
tt7iit- 20 /a
doc: Cond -Elec
EL10 -0913 Printed: 11 -12 -2010
•
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.
4E& t o -O ''/3
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: SOUTHCENTER MALL
Tenant Name:
CERES ROSTING COMPANY
Property Owners Name: WESTFIELD MALL
Mailing Address: PO BOX 130940
King Co Assessor's Tax No.:
Suite Number: R053Z Floor: KIOSK
New Tenant: ❑ Yes 21..No
CARLSBAD
CA
92013
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: COREY MCKINNON
Mailing Address: 7056 S. 220TH STREET
Day Telephone: (253) 872 -5553
KENT WA 98032
E -Mail Address: corey.m @seatacelectric.com
City State
Fax Number: (253) 872 -4112
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
SEA -TAC ELECTRIC, INC.
7056 S. 220H STREET
Contact Person: SEA -TAC ELECTRIC, INC.
E -Mail Address: corey.m @seatacelectric.com
Contractor Registration Number: SEATAEI077RW
KENT
City
Day Telephone:
Fax Number:
WA
State
(253) 872 -5553
(253) 872 -4112
98032
Zip
Expiration Date: 12/17/2011
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information): INSTALL (1) TWISTLOCK RECEPTACLE FOR TEMPORARY
SERVICE AT A KIOSK.
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes 0 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication m Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
• Puget Sound Energy
❑ Seattle City Light
H:\Apphcations\Forms -Appl ¢ ations On LmeV1010 Applications \7 -2010 - Electncal Penns 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
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.
1 HEREBY CERTIFY THAT 1 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: Co G k N 0 I�
Mailing Address: 7056 S. 220TH STREET
Date: 11/12/2010
Day Telephone: (Z-53) fl.2 S S 3
KENT
City
State
98032
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:Wpplications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
•
City of Tukwila
nl r,?Z 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.: 9202470010 Permit Number: EL10 -0913
Address: 2800 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 11/12/2010
Applicant: CERES ROSTING COMPANY Issue Date:
Receipt No.: R10 -02279
Initials:
User ID:
Payee:
LAW
1632
Payment Amount: $96.60
Payment Date: 11/12/2010 10:36 AM
Balance: $0.00
SEA -TAC ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 012023
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
doc: Receiot -06 Printed: 11 -12 -2010
NSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION fir -
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431 -2451
I
St - 3
Project:
N16114(1
Type of Inspection:
i
Address: 00
At NM/
Date Called:
`
Special Instructions:
Date Wanted:
II e
a.m:
If
Requester:
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
COMMENTS:
(AkaCtrioN5 r
Inspector:. f -
Date:
1Q l%e 10
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 I 11(206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: (j
NI-61-1A CI
ection:
Type of Inspection:
p
;100
Addres -'00 e�
Date Called:
Special Instructions:
Date Wanted:
(i il
.m
Requester:
Phone No:
Approved per applicable codes.
FA
Corrections required prior to approval.
COMMENTS:
sc-14,/ 1 J 1,) yht,46_,
Vi.e F19e6-5 g.w4De.
eAe..p,orip
® DP a er,,aiDOc Tc_5
re 6f IJ e D.T- c C.9
41651d KO gACF4 ( 4F4tx
1,,Wp 2Cire
Inspector:
Date: / t Itch)
n REINSPECTION FEE REQUIRED. I rior 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 Lfxl 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 SEA TAC ELECTRIC INC UBI No. 601510212
Phone 2538725553 Status Active
Address 7056 S 220Th St License No. SEATAEI077RW
Suite /Apt. License Type Electrical Contractor
City Kent Effective Date 12/16/1993
State WA Expiration Date 12/17/2011
Zip 98032 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
ther Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
SEATAEC131QC
SEA-TAC ELECTRICAL
CONTRACTORS
Electrical
Contractor
General
Unused
11/3/1987
11/3/1995
Archived
Master Electrician INFORMATION
License HARGRT'974CD
Name HARGREAVES, TOM
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HARGREAVES, TOM
Agent
12/17/1993
Bond Amount
HARGREAVES, TOM
President
12/17/1993
798649C
BEAN, ERIC
Secretary
12/10/2008
BEAN, ERIC
Treasurer
12/10/2008
MERCHANTS BONDING
CO (MUTUAL)
JORDAN, TOM
Vice President
01/01/2002
01/22/2009
HARGREAVES, KATHERINE
Secretary
12/17/1993
12/10/2008
BURKS, ROY
Vice President
12/17/1993
12/15/1995
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6
DEVELOPERS SURETY
& INDEM CO
798649C
12/16/2008
Until Cancelled
$4,000.00
12/03/2008
5
MERCHANTS BONDING
CO (MUTUAL)
WA11373
12/16/2004
Until Cancelled
01/22/2009
$4,000.0012/17/2004
4
CUMBERLAND CAS &
SURETY CO
MB912300132
12/16/2001
Until Cancelled
12/16/2004
$4,000.0001/09/2002
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
12/16/1993
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
https://fortress.wa.gov/lni/bbip/Print.aspx
11/12/2010