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Home My WebLink AboutPermit EL11-0088 - CIRCUIT CITYThis 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. EL11 -0088 Circuit City 223 Andover Park East 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 13 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. CIRCLTiT CITY 223 ANDOVER PK E ELi 1 -0088 Parcel No.: Address: Tenant Name: City �' 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 0223100090 223 ANDOVER PK E TUKW CIRCUIT CITY ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0088 02/03/2011 08/02/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SOUTH CENTER WA L L C 8448 N MERCER WAY , MERCER ISLAND WA 98040 SEAN MCCUBBIN PO BOX 2080 , SNOHOMISH WA 98291 NORTHLAND ELECTRIC INC 4314 103 AV SE , EVERETT WA 98205 Contractor License No: NORTHEI21879 Phone: 425 343 -4832 Phone: 425 377 -1514 Expiration Date: 03/31/2011 DESCRIPTION OF WORK: INSTALL 100 AMP TEMP SERVICE - 3 PAHSE 480/277 V. CONNECT TO EXISTING CIRCUITS IN BUILDING TO ENERGIZE SOME LIGHT FIXTURES. Value of Electrical Work: NRES: $1,000.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of construction or of this permit. Signature: Print Name: t�= 't he perform xami with, does not pre f work. ekm-, Aci2_ Fees Collected: $96.60 National Electrical Code Edition: 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit and agree to the conditions on the back /A) IrlC(v Date: - 1 ( 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 EL11 -0088 Printed: 02 -03 -2011 • 0 PERMIT CONDITIONS Permit No. EL11 -0088 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 E L11 -0088 Printed: 02 -03 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tkwila. 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 ** iITE LOCe Site Address: 7_2- A V V €t ' -( E Tenant Name: C I Q C (. r /T &j' Property Owners Name: 0 MAC E f Mailing Address: l$ 130 E V I\ Lr L F King Co Assessor's Tax No.: Suite Number: New Tenant: O2..2�a to -- t o Floor: ❑ Yes ❑..No KEN t City WIC `16) oZr State Zip CONTt T P 10 d0 dy to b Name: SEA .-1 M '60 Mailing Address: Po ISO %te Z. 0 E -Mail Address: SE Day Telephone: 41 Z.S- 3`13" Li 812- SNaHam fSN 1,4 982v City State Zip A 1 � —1 e n r Fax Number: II.? c— 31' q'1 I'I GtiCA3 ELECTRIC .CTOW FOl Company Name: Mailing Address: Contact Person: �/ O R. T HI- A Alf) E- PO Qa& %Dap SEAN t' `C v 1313 E -Mail Address: SE ASE( -`i �))u(&r CAST t pc7 Contractor Registration Number: kJO �- r I E 1151 . K City Day Telephone: wP ? State rr�y,4 -- '3 L,! Zip 3 L Fax Number: L% %, C 3 1 1 Cf 'i I Expiration Date: 10— Valuation of Project (contractor's bid price): $ 00 d Scope of Work (please provide detailed information): 3 Et)! QflJ ? TO Ems€ Art? TFt-lP JtGE "77 1,/ • .O- }ECT -t(Z Sot LIc5 4r rtXTL'tES. Will service be altered? ❑ Yes Type of Use: r Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes ❑ No ❑ Service Change ❑ Fire Alarm H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Telecommunication Tenant Improvement Temporary Service 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: SEArki Mailing Address: P I36 t 2a ®a) IDate Application Accepted: 02 Date: Day Telephone: Ii - ti 3- q 93 z- S L d* P4 s r>! wA °!$21 I City State Zip Date Application Expires: H:\Applications\Forns- Applications On Line\2010 Application0-2010 - Electrical Permit Application.doc bh Page 2 of 2 Staff Initials: / 1 vV„ 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.: 0223100090 Address: 223 ANDOVER PK E TUKW Suite No: Applicant: CIRCUIT CITY RECEIPT Permit Number: EL 11 -0088 Status: PENDING Applied Date: 02/03/2011 Issue Date: Receipt No.: R11 -00207 Payment Amount: $96.60 Initials: JEM Payment Date: 02/03/2011 11:44 AM User ID: 1165 Balance: $0.00 Payee: SEAN T MCCUBBIN, NORTHLAND ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 023156 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 doc: Receipt-06 Printed: 02 -03 -2011 •- INSPECTION RECORD OO�jQ Retain a copy with permit v� PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: en (1 Type of Inspection: f� /DG Address: . 2zj ) . Date Called: Special Instructions: Date Wanted: . /D /4 a.m: Requester: Phone No: AppFoved per applicable codes. Corrections required prior to approval. COMMENTS: �iEuv AJs nof Inspector: cf.) REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1Date: h /OY INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ,' (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 6116)if CI ri Type of Inspection: v d Address: 045 , {r 1 roe Date Called: Special Instructions: VU!/ Date Wanted:. a.m. �� p.m. Requester: Phone No: • DApproved per applicable codes. Corrections required prior to approval. COMMENTS: 66 Ci Ai ,. LacivnnA15 of 1-14 5 Amati> Bacritt.64 1444-1'0‘,t TIE P( ) )I iron. , jJi. -ri tAI 1 et C4 Rwor DApproved per applicable codes. Corrections required prior to approval. COMMENTS: 66 Ci Ai ,. LacivnnA15 of 1-14 5 Amati> Bacritt.64 1444-1'0‘,t TIE P( ) )I iron. , jJi. -ri tAI 1 et C4 Rwor n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh. INSPECTION RECORD Retain a copy with permit 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: Eikti KC CA Address: Special Instructions: Type of Inspection: Date Called: Date Wanted: Requester: Phone No: K Approved per applicable codes. El Corrections required prior to approval. COMMENTS: D� Inspector: Date:O7 /ZZ (� i ❑ REINSPECTION FEE 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 1 INSPECTION NO. PERMIT NO:,e. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �� }�� Coti Type of Inspection: 7,�) 7„„.. Address:3 , , *' n 6 Date Called: Special Instructions: 409 Date Wanted: ;/1/0 , Requester: Phone No: ❑ Approved per applicable codes. . Corrections required prior to approval. COMMENTS: PA — 11/9 %jot"f 562-J4 riz_el L-4 51 be O J (112-00KID1401 evAibiAlCi „ Ogr44iv 6f)pei or Inspector: Date: 02110/11 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • y�4.. City of Tukwila 08 -01 -2011 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director SEAN MCCUBBIN PO BOX 2080 SNOHOMISH WA 98291 RE: Permit No. EL11 -0088 223 ANDOVER PK E TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 09/18/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 09/18/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, -,11t-,it Bill Rambo Permit Technician File: Permit File No. EL11 -0088 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Prr nester Friendly Page • Electrical Contractor A business licensed by LW 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 NORTHLAND ELECTRIC INC 4253771514 Po Box 2080 Snohomish WA 98291 Snohomish Corporation UBI No. Status License No. 600344369 Active NORTHEI21879 License Type Electrical Contractor Effective Date 10/29/1979 Expiration Date 3/31/2011 Suspend Date Specialty 1 General Specialty 2 Unused Master Electrician INFORMATION License MCCUBCM970RH Name MCCUBBIN, CLINTON M JR Status Active Business Owner Information Name Role Effective Date Expiration Date HECKMAN, DAVID G 01/01/1980 MCCUBBIN, CLINT M JR 01/01/1980 HECKMAN, DAVID G Agent 01/01/1980 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 11/9/1989 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 EBIEA00274 4/9/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/03/2011