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Home My WebLink AboutPermit EL11-0199 - WESTFIELD SOUTHCENTER MALL - MICHAEL KORSThis 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 -0199 Michael Kors 515 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. MICHAEL KORS 515 SOUThCENTER MALL EL1 1 -0199 Parcel No.: Address: 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: / /wwwci.tukwila.wa.us 9202470010 515 SOUTHCENTER MALL TUKW Tenant Name: MICHAEL HORS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0199 03/10/2011 09/06/2011 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA 92013 JOHN REGO 11808 NE 160 ST , BOTHELL WA 98011 Contractor: Name: EASTSIDE COMMUNICATIONS INC Address: 11808 NE 160 ST , BOTHELL WA 98011 Contractor License No: EASTSCI96008 Phone: 425 408 -2105 Phone: 425 949 -8540 Expiration Date: 10/19/2012 DESCRIPTION OF WORK: INSTALL CUSTOMER PROVIDED VOICE AND DATA CABLING Value of Electrical Work: NRES: $2,538.00 RES: $0.00 Type of Fire Protection: SPRINKER/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 x with, The granting of this permit does not pre construction or the performance of work. of this permit. Signature: a/49 Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: V'J ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. Print Name: t J C t C-) e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Date: (0-201( 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 EL 11 -0199 Printed: 03 -10 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0199 * *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 L 11 -0199 Printed: 03 -10 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. eet,k 0611 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, Tukwila, WA 98188 Tenant Name: Michael Kors Property Owners Name: Westfield Group Mailing Address: 11601 Wilshire Blvd King Co Assessor's Tax No.: 920247 -0010 Suite Number: 672 Floor: 1 New Tenant: m Yes ❑ ..No Los Angeles CA 90025 Zip City State CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: John Rego Mailing Address: 11808 NE 160th St. Day Telephone: (425) 408 -2105 Bothell WA 98011 E -Mail Address: jrego@eastsidecommunications.com City State Fax Number: (425) 949 -8679 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: — Regrr— 47==.(4,‘ Mailing Address: 11808 NE 160th St. 110/.7/1101") , c c-14 `0 3 Contact Person: John Rego E -Mail Address: jrego@eastsidecommunications.com Contractor Registration Number: EASTSCI96008 Bothell WA City State Day Telephone: (425) 408 -2105 Fax Number: (425) 949 -8679 98011 Zip Expiration Date: 10/19/2012 Valuation of Project (contractor's bid price): $ 2,538 Scope of Work (please provide detailed information): Install customer provided voice and data cabling. Will service be altered? ❑ Yes LI No Adding more than 50 amps? ❑ Yes LZ1 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \7 -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 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 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: � Date: 03/10/2011 Print Name: ba. c) A4:14". Mailing Address: 11808 NE 160th St. Day Telephone: (425) 408 -2105 Bothell Date Application Accepted: 04 to City State 98011 Zip Date Application Expires: Staff Initials: H:WpplicationsTorms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 • City of Tukwila Department of Community Development n , 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: EL11 -0199 Address: 515 SOUTHCENTER MALL TUKW Status: APPROVED Suite No: Applied Date: 03/10/2011 Applicant: MICHAEL HORS Issue Date: Receipt No.: R11 -00461 Initials: User ID: Payee: JEM 1165 Payment Amount: $136.50 Payment Date: 03/10/2011 10:16 AM Balance: $0.00 DAVID R ATKINS, EASTSIDE COMMUNICATIONS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 018851 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 03 -10 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 6/4 Type of Inspection: Address: 15_ 1st, Date Called: Special Instructions: 'r 1) a [/•/'f '• !� Date Wanted: 0 /� a�. p.m. Requester: Phone No: 1,KI Approved per applicable codes. Corrections required prior to approval. • COMMENTS: Inspector: Date: �r• I /vtN t -/ . n REINSPECTIO FEE REQUIRE . Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ti Tw ^{.";!'s•:`fr.T•l*[Tfi.'• .:.,at ^. -a ;. ,..yFc ,. sny•^... .'j�p7w --.YA rte.; Esc yy -. +"Y. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION /1' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 I 61I-6141 Project: tc4 .Kao Type of Inspection: 7ao3 Address: _ Date Called: Special Instructions: /6(-1 Date Wanted: 3 m. . p.m Requester: Phone No: T Approved per applicable codes. a Corrections required prior to approval. COMMENTS: - ' \ J'4 N /4 • Inspector: Date: 03 I I REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prier Friendly Page • Electrical Contractor A business licensed by Lai 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 EASTSIDE COMMUNICATIONS INC 4259498540 11808 Ne 160Th St Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602415629 Active EASTSCI96008 Electrical Contractor 9/28/2004 10/19/2012 Telecommunications Electrical Administrator INFORMATION License ATKINKE915QS Name ATKINS, KRISTINE ELISE Status Active Business Owner Information Name Role Effective Date Expiration Date ATKINS, KRISTINE E Agent 09/19/2006 Amount ATKINS, KRISTINE E President 09/28/2004 01SBMAP4346 ATKINS, DAVID R Agent 09/28/2004 09/19/2006 ATKINS, DAVID R Vice President 09/28/2004 09/19/2006 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 9/28/2004 Until Released Bond $4,000.00 9/28/2004 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 8 HARTFORD CAS INS CO 01SBMAP4346 06/01/2010 06/01/2011 $2,000,000.00 05/11/2010 7 HARTFORD CAS INS CO 01 SBM AP4346 06/01/2009 06/01/2010 $2,000,000.00 05/05/2009 6 HARTFORD CAS INS CO 01 SBM AP4346 06/01/2008 06/01/2009 $2,000,000.00 04/25/2008 5 HARTFORD CAS INS CO 01 SBM AP4346 06/01/2007 06/01/2008 $170,000.00 04/27/2007 4 HARTFORD CAS INS CO 01SBMAP4346 06/01/2006 06/01/2007 $2,000,000.0010 /19/2006 3 HARTFORD CAS INS CO 01SBMAP4346 06/01/2006 06/01/2007 09/18/2006 $2,000,000.00 06/12/2006 2 HARTFORD EASTS 3 06/01/2005 06/01/2006 $170,000.00 05/31/2005 https://fortress.wa.gov/lni/bbip/Print.aspx 03/10/2011