HomeMy WebLinkAboutPermit EL11-0395 - WESTFIELD SOUTHCENTER MALL - H & M WOMEN'S FASHIONSThis 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 1-0395
H &M
867 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
11
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.
H&M
WOMEN'S FASHIONS
867 SOUThCENTER MALL
EL1 1 -0395
City oPfukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 9202470010
Address: 867 SOUTHCENTER MALL TUKW
Project Name: H & M WOMEN'S FASHIONS
ELECTRICAL PERMIT
Permit Number: EL11 -0395
Issue Date: 09/20/2011
Permit Expires On: 03/18/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: GARY PALMER
Address: PO BOX 23534 , EUGENE OR
Contractor:
Name: SEA TAC ELECTRIC INC
Address: 7056 S 220TH ST , KENT WA
Contractor License No: SEATAEI077RW
Phone: 541 - 603 -4171
Phone:
Expiration Date: 12/17/2011
DESCRIPTION OF WORK:
REMOVE PORTION OF EXISTING TRACK, ADD NEW LIGHT AT ENTRY (SAME TYPE AS
EXISTING) , ADD NEW EXIT SIGN, ADD NEW PENDANT SIGNS, INSTALL DISPLAY OUTLETS
IN SIDE PLATFORMS.
Value of Electrical: NRES: $15,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$350.50
2008
Date: q")-0` ti
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
constructiyn the performance of work. I am authorized to sign and obtain this electrical permit.
Signature: /�-Lti7 - Date: �` /
Print Named r '7 (. 0 15'Q YL
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 -4/10
EL1 1-0395 Printed: 09 -20 -2011
0 •
PERMIT CONDITIONS
Permit No. EL11 -0395
* *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-4/10
EL 11 -0395 Printed: 09 -20 -2011
CITY OF TUKININ
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. E. L J4 ^ 6-2-, 416
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: 867 Southcenter Mall
Tenant Name: H & M Women's Fashions
Property Owners Name: Westfield
Mailing Address: PO Box 130940
King Co Assessor's Tax No: 920 247- 0010
Suite Number:
New Tenant:
Carlsbad
City
Floor:
❑ Yes 0 .. No
CA. 92013
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Gary Palmer
Mailing Address: PO Box 23534
Day Telephone: (541) 6034191
Eugene OR.
97402
E -Mail Address: psconsultants @sbcglobal.net
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Not Selected - Project Out For Bid
Mailing Address:
City
Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Contact Person: Not Selected - Project Out For Bid
State
Zip
Valuation of Project (contractor's bid price): $ 15,000
Scope of Work (please provide detailed information): (2+w
p 1 � ( c `?bd -'(t v*-4 err., Ocr S-e-r.44 T t 4b-4 NCIta
A-bb N Cr w C}c VT 4st 0-1 A- Nirs W
Lt 4KT A- 'ri k CS a th Pe 4t, c 4 i
t 4 Y-' 1 I ms-rn _) t s P
(SC-C- i Gredi. S t wk NA
Will service be altered? ❑ Yes Q'No
Type of Use:
Type of work:
❑ New
❑ Low Voltage
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
btAlt,tsrs
IA)
s
Adding more than 50 amps? ❑ Yes ❑ No
❑ Addition
❑ Generator
❑ Service Change
❑ Fire Alarm
HAApplications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bb
Page 1 of 2
❑ Remodel m Tenant Improvement
❑ Telecommunication ❑ 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 581.90
(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.
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.
BIIILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: 4-1ut' p, t-.16A .Q C� yqs t 414.A �)
Mailing Address: ./P. 0 . 'box a IS 3'f a C��4 F
City
Date: S j4 /CA0{
Day Telephone: (al) Coln— IN/ 1
6'12. Ci74oa
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line12010 Applications \7.2010 - Electrical Permit Apphcatioadoc
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.TukwilaWA.Qov
RECEIPT
Parcel No.: 9202470010 Permit Number: EL11 -0395
Address: 867 SOUTHCENTER MALL TUKW Status: APPROVED
Suite No: Applied Date: 05/04/2011
Applicant: H & M WOMEN'S FASHIONS Issue Date:
Receipt No.: R11 -02060
Payment Amount: $350.50
Initials: WER Payment Date: 09/20/2011 01:58 PM
User ID: 1655 Balance: $0.00
Payee: THOMAS HARGREAVES (PHONE)
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 020966
ACCOUNT ITEM LIST:
Description
350.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 350.50
Total: $350.50
doc: Receiot -06 Printed: 09 -20 -2011
•
ry INSPECTION RECORD b4037 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-364 Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: 1.1
Y
Address:
Type of Inspection:
2-to 0
Special Instruct' bns:'
Date Called:
Date Wanted: .
Requester:
1 0
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
(1/107/11
ri 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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 0' (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
6,1/9.051i
Project:
�"0
Type of Inspection:
v
Address: 0
rl 6/i�s'
Date Called:
Special Instructs ns:
Date Wanted:.
/0/0
4°77
Requester:
Phone No:
DApproved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
frfrJPt' ftjt4bttj4 45i -Tth4 of
tor 1.44011-5 n•\117 �1
Inspector:
Date:
/OAS./ 1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
09 -01 -2011
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
GARY PALMER
PO BOX 23534
EUGENE OR 97402
RE: Permit Application No. EL11 -0395
867 SOUTHCENTER MALL TUKW
Dear Permit Applicant:
In reviewing our current application files, it appears that your permit applied for on 05/04/2011, has not been
issued by the City of Tukwila Permit Center. Per the International Building Code, International Mechanical Code,
Uniform Plumbing Code and/or National Electrical Code every permit application not issued within 180 days
from the date of application shall expire and become null and void. Your permit application will expire on
10/31/2011.
If you still plan to pursue your project, a written request for extension of your application must be submitted 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 application. If it is determined that an
extension is granted, your application will be extended for an addtional 90 days from the expiration date and you
will be notified by mail.
In the event that we do not receive your written request for extension or request was denied, your permit
application will expire, become null and void and your project will require a new permit application, plans and
specifications, and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
'.-------1.,cd9
Bill Rambo
Permit Technician
File: Permit File No. EL1 1-0395
P,,f,_
00
14Y
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pter Friendly Page
•
Electrical Contractor
A business licensed by L &I 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
SEA TAC ELECTRIC INC
2538725553
7056 S 220Th St
Kent
WA
98032
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601510212
Active
SEATAEI077RW
Electrical Contractor
12/16/1993
12/17/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
SEATAEC131QCSEA 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
$4,000.00
12/17/2004
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
09/20/2011