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Home My WebLink AboutPermit EL11-0411 - WESTFIELD SOUTHCENTER MALL - GAME ONThis 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 1-0411 Game On 2887 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 12 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. GAME ON 2887 SOUTHCENTER MALL EL1 1 -0411 Parcel No.: 9202470010 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.c i. to kwil a. wa. us ELECTRICAL PERMIT Address: 2887 SOUTHCENTER MALL TUKW Tenant Name: GAME ON Permit Number: EL11 -0411 Issue Date: 05/10/2011 Permit Expires On: 11/06/2011 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: JOE MEAD Phone: 253 538 -0752 Address: 5209 122 ST E , TACOMA WA 98446 Contractor: Name: CULBERTSON SIGN SERVICE LLC Address: 5209 122ND ST E , TACOMA 98446 Contractor License No: CULBESS984MU Phone: 800 925 -6011 Expiration Date: 08/30/2012 DESCRIPTION OF WORK: HOOKUP WALL SIGN Value of Electrical Work: NRES: $200.00 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 Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not p construction or the performance of work of this permit. Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating • am authorize sign and obtain this electrical permit and agree to the conditions on the back Date: 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 -0411 Printed: 05 -10 -2011 • e PERMIT CONDITIONS Permit No. EL 11 -0411 * *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 -0411 Printed: 05 -10 -2011 CITY OF TUKWfA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us • Electrical Permit No. tLI 014 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 •gyp ti Site Address: 65 3 5 g7k 114r [/ Tenant Name: �4yyte 0/,l Property Owners Name: �qi r - ,%vr Mailing Address: King Co Assessor's Tax No.:��/� � `O Suite Number: Floor: New Tenant: Er Yes ❑ .. No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: de L e Day Telephone: 2�J 3 Gf D Mailing Address: 52.0 /,� rS ` E, 2.7/4o, * . 1441a / , lCi,ty ,� State Zip E -Mail Address: l° a/0,. s.'yy s6 tL) ttGtixGCf �` /1leFa�lx Number:Z53 -5 9- 0 77 8/ ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: C/,.// s k �e *Vd- `3,Z, 3 - /2-2 fit• Z-• 7�-- —1.2 &CIL_ 1 W4/4/tte �' / City State Zip Person: Jc.v X1-1. 01 Day Telephone: z,o q5 glebt� E -Mail Address: Fax Number: Contractor Registration Number: c ,L-L36 S �`/gY/V1 LI Expiration Date: 51/3 /S/d /2- Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): l762:4 — IT> Wes` Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change "Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro s e Served b : Puget Sound Energy ❑ Seattle City Light H:'Apphcanons\Forms- Applications On Line \2010 Applicanons \7 -2010 - Electrical Permit Appltcation.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 4 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: kiv Date Application Accepted: I Ito Date: She/Zell Day Telephone:Z53 -533 g'-- c 75Z qty City State Zip Date Application Expires: Staff Initials: II\Apphcations\Forms- Applications On Line\2010 Applications \7 -20 t 0 - Electrical Permit Applicationdoc bh Page 2 of 2 • • ► wq� 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: htux//www.ci.tukwila.wa.us RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -0411 Address: 2887 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 05/10/2011 Applicant: GAME ON Issue Date: Receipt No.: R11 -00940 Initials: User ID: JEM 1165 Payment Amount: $63.00 Payment Date: 05/10/2011 12:15 PM Balance: $0.00 Payee: CULBERTSON SIGN SERVICE, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 12170 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receipt-06 Printed: 05 -10 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: 4mi,�� Type of Inspection: z- Address: + �' + WJ Date Called: Special Instructions: Date Wanted:. ! 1 O2._ :m Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: 0A15 el AD( Inspector: 'Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 4qoyi 1 RMIT . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v.(206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: /( 004 Type of Inspection: a) Address: 2:glq Date Called: Special Instructions: r4145 Y Date Wanted:. / 0 t' p m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: — 4/(445 ONVAX-104S fsbr titei)e VI& wiseturog, dd Slit Inspector: Date: I /Oni ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 f—t+ INSPECTION RECORD Retain a copy with permit Project: /44( i! 194 Type of Inspection: lQl� Address: 2 / _ - Date Called: Special Instructions: SIGAJ Date Wanted: . in Requester: Phone No: 0 Approved per applicable codes. OCorrections required prior to approval. COMMENTS: - KOJ10-1617 420114D frs) c&A-IX Stiini lb /AAA) ai Jl6l\1 IMF (ItszAht)( Acre, `Taw •SIC "AvIP Li= c i$sP& -c D4 r,44 16r Date: / ri REINSPECT! N FEE REQUI ED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: • City of Tukwila 1 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JOE MEAD 5209 122 ST E TACOMA WA 98446 RE: Permit No. EL11 -0411 GAME ON 2887 SOUTHCENTER MALL 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 11/12/2011. 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 11/12/2011, 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, Bill Rambo Permit Technician File: Permit File No. ELI 1 -0411 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Piller Friendly Page • Electrical Contractor A business licensed by LEI 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 CULBERTSON SIGN SERVICE LLC 2535380752 5209 122Nd St E Tacoma WA 98446 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602043276 Active CULBESS984MU Electrical Contractor 8/30/2002 8/30/2012 Sign Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CULBESSO42N2 CULBERTSON SIGN SERVICE Electrical Contractor Sign Unused 8/22/1996 8/22/2002 Archived Master Electrician INFORMATION License CULBEP'979QL Name CULBERTSON, PAUL Status Active Business Owner Information Name Role Effective Date Expiration Date CULBERTSON, PAUL Partner /Member 07/31/2002 12/12/2005 CULBERTSON, PAUL JR Partner /Member 07/31/2002 $500.00 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 8/30/2002 Until Released Bond $4,000.00 8/30/2002 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 EBOES00226 12/12/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 ECAM000267 2/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 E52996 5/31/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00292 2/19/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print. aspx 05/10/2011