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Home My WebLink AboutPermit EL11-0797 - WESTFIELD SOUTHCENTER MALL - ICICNGThis 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 -0797 Icing 1003 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. ICING 1003 SOUTHCENTER MALL EL1 1 -0797 City of4tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 -431 -3665 Web site: http: / /www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 1003 SOUTHCENTER MALL TUKW Project Name: ICICNG Permit Number: EL11 -0797 Issue Date: 08/24/2011 Permit Expires On: 02/20/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: TIM NELSON Address: 5113 PACIFIC HWY E , FIFE WA Contractor: Name: SIGN -TECH ELECTRIC LLC Address: 5113 PACIFIC HWY E, SUITE 12 , Contractor License No: SIGNTEL988BG Phone: 253 - 922 -2146 Phone: 253 - 922 -2146 Expiration Date: 01/07/2012 DESCRIPTION OF WORK: HOOK UP SIGN EXISTING POWER Value of Electrical: NRES: $150.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and exa ed t Fees Collected: $63.00 National Electrical Code Edition: 2008 & a� Dat ermit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whet -r 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 py ornce of wor �rthorized to sign and obtain this electrical permit. Signature: f Print Name: 1 C C.a/`QI L& 3 t This permit shall become null and void if the work is not ommenced 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 insp ction. Date: / doc: EL -4/10 EL1 1-0797 Printed: 08 -24 -2011 CITY OF TUKWO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.TukwilaWA.qov • EL 1 v � Electrical Permit No. 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 Addres��v Tenant Name: ( C-1 113 Property Owners Name: Mailing Address: King Co Assessor's Tax No.: S%0 `T V` W\ & t < Suite Number: -8—/'6 40 Floor: New Tenant: Yes ❑..No City 1, r� State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Trni /1/e Day Telephone: 2 3 - Z 2 - 2 % "/ 49 Mailing Address: City E -Mail Address: State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: 1 �ti Tech rl;e�d -,� 5 ix 3 ?PL 4 IAN.) L Tim Netsovt.. Contractor Registration Number: SkCI P.TtL1 M 661 City State Zip Day Telephone: Z C-3 92.,2 2_ l it tr Fax Number: Expiration Date: I /1 /ze 12 Valuation of Project (contractor's bid price): $ AS6 Scope of Work (please provide detailed information): O// 1/p S '7z) ex i-S 7174" l/l%eil' Will service be altered? ❑ Yes ' No Adding more than 50 amps? ❑ Yes of No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: • Puget Sound Energy ❑ Seattle City Light I1:\ApplicationsWotms- Applications On Line \2010 Applications \7 -2010 - Electrical Penult Application.doc • WI Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ca ❑ 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 tar 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) ❑ Camivals $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: -edee,./ Print Name: 1 4tO.Ard CA5 1 Mailing Address: o Day Telephone: Date: .3 23 253 221ti( e City State zip IDate Application Accepted: Date Application Expires: 2,. /7.- //� Staff Initials: H:\AppacationaTorno- Applications On line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 PERMIT CONDITIONS Permit No. EL 11 -0797 * *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 EL11 -0797 Printed: 08 -24 -2011 • • 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.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL11 -0797 Address: 1003 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 08/24/2011 Applicant: ICICNG Issue Date: Receipt No.: R11 -01854 Initials: User ID: Payee: TLS 1670 Payment Amount: $63.00 Payment Date: 08/24/2011 01:02 PM Balance: $0.00 SIGN TECH ELECTRIC LLC JOHN MENDENHALL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6181 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: 08 -24 -2011 ., • INSPECTION RECORD Retain a copy with permit INSPECTION NO. ' PERMIT NO. C1TY.OFTUKWILA BUILDING DIVISION . 6300. Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 • • • • Project: itinif.Type of inspection: � js_„ Mf✓ Address. • /O f Date Called: '""` Special Instruction : Date Wanted:. / O r i Requester: q Phone No: . Approved per applicable codes. Corrections required prior to approval. OMMENTS: • 5 tiAl>f Inspector: �lii f� � js_„ Date: /oh1 7,, 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 p5i /-oTh 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: icA4 Type of Inspection: ov N+ Address: 00371ti Date Called: Special Instructions:' .15/445 Date Wanted:. /0 v ‘1.' Requester: Phone No: aApproved per applicable codes. COMMENTS: • . Corrections required prior to approval. (QJd 't* P 61Zc k P- D /A/ J 60, I4 tkiwk* ti e t t- 4 Date: /0A7// n REINSPECTION FEE REQUIRED I Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri r Friendly Page • Electrical Contractor A business licensed by L81 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 SIGN -TECH ELECTRIC LLC UBI No. 602152490 Phone 2539222146 Status Active Address 5113 Pacific Hwy E #12 License No. SIGNTEL988BG Suite /Apt. License Type Electrical Contractor City Fife Effective Date 1/7/2002 State WA Expiration Date 1/7/2012 Zip 98424 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SIGNTE'055MMSIGN TECH ELECTRIC Electrical Contractor General Unused 7/14/1995 7/14/2003 Archived SIGNTE *055DA SIGN TECH ELECTRIC Electrical Contractor Sign Unused 3/1/1995 3/1/1997 Archived Electrical Administrator INFORMATION License MORRIT'943K6 Name MORRISON, TRAVIS Status Active Business Owner Information Name Role Effective Date Expiration Date MENDENHALL, JOHN C Partner /Member 01/07/2002 Received Date MENDENHALL, LINDA D Partner /Member 01/07/2002 Until Released 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 2 1/14/2002 8/4/2010 Bond $4,000.00 1/18/2002 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 EROHB00202 7/18/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied S250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 08/24/2011