HomeMy WebLinkAboutPermit EL11-0814 - WESTFIELD SOUTHCENTER MALL - DUAL SPORTS/SKI BONKERSThis 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 1-0814
Dual Sports Ski Bonkers
2800 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.
DUAL SPORTS
SKI BONKERS
2800 SOUThCENTER MALL
EL1 1 -0814
City off ukwila
•
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
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 2800 SOUTHCENTER MALL TUKW
Project Name: DUAL SPORTS /SKI BONKERS
Permit Number: EL11 -0814
Issue Date: 08/30/2011
Permit Expires On: 02/26/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: LAURIE BAKER
Address: 23008 56 AV W , MOUNTLAKE TERRACE WA
Phone: 425 - 672 -6797
Contractor:
Name: ELECTRI -CITY INC Phone: 425 -672 -6797
Address: 16212 BOTHELL HWY STE F PMB 135 , MILL CREEK WA
Contractor License No: ELECTI *110BA Expiration Date: 01/01/2013
DESCRIPTION OF WORK:
INSTALL TWO TEMPORARY POWER GENERATORS TO BE PROVIDED & SET UP BY SUN BELT
RENTAL
Value of Electrical: NRES: $0.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$78.75
2008
Date: 9-10- I (
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
construction or the p ormance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
g:/;-,...,e5 j
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 -4/10
EL11 -0814 Printed: 08 -30 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0814
* *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.
1
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 -0814 Printed: 08 -30 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httpl/www.TukwilaWA.gov
E'
rical Permit No. .:11 '-
Project No.
or o;
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
0
ATION
'1$00
Site Address: Southcenter Mall
Tenant Name: Dual Sports /Ski Bonkers
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor:
❑ Yes m ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON -- W
do we contl
371
ur pe
ready to t
Name:
Day Telephone:
Mailing Address:
City
E -Mail Address:
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORATION
Company Name:
Mailing Address:
Electri -City, Inc.
23008 56th Ave West
Mountlake Terrace WA 98043
Contact Person: Laurie Baker
E -Mail Address: laurie @electri - cityinc.com
Contractor Registration Number: ELECTI*110BA
City State
Day Telephone: (425) 672 -6797
Fax Number: (425) 672 -6799
Expiration Date: 01/01/2013
Zip
Valuation of Project (contractor's bid price): $ 300
Scope of Work (please provide detailed information):
Install two temporary power generators to be provided & set up by Sun Belt Rental
Will service be altered? ❑ Yes m No
Type of Use: Temporary generators for tent sale in parking lot
Type of work:
❑ New ❑ Addition
❑ Low Voltage m Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes ❑ No
❑ Service Change
❑ Fire Alarm
1-1: Applications\Eorms- Applications On Line`20I0 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel ❑ 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 $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
m Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
FERMIT 4
CATION 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: 1.24141e & er
Mailing Address: 23008 56th Ave West
Date: 08/29/2011
Day Telephone: (425) 672 -6797
Mountlake Terrace
City
State
Zip
Date Application Accepted:
Date Application Expires: Staff Initials:
n:\ Applications'\Fomu- Applications On Line \2010 Applications \7-2010 - Electrical Permit Application.doc
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Page 2 of 2
0
C 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 -0814
Address: 2800 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 08/30/2011
Applicant: DUAL SPORTS /SKI HONKERS Issue Date:
Receipt No.: R11 -01898 Payment Amount: $78.75
Initials: WER Payment Date: 08/30/2011 03:12 PM
User ID: 1655 Balance: $0.00
Payee: ELECTRI -CITY INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 036093 78.75
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 78.75
Total: $78.75
doc: Receiot -06 Printed: 08 -30 -2011
3
INSPECTION RECORD e!�
Retain a copy with permit tAf
j
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: (54 1 64
1.4.5
Type of Inspection:
/00
Address:
noes i
Date Called:
.".
Special Instructions:
Date Wanted:.
Q d�
7
a.m:
Requester:
Phone No:
'Approved per applicable codes.
['Corrections required prior to approval.
OMMENTS:
1Z4C11311S
'Inspector:
(Date: o9 l0„ /'/
REINSPECTIOtI FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
N •
INSPECTION RECORD
Retain a copy with permit
INSPECTION•NO. ' PERMIT NO. •
•• Cr ll OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 I" (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
heitopi
Project: • .•
dd
Type of Inspection:
Addre §s: ' - '
.. O.
•
11A14/
Date Called:
..... --
Special, Instructions:
.
.
Date Wanted:.
v9
v
ra.
�p�'m'.
Requester:
Phone No:
•
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
1 Cow CxtQ'J5 e
Inspector:
'Date:
1a
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
}
•
•
•
•
r :-
. - INSPEG ION N0.
dt- OF'•TUKWILA BUILDING DIVISION
6300 Sout(icenter Blvd., #100, Tukwila. WA 98188 lc (206) 431 -3670
Permit Inspection. Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
PERMIT
Project: Dims. Siou.5
Type of Inspection:
Address:
og
j
Date Called:
Special Instructions:
Date Wanted:.
D
a.m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
P0 tAit- T
towe
r /
pector: Date:
07/01 /1!
REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by L tl 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
ELECTRI -CITY INC
4256726797
16212 Bothell Hwy Ste F Pmb135
Mill Creek
WA
98012
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601133632
Active
ELECTI•110BA
Electrical Contractor
1/1/1989
1/1/2013
General
Unused
Master Electrician INFORMATION
License MACDOM`953DA
Name MACDONALD, MALCOLM A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
RICHARDSON, DIANA L
Violation Amount
01/01/1980
10/22/2008
RICHARDSON, DAVID J
ELECTRICAL CITATION
01/01/1980
$500.00
RICHARDSON, DIANA L
Agent
01/01/1980
ELECTRICAL CITATION
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
12/13/1990
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
EDUNV00256
10/22/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EDUNV00252
10/22/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMILD00204
1/26/2006
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHAE00568
3/11/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01758
5/5/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01760
5/5/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESTRL00225
3/14/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJORP02283
7/2/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/30/2011