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Home My WebLink AboutPermit EL11-0972 - WESTFIELD SOUTHCENTER MALL - MAXRIDERThis 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 1-0972 Maxrider 1240 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. MAXRIDER 1240 SOUThCENTER MALL EL1 1 -0972 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 ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 1240 SOUTHCENTER MALL TUKW Project Name: MAXRIDER Permit Number: EL11 -0972 Issue Date: 10/21/2011 Permit Expires On: 04/18/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: MIKE GEGLIA Address: 1210 ANDOVER PK E , TUKWILA WA Contractor: Name: NEW IMAGE CREATIVE SIGN INC Address: 19411 66 AV S , KENT WA Contractor License No: NEWIMIC969DC Phone: 425 - 753 -3824 Phone: 253 395 -5600 Expiration Date: 03/03/2012 DESCRIPTION OF WORK: MAKE CONNECTION WHEN INSTALLING SIGN TO EXISTING ELECTRIC CIRCUIT Value of Electrical: NRES: $400.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $71.40 National Electrical Code Edition: 2008 r 1/4 Date: ) Q - ` ( 1 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 esume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the rformance of r rk. I am authorized to sign and obtain this electrical permit. �� Zl Signature: / Date: // i Print Name: Awl= / 4 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 -0972 Printed: 10 -21 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0972 * *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 -0972 Printed: 10 -21 -2011 CITY OF TUKWII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.TukwilaWA.uov Electrical Permit No. l L.,1 0 `] Proj act No. ,(For,office,use orl ) 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 D-40 King Co Assessor's Tax No.: S'ouT}i�7Z�'/L /lit�9 LL Site Address:.. .., / 2 e Suite Number: Tenant Name: /l44 X/ bDE2 S'7aA E / A) es € Id Property Owners Name: New Tenant: Floor: EY Yes ..No Mailing Address: Zip City State CONTACT PERSON – Who do we ,contaet When your jperniit is ready do be issued Name: ja / i E .4-r Ntct.) !et4A (`r E C/2 -Era n vi' S /G.J Day Telephone: Mailing Address: /LID or'ever /_ City State E -Mail Address: /11 i ICQ S eo s I r r /Ke j,e Cre-e. f. Om-Tax Number: ZS 3 - 3 S r ELECTRICAL 'CONTRACTOR INFORMATION Company Name: /1/F vJ A Ge= CACA -7) v t5, 1,6 n) t (✓ C Mailing Address: / Z f O A.N 7) d\-) E2 /Art_ (c_ r= City Contact Person: AA / KA f c 4 /6/La6- 4S 7 Day Telephone: q ar – E-Mail Address: Mt Ice_SCS 1«.e_ Ao r � c► -uwf, Cm.t., Fax Number: 2_1-3 Contractor Registration Number: A/EGI.) /A&/ C✓ ? (p q b G T�vI tcit State TeF /So Zip 71-3 -3e24( Expiration Date: Valuation of Project (contractor's bid price): $ 7 D O Scope of Work (please provide detailed information): M Ge Ke_ (.e n n e C f(% S l O — ( r (e. c "Fri' t' c r ► r Will service be altered? Type of Use: Type of work: OfNew 0 Yes ;G o Adding more than 50 amps? 0 Yes [No N.z-w 516,J `Ex l s n-') 6 Eccc Addition 0 Service Change 11 Low Voltage M Generator Fire Alarm Property Served by: 0 Puget Sound Energy Seattle City Light t H:\Applicabons\Porms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 Ct 2 C c) ( 7 • Remodel Telecommunication Tenant Improvement Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $152.85 (including an attached garage) 0 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) O Service change with added/altered circuits $81.90 number of added circuits $11.55 ea O 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 O Meter /mast repair $68.25 O Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $63.00 O Temporary service (generator) $78.75 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O 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: Date: /d /2 / /i1 /14 , Ice Gel, /f � N � /A4A E- r/6 Day Telephone: Y 2r - 7T ? y Mailing Address: / 2 /U .4 f' /* ✓v Err_ -71.1/ I LA LAM City 1 Date Application Accepted: State CF Zip Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 • wqs City of Tukwila 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 RECEIPT • Parcel No.: 9202470010 Permit Number: EL11 -0972 Address: 1240 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 10/21/2011 Applicant: MAXRIDER Issue Date: Receipt No.: R11 -02323 Initials: WER User ID: 1655 Payment Amount: $71.40 Payment Date: 10/21/2011 02:19 PM Balance: $0.00 Payee: NIC STUDIOS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 10110 71.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 doc: Receiot -06 Printed: 10 -21 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 ia Permit Inspection Request Line (206) 431 -2451 Project: pi (OK Type of Inspection: �� t� Address: 1.y 41 Date Called: Special Instructions: Date Wanted: . (a.;. Requester: Phone No: Approved per applicable codes. ' D Corrections required prior to approval. COMMENTS: jvcrititst WAX Inspector: (Date: /2/010 r n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .._.._.. �.�r. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 p_ (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: pi Type of Inspection: lAi1ikIdt Address: /2- o fl� Date Called: - fNicii.405,1fil wadi &:5 uii Pr, tchirMov Special Instruc ions. Date Wanted:. m. Requester: - Cantu, / P 1445 Rf itz.E-c. OpekE Phone No: Approved per applicable codes. pg,Corrections required prior to approval. COMMENTS: .1)( 110 A D6 J i 1(c A41 lAi1ikIdt - Paul8S, 54911 In U t1ohIrep uJrr 4 - fNicii.405,1fil wadi &:5 uii Pr, tchirMov J�� - --nticeri,J 1.0c4CAi z 4 !S!/PPLR. m 8040 f 50.11 1 G- goix (rdd "' 6/4Ai ��o‘Jlitty S I r (0(044tc.r 6)«si-tr40 , - Cantu, / P 1445 Rf itz.E-c. OpekE /..-s4/ ca L eh 95 Twk04 54 h (-Mt.- 1lnspector: �,1 t (Date: ,2- Orb I 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. ERMI NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �1 Type of Inspection: - -) ,4,00 (R+.41 16 n4 5 ardp cooPnc -fr- Address: i Date Called: Special Instructions: Date Wanted: / 210 p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: FQJ.ie 5 -Tv S1L44 , WD P0v4)6\ s‘, PPL)1 ICJ S Act. n 01.1 or (R+.41 16 n4 5 ardp cooPnc -fr- * ILciJrJ otdii Inspector: Date: /Z UZ.- 1 REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. has.•ih.�.r. Contractors or Tradespeople Proer 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 NEW IMAGE CREATIVE SIGN INC 2533955600 19411 66Th Ave S Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602339833 Active NEWIMIC969DC Electrical Contractor 3/3/2004 3/3/2012 Sign Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NEWIMIC961B9 NEW IMAGE CREATIVE SIGN INC Construction Contractor Signs Unused 1/29/2004 3/12/2012 Suspended Electrical Administrator INFORMATION License RUST *G`066JB Name RUST, GREG Status Active Business Owner Information Name Role Effective Date Expiration Date RUST, GREG Agent 03/03/2004 5/27/2008 RUST, GREGORY A President 03/03/2004 $215.00 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 3/2/2004 Until Released Bond $4,000.00 3/3/2004 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 ESTRL00609 5/27/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $215.00 ESMWI00202 11/6/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOKAD01164 11/8/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOKAD01088 10/16/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Printaspx 10/21/2011