HomeMy WebLinkAboutPermit EL11-1038 - WESTFIELD SOUTHCENTER MALL - LUSH COSMETICSThis 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 -1038
Lush Cosmetics
507 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
9
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.
LUSH FRESH
HANDMADE COSMETICS
507 SOUTHCENTER MALL
EL1 1 -1038
City c*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
Parcel No.: 9202470010
Address: 507 SOUTHCENTER MALL TUKW
Project Name: LUSH COSMETICS
ELECTRICAL PERMIT
Permit Number: EL11 -1038
Issue Date: 11/16/2011
Permit Expires On: 05/14/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: TIM NELSON
Address: 5113 PACIFIC HY E, STE 12 , 1-11-1: 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:
INSTALL CUSTOMER SUPPLIED SIGN AND CONNECT TO EXISTING 120V 20A SIGN CIRCUIT.
Value of Electrical: NRES: $350.00
RES: $0.00
Fees Collected: $67.20
Type of Fire Protection: SPRINKELRS /AFA National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
�Q Date: i ( L(i I
Permit Center Authorized Signature:
I hereby certify that I have read and e ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether specified herein or not.
The granting of this permit does not pres •.- e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo ce of work. I am authorize to sign and obtain this electrical permit.
Signature:
Print Name:
gy4-4>
t.i/‘ ineizir-iel.e1147//
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 -1038 Printed: 11 -16 -2011
PERMIT CONDITIONS
Permit No. EL 11 -1038
* *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 -1038 Printed: 11 -16 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
No.
Date Application Accepted:
Date Application Expires:
(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
King Co Assessor's Tax No.:
Site Address: 507 Southcenter Mall Tukwila, WA 98188 Suite Number: 670 Floor:
Lush Cosmetics
Tenant Name:
PROPERTY OWNER
Name: Tim Nelson
Address: 5113 Pacific Hwy E. Suite 12
Name:
Phone: (253) 922 -2146 Fax: (253) 922 -2152
Email: tim@signtechelectric.com
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Tim Nelson
Address: 5113 Pacific Hwy E. Suite 12
City: Fife State: WA Zip: 98424
Phone: (253) 922 -2146 Fax: (253) 922 -2152
Email: tim@signtechelectric.com
New Tenant: m Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Sign -Tech Electric
Address: 5113 Pacific Hwy E # 12
City: Fife State: WA Zip: 98424
Phone: (253) 922 -2146 Fax: (253) 922 -2152
Contr Reg No.: SIGNTEL988BG Exp Date: 01/07/2012
Tukwila Business License No.: BUS- 0992337
Valuation of Project (contractor's bid price): $ 350
Scope of Work (please provide detailed information):
Install customer supplied sign and connect to the existing 120 -volt 20 -amp sign circuit.
Will service be altered? ❑ Yes No
Type of Use: Sign Power
Adding more than 50 amps? ❑ Yes 0 No
Type of work:
m New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Pronert v Served bv:
Puget Sound Energy ❑ Seattle City Light
H: \Appl%ations \Forms-Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -11. docx
Revised: August 2011
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❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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
❑ 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 PERMff.
BUILDING OWNER OR EL
Signature:
Print Nam
CTRICAL CONTRACT
Mailing Address: b 113 1 C -1. L f'il�lJ` j
H: \Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Date:\\,\' l `I
Day Telephone: pt ice`, `q ► o(Q
(k) off-`f
City State Zip
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.gov
RECEIPT
Parcel No.: 9202470010 Permit Number: EL11 -1038
Address: 507 SOUTHCENTER MALL TUICW Status: PENDING
Suite No: Applied Date: 11/16/2011
Applicant: LUSH COSMETICS Issue Date:
Receipt No.: R11 -02502
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $67.20
Payment Date: 11/16/2011 12:57 PM
Balance: $0.00
JOHN MENDENHALL, SIGN TECH ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 096531
ACCOUNT ITEM LIST:
Description
67.20
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receipt -06 Printed: 11 -16 -2011
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION I"
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Project: L /r/ 4 6 f 5
Address: cod
tituti
Type of Inspection:
w
Date Called:
Special Instruct' 'ns:
5(cid
Date Wanted: .
Requester:
Phone No:
lApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
12X
Inspector:
Date: 11
REINSPECTION FEE REQUIRED. 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 Lai 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
$4,000.001/18/2002
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
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
11/16/2011