HomeMy WebLinkAboutPermit EL12-0156 - VANSThis 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.
EL12 -0156
Vans
811 Southcenter Mall
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
F,age # Code
Exemption � � �� Brief Explsnatoty Description, Statute /Rule
The Privacy Act of 1974 evinces Congress' intent that
Personal Information —
social security numbers are a private concern. As
such, individuals' social security numbers are
Social Security Numbers
redacted to protect those individuals' privacy pursuant
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
to 5 U.S.C. sec. 552(a), and are also exempt from
552(a); RCW
552(a); RCW
disclosure under section 42.56.070(1) of the
42.56.070(1)
42.56.070(1)
Washington 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
Personal Information —
numbers, electronic check numbers, credit expiration
10
DR2
Financial Information —
dates, or bank or other financial account numbers,
RCW
RCW 42.56.230(4 5)
which are exempt from disclosure pursuant to RCW
42.56.230(5)
42.56.230(5), except when disclosure is expressly
required by or governed by other law.
VANS
811 S 0 UTH CENTER MALL
EL12 -0156
City AI'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
Parcel No.: 9202470010
Address: 811 SOUTHCENTER MALL TUKW
Project Name: VANS
ELECTRICAL PERMIT
Permit Number: EL12 -0156
Issue Date: 02/17/2012
Permit Expires On: 08/15/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: ALISON DEIBEL
Address: 861 INDUSTRY DR , TUKWILA WA
Contractor:
Name: FROULA ALARM SYSTEMS INC
Address: 861 INDUSTRY DR , TUKWILA WA
Contractor License No: FROULAS122DS
Phone: 206 575 -1962
Phone: 206 -575 -1962
Expiration Date: 03/10/2012
DESCRIPTION OF WORK:
INSTALL SECURITY SYSTEM
Value of Electrical:
NRES: $1,425.00
RES: $0.00
Type of Fire Protection: SPRINIU,ERS /AFA
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date:
Z
I hereby certify that I have read and e ami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, hether specified herein or not.
The granting of this permit does not pr
u to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or puce of work. am authorized to sign and obtain this electrical permit.
Signature:
Date: Z 17" ZOIZ.
Print Name: JTt1 s4-‘\
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
EL12 -0156 Printed: 02 -17 -2012
PERMIT CONDITIONS
Permit No. EL12 -0156
* *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
EL12 -0156 Printed: 02 -17 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No. ��..yy�� f
Date Application Accepted: VL1 L1 11 Z
Date Application Expires:
(For office use only)
EUt —arS�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 LOCATION
N p �/� King Co Assessor's Tax No.:
}
Site Address: C) /� ROL, 1L le i V ► t 6utI Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
°l?- o1-'-l"1 -nu 0
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: F o �LA._
'� r
Name: A_ ' Ls., h 0 e (_ ✓'-e. I j
��
Address:
Contr Reg No. f„ v, • f 12,LocExp Date:.1 10 14
City: State: Zip:
Phone: Fax:
Email: �t l co v\ rp LA C,NCk.1 CLY- KV'
ELECTRICAL CONTRACTOR INFORMATION
Company Name: F o �LA._
Address: I l vt_(Lt. -( D r.
City: State Zip: <
Phon2 Sr -S -t ?( F`� 5-1-c - (P 7S
Contr Reg No. f„ v, • f 12,LocExp Date:.1 10 14
Tukwila Business License No.: Lkc D (O - 1 -
f'QD u■L-$ MZDS
3/
(2I '3 (112
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered?
❑ Yes Ne No
Adding more than 50 amps? ❑ Yes /1=J No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
,KLow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H•\Ap licalions \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 1 -9 -1 I.docx
Revised: August 2011
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
❑ 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.
1 HEREBY CERTIFY THAT 1 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 OWNE OR ELECTRICAL CONTRACTOR:
Signature:
Date:
a `I
Print Name: L Sa In - 2 l L.e \ Day Telephone: e)..)C)( c-±c"-
Mailing Address:
City Scale Zip
H: \Applications \Forms - Applications On Line120I I Applications \Electrical Permit Application Revised 0 -9 -1 I .docx
Revised: August 2011
bh
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.aov
RECEIPT
Parcel No.: 9202470010 Permit Number: EL12 -0156
Address: 811 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 02/17/2012
Applicant: VANS Issue Date:
Receipt No.: R12 -00696
Payment Amount: $115.50
Initials: JEM Payment Date: 02/17/2012 10:28 AM
User ID: 1165 Balance: $0.00
Payee: JUSTIN L SMITH, FROULA ALARM SYSTMS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 024342
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt -06 Printed: 02 -17 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY. OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 'R (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
alz-6197
Project:
Type of Inspection:
oo
Address:
Date Called:
Special Instructions:
t
Date Wanted:.
�r
J i 7
ern..
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
J 11ciii t5, do imlidtridis
CA43 0,4L1
6/1- LI AJA4.
Inspector:
Date: 0
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
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: VIA/4 S
Type of Inspection: 712)5
Address: �'
114A/
Date Called:
Special Instructions:
Date Wanted:.
a,ri.
Requester:
Phone No:
ElApproved per applicable codes. 11- Corrections required prior to approval.
44 OA
L ,1 !
COMMENTS:
Inspector:
Date:
62
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P nter 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
FROULA ALARM SYSTEMS INC
2065751962
861 Industry Dr
Tukwila
WA
981883411
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600232084
Active
FROULAS122DS
Electrical Contractor
3/10/1988
3/10/2014
Limited Energy
Hvac /Rfrg Ltd Energy
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FROULAS278B2
FROULA ALARM
SYSTEMS INC
Electrical
Contractor
General
Unused
1/22/1973
8/31/1988
Archived
Electrical Administrator INFORMATION
License EARLEM *000JA
Name EARLE, MARJORY
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
EARLE, MARJORY D
Agent
01/01/1980
10/2/2009
EARLE, MARJORY D
President
01/01/1980
5250.00
EARLE, CHRISTOPHER K
Vice President
01/01/1980
ELECTRICAL CITATION
EARLE, ANTHONY M
5250.00
01/01/1980
05/17/2010
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
CBIC
SI5497
03/04/2010
Until Cancelled
$4,000.00
03/04/2010
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
3/10/1988
Until
Released
Bond
$4,000.00
3/14/1988
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
EMABQ03176
10/2/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
5250.00
EMABQ03177
10/2/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
5250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx
02/17/2012