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Home My WebLink AboutPermit EL12-0252 - WESTFIELD SOUTHCENTER MALL - BASKIN ROBBINSThis 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 -0252 Baskin Robbins 993 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. BASKIN ROBBINS 993 SOUTHCENTER MALL EL1 2-0252 Parcel No.: Address: City d*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 9202470010 993 SOUTHCENTER MALL TUKW Project Name: BASKIN ROBBINS ELECTRICAL PERMIT Permit Number: EL12 -0252 Issue Date: 03/15/2012 Permit Expires On: 09/11/2012 Owner: Name: Address: Contact Person: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD CA FRANK GONZALES 16212 BOTHELL- EVERETT HY F239 , MILL CREEK WA Contractor: Name: B B & T SIGN SERVICES Address: 16212 BOTHELL- EVERETT HY, SUITE F239 , MILL CREEK WA Contractor License No: BBTSIS *990PQ Expiration Date: 03/09/2014 Phone: 425 330 -8160 Phone: 425 - 330 -8160 DESCRIPTION OF WORK: INSTALL LED SIGN DISPLAY AND ONE SMALL BLADE SIGN Value of Electrical: NRES: RES: $125.00 Fees Collected: $63.00 $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work w' 1 be complied National Electrical Code Edition: 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of thi- • _ 't does not pres construction or the • F rformance of work. Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. 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 EL12 -0252 Printed: 03 -15 -2012 b • PERMIT CONDITIONS Permit No. EL 12 -0252 * *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 art 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 -0252 Printed: 03 -15 -2012 CITY OF TUKIVIO Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tuk-wilaWA.gov flectiical.Permit o Project Date Application Accepted Date • - -1 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 Address: q q '6 aitAxerAel- Mofl Tenant Name: IPASVAn, aoblowNs PROPERTYOWNIEfr:_ Name: ecibl4r‘ 9.6 bio vn s Address: ci 9 5 50,Alceryier ma y City: -rov,t4) t t ct State: LA Zip: q _ ,.. CONTAtiPiiiisi*.z,ii:4i,-i-s4tpmi-:.:-",-,:::::::::„,:: commtinWation ..:4.-.4'; -- ::"' Name: rranv.... Gc0,240.e:s Address: 1/0212 wile 0_ 6-jereti " Fp...3ct City: mill cree34_ State: 10A Zip: cie)012 Phone: 5 .330 .eilbo Fax: j_i 25.337..015o Email: b b+s ons@rnso , corn King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: 0 Yes No ELECIBICAL CONTRACTOR INFORMATION Company Name: Address: /132)2 F5crolaii - E,oarem " p...z3 ci City: milk CrkeY. State: \vA Zip: i gbia Phone: H2 j). 330. oi, 60 Fax: 421• Contr Reg No.: 65-rsat90Exp Date: v-5/ /9 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): one ()LO 5.“51-1 dtsp1o,. cord one LE Small blade sir- Will service be altered? D Yes A No Type of Use: 64re, jib rb0i Adding more than 50 amps? 0 Yes [7t No Type of work: 0 New 0 Addition D Service Change "Iy‘, Low Voltage El Generator 0 Fire Alarm Property Served by: Puget Sound Energy El Seattle City Light H:\Applic\Form9-A4Iicatn2 On Linek2011 Appliadions \ Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Ei Remodel p Tenant Improvement 0 Telecommunication El 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 881.90 (no added/altered circuits) ❑ Service change with added/altered circuits 881.90 number of added circuits 811.55 ea ❑ Circuits added/altered without service change 854.60 (up to 5 circuits) ❑ Circuits added/altered without service change 854.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems 859.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees am 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 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 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 54da atSfi Y . At -t-L Date: 12 /201z Day Telephone: 1/2.5 . . S 1(D O Mailing Address: 1(.0212 44 e - h t e i e M mAxi r a 3 9 (Yl I I I Cr ee -e.Y-. \A1 / 5e012- City State Zip H:Mpphcations\Forms- Appficatione On Line \2011 Apptications\Eh:cclaical Permit Application Revised 8- 9- 11.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.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -0252 Address: 993 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 03/15/2012 Applicant: BASKIN ROBBINS Issue Date: Receipt No.: R12 -01066 Payment Amount: $63.00 Initials: JEM Payment Date: 03/15/2012 01:00 PM User ID: 1165 Balance: $0.00 Payee: BB &T SIGN SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8950 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: Receiot -06 Printed: 03 -15 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. Eu2 -o zszl CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: kStiqd 4g6lids k Type of Inspection: 2/00 Address: � .� Date Called: .,.,,, Special Instr ctions: Date Wanted:. 3 a.m. Requester: Phone No: ,Approved per applicable codes. a Corrections required prior to approval. OMMENTS: Inspector: / rJ Date: 03 %// 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 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: I A, 066 �14.IN 5 Type of Inspection: z. Address: � 1 � Date Called: .. Special Instrdctidns: 51tA ,Ai Date Wanted:. �j a.m: Requester: Y f Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: C-5 co C'>sii,C KA 3 Inspector: -1;larivAitelk Date: 3 ?fit� REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pripter 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 B B & T SIGN SERVICES 4253308160 16212 Bothell - Everett Hwy F239 Mill Creek WA 98012 Snohomish Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602107490 Active BBTSIS'990PQ Electrical Contractor 10/18/2001 3/9/2014 Sign Unused Electrical Administrator INFORMATION License GONZAF *044RG Name GONZALES, FRANK Status Active Business Owner Information Name Role Effective Date Expiration Date GONZALES, MARIE Owner 10/18/2001 Received Date GONZALES, FRANK Spouse 10/18/2001 Until Released 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 3 ACCREDITED SURETY & CAS CO 10031081 12/20/2004 Until Cancelled 12/16/2006 04/07/2006 $4,000.00 01/13/2005 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 6/7/2006 11/7/2008 Bond ELECTRICAL CITATION $4,000.00 6/7/2006 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 EOXFJ01173 6/28/2011 19.28.161 RCW ELECTRICAL CITATION Not satisfied $250.00 EOXFJO1172 6/28/2011 19.28.161 RCW ELECTRICAL CITATION Not satisfied $250.00 EOXFJ01170 6/28/2011 19.28.101 RCW ELECTRICAL CITATION Not satisfied $250.00 EOXFJ00463 6/28/2011 19.28.101 RCW ELECTRICAL CITATION Not satisfied $250.00 EOXFJ01171 6/28/2011 19.28.101 RCW ELECTRICAL CITATION Not satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 03/15/2012