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HomeMy WebLinkAboutPermit EL12-0286 - LADY FOOTLOCKERThis 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 -0286 Lady Footlocker 304 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 11 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. LADY FOOTLOCKER 304 SOUTHCENTER MALI. CANCELLED 04-10 -12 EL1 2-0286 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 Parcel No.: 9202470010 Address: 304 SOUTHCENTER MALL TUKW Project Name: LADY FOOTLOCKER ELECTRICAL PERMIT Permit Number: EL12 -0286 Issue Date: 03/27/2012 Permit Expires On: 09/23/2012 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA Contact Person: Name: ROBERT CARSON Address: PO BOX 2015 , NORTH BEND WA Contractor: Name: SECURE PROJECTS INC Address: PO BOX 2015 , NORTH BEND WA Contractor License No: SECURPI944BD Phone: 425 - 888 -3825 Phone: 425 888 -3823 Expiration Date: 01/03/2014 DESCRIPTION OF WORK: INSTALL A CCTV - 6 CAMERAS, 2 MONITORS, 1 DVD Value of Electrical: NRES: $660.00 RES: $0.00 Type of Fire Protection: UNKOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $84.00 National Electrical Code Edition: 2008 Date: 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 performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: R 6 G TL-5O cc) Date: 3 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 -0286 Printed: 03 -27 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0286 * *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 -0286 Printed: 03 -27 -2012 ,603/ me63 (7e/2bto 49 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. Date Application Accepted: Date Application Expires: or o lice use onl 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 J King Co �Ass � sor's Tax No.: Site Address: 464/ v� 604/20P/�'�Li- ;licit()/ &&ite Number: Floor: Tenant Name: r/ et it 4)•14 /DC//er. PROPERTY OWNER /pt Name: f�/.�/. _14, �%6)4 firm,, f2[[ V/d ../j Name: Phonn//le :y -3 �U.. 5G--j..9: Emaill: �� c Soi) .0v&--Y' _ x • iji9'1y Address: City: State: Zip: CONTACT PERS /� erson receiving all project communication n4Q / -nV0P� /pt Name: f�/.�/. _14, �%6)4 Addresrs\(6Kj6 (dc- 4(4(3,Q lb %i /6___- S G City:/j�t /L w J State: A_ Zip: 77d45 Phonn//le :y -3 �U.. 5G--j..9: Emaill: �� c Soi) .0v&--Y' _ x • iji9'1y New Tenant: ❑ Yes 0 ELECTRICAL CONTRACTOR INFORMATION Company Name: �hPr' -' .-e e,nri 5 Address: /�ij, r y`/ S g 66- t //l/ City: /41? ge920/ State: �/ 4 Zip: eige g Phone: 9g6 /2g* i . %).g V.Yf/5 gg'J • /Zgc Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ (0( 6 Scope of Work (please provide detailed information): 61101 j,# be //7 7 L /// /7� ' eery Cameras, 0? rna�/jer5, / V/' / �/ Will service be altered? ❑ Yes [) No Adding more than 50 amps? ID Yes Type of Use: /��// Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improver ent rAl Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service a-/- a&; No Property Served by: Puget Sound Energy ❑ Seattle City Light H: ApplicationsWorn - Applications On Line \2011 Applications\Electrical Permit Application Revised 0- 9- 11.docx Revised: August 2011 bh 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. 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: 6. Print Name: ©��'-� Q t r, n Day Telephone: Po 6 y moo" A/0,--/-ti / ,7S �JA 9a y5 City state Mailing Address: Date: ✓ei?3 / /qt2 ..0 to Alp H:NpplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Zip 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 -0286 Address: 304 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 03/27/2012 Applicant: LADY FOOTLOCKER Issue Date: Receipt No.: R12 -01143 Payment Amount: $84.00 Initials: WER Payment Date: 03/27/2012 08:51 AM User ID: 1655 Balance: $0.00 Payee: ROBERT CARSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 004806 ACCOUNT ITEM LIST: Description 84.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 03 -27 -2012 MEMORANDUM TO: Laurie Anderson FROM: Jennifer Marshall (Acting Permit Coordinator) DATE: 04/18/2012 SUBJECT: Lady Footlocker EL12 -0286 Please draw a check in the amount of $67.20 (sixty -seven dollars and twenty cents) to be payable to Robert Carson with Secure Projects Incorporated with a mailing address of PO Box 2015 in North Bend, Washington 98045. The applicant has requested the cancellation of this permit as well as a refund. The Building Official has approved an 80% refund of the permit fee (account number 000.322.101.00.00). Please forward the check to me and I will forward it on to the applicant. Thank you! May 8, 2012 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director LaDene Carson Secure Projects Incorporated PO Box 2015 North Bend, WA 98045 RE: Refund of Fees Permit EL12 -0286 Lady Footlocker — 304 Southcenter Mall Dear Ms. Carson, A request for permit cancellation and refund for EL 12 -0286 was received by the Tukwila Permit Center. The Building Official has determined that this permit can be cancelled and eighty percent of the permit fee refunded. Enclosed is a check for a refund in the amount of $67.20 (sixty -seven dollars and twenty cents). File: Permit No. EL12 -0286 Encl: Check No. 360379 W: \Permit Center 'Refunds \ReBmds \2012 \EL12 -0286 Permit Refund.docx jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 • Secure Projects Inc PO Box 2015 North Bend, WA 98045 City of Tukwila 6300 Southcenter Blvd, STE 100 Tukwila, WA 98188 4/9/12 ATTN: Bill Rambo- Back on 3/27/2012 we obtained a low voltage electrical permit (EL1200286). The job was cancelled before we began it. I am requesting a refund, which I understand has to be requested in writing which I am doing. This was for Lady Foot Locker at 304 Southcenter Mall, Tukwila WA If you have any questions please call me. Sincerely, (Dam/ &ic.6z7-7i LaDene Carson 425 - 888 -3823 a, Rid-o )01444 ege* 6*f7'lee- s�C /! 3lLU /Z wiLA APR 10 2012 PERMIT CENTER Contractors or Tradespeople Pier 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 SECURE PROJECTS INC 4258883823 Po Box 2015 North Bend WA 98045 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602368306 Active SECURPI944BD Electrical Contractor 1/3/2006 1/3/2014 Limited Energy Unused Electrical Administrator INFORMATION License CARSORG953RT Name CARSON, ROBERT GEORGE Status Active Business Owner Information Name Role Effective Date Expiration Date CARSON, ROBERT Agent 01/03/2006 12/15/2011 CARSON, ROBERT G President 01/03/2006 $250.00 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 WESTERN SURETY CO 14635486 10/12/2004 Until Cancelled 10/12/2011 $4,000.00 01/03/2005 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 10/24/2011 Until Released Bond $4,000.00 10/24/2011 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 EBUJD00259 12/15/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 ESMWI00269 8/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 03/27/2012