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HomeMy WebLinkAboutPermit EL12-0827 - WESTFIELD SOUTHCENTER MALL - TCBYThis 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 -0827 Westfield Southcenter Mall - TCBY 1119 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. TCBY 1119 SOUTHCENTER MALL EM'IRED 02 -27 -13 EL1 2-0827 City oi'R'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 ELECTRICAL PERMIT Parcel No.: 9202470010 Address: 1119 SOUTHCENTER MALL TUKW Project Name: TCBY Permit Number: EL12 -0827 Issue Date: 08/31/2012 Permit Expires On: 02/27/2013 Owner: Name: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: JOHN MENDENHALL Phone: 253 922 -2146 Address: 5113 PACIFIC HY E , FIFE WA, 98424 Contractor: Name: SIGN -TECH ELECTRIC LLC Address: 5113 PACIFIC HWY E, SUITE 12 , 98424 Contractor License No: SIGNTEL988BG Phone: 253 - 922 -2146 Expiration Date: 01/17/2014 DESCRIPTION OF WORK: INSTALL CUSTOMER PROVIDED WALL SIGN - HOOK UP TO EXISTING 120V CIRCUIT Value of Electrical: NRES: $1,200.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $115.50 2008 I hereby certify that I have read and examin d 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 ' : to give authori to violate or cancel the provisions of any other state or local laws regulating construction or the performance) of work. I am authoriz d to ign an obtain this electrical permit. Signature: Print Name: 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 -0827 Printed: 08 -31 -2012 110 PERMIT CONDITIONS Permit No. EL12 -0827 * *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 -0827 Printed: 08 -31 -2012 CITY OF TUKWII^ Community Development _ epartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 ** Tenant Name: Name: t e s Address: Cv Ci ty: 1i4 State: Zip: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): j ot AYE/ PlozAJ'C /47, / s /ice�1� f a4 -, iac) e©ti- King Co Assessor's Tax No.: "l IA) 2-q 1 Suite Number: 0 3z Floor: / New Tenant: g Yes ❑.. No Company Name: Slcx.) Address: 37/ 5 pa / )LC/ State A City: r pce Zip! e9 Phone6-3 Fax: 5 3 _ 902 / 5 :2 Contr Reg No. /.y' ),,7 ?sp. B�xp Date: % 7N/ V Tukwila Business License No.; g 45 )4A Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ra4Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx Revised. August 2011 bh Page 1 of 2 F P Name: 'N- I MY ,�c ei Address: $//3 ©ke, /JAL( E City: [-Aug State: " Zip : k?..1 ,p_ 4 Phone: U i g 3 y q.�9gFax: Emai1: ( �GL ✓ ''' 5/6,9, E e I Veeir,`? Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): j ot AYE/ PlozAJ'C /47, / s /ice�1� f a4 -, iac) e©ti- King Co Assessor's Tax No.: "l IA) 2-q 1 Suite Number: 0 3z Floor: / New Tenant: g Yes ❑.. No Company Name: Slcx.) Address: 37/ 5 pa / )LC/ State A City: r pce Zip! e9 Phone6-3 Fax: 5 3 _ 902 / 5 :2 Contr Reg No. /.y' ),,7 ?sp. B�xp Date: % 7N/ V Tukwila Business License No.; g 45 )4A Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ra4Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx Revised. August 2011 bh 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 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: -30, a‘--) Date: r l/ l Day Telephone: 93 3 -4991a- /(7/. Mailing Address: City State Zip H:\Applications\Forms- Applications On Line \2011 Applications\Electrical 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 -0827 Address: 1119 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 08/31/2012 Applicant: TCBY Issue Date: Receipt No.: R12 -02517 Initials: JEM User ID: 1165 Payment Amount: $115.50 Payment Date: 08/31/2012 01:30 PM Balance: $0.00 Payee: JOHN MENDENHALL, SIGN TECH ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 002419 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: 08 -31 -2012 ;;::.INSPECTION RECORD ;Retain a copy with permit INSPECTION.NO:..:_ .•;'= PERMIT NO. ' r. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd::`,' 4#100, Tukwila. WA 98188 fit... (206) 431 -36 'Permit lnspecfion Request Line (206) 431 -2451 6,11-6117 Project: ,= Type of Inspection: Address: ���� q ® r�Sl /1�' Date Called: r Special Instructiohs `a Date Wanted: .m. p.rr.• Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: v3 RAJ EsU4t-i3vL Inspector: - REINSPECTION`FEE REQUIRED. Prior to next inspection. fee must be paid at 6300;S"outicenter Blvd., Suite 100. Call to schedule reinspection. Date: 0 if 5113 01 -02 -2013 JOHN MENDENHALL 5113 PACIFIC HY E FIFE WA 98424 uktivia • Jim •Haggerton; ayor epartment.of Community - Development Jack Pace; Direetor RE: Permit No. EL12 -0827 TCBY 1119 SOUTHCENTER MALL TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 02/27/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 02/27/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. EL12 -0827 6300 Soicthceiiter Boulevard Suite #:100 • Tiikw'ito W .shington 981884. Phone 206=431- .3670 • Fax 206x431 -3665 Contractors or Tradespeople Prit er 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 SIGN -TECH ELECTRIC LLC 2539222146 5113 Pacific Hwy E #12 Fife WA 98424 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602152490 Active SIGNTEL988BG Electrical Contractor 1/7/2002 1/7/2014 General Unused enses 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 g 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 $4,000.00 1/18/2002 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 08/31/2012