The URL can be used to link to this page

Home My WebLink AboutPermit EL12-1166 - DSWThis 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 -1166 DSW Shoes 17100 Southcenter Parkway 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 9 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. DSW SHOES 17100 SOUTHCENTER PY EL12-1 166 City ofTukwila 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.: 7888920020 Address: 17100 SOUTHCENTER PY TIIKW Project Name: DSW SHOES ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -1166 12/17/2012 06/15/2013 Owner: Name: Address: Contact Person: Name: Address: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA 98006 BRANDON HAGGARD Phone: 425 - 672 -6797 12912 BEVERLY PARK RD , MUKILTEO WA, 98275 Contractor: Name: ELECTRI -CITY INC Address: 16212 BOTHELL HWY STE F PMB 135 , MILL CREEK WA 98012 Contractor License No: ELECTI *110BA Expiration Date: 01/01/2013 Phone: 425 - 672 -6797 DESCRIPTION OF WORK: RELOCATE 47 TRACK HEADS AND INSTALL 10 NEW STRIP LIGHTS Value of Electrical: NRES: $6,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: National Electrical Code Edition: Date: $195.70 2008 1- ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pies . e 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: /5"?---7 t c t _4..ce 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. Date: A2 doc: EL -4/10 EL12 -1166 Printed: 12 -17 -2012 • PERMIT CONDITIONS • Permit No. EL12 -1166 * *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 -1166 Printed: 12 -17 -2012 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us SITE LOCATION Electrical Permit No. EL- \ - t 1 Project No. (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 Address: / 7/00 -Tot- 71A Covt l er- l91:-1 Tenant Name: 47,,S-147 King Co Assessor's Tax No.: 1 14 Zi 1 P2-172:1/9 Suite Number: /e?-R- Floor: New Tenant: ❑ Yes No No Property Owners Name: Mailing Address: City State Zip ; CONTACT PERSON - Who do we contact hen your permitis:ready to he issued'. Name: /3�c--■. Cv <,coia Day Telephone: V - c7 - (7 7 Mailing Address: City State Zip Fax Number: /123_ - Z. 7.2 - G 7 9 E -Mail Address: hru,t r��e/a, c An' - /yi.tc,Cc ELECTRICAL .CONTRACTOR;INFORMATION, Company Name: (e CI) /eaC/ ri -C t rt /AC Mailing Address: / 2 9 / /3e ✓e/`/ y Rd AMA k r o v✓/i y i dZ 7S State Zip // s City Contact Person: rw d". /4j cC Day Telephone: l/75-- G 72- 679 7 E -Mail Address: d 4 c '/p c /'- C � r�tC cc N'► Fax Number: Contractor Registration Number: Expiration Date: er Valuation of Project (contractor's bid price): $ � CO( • Scope of Work (please provide detailed information): / 1 e fOCcdt- 4 7 fi'rac . %1C'c-o7s- c, n cr4- // /0 net✓ sr ;p l /4 �s Will service be altered? ❑ Yes [r No Adding more than 50 amps? ❑ Yes [r No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change [Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: [2:1 Puget Sound Energy ❑ Seattle City Light U: Applications\ronns- Applications On Lind) 2009 - Electrical Pennit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured /mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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: f(i C44/A- / /c Mailing Address: / 2 9 / IP ✓Pr / P w'7 Date: A.2 Day Telephone: f/c S ` 72 - 4 7 q City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Une \I -2009 - Electrical Pennit Applicationdoc 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.: 7888920020 Permit Number: EL12 -1166 Address: 17100 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 12/13/2012 Applicant: DSW SHOES Issue Date: Receipt No.: R12 -03322 Initials: WER User ID: 1655 Payment Amount: $195.70 Payment Date: 12/13/2012 11:01 AM Balance: $0.00 Payee: ELECTRI -CITY INC TRANSACTION LIST: • Type Method Descriptio Amount Payment Check 037747 195.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 195.70 Total: $195.70 dry.: PQrainf_(1R Printprl• 17 -11-2(117 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 642.- gag PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tzs (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ZI - j 1/v Type of Inspection: jov Address: l �P�o S. s- Date Called: --� Special Instructions: Date Wanted:. b (� 28 a.m. P.m , Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. 6 Inspector: 0 (71,70-rA146)\ Date: (211t/(2._ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pinter 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 ELECTRI -CITY INC 4256726797 16212 Bothell Hwy Ste F Pmb135 Mill Creek WA 98012 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601133632 Active ELECTI *110BA Electrical Contractor 1/1/1989 1/1/2013 General Unused Master Electrician INFORMATION License MACDOM'953DA Name MACDONALD, MALCOLM A Status Active Business Owner Information Name Role Effective Date Expiration Date RICHARDSON, DIANA L Violation Amount 01/01/1980 10/22/2008 RICHARDSON, DAVID J ELECTRICAL CITATION 01/01/1980 $500.00 RICHARDSON, DIANA L Agent 01/01/1980 ELECTRICAL CITATION 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 1 12/13/1990 Until Released Bond $4,000.00 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 EDUNV00256 10/22/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EDUNV00252 10/22/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP02283 7/2/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02284 7/2/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02285 7/2/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01758 5/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01760 5/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAE00568 3/11/2011 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 12/13/2012