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HomeMy WebLinkAboutPermit EL17-0172 - BIG ORANGE BUBBLE TEA - GFCIThis 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. EL17-0172 BIG ORANGE BUBBLE TEA 2800 SOUTHCENTER MALL #K2668 RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Pae # Code Exem floe , Bdef x lanat6 Descd floe', statute/Rulle The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) 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 numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 9 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) 7a & c apply for a driver's license or identicard. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney -Client Privilege — disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); DR4 RCW 5.60.060(2)(a); RCW which protects attorney-client privileged RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. BIG ORANGE BUBBLE TEA 2800 SOUTHCENTER MALL K2668 EL17-01 72 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 9202470010 Permit Number: EL17-0172 2800 SOUTHCENTER MALL K2668 Issue Date: 3/3/2017 Permit Expires On: 8/30/2017 Project Name: BIG ORANGE BUBBLE TE Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 SEAN HUNTER PO BOX 8025 , COVINGTON, WA, 98042 PAINLESS ELECTRIC CO PO BOX 8025 , KENT, WA, 98042 PAINLEC850MW 1/1 Phone: (206) 940-3965 Phone: (206) 940-3955 Expiration Date: 7/16/2017 DESCRIPTION OF WORK: INSTALL 1 GFCI (CABINET INSTALLERS TRIPPED CIRCUIT) CE17-0080 Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: TENANT IMP Fees Collected: $85.94 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date: I hearby 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 development permit and agree to he conditions attached to this permit. Signature:, Date:. Print Name: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKW__ 4 Community Developm,.., Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pe, .nit No. C Lt 7.017L. Project No. Date Application Accepted: Date Application Expires: (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 LOCATION Site Address: c -)O S �t - C C,Y1 e Tenant Name: 2- L'' (O King Co Assessor's Tax No.: v--) I1 Suite Number: PROPERTY OWNER Name: Address: R O o x 9 0 2.. Name: Phone: Z acAu 0 3 5 cF$Fax: Email:or G 1 G, n � L S s -� l c, �--t v-; c, . Sl-t@� V, c.o Address: Contr Reg No.: Exp Date: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: R O o x 9 0 2.. City: , nso, State: JA Zip: q%ay Phone: Z acAu 0 3 5 cF$Fax: Email:or G 1 G, n � L S s -� l c, �--t v-; c, . Sl-t@� V, c.o New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: 1 .')C 3 eft ekri Address: ��„S City , it State:„ _, Zip: crib 0 k2 Phone: Z 0 (, 9440 3`t " Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ O Scope of Work (please provide detailed information): ns-1-x11\�� �4C C cgbrn.Q* �1-)5 01\-crj C- gc`Tp �Gl — Oc 3 Will service be altered? ❑ Yes Type of Use: Type of work: Adding more than 50 amps? ❑ Yes ❑" No ❑ New 0 Addition 0 Service Change O Low Voltage 0 • Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017:docx Revised: January 2017 hh ❑ Remodel O Telecommunication O Tenant Improvement O Temporary Service 7i b12 Sh k kr4PC( iNr Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride,and generator truck $11.02 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 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 ELECJRICA NTRACTOR: • Signature:.....--------9. Dated\ ' l Print Name: e- L`-'^ CA '" v" -c.v.- Day Telephone: Mailing Address: � go'Z ZS 'Y. -GY`� city W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh A State q%0112 Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY I PAID $85.94 EL17-0172 Address: 2800 SOUTHCENTER MALL K2668 Apn: 9202470010 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908.00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11006 R000.322.900.04.00 0.00 $3.97 $85.94 Date Paid: Friday, March 03, 2017 Paid By: SEAN HUNTER Pay Method: CREDIT CARD 021917 Printed: Friday, March 03, 2017 2:22 PM 1 of 1 CRWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit OLA —)17Z PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: g o (4 -%Date Type of Inspection: e ill Address: 27®o e4'4'� Called: 7.—.Special � / � Instructions: a� 403 011 -00 K• 1P 3 aMr/ q1 ' i. 6 Date Wanted: 1 61,1:5. Requester: Phone No: c (o 376( Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: ector: Date: 0 qz.,01, REINSPECTI N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. PAINLESS ELECTRIC CO tloine Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Page 1 of 3 Search LAI A -Z Index Help My I.CI Workplace Rights Trades & Licensing PAINLESS ELECTRIC CO Owner or tradesperson Principals DAVIDSON, CHELSEA I, SECRETARY Hunter, Sean P, AGENT Doing business as PAINLESS ELECTRIC CO WA UBI No. 603 523 371 PO BOX 8025 KENT, WA 98042 206-940-3965 KING County Business type Corporation Governing persons CHELSEA DAVIDSON SEAN P HUNTER; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. PAINLEC850MW Effective — expiration 07/16/2015— 07/16/2017 Designated administrator Katanic, Goran License type Electrical Administrator Bond Active. Meets current requirements. License no. KATANG*874JE No bond accounts during the previous 6 year period. Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 07/16/2015 07/16/2015 Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. EJONV04067 Issue date 10/21/2016 Violation city Not Satisfied RCW/WAC 19.28.101 RCW Violation amount Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603523371 &LIC=PAINLEC850MW&SAW= 3/7/2017 PAINLESS ELECTRIC CO KENT Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. *SEE ATTACHED MATRIX* EACH] OF THE 3 PROJECTS IDENTIFIED IN THE MATRIX ARE SEPARATE VIOLATIONS. $750.00 Infraction no. EJONV04068 Issue date 10/21/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to make corrections within fifteen days of notification by the department. Where an extension has bean requested and granted, this penalty appli'Ls to corrections not completed within the extended time period. *SEE ATTACHEC MATRIX* EACH OF THE 3 PROJECTS IDENTIFIED IN THE MATRIX ARE SEPARATE VIOLATIONS. Infraction no. EJONV04066 Issue date 10/21/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Employing an inr•ividual for the purposes of chapter 19.28 12(71/who does not possess a valid certificate cy competency or training certificate to do electrical work. *SEE ATTACHED MATRIX* EACH OF THE 17 PROJECTS IDEN'IFIED IN THE MATRIX ARE SEPARATE VIOLATIONS. ci Not Satisfied RCW/WAC 19.28.101 RCW Violation amount $750.00 Not Satisfied RCW/WAC 19.28.271 RCW Violation amount $4,250.00 Infraction no. EJONV04065 Issue date 10/21/2016 Violation city KEPT Type of violation ELECTRICAL CI '\TION Description Faiixrre of the elc ;trical contractor to ensure the.assigned ele.:rical administrator/master electrician is a mImber of the firm or a full tima supervisor) smployee of the firm as required. *SEE AIrTACHED MATRIX* EACH OIF THE 3 QUARTER-, IDENTIFIED IN THE MATRIX An SEPARATE JIOLATIONS. Not Satisfied RCW/WAC 19.28.061 RCW Violation amount $750.00 rkers' c` mp Do yod know if the iiusiness has employees? If so, verify the business is up-to-date on workers' comp premiums. Page 2 of 3 Help us improve https://secure.lni wa.gov/verify/Detaii.aspx?UBI=603523371&LIC=PAINLEC850MW&SAW= 3/7/2017