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