HomeMy WebLinkAboutPermit EL18-0366 - BRAGANZA TEA - ADDITIONAL LIGHTING AND OUTLETSThis 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.
EL18-0366
BRAGANZA TEA
507 SOUTHCENTER MALL
THE ABOVE MENTIONED
Page #
DIGITAL
Code
RECORDS
PERMIT FILE INCLUDES
Exemptio
(DR) EXEMPTION LOG
THE FOLLOWING REDACTED INFORMATION
defExplanatory Description
S a u el ule
DR1
Personal Information —
Social Security Numbers
Generally — 5 U.S.C. sec.
552(a); RCW
42.56.070(1)
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
numbers are redacted to protect those
individuals' privacy pursuant to 5 U.S.C. sec.
552(a), and are also exempt from disclosure
under section 42.56.070(1) of the Washington
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
5 U.S.C. sec.
552(a); RCW
42.56.070(1)
11
DR2
Personal Information —
Financial Information —
RCW 42.56.230(4 5)
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
expiration dates, or bank or other financial
account numbers, which are exempt from
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
RCW
42.56.230(5)
DR3
Personal Information —
Driver's License. — RCW
42.56.230
(7a & c)
Redactions contain information used to prove
identity, age, residential address, social security
number or other personal information required to
apply for a driver's license or identicard.
RCW
42.56.230 (7a
& c)
DR4
Attorney -Client Privilege —
RCW 5.60.060(2)(a); RCW
42.56.070(1)
Redacted content contains a communication
between client and attorney for the purpose of
obtaining or providing legal advice exempt from
disclosure pursuant to RCW 5.60.060(2)(a),
which protects attorney-client privileged
communications, and RCW 42.56.070(1), which
protects, under the PRA, information exempt or
prohibited from disclosure under another statute.
RCW
5.60.060(2)(a);
RCW
42.56.070(1)
BRAGANZA TEA
507 SOUTHCENTER MALL
ELI 8-0366
Parcel No:
Address:
0
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
507 SOUTHCENTER MALL
Project Name: BRAGANZA TEA
Permit Number: EL18-0366
Issue Date: 4/17/2018
Permit Expires On: 10/14/2018
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
BYRON YARBROUGH
PO BOX 56 , EAST OLYMPIA, WA,
98540
YARBROUGH ELECTRIC INC
PO BOX 56 , OLYMPIA, WA, 98540
YARBREI9801K
Phone: (360) 239-1825
Phone: (360) 413-0870
Expiration Date: 4/12/2020
DESCRIPTION OF WORK:
TENANT IMPROVEMENT, ADDITIONAL LIGHTING, NEW OUTLETS FOR EQUIPMENT
Valuation of single family: $0.00
Valuation of mf/comm: $10,000.00
Type of Work: TENANT IMP
Fees Collected: $299.81
Electrical Service Provided by: PUGET 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:
2017
2017
2017
2015
Date: t'( -7 -'(g
1 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
developm . it and agree to the conditions attached to this permit.
Signature.
Print Name:
Date:
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 and the Washington Cities Electrical Code.
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 TUKVICA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. E i 26
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
King Co Assessor's Tax No.:
Site Address: ;42 i &#(t Suite Number: t 1C Floor:
Tenant Name: (3't1--At2 lr T 1 -
PROPERTY OWNER
Name: �(ro n.j '. jgww,w u c.k
Address:Iv ec 1sio
Name:
t �'i..+-T t
Email: �h c. ('
�-a� Va v6 . �^C k.r-�ttirKIA-
-
Tukwila Business License No.;
Address:
Lis t 0 14€
6,6,
.
City: U
4�
State:
zip :eh!.(0(0'
CONTACT PERSON - person receiving all project
communication
Name: �(ro n.j '. jgww,w u c.k
Address:Iv ec 1sio
__ _ O .. LA State: tivfZip:i `
City: EPhone:
/.
Serax:
i , 'Z't- btu'
Email: �h c. ('
�-a� Va v6 . �^C k.r-�ttirKIA-
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New Tenant: )4 Yes
. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
(4.2-134-0(44,4-k et -me -Ill -lc Int+L
Address: i70'
City: O wp.� State:Litt Zip: „4654.5
Phone: (»q i 3 _ Uy.- Fax:
Contr Reg No.: Y4412,eri,t3c. Exp Date:'`
T�i 41`d
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ "
Scope of Work (please provide detailed information): Zr.i. ..rr" (10'_..rf / ,i e7GaM - LZ'ctz-.z
44,v+ 002421 fbic,„
Will service be altered? ❑ Yes
Type of Use:Tt}-Il.-
Tvpe of work:
Adding more than 50 amps? 0 Yes y
❑ New 0 Addition 0 Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Proedb
get Sound Energy 0 Seattle City Light
it CenteMpplications-HandoutslPennit Apphcatlons1WordtElectrical Permit Application Revised 1-1-2017.doca
vital: January 2017
bit
❑ Remodel
❑ Telecommunication
Tenant Improvement
0 Temporary Service
Pagel 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
0 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
❑ Meter/mast repair $69.62
❑ 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 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:
Mailing Address:
Date: 4'11
Day Telephone: (3 C04> 2 ` 18 25—
W:lPerma CamcAApplicalions-HandouislPcrmit ApplicationaMordltlnvical Permit Appiicailon Reviscd I.I-2017.doca
Revised: January 2017
bh
�.� sure
411cl(c)
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY PAID
EL18-0366
A
dress: -
11$00,! ',Net
ER
92024
1
Credit Card Fee
Credit Card Fee
PERMIT FEE MULTI-FAM/COMM
R000.369.908.00.00
R000.322.101.00.00
0.00
0.00
$8.73
$277.22
$277.22
TECHNOLOGY FEE
$13.86
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14276
R000.322.900.04.00
0.00
$13.86
$299.81
Date Paid: Tuesday, April 17, 2018
Paid By: BYRON YARBROUGH
Pay Method: CREDIT CARD 076787
Printed: Tuesday, April 17, 2018 2:03 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. 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: i '
IOC -A -604/A IL4
Type of Inspection:
At4i.
Address:1
5— 16
Date Called:
Special Instructio s:
Date Wanted: .
. .
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4ARiCildAb
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: i***-
z_A- le*,
Type of Inspection:
t1AML
Address:Date
riiii,
Called:
Special Instr5uct0i07s:
Date Wanted:
/0 7
Requester:
Phone No:
LJApproved per applicable codes.
COMMENTS:
0 Corrections required prior to approval.
— fotiD 8erweedtAi
erif-P\ A -r
kikre-P\ rt Cr -kir -T-10,4
g(*)(t-cl Atac5r1&(.6 4FrA q-s6or
Fop\ 6A -c4.._ •
Inspector:
64c
REINSPECTION FEE REQUIRED. Prior to next inspection. fee rfust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: �� ei ��i-‘6(k"Type
of Inspection�fl4/� �
l
1�/
Address:
�� 7 r%41k/
Date Called:
Special Instructi s: 1
Date Wanted:
�a.
Requester:
Phone No:
pCorrApproved per applicable codes.
ections required prior to approval.
COMMENTS:
D
coi-thaf,
Date: ✓ (1 i Q
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
YARBROUGH ELECTRIC INC in
flame Espanol. Contact.
0
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0 Washington State Department of
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YARBROUGH ELECTRIC INC
Owner or tradesperson
Principals
YARBROUGH, BYRON P, PRESIDENT
YARBROUGH, BYRON P, AGENT
Doing business as
YARBROUGH ELECTRIC INC
WA UBI No
602 196 489
PO Box 56
EAST OLYMPIA, WA 98540
360-413-0870
THURSTON County
Business type
Corporation
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
YARBREI980JK
Effective expiration
04/12/2002— 04/12/2020
Designated administrator
YARBROUGH, BYRON P
License type
Electrical Administrator
Active.
Meets current requirements.
Active.
Meets current requirements,
License no.
YARBRBP986JS
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond) $4,000.00
Received by L&I Effective date
08/16/2005 08/06/2005
Release date Impaired date
N/A N/A
Savings account ID
License Violations
Infraction no.
EZETD00712
Issue date
09/2312013
violation city
EAST OLYMPIA
Type of violation
ELECTRICAL CITATION
Satisfied
RCW/WAC
19.28.161 RCW
Violation amount
$250.00
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602196489&LIC=YARBREI980JK&SAW= 4/17/2018
YARBROUGH ELECTRIC INC
Description
Failing to provide proper supervision to an 4
electrical trainee as required by chapter 19.28
RCW. Ryan Mabin installing Electric cable
without proper supervision as required
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
037,470-00
..........................._.
Doing business as
YARBROUGH ELECTRIC INC
Estimated workers reported
Quarter 4 of Year 2017 "4 to 6 Workers"
L&I account contact
T3 / DAVID PRYOR (360)902-4804 - Email: PRYD235®Ini.wa.gov
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
....................................... _..........
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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