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Home My WebLink AboutPermit EL18-0729 - LIDS - ADD RECEPTACLE TO FRONT OF STOREThis 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. EL18-0729 LIDS 990 SOUTHCENTER MALL THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description tatute/Rule 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) LIDS 990 SOUTHCENTER MALL ELI 8-0729 Parcel No: CityAddress: of Tukwila nvwn��va of_p__-_'-----_--^_-'_-,-.--' 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206~438'9350 Web site: http://wmvoTwkmNaWA.sow ELECTRICAL OTC PERMIT 9202470010 990 SOUTHCENTER MALL Project Name: LIDS Permit Number: EL10'0729 Issue Dat : 8/22/2018 Permit Expires On: 2/18/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT POBOX l30940,Q��WA, 92013 K]M|ii Phone: (206) 406-8604 7OS6�2lO5T'KENT, WA 98032 SEA TAC ELECTRIC INC (ELE{TR|[AU Phone: (253) 872-5553 7056 S ZZOTM5T'KENT, WA, 98032' 1910 5EATA6077RVV Expiration Date: 12/17/2019 1 DESCRIPTION OF WORK: ADD NEW DEDICATED RECEPTACLE TO FRONT OF STORE. INCLUDE THE REMOVAL OR RELOCATION OF ANY MISCELLANEAOUS ELECTRICAL SYSTEMS PERTAINING TO THE AFOREMENTIONED SCOPE OF WORK. Valuatiori of single family: $100 Valuation of mf/comm: $400l0 Type of Work: TENANT IMP Fees Collected: $81.20 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwda: laternational Building Code Edition: International Residential Code Edition International Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: 2015 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 Permit CenterAuthorized Signature: LAJx Date: 0" 2—) C 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 ermit and agree to the conditions attached to this permit. XX 1 Signature: i F i r Date: $ Z l /2 / U Print Name: .3 11 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 296-468 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 TUKW, j�14 Community Develop&) Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pali No. E Lt 3_ O72/ 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: SC1 O a c 1, 4er 41( Tenant Name: 1—i0‘5 PROPERTY OWNER Company Name: S1eili 2 C Fwilt,/ Name: _ T_l ( ` Name: We J► eelck Address: �70S.10 5. LO1 34._ Address: Phone: is -3_5-7a. sw3 Fax: city: V„ ,� i_ State:\AA � City: State: Zip: CONTACT PERSON — person receiving all project communication Company Name: S1eili 2 C Fwilt,/ Name: _ T_l ( ` Address: -205-6 S. '2 O' Ed-, Address: �70S.10 5. LO1 34._ Zip:gfo _ ``SS Phone: is -3_5-7a. sw3 Fax: city: V„ ,� i_ State:\AA � Zip:c 0 32 Phone: LiuU Fax: Email: I4.7,h111Q4ect+stce`R <. Cov A King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes 9p. No ELECTRICAL CONTRACTOR INFORMATION Company Name: S1eili 2 C Fwilt,/ �. Address: -205-6 S. '2 O' Ed-, City:, j/,,,y)-- State:iMJ Zip:gfo _ ``SS Phone: is -3_5-7a. sw3 Fax: Contr Reg No.: se44.7peartinie w Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1100 ,• Scope of Work (please provide detailed information): AIM I VU.4A) a(Qdt`C4ited rtCQly C l& * ANnfi c/- s'/\1"-'?. • 4-7- y cLxik I rei&AO\,4 I c� relo eu1\ of c ay Pt i3 C (4tvtiovS e(sichl/co 1 3y S4e 4„S f '11 5 `N ezAt-t.w-oA+ar_,01 sLU4s<, d F v„/d f k, - 20 b , (t b • ' b o Will service be altered? ❑ Yes 0i) No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service 0 Tenant Improvement PropertyServed by: si)Puget Sound Energy 0 Seattle City Light W:\Permil CentenApplications-HandoutsWermit Applications\Word\a ectrical Permit Application Revised 1-1-20i7,doca Revised: January 2017 Oh 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 ❑ 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: Signatu /�. c Date: Print Name: l` Day Telephone: 20G—t0L' /60 1 Mailing Address: s' Z2 & `S 1J2v' l r- j W P/ 9 Z City State Zip WAPermit CemeMpplications-HandoutsW nnii Applications\WordWlec.rical Permit Application Revised 1-1.2017.doca Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R15223 DESCRIPTIONS I PermitTRAK ACCOUNT QUANTITY PAID $81.20 EL18-0729 Address: 990 SOUTHCENTER MALL Apn: 9202470010 $81.20 Credit Card Fee $2.37 Credit Card Fee 1 R000.369.908.00.00 I 0.00 $2.37 ELECTRICAL $75.08 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 I 0.00 $75.08 TECHNOLOGY FEE $3.75 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15223 R000.322.900.04.00 0.00 $3.75 $81.20 Date Paid: Wednesday, August 22, 2018 Paid By: KEN HILL Pay Method: CREDIT CARD 077179 Printed: Wednesday, August 22, 2018 8:16 AM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 08/22/2018 08:15:47 AM CREDIT CARD SALE VISA CARD NUMBER: **********9321 K TRAN AMOUNT: $81.20 APPROVAL CD: 077179 RECORD #: 000 CLERK ID: Bill Thank you! Customer Copy Page 2 of 2 https://c lassic. convergepay. comNirtualMerchant/transaction. do?dispatchMethod=printTra... 8/22/2018 r 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 - Permit Inspection Request Line (206) 438-9350 Project: i , r fri 0? Type of Inspection: . 6V41/ Address: cno /1474/ Date Called: Special Instructions( plc -a -P. rizAlar- Date Wanted: . Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: nspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. f must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SEA TAC ELECTRIC INC Horn e Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries ta% Search L&I Page 1 of 3 A -Z vatt I ell:, Nly 1&l Workplace Rights Trades & Licensing SEA TAC ELECTRIC INC Owner or tradesperson Principals HARGREAVES, TOM, PRESIDENT JORDAN, TOM, VICE PRESIDENT BEAN, ERIC, SECRETARY BEAN, ERIC, TREASURER HARGREAVES, TOM, AGENT HARGREAVES, KATHERINE, SECRETARY (End: 12/10/2008) BURKS, ROY, VICE PRESIDENT (End: 12/15/1995) Doing business as SEA TAC ELECTRIC INC WA UBI No 601 510 212 7056 S 220TH ST KENT, WA 98032 253-872-5553 KING County Business type Corporation Governing persons KATHERINE M HARGREAVES THOMAS R HARGREAVES; TOM JORDAN; License Verify the contractor's active registration / license / certification (depending on trade) and any pas Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no SEATAEI077RW Effective — expiration 12/16/1993— 12/17/2019 Designated administrator Jordan, Thomas License type Master Electrician Bond DEVELOPERS SURETY & INDEM CO Bond account no 798649C Active. Meets current requirements. License no JORDAT*914LR $4,000.00 Received by L&I Effective date 12/03/2008 12/16/2008 violations. Help us improve https://securelni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 8/22/2018 SEA TAC ELECTRIC INC4164 Page 2 of 3 Expiration date Until Canceled Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 12/16/1993 Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. ECHAP01667 - Issue date 11/03/2014 Violation city KENT Type of violation ELECTRICAL CI' 'ATION 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. Infraction no. EWHA000205 Issue date 04/23/2014 +. Violation city KENT Type of violation ELECTRICAL Cr ATION Description Failing to get an inspection or obtain an electrical/teleco.,imunicatlons work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or akeration as referenced in WAC 296-46B-901. Infraction no. ELYOD00293 Issue date 12/24/2013 Violation city KENT Type of violation ELECTRICAL CI . ATION Description - Failing to get an inspection or obtain an electrical/telecor.rmunications work permit or post a provision,/ electrical work permit prior to beginning the electrical/telecommunication installation or al. :ration as referenced in WAC 296-46B-901. Satisfied ................. RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied ...................... RCW/WAC 19.28.101 RCW Violation amount $1,250.00 Satisfied ........._......... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Workers' camp Do you know if the .,usiness has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 536,103-01 Doing business as _ Account is current. Help us improve https://secure.lni. xa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 8/22/2018