HomeMy WebLinkAboutPermit EL19-0576 - WESTFIELD SOUTHCENTER MALL - ADD RECEPTACLE NEAR ENTRY DOORSThis 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.
EL19-0576
WESTFIELD SOUTHCENTER MALL
2800 SOUTHCENTER MALL
THE ABOVE MENTIONED
Page #
DIGITAL
Code
RECORDS
PERMIT FILE INCLUDES
Exemption
(DR) EXEMPTION LOG
THE FOLLOWING REDACTED INFORMATION
Brief E> lanatory Description
Statute/Rule
Personal Information —
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
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
11
DR2
Financial Information —
RCW 42.56.230(4 5)
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.
42.56.230(5)
Personal Information —
Driver's License. RCW
Redactions contain information used to prove
RCW
DR3
—
identity, age, residential address, social security
42.56.230 (7a
42.56.230
(7a & c)
number or other personal information required to
apply for a driver's license or identicard.
& c)
Redacted content contains a communication
between client and attorney for the purpose of
obtaining or providing legal advice exempt from
RCW
DR4
Attorney -Client Privilege —
RCW 5.60.060(2)(a); RCW
disclosure pursuant to RCW 5.60.060(2)(a),
which protects attorney -client privileged
5.60.060(2)(a);
RCW
42.56.070(1)
communications, and RCW 42.56.070(1), which
protects, under the PRA, information exempt or
prohibited from disclosure under another statute.
42.56.070(1)
WESTFIELD SOUTHCENTER
2800SOUTHCENTER MALL
COMPLEX
ELI 9-0576
City of Tukwila ^x
a
Parc& No:
Address:
Project Name:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ent of Commu
nitvDevelopment
63OUSouthcenterBoulevard, Suite #1VO
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
9202470010
ELECTRICAL OTC PERMIT
Permit Number:
2800 SOUTHCENTER MALL COMPLEX Issue Date:
Permit Expires On:
WESTFIELD SOUTHCENTER
WESTFIELD PROPERTY TAX DEPT
P0BOX l3O940'ORLS[AD, WA,
92013
KJ HILL
7056 5 220 ST , KENT, WA, 98032
ELl9-OS76
7/15/2019
1/11/2020
Phone: (206) 406-8604
SEA TAC ELECTRIC INC (ELECTRICAL) Phone: (253) 872-5553
7056 S 220THST'KENT, WA, 98O3Z'
1gIO
5EATA[|O77RVV Expiration Date: 12/17/2019
'^'
DESCRIPTION OF WORK:
ADD RECEPTACLE NEAR E ENTRY DOORS FROM EXISTING DEDICATED CIRCUIT.
Valuation of srgPe family: $I00
Valuation of mf/comm: $500.00
Type of Work: NEW
Fees Collected: $85.94
Electricat 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:
2015International Fuel Gas Code:
Permit Center Authorized Signat
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
^�����'��
Date: v
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 the conditions attached to this permit.
Signature:
Print Name:
Date: / /(S7/Cf
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. / 9— zs)
Project No.
Date Application Accepted: / 9
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 OCAT ON
Site Address: 2 /X5 (,-;11 [Lc,//
Tenant Name: €Cii So dhcvnt
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
PROPERTY OWNER
Name: r73
Name:
City: State: Zittly0S-1
Zipeig6?z
Address:
Email:V.21.1,110 W.,_.101 c e 1/44(c A. ryd., , ( 0 0/1
City: State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: r73
Address:—Dcal (-22064
City: State: Zittly0S-1
Zipeig6?z
Phone: 20(.,,ido_8wi Fax:
Email:V.21.1,110 W.,_.101 c e 1/44(c A. ryd., , ( 0 0/1
Floor:
0 .....Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Nameye —fric ,
Address: -51 s 221
City: State:
Zipeig6?z
Phone: zs-3_,m. Fax:
Contr Reg No.: s-6,1-0,Fastnk Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ GU).
Scope of Work (please provide detailed information): 46td r e. e44 -y Boars zftili
065-iir ax,14 -Ied
c rd;
t
Will service be altered? El Yes No
Adding more than 50 amps? C3 Yes
Type of Use:
Tvoe o ork:
New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
[70 Puget Sound Energy 0 Seattle City Light
WAPermit CenteMpplications-HandoutsTerrnit Applications\ PDFsVE lectrical Permit Application Revised I -17-19. do cx
Page 1 of 2
fr
RESIDENTIAL
NEW RESIDENTIAL SERVICE
New single family dwellings $180.00
(including an attached garage)
0 Garages, pools, spas and outbuildings .... $120.00 ea
0 Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
0 Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change $60,00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, fumace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: —?6,51, •22._o
Date: —7/)3--/(q
Day Telephone: 2Cici Qv' ggLi
WiTairrnit Center\Applications-HandoinsWennii Applications1PDFAElectrical Permit Application Revised 1-174 9.doca
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY I
PAID
PermitTRAK
$85.94
EL19-0576 Address: 2800 SOUTHCENTER MALL COMPLEX Apn: 9202470010
$85.94
Credit Card Fee
$2.50
Credit Card Fee RO O. 69.908.00.00 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 R000.322.900.04.00 0.00
$3.97
TOTAL FEES PAID BY RECEIPT: R18119
$85.94
Date Paid: Monday, July 15, 2019
Paid By: KEN HILL
Pay Method: CREDIT CARD 047439
Printed: Monday, July 15, 2019 2:15 PM 1 of 1
CO TUKWILA ETRAKIT
6200 SOUTH[ENTEK BLVD
TUKWILA, WA 98188
206-433 -1870
CITY OF TUKWILA
0017340800802374404500
Date: 07/15/2019 02:15:0I PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********9321 K
TRAN AMOUNT: $85.94
APPROVAL CD: 047439
RECORD #: 000
CLERK ID: kandace
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PER IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
Address:AI
Date Called:
Special Instructions:
.
00
Date Wanted:
p.m.
Requester:
P one No: 2t942
444,
g670
proved per applicable codes. EJ Corrections required prior to approval.
Date:
REINSPEcTIOU FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Washington State Department of
k
Labor & Industries
Home Espanol Contact
Safety & Health Claims & Insurance
A -Z 1 ndox 1 l(l!) iif,&
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;
Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Registered training agent. Check their eligible programs and occupations.
Verify the contractor's active registration / license / certification (depending on trade) and any past violations,
glq0c.af
Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993— 12/17/2019
Designated administrator
Jordan, Thomas
Active.
Meets current requirements.
License type License no.
Master Electrician JORDAT`914LR
Help us improve
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
798649C
$4,000 00
Received by L&I Effective date
12/03/2008 12/16/2008
Expiration date
Until Canceled
Sangs
(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 Satisfied
„„ ...
Issue date RCW/WAC
11/03/2014 19.28.101 RCW
Violation city Violation amount
KENT $260.00
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.
Infraction no.
EWHA000205
Issue date RCWIWAC
04/23/2014 19.28.101 RCW
Violation city Violation amount
KENT $1,250.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-468-901.
Infraction no.
ELY0D00293
Issue date
12/24/2013
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Help us improve
Workers' comp
IPublic Works Requirements
IWorkplace safety and health
Washinoten State Dept of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
Help us improve