HomeMy WebLinkAboutPermit EL19-0577 - RED RIBBON - ADD RECEPTACLE TO CIRCUITThis 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.
EL19-0577
RED RIBBON
1372 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
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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
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& c)
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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)
RED RIBBON
1372 SOUTHCENTER MALL
ELI 9-0577
Parcel No:
Address:
City of Tukwila
a
t of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206'430'9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
8202470090 Permit Number: EL19'0577
1372 SOUTHCENTER MALL
Project Name: RED RIBBON
Issue Date: 7/15/2019
Permit Expires Ori: 1/11/2020
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 13O948'QRBBA�WA,
92013
Contact Person:
Name: KJ HILL Phone: (206) 406-8604
7O5O522O5T'KENT,VVA 98032
SEA TAC ELECTRIC INC (ELECTK|[A4 Phone: (253) 872-5553
Address:7056 5 ZZOTMST'KENT, vVA'9DO3Z'
1910
SEATAEI077RW Expiration Date: 12/17/2019
Address:
Contractor:
Name:
License No:
Lender:
Name:
Address:
DESCR(PTION OF WORK:
ADD RECEPTACLE TO EXISTING CIRCUIT IN EXISTING LOCATION.
Valuation of single family: $0.00
Valuation of mf/comm: S250.00
Type of Work: NEW
Fees Collected: $71.71
EIectricaI 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
Njational Electrical Code:
WA Cities Electrical Code
WAC 296-46B:
WA State Energy Code:
2017
20172017
2015
Date: 7'
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: `-s,
Print Name: IC -3 ' 11
Date: —7/ IE/1
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. L. jq -
Project No.
Date Application Accepted: '7-1S-19
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: SO(.411107A4 /416,// Suite Number:
New Tenant:
Tenant Nan.: IAD a P) n
PROPERTY OWNER
Name: 14.-3 -M1
Address: --) 657, 5, -12,064. ,
Name:
Phone: 2,0(0_ Li Dicrgi,ei.fax:
Email: ' .hici 1 0 es-e44.0ce joc,i_d c , co kii
Address:
Phone:Z _ y 7.._ Fax:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name: 14.-3 -M1
Address: --) 657, 5, -12,064. ,
City: 4A,11._ State: Zip: 7653-2_
Phone: 2,0(0_ Li Dicrgi,ei.fax:
Email: ' .hici 1 0 es-e44.0ce joc,i_d c , co kii
ELECTRICAL CONTRACTOR INFORMATION
Company Name: _
Address: -765, 5. _lap., 54.,
City: State: 144_
ZiP:%/-
Phone:Z _ y 7.._ Fax:
Contr Reg No.: 5e6priew-1.(67)AZ, cp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
QN;Srtih o(°4'i/•\
ekt
Prc,kii-- 64
Will service be altered? LJ Yes
Adding more than 50 amps? EJ Yes
Type of Use:
Type of work:
y2New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
El Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
(913 Puget Sound Energy 0 Seattle City Light
WAPerrnit CentertApplications-HandoutsTennit ApplicationsTDFAElectrical Permit Application Revised 1-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120,00 ea
0 Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $120.00
(no added/altered circuits)
O 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, furnace 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 gran li one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
arid 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: Day Telephone:
Mailing Address: .—X61°S 2I(P 5 -b %J (M 9` 022
City
WAPermil Center‘Applications-Handouts \Permit App heat ionsIEDFAElecirical Permit Application Revised I-17-19,docx
Date —77/371 q
7A-4 66 -AO (t
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$71.71
EL19-0577 Address: 1372 SOUTHCENTER MALL
Apn: 9202470090
$71.71
Credit Card Fee
$2.09
Credit Card Fee
R000.369,908.00.00
0,00
$2,09
ELECTRICAL
$66.30
PERMIT FEE U T -FAM/COMM
R000.322.101,00.00
0.00
$66.3o
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18120
R000,322.900,04.00
0,00
$3.32
$71.71
Date Paid: Monday, July 15, 2019
Paid By: KEN HILL
Pay Method: CREDIT CARD 062166
Printed: Monday, July 15, 2019 2:22 PM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6208 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'4}]'1870
CITY OF TUKWILA
0017340000802374464580
Date: 07/15/2019 02:22:12 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********9321 K
TRAN AMOUNT: $71.71
APPROVAL CD: 062166
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 NO.
INSPECTION RECORD
Retain a copy with permit
P T NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
K ri
Type n e
n:
Address:
Date Called:
Special In
uctions: 1
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
MApproved per applicable codes.
Corrections required prior to approval.
pec
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection.fee' must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinsioection.
k Washington State Department of
40 Labor & industries
1s1mi1ol Contact
Safety & Health Claims & Insurance
A-7, index iIdp trJ
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;
1 Certifications & Endorsements
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Registered training agent. Check their eligible programs and occupations,
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993— 12/17/2019
Designated administrator
Jordan, Thomas
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Master Electrician JORDAT*914LR
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Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
798649C
$4,000.00
Received by 1AI Effective date
12/03/2008 12116/2008
Expiration date
Until Canceled
rings
(in lieu of bond) $4,000.00
Received by L&I Effective date
12/16/1993
Release date Impaired date
N/A NIA
Savings account ID
License Violations
Infraction no.
ECHAP01667
Issue date
11103/2014
Violation city
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.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Infraction no.
EWHA000205 Satisfied
Issue date RCW/WAC
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
296-46B-901.
Infraction no.
ELY0D00293 Satisfied
„.,
Issue date RCW/WAC
12/24/2013 19.28.101 RCW
Violation city Violation amount
KENT $2,000.00
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
296-46B-901.
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