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Home My WebLink AboutPermit EL19-0592 - WINDSOR - ADD AND REPLACE EMERGENCY LIGHTS AND REMOVE PENDENTSThis 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. EL19-0592 WINDSOR 1071 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 12 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) WINDSOR 1071 SOUTHCENTER ELI 9-0592 MALL Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter I3oulevard, 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: EL19'0592 1071 SOUTHCENTER MALL Project Name: WINDSOR Issue Date: 7/23/2019 Permt Expires On: 1/19/2020 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT POBOX l3O94O,[ARLS8AD'WA, 92013 Contact Person: Name: RUBEN CARDONA Address: 4710 B ST NW , AUBURN, WA, 98001 Contractor: Name: SUPERIOR HVAC & ELECTRICAL Address: 149OUINTERURBAN AVE S, STE1]O' TUKWILA, WA, 98168 License No: 5UPERHE869K\ Lender: Name: Address: ' Phone: (206) 743-7460 Phone: (206) 674-4666 Expiration Date: 6/18/2020 DESCRIPTION OF WORK: ADD 4 EMEREGENCY LIGHTS, REPLACE 3 EXISTING EXITS WITH NEW. REMOVE PENDENTS. Valuation af single family: $0.00 Valuation of mf/comm: $1'580.00 Type of Work: ADDITION Fees Collected: $130.83 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 F&eI Gas Code: Permit Ceriter Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 ° ��-y �� 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 aws regulating construction or the performance of work. 1 am authorized to sign and obtain this development permit 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: ***EL[{7R|[ALPERMIT COND|T|ONS~** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical lnspector at each work site, 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: Alt 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 15 to be Ndden 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 constred 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 additiona work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit lnspection 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 SITE LOCATION Electrical Permit No. OL(' - 0 5-G 4 Project No. Date Application Accepted: a3-19 Date Application Expires: (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. O�Applications will not be accepted through the mail or by fax. **Please Print** King Co Assessor's Tax No.: Site Address: a }i3te el I -e9 (i r1 Suite Number: Floor: l Tenant Name: 4`nA5e_A-• PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Company Name:c�0P.S"`�PiUt` /v I iler-eiti - i !7 , �, , Name: l%Jae n /f City: /9 /60State:L, -rvw,'1 Address: 73 2', f(/L�/ , Lr Phoney,...e5, 3 �Su, Bax: State:14 n�r4' Zip: City: K �hj 9,� • Phone: z3 , x�0% /�, .7y GSL Email: New Tenant:' Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name:c�0P.S"`�PiUt` /v I iler-eiti - i !7 , �, , Address: ?3&5 /o(r City: /9 /60State:L, -rvw,'1 Zip: ,gi6J Phoney,...e5, 3 �Su, Bax: Contr Reg No. g' IEl�6q L$x Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $,/,j !! < ALLScope of Work (please provide detailed information): � Jeep itet 3 `sem,% rk, L ./)c,�,. Will service be altered? ❑ Yes if No Adding more than 50 amps? Q Yes ArNo Type of Use:„ Type of work: O New/kgAddition 0 Service Change El Remodel 0 Tenant Improvement O Low Voltage Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served bv: Puget Sound Energy 0 Seattle City Light W:\Permit Center'Applications-HandoursWerrnit ApplicationsWDFs\Electrical Permit Application v d 1-17.19.docx Page 1 of 2 loprj RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $180.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $120.00 ea ❑ Low voltage systems (alarm) $60,00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $120.00 (no added/altered circuits) ❑ Service change with added/altered circuits $100.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $60.00 (up to 5 circuits) ❑ Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea ❑ Meter/mast repair $80.00 ❑ Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service $100.00 (excluding garage or outbuilding) ❑ 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: ® Date: 7—Z3—/� Print Name: / . f - Day Telephone: ?,C4 7W3 — 7e/GG, Mailing Address: 7315 /%, / -- /' % C.X1 0 It= lm�✓�9C4 City State Zip W:Wermit Center\Applications-Handouts\PemutApptieations\PDFslEtectrical Per Application Revised 1-17• I9.ducx Page 2 of 2 'Cash Register Receipt Receipt Number City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $130.83 EL19-0592 Address: 1071 SOUTHCENTER MALI Apn: 9202470010 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 $3,81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322,101.00.00 0.00 $120.97 TECHNOLOGY FEE 56.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1:172 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Tuesday, July 23, 2019 Paid By: RUBEN CARDONA Pay Method: CREDIT CARD 213233 Printed: Tuesday, July 23, 2019 10:33 AM 1 of 1 WYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 208'433'1878 CITY OF TUKWILA 0017340000802374464500 Date: 07/23/2019 10:33:05 AM CREDIT CARD SALE VISA CARD NUMBER: **********8774 K TRAN AMOUNT: $130.83 APPROVAL CD: 2132]] 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. P RMIT NO. CITY OF TUKWILA BUILDING DIVISIOP4 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection:,6 W [� Address: 1 Date Called: Special Instructions: O( L.f- - Date Wanted: f� r t t a.m. P -m - Requester: Phone No: Approved per applicable code>. Corrections required prior to approval. 0MMENTS Inspector: Date: REINSPECTIO 1 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 INSPE ION NO. PE ' MIT ICS. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100. Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project. Type of Inspection: Address: `gate Called: Special Instructions: Date Wanted:a.m. p.m. Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. nspecto REINSPECTIC► FEE REQUIRED. Prior to next inspection, fee dnust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Home Fpitno.1. C:ontaet Safety & Health Claims & Insurance CIII4 Washington State Department of Labor & Industries A -Z nkx Help ' My 1.&I Workplace Rights Trades & Licensing SUPERIOR HVAC & ELECTRICAL Owner or tradesperson Principals HANSEN, STEPHEN J, PARTNER/MEMBER HANSEN, STEPHEN J, AGENT Doing business as SUPERIOR HVAC & ELECTRICAL WA UB I No 602 974 859 Parent company SUPERIOR HVAC & ELECTRICAL LLC 7325 166th Ave NE Suite F260 REDMOND, WA 98052 425-283-5460 KING County Business type Limited Liability Company Governing persons INC JSH PROPERTIES STEVE HANSEN; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. 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. SUPERHE869LQ Effective — expiration 06118/2014-06118/2020 Designated administrator Hoover, Eric Scott License type Electrical Administrator Active. Meets current requirements. License no. HOOVEES902D6 Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) 64,000.00 Received by L&I Effective date 06/18/2014 06/18/2014 Release date Impaired date N/A N/A Savings account ID Help us improve License Violations No license violations during the previous 6 year period, Workers' comp Public Works Requirements Workplace safety and health ihitashington State Dept cif Labor & industries. Use at Pas site is suhiect is the saws of this state of Veashappori. Help us improve