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Home My WebLink AboutPermit EL10-0489 - DOLLAR TREEThis 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. EL10 -0489 Dollar Tree 363 Strander Boulevard RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — 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 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. DOLLAR TREE 363 STRANDER BL EL1O-0489 City (*Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206 -431 -2451 Web site: http: / /ivww.ci.tukwila.wa.us Parcel No.: 2623049064 Address: 321 STRANDER BL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0489 Issue Date: 06/25/2010 Permit Expires On: 12/22/2010 Tenant: Name: DOLLAR TREE Address: 321 STRANDER BL , TUKWILA WA Owner: Name: REGENCY CENTERS LP Phone: Address: C/O PROPERTY TAX DEPT , PO BOX 790830 Contact Person: Name: ELISA JACOBY Phone: 253 -627 -7446 Address: 9402 39 AV CT SW , LAKEWOOD WA Contractor: Name: AMERICAN NEON INCORPORATED Phone: 253 627 -7446 Address: 9402 39 AV CT SW , LAKEWOOD WA Contractor License No: AMERINI002U8 Expiration Date: 03/28/2012 DESCRIPTION OF WORK: INSTALL 2 WALL SIGNS - HOOK UP TO EXISTING POWER Value of Electrical: NRES: $75.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: 1 I hereby 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 constructio i or t e perfo ce of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: �� Q . This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. Date: 10125 2 '10 doc: EL -4/07 EL10 -0489 Printed: 06 -25 -2010 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2623049064 Address: Suite No: Tenant: 321 STRANDER BL TUKW DOLLAR TREE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0489 ISSUED 06/25/2010 06/25/2010 1: ** *ELECTRICAL * ** 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. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: l 1 .(JX ) Print Name: Sn Date: (e f25io doc: Cond -Elec ELI 0-0489 Printed: 06 -25 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.citukwila.wa.us 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 Address: 321 Strander Blvd Tenant Name: Dollar Tree Property Owners Name: Dollar Tree Mailing Address: 321 Strander Blvd King Co Assessor's Tax No.: 2 6 2 3 0 4 9 0 6 4 Suite Number: Floor: New Tenant: N. Yes ❑ .. No Tukwila, WA 98188 City state jCT4PERON Who do we contact when yor1permrtats ready"`to be ssa ie'd Zip Name: Elisa JAcoby Day Telephone: 253- 627 -7446 Mailing Address: 9402 39th Ave CT SW Lakewood, WA 98499 americanneoninc@aol.com City State Zip E -Mail Address: Fax Number: 153 S - Flo l4 ELEC.TRICAL'CONTRACTOR INFORMATIO Company Name: American Neon, Inc Mailing Address: 9402 39th Ave CT SW Lakewood, WA 98499 Contact Person: Elisa Jacoby E -Mail Address: americanneoninc@aol.com Contractor Registration Number: AMERINI 0 0 2U8 City state Zip Day Telephone: 253 - 627 -7446 Fax Number:.)-.53 - lo (4' --Expiration Date: • 3/28 /1 2 Valuation of Project (contractor's bid price): $ t b ati /4_ tt5 9-5"" Scope of Work (please provide detailed information): power Install 2 wall signs —hook up to existing Will service be altered? ❑ Yes ( No Adding more than 50 amps? ❑ Yes No Type of Use: hcnk l St J n -4C0 Sk YJ VOlk.tfi Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:1ApplicationsTorms- Applications On Line14.2007. Electrical Permit Application.doc bh Page l of 2 IDate Application Accepted: • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) PERMIT: APPLICATION, NOTES MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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: Co I Zia (1 Print Name: &t - p g Day Telephone: 2_53 - D-1 " 4'14u' L Mailing Address: °1rkO2 :2)9*tel ANK e 'E— SUS) I City State Zip Staff Initials: Date Application Expires: H:Wpplications\Forms- Applications On Line14-2007 - Electrical Permit Application.doc bh Page 2 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2623049064 Address: 321 STRANDER BL TUKW Suite No: Applicant: DOLLAR TREE RECEIPT Permit Number: EL10 -0489 Status: APPROVED Applied Date: 06/25/2010 Issue Date: Receipt No.: R10 -01167 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 06/25/2010 01:44 PM Balance: $0.00 Payee: AMERICAN NEON TRANSACTION LIST: Type Method Descriptio Amount Payment Check 15973 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -25 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Project: r„r�_ '/ Type of Inspection: 2rov Address :3 Date Called: Special Instrdctions: Date Wanted: 24 a.m. p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. OM M ENTS: O(tth.I�ran15 t'Moe (9-K ,6)m. 6f-A)1\1/1 0 $60.00 REINSPECTION FEE RED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: a Pi 10 Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit 610—M7 PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: C�� Jy Type of Inspection: ov LAIC S/DE ,T- &o)( To (df GQ..o. ir36, D Address. 3�3 s Date Called: - pizty.6, 4Gc,ess - Ah,ILTtf ilc4tAk S O/ PU, Special Instructions: 5(C,IA) Date Wanted: �f G..C) a.m. p.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ryrn� GG I f 5 dPPtA (5 To 4G tiou % C-') /se(' t LAIC S/DE ,T- &o)( To (df GQ..o. ir36, D - I. U. t1 ilii s,c si cot/P0AJedr5 To 6C - pizty.6, 4Gc,ess - Ah,ILTtf ilc4tAk S O/ PU, Alp o-n GolPOA1&JT5 FoR 145Pfcrvoni Inspector: Date: 9i120/42 0 $60.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: r..Mmt...a.... Contractors or Tradespeople Pf ter Friendly Page • Electrical Contractor A business licensed by Lai to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company American Neon Incorporated 2536277446 9402 39Th Ave Ct Sw Lakewood Wa 98499 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602022228 Active AMERINI002U8 Electrical Contractor 3/28/2000 3/28/2012 Sign Unused MASTER ELECTRICIAN INFORMATION License LOPO *J *967LS Name Lopo, James Status Active Business Owner Information Name Role Effective Date Expiration Date Jacoby, Elisa BNbsp; 01/01/1980 Jacoby, Elisa Agent 01/01/1980 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 3/27/2000 Until Released Bond $4,000.00 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type https: // fortress .wa.gov /lni/bbip /Print.aspx 06/25/2010