HomeMy WebLinkAboutPermit EL11-0496 - CARTERSThis 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.
EL11 -0496
Carters
17250 Southcenter Parkway
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
9
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.
CARTERS
17250 SOUTHCENTER PY
EL1 1 -0496
Cit3411bf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite # 100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 7888920020
Address: 17250 SOUTHCENTER PY TUKW
Tenant Name: CARTERS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0496
06/03/2011
11/30/2011
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA 98006
Contact Person:
Name: TIM NELSON
Address: 5113 PACIFIC HY E #12 , FIFE WA 98424
Contractor:
Name: SIGN -TECH ELECTRIC LLC
Address: 5113 PACIFIC HWY E, SUITE 12 , 98424
Contractor License No: SIGNTEL988BG
Phone: 253 - 922 -2146
Phone: 253 - 922 -2146
Expiration Date: 01/07/2012
DESCRIPTION OF WORK:
HOOKING UP (1) NEW WALL SIGN TO EXISTING POWER.
(S11-055)
Value of Electrical Work: NRES: $250.00
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
� 4
.� _ f
I hereby certify that I have read and examined this pe d 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 electrical permit and agree to the conditions on the back
of this permit.
Date:
Signature:
Date: `X
//
Print Name: F i.,cl LAS (.2
This permit shall become null and void if the work is trot 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.
doc: EL -9/09
EL11 -0496 Printed: 06 -03 -2011
o •
PERMIT CONDITIONS
Permit No. EL11 -0496
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL11 -0496 Printed: 06 -03 -2011
CITY OF TUK
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
•
Electrical Permit No. ` 6e-/?6,
Project No.
(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: / % 2 SZ' S 4/ C A, l-e-.- F44," Suite Number: Floor:
Tenant Name: L°(, S New Tenant: El Yes [/.No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: 7 /l/i") /t/2 /3cn-
Mailing Address:
S /i3
n,
E -Mail Address:
Day Telephone: 2 S 3 't ZZ Z-1 (Q
F cisliz /
City State Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: J t v■ eito L' 1-v c_
Mailing Address: n % 3 Ac / r<i L /A✓7 l
A -4
City Zip
Contact Person: Ti / "e7.�G,/ Day Telephone: - S 3 at 2-Z Zi LI coo
E -Mail Address: Fax Number:
Contractor Registration Number: S t Cq NTFL °lam r6 C, Expiration Date: /7 /2p/2--
�O 27State Zi
a0
Valuation of Project (contractor's bid price): $ ' -/�
Scope of Work (please provide detailed information): at /4 7`d /`s'2 "� ���✓
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes dNo
Type of Use: \ GN "h (- ff C V 1 i-
T e of rk:
New ❑ Addition ❑ Service Change ❑ Remodel El Tenant Improvement
El Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
,i Puget Sound Energy
El Seattle City Light
I _211:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
evised: May 2011
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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.
1 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:
Print Name: Day Telephone:
Mailing Address:
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H.1Applicalions\Forms- Applications On Line \2010 Applications17 -2010 - Electrical Permit Applicalion,doc
Revised. May 2011
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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.TukwilaWA.gov
RECEIPT
Parcel No.: 7888920020 Permit Number: EL11 -0496
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 06/03/2011
Applicant: CARTERS Issue Date:
Receipt No.: R11 -01116
Initials: TLS
User ID: 1670
Payment Amount: $63.00
Payment Date: 06/03/2011 11:42 AM
Balance: $0.00
Payee: SIGN TECH ELECTRIC / JOHN MENDENHALL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6151 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
doc: Receiot -06 Printed: 06 -03 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: Tel. t 5
Type of Inspection:
Address: py t.
17260 5 -c -
Date Called:
Special Instructions:
Date Wanted:. lm
,.m.
Requester: ��
Phone No: 4,7.7 pit( ll
Approved per applicable codes. O Corrections required prior to approval.
OMMENTS:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be •
paid at`6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
Contractors or Tradespeople Poer Friendly Page
•
Electrical Contractor
A business licensed by Lftl 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
SIGN -TECH ELECTRIC LLC
2539222146
5113 Pacific Hwy E #12
Fife
WA
98424
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602152490
Active
SIGNTEL988BG
Electrical Contractor
1/7/2002
1/7/2012
General
Unused
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
SIGNTE'055MMSIGN-TECH
ELECTRIC
Electrical
Contractor
General
Unused
7/14/1995
7/14/2003
Archived
SIGNTE'055DA
SIGN TECH
ELECTRIC
Electrical
Contractor
Sign
Unused
3/1/1995
3/1/1997
Archived
Electrical Administrator INFORMATION
License MORRIT'943K6
Name MORRISON, TRAVIS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MENDENHALL, JOHN C
Partner /Member
01/07/2002
Received Date
MENDENHALL, LINDA D
Partner /Member
01/07/2002
Until
Released
Bond Information No records found for the previous 6 year period
I nment of Savings Information
Page 1 of 2
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
1/14/2002
8/4/2010
Bond
$4,000.00
1/18/2002
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EROHB00202
7/18/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Printaspx
06/03/2011