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Home My WebLink AboutPermit EL11-1067 - GOODWILLThis 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 -1067 Goodwill 1174 Andover Park West 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 12 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. GOODWILL 1174 ANDOVER PK W EL1 1 -1067 City A'I'ukwila • 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 Parcel No.: 3523049085 Address: 1174 ANDOVER PK W TUKW Project Name: GOODWILL ELECTRICAL PERMIT Permit Number: EL11 -1067 Issue Date: 11/30/2011 Permit Expires On: 05/28/2012 Owner: Name: DANELLIE LLC Address: 4664 95TH AVE NE , YARROW POINT WA Contact Person: Name: RICHARD EASELY Address: 5113 PACIFIC HY E #12 , FIFE WA Contractor: Name: SIGN -TECH ELECTRIC LLC Address: 5113 PACIFIC HWY E, SUITE 12 , Contractor License No: SIGNTEL988BG Phone: 253 922 -2146 Phone: 253 - 922 -2146 Expiration Date: 01/07/2012 DESCRIPTION OF WORK: RUN POWER FROM SIGN TO NEW MONUMENT Value of Electrical: NRES: $125.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this construction or the Signature: Print Name: with, Date: $63.00 2008 11k0h( ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. rmit does not pre • e to give authority to violate or cancel the provisions of any other state or local laws regulating rman e of work. I am authorized to sign and obtain this electrical permit. ) C a,re) L, Date: 1 36/1/ 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 i spection. doc: EL -4/10 EL11 -1067 Printed: 11 -30 -2011 • PERMIT CONDITIONS Permit No. EL11 -1067 * *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 art 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 -4/10 E L 11 -1067 Printed: 11 -30 -2011 CITY OF TUK1/401 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.TukwilaWA.00v Electrical Permit No. 1 DUI 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 Site Address: //7`/ ,4 hvet- tavk w. King Co Assessor's Tax No.: Suite Number: Floor: 3s -2-W4 -cl olc Tenant Name: C do / �/'/1 / New Tenant: E1 Yes ELNo Property Owners Name: 64 e ad W, I / I �Gt!u S 4-7 Mailing Address: \ f o S co Ave- S City W l� C\ 3 `� State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: E, O.5 Mailing Address: S7/3 Pact c f L -� 1Z Day Telephone: E -Mail Address: City Fax Number: ZS39222z{CQ WA- 9ALIv 1 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: S t liA �e C� E 12-CAV l L Mailing 5 l 0.c rlet L g P �y Contact Person: R t G Lard r -as E -Mail Address: x'14 t.,(n (; `J� N }fit li1 due c tir I . C a ►^� Q Contractor Registration Number: S Ci N Ti" i_�'1i 1367 INS 9 aq' City state Zip Day Telephone: Fax Number: 25'3 472_ 2-144 Expiration Date: Ol10i112_ Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ei024,t4 Will service be altered? ❑ Yes B. No Adding more than 50 amps? ❑ Yes Er No Td Pot•✓.e - a S 91 Type of Use: Type of work: ❑ New pi' Addition ❑ Low Voltage ❑ Generator Property Served by: E. Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm H:\ApplicationsTor ns- Applications On line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service r'• 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. 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: `tG%�GG+./r�ri'�� Print Name: Pi CAA oa.c( C -0.S Mailing Address: 57/3 jacit<iL. IDate Application Accepted: Date: i /A // / Day Telephone: (ib 3^ ' 22'211 W City .?) `i21/( State Zip Date Application Expires: Staff Initials: H AApplications\Fom1s- Applications On line\2010 Application \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 1 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.ov Parcel No.: 3523049085 Address: 1174 ANDOVER PK W TUKW Suite No: Applicant: GOODWILL RECEIPT Permit Number: EL11 -1067 Status: PENDING Applied Date: 11/30/2011 Issue Date: Receipt No.: R11 -02589 Initials: User ID: Payee: JEM 1165 Payment Amount: $63.00 Payment Date: 11/30/2011 01:23 PM Balance: $0.00 SIGN TECH ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 073785 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 11 -30 -2011 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6d -40(07 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ti? (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: / pp cAjtt� of Inspection: �rvO Address: 1 (l / moos t ti j Date Called: Special Instructions: Date Wanted: . 6 fi c cs1.1,-, . Requester: + Phone No: Approved per applicable codes. El Corrections required prior to approval. OMMENTS: Inspector: Lift&disici\ (Date: 04 (4 rL REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. x .. t. • INSPECTION RECORD J Retain a copy with permit 1041 INSPECTION N0: P RMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection *Request Line (206) 431 -2451 Project: Type of Inspection: --y Address: it 711 �v Date Called: Special Instructions: Date Wanted:. ,.. 05 / ( a P.m. Requester: Phone No: cglApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: r' j delS Date: 0, v 5 l L :❑ REINSPECTION FEE REQUIRED. Arior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RtCORD Retain a copy with permit &4' (07 MIT NO. CITY OFTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 v_ (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 6uu,,,,,u t L / Type of Inspection: 600 Address: n r ! 4)01/t IA) Date Called: Special Instructions: 5/4A) Ps Date Wanted:. ' O VO a.m. Requester. Lj Phone No: ❑ Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector: ✓"� /, fop 'Date: Qr c) r REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 06 -01 -2012 • • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RICHARD EASELY 5113 PACIFIC HY E #12 FIFE WA 98424 RE: Permit No. EL11 -1067 GOODWILL 1174 ANDOVER PK W TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 07/03/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 07/03/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, !vim r Marshall t Technician File: Permit File No. EL11 -1067 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Pater Friendly Page • Electrical Contractor A business licensed by Llzl 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 ciated Licenses 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 Assignment 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/Print.aspx 11/30/2011