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Permit EL12-0054 - CHOP IT UP BARBERSHOP
This 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. EL12 -0054 Chop It Up Barbershop 16874 Southcenter Parkway RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 10 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. CHOP IT UP BARBERSHOP 16874 SOUTHCENTER PY EL1 2-0054 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.Tukwila WA.gov Parcel No.: 2623049129 Address: 16874 SOUTHCENTER PY TUKW Project Name: CHOP IT UP BARBERSHOP ELECTRICAL PERMIT Permit Number: EL12 -0054 Issue Date: Permit Expires On: Owner: Name: PARKWAY SQUARE L L C Address: PO BOX 5003 , BELLEVUE WA Contact Person: Name: RAUL OCHOA Address: 17453 147 ST SE #4 , MONROE WA Contractor: Name: NEON SYSTEMS INC Address: 4009 139TH PL SE , BOTHELL WA Contractor License No: NEONSI *066PR Phone: 425 - 319 -5019 Phone: 425 - 501 -6447 Expiration Date: 12/27/2012 DESCRIPTION OF WORK: CONNECT SIGN (S12 -002) Value of Electrical: NRES: $360.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SO • .i RGY Fees Collected: National Electrical Code Edition: $71.40 2008 / ✓l Permit Center Authorized Signature: .,_ .. /I ■ _ Date: if/1 r I hereby certify that I have read and examined this phi it and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whetherrpecified herein or not. The granting of t construction or Signature: Print Na A e .perf rmit do ma ny..resume to give authority to violate or cancel the provisions of any other state or local laws regulating work. I am authorized to sign and obtain this electrical permit. Date: r7' /2 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. doc: EL -4/10 EL12 -0054 Printed: 01 -17 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0054 * *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 -4/10 EL12 -0054 Printed: 01 -17 -2012 CITY OF TUKWI A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. eL Project No. Date Application Accepted: 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 Site Address: IG37'i SekA4Leek.kr %lt.i Tenant Name: Cho? e ak¢tS King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑..No PROPERTY OWNER Name: Q l ( Q Address: t77y5 3 1 f7fk St Se irk q Name: PAL I�K� c4c,`ar�c C� C Email: - Gufili Q �OCC_morSic, .CC'- Address: Po ax s©03 (fie City: (let/vte State:. 1� q Zip: 9& ,9 CONTACT PERSON — person receiving all project communication Name: Q l ( Q Address: t77y5 3 1 f7fk St Se irk q City: ^,t woe State &4 Zip:��,272 Phone: (425_ 319' _coo Fax: u tv Email: - Gufili Q �OCC_morSic, .CC'- ELECTRICAL CONTRACTOR INFORMATION Company Name: New, Stis�ew\s Address: V C09 1394k P S C City: ei 1, ,2fi State: v A Zip: 9g0 (2, Phone: (/25 sot _cw. ax: Contr Reg No.: t Q NSi t xp Date:/2---27-/Z Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Mote c Convteci' -S ; . Will service be altered? Type of Use: L 6w Type of work: ❑ New Low Voltage Property Served by: ❑ Puget Sound Energy 0 0 ❑ Yes ❑ No O. Adding more than 50 amps? ❑ Yes gLNo Addition Generator ❑ Service Change ❑ Fire Alarm ❑ Seattle City Light H: \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -I 1.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service •?,( uO 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 $1 1.55 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: Print Name: J O1^v._ W? i SS Mailing Address: L/ g /39/4 H:\Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh Day Telephone: 6)140/ City Date: /2 9255 -SGr -6,1(/7 all *0)2 State Zip 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.: 2623049129 Permit Number: EL12 -0054 Address: 16874 SOUTHCENTER PY TURIN Status: APPROVED Suite No: Applied Date: 01/17/2012 Applicant: CHOP IT UP BARBERSHOP Issue Date: Receipt No.: R12 -00169 Initials: TLS User ID: 1670 Payment Amount: $71.40 Payment Date: 01/17/2012 03:47 PM Balance: $0.00 Payee: BIGCOLOR SIGNS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6979 71.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 doc: Receiot -06 Printed: 01 -17 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 lc- (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: ii Type of Inspection: poo Address: Date Called: Special Instruction P 7 Date Wanted:. �� . p.m Requester: Phone No: Approved per applicable codes. ECorrections required prior to approval. COMMENTS: Inspector: /r ft) ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 03/2/ INSPECTION RECORD Retain a copy with permit 6,12.-60511 INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: '` _ t (� Cr `6ti Type of Inspection: 2160 Address: f d p Date Called: Special Instructions: r 1. f Date Wanted:. a.m. ►� P•m. Requester: �"- Phone No: IDApproved per applicable codes. Corrections required prior to approval. COMMENTS: Accts5 -76, WA-ct'vtI try iNAC-J) k f p./ t.s`.+"'1 ,,,,i' 0( Co w a oN Po 4 "1 c) , •A, b d f PM (-Ai r64a ij J Inspector: X0 REINSPECTION: FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 01 f z 1- Contractors or Tradespeople Pier Friendly Page • Electrical Contractor A business licensed by L£tl 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 NEON SYSTEMS INC 4255016447 4009 139Th Pl Se Bothell WA 98012 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601441993 Active NEONSI'066PR Electrical Contractor 10/19/1994 12/27/2012 Sign Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NEONS**088PR NEON SYSTEMS Electrical Contractor Sign Unused 10/19/1992 10/19/1994 Archived Master Electrician INFORMATION License WEISSJ'976RH Name WEISS, JOHN A Status Active Business Owner Information Name Role Effective Date Expiration Date WEISS, JOHN A Cancel Date 01/01/1980 Bond Amount WEISS, TAMARA L 4 01/01/1980 100155781 WEISS, JOHN A Agent 01/01/1980 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 American Contractors Indem CO 100155781 04/05/2011 Until Cancelled $4,000.0004/19/2011 3 HARTFORD FIRE INS 52BSBD93255 10/19/2005 Until Cancelled 04/05/2011 $4,000.0012/10/2010 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 10/19/1994 11/1/1996 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ESTRL00740 1/13/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https:/ /fortress. wa.gov /lni/bbip /Print.aspx 01/17/2012