HomeMy WebLinkAboutPermit EL12-0247 - VITAMIN WORLDThis 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 -0247
Vitamin World
1119 Southcenter Mall
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
9
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.
VITAMIN WORLD
1119 S 0 UTH CENTER MALL
EL1 2-0247
City oiPI'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
ELECTRICAL PERMIT
Parcel No.: 9202470010
Address: 1119 SOUTHCENTER MALL TUKW
Project Name: VITAMIN WORLD
Permit Number: EL12 -0247
Issue Date: 03/13/2012
Permit Expires On: 09/09/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: TRAVIS MORRISON
Address: 5113 PACIFIC HY S , 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: 01/17/2014
DESCRIPTION OF WORK:
INSTALL EELECTRICAL TO NEW BLADE SIGN USING EXISTING SIGN CIRCUIT
Value of Electrical:
NRES: $200.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA 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
x•
wit
$63.00
2008
Date: Ob
1414--
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr • e 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.
Signature: �a — Date:
Print Name: /7-6U-73--
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 -0247 Printed: 03 -13 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0247
* *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 -0247 Printed: 03 -13 -2012
CITY OF TUKWI
Community Developmeilakartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Project No.
Date ,Application Accepted;
Date Application Expires
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 **
%/ / M King Co Assessor's Tax No.: q2/192-41 00 to
Site Address: ! / / u 4 (to/el 4, -- ,' a Suite Number: Floor:
Tenant Name: �// 7 /)"J //7 (%)e,7- e New Tenant: ❑ Yes V.. No
PROPERTY:
Name:
Address:
City:
State:
Zip:
CO C
commumcat ton :'
ERS®
erson re cut all project
Name:
t -ry
t
`�
�� c,o I)
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ELECCT1 CAL CONTRACTOR `ORMA'TION ...
Company Name: 5'1,2 -(/ 7mie / 2
!'
Address: //r? t/� / /2f/
!�C j
City: /� State: � Zip: A .�
O
Phone:G2 r_j" /0z.2 o2 /Y9ax: -75. _7..2,2 - e2/5,.
Contr Reg No.: (. ,-Cv ',Bp Date: / 7." i/
Tukwila Business License No.; &is— e) - '� ,213 7
Valuation of Project (contractor's bid price): $ r�
Scope of Work (please provide detailed information): Ai
r» CixJ r 1 y.,J�� DA for/ 4
Will service be altered? ❑ Yes cpi No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes pir No
Property Served bv:
Puget Sound Energy ❑ Seattle City Light
H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 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
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: �y�
Print Name: !' J &k' /' 2!v /r/. S0-7
Mailing Address: s//., �� �.J /ri' 4i
H. \ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised, August 2011
bh
Date: 3 /'j //a
Day Telephone: 7(5"--1 c 7 )/
State Zip
City
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.: 9202470010 Permit Number: EL12 -0247
Address: 1119 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 03/13/2012
Applicant: VITAMIN WORLD Issue Date:
Receipt No.: R12 -01039
Initials:
User ID:
JEM
1165
Payment Amount: $63.00
Payment Date: 03/13/2012 02:05 PM
Balance: $0.00
Payee: SIGN -TECH ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 036234
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: 03 -13 -2012
INSPECTION NO.
INSPECTION RECORD ®it,/
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 It (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
l i
Project: I
V tT A\
1
� ,%%
Type of Inspection:
�,POO
■
Address: s
1 1
kil ,
Date Called:
Special Instructions:
Date Wanted:.
346
Cm •
Requester:
Phone No:
pproved per applicable codes. 0 Corrections required prior to approval.
OMMENTS:
Inspector:
fit
1110FriAffic
Date:
� /14 rzr`
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr ter Friendly Page
•
Electrical Contractor
A business licensed by L81 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 SIGN -TECH ELECTRIC LLC UBI No. 602152490
Phone 2539222146 Status Active
Address 5113 Pacific Hwy E #12 License No. SIGNTEL988BG
Suite /Apt. License Type Electrical Contractor
City Fife Effective Date 1/7/2002
State WA Expiration Date 1/7/2014
Zip 98424 Suspend Date
County Pierce Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Other Associated 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
03/13/2012