HomeMy WebLinkAboutPermit EL12-0437 - BED BATH & BEYONDThis 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 -0437
Bed Bath & Beyond
400 Strander Boulevard
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.
BED BATH & BEYOND
400 STRANDER BL
EL1 2-0437
City oPrukwila
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.: 0223100070
Address: 400 STRANDER BL TUKW
Project Name: BED BATH & BEYOND
ELECTRICAL PERMIT
Permit Number: EL12 -0437
Issue Date: 05/11/2012
Permit Expires On: 11/07/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
GARFIELD - SOUTHCENTER L L C
388 PEARL ST , EUGENE OR
NICK VICHAS Phone: (206)364 -3900
13619 MUKILTEO SPEEDWAY SUITE D5 #1105 , LYNNWOOD WA
APEX ELECTRIC INC
Phone: 425- 830 -0282
Address: 13619 MUKILTEO SPDWY - STE D -5 #1105 , LYNNWOOD WA
Contractor License No: APEXEEI977RT Expiration Date: 01/16/2014
DESCRIPTION OF WORK:
REPLACE RTU'S
Value of Electrical:
NRES: $8,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND
Permit Center Authorized Signature:
RGY
Fees Collected:
National Electrical Code Edition:
I hereby certify that I have read and examined this p
governing this work will be complied with, whether
The granting of this
construction o
Signature:
Date:
$230.10
2008
t and know the same to be true and correct. All provisions of law and ordinances
• ecified herein or not.
rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
rformance of work. I am authorized to sign and obtain this electrical permit.
Print Name:
O■ce
Date:
-6 III icz
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
EL1 2-0437
Printed: 05 -11 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0437
* *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 -0437 Printed: 05 -11 -2012
CITY OF TUKW'.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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: `' 1.0-b f p,cPc $i
Tenant Name: I:3QrX
• b � �4
� 5',�,��
E �rd���n�� 'yd's{ � � �.
Name:
CAL D
City: k..1 A,,,c7.r.1/ State:
Address:
Phone Fax:
60
,-2A 6,
City:
State:
Zip:
Name: meAc J Cktl
Address: t'(p�'1 vk ,_{kc
City: 1'tlA
Phone Q3CDt-I-1�
Email: AkCk.@ Afvp
CVee
h/ N Li
State:
Fax:
Zip ? 7
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes tom`.. No
Valuation of Project (contractor's bid price): $ i! 000
Scope of Work (please provide detailed information): (t Vikik `S
Will service be altered? ❑ Yes 'Ey No Adding more than 50 amps? ❑ Yes W No
Type of Use:
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
1-1 \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised. August 2011
bh
Page 1 of 2
■ (�
Company Name: is1/4rQ,C�,t ittiG
"'
Address: 044111.-(0 c
N , `, ,
CAL D
City: k..1 A,,,c7.r.1/ State:
P:MOIR 't
Phone Fax:
60
,-2A 6,
Contr Reg No.:eGe�%7irt- Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ i! 000
Scope of Work (please provide detailed information): (t Vikik `S
Will service be altered? ❑ Yes 'Ey No Adding more than 50 amps? ❑ Yes W No
Type of Use:
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
1-1 \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.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.
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 1; NER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: q W- v"b &ktk
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised. August 2011
bh
Date: 5([t ( ) 2
Day Telephone(2 3c(1.- `D
City State Zip 7
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
Parcel No.: 0223100070
Address: 400 STRANDER BL TUKW
Suite No:
Applicant: BED BATH & BEYOND
RECEIPT
Permit Number: EL12 -0437
Status: APPROVED
Applied Date: 05/11/2012
Issue Date:
Receipt No.: R12 -01565
Initials:
User ID:
Payee:
TLS
1670
Payment Amount: $230.10
Payment Date: 05/11/2012 12:39 PM
Balance: $0.00
NICK VICHAS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 04740C
ACCOUNT ITEM LIST:
Description
230.10
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 230.10
Total: $230.10
doc: Receipt -06 Printed: 05 -11 -2012
INSPECTION RECORD
Retain a copy with permit
6.42.e.0Y37
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project:e _ — ii,i0d9 +
Type of Inspection:
�i00
Address: 1/005 TiITf (O e„
("x(1144
Date Called:
e^
Special Instructions:
Date Wanted:.
r ..}
j�
(
m.
Pis
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
61Q4oPsis othir
0 _K
/
Date: (tl it 7ep
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. '
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ve, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
647-- 137
Project: " jr)
Type of Inspection:
Address: L� O, _(
00
Date Called:
Special Instructions:
Date Wanted:.
a.m.�
Requester:
Phone No:
❑ Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.-
o. 9$64 Ca,1 ekATY i
L4-4b C Q J » D ► Al b iS CoAk46C r - ' •
Pbbwwnb' art. S640114(4-1 Sup&g-r
Inspector::( 64 /ek
n REINSPECTION FEE REQUIRED. Prior to next inspection, ;,fee must; be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule:reinspection:
Contractors or Tradespeople *ter Friendly Page
Electrical Contractor
A business licensed by L&l 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
APEX ELECTRIC INC
4258300282
13619 Mukilteo Spdwy
STE D -5 #1105
Lynnwood
WA
98087
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602333705
Active
APEXEEI977RT
Electrical Contractor
12/30/2003
1/16/2014
General
Unused
Electrical Administrator INFORMATION
License CONSTMA905K6
Name CONSTANTINE, MICHAEL A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
VICHAS, NICK J
Agent
12/30/2003
VIDHAS, NICK J
President
12/30/2003
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
12/1/2003
Until
Released
Bond
$4,000.00
12/10/2003
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
EVATE00253
4/5/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 05/11/2012