HomeMy WebLinkAboutPermit EL12-0739 - RED WING SHOESThis 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 -0739
Red Wing Shoes
17135 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
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.
REDWING SHOES
17135 SOUTHCENTER PY
EL12 -0739
Parcel No.:
Address:
City ofI'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
2623049069
17135 SOUTHCENTER PY TUKW
Project Name: RED WING SHOES
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0739
08/08/2012
02/04/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
KTM GROUP LLC
635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110
RICHARD EASLEY
5113 PACIFIC HY E, SUITE 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: 01/17/2014
DESCRIPTION OF WORK:
HOOK UP LED SIGN TO EXISTING POWER
Value of Electrical:
NRES: $200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$63.00
2008
Date: e-8-)2
I hereby certify that I have read and examined this permit and 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 1 cal laws regulating
construction or the rfo ance of ork. I am authorized to sign and obtain this electrical permit. QQ
Signature: 1 �� Date: U
Print Name:
This permit shall become null and void if the work is not Comm nced 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 -0739 Printed: 08 -08 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -0739
* *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.
doe: EL -4/10
EL12 -0739 Printed: 08 -08 -2012
CITY OF TUKWI4
Community Developm )epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://w ww Tuk w laW A .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 **
King Co Assessor's Tax No.: —1 w-y ,•'2..G )
Site Address: (1 3 J 541i t / ?o,u
Suite Number:
Tenant Name: i ` on9t& $ ko•-eyj
Name: We, Q O tN \.vs
Address: 1 \ Saws G.ut r-Pr T O , f W
City:
State: OVA A s Zip:
ray t,t t
Name: ! \otA e.,0(..,
Address: r
S—I3 � w ix 1Z
City:` c,i, State: r„ , A Zip: (A bgZ�
Phone: 2 <-3 , q2,2_ 2 , , „ ( :
Fir:
Email: l ) �n 02 s 11 1 Qii-tL,l'viG- (0.01
New Tenant:
Floor:
❑ Yes No
Company Name: S,9n 1 _ c / C91-1-%
City: , State: vu Zip: ci.s y
Phone: Z 5-3 01 2,2 21 K
Fax:
Contr Reg No.: S Igo re / 9 ' Exp Date: (NSA
Tukwila Business License No.; (3 u S d q i 2. 3
zee
Valuation of Project (contractor's bid price): $ ))
Scope of Work (please provide detailed information): 1 C'l6 h Led d c kQ k 1- 9 l2 4o»
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use: (Y1 itr/ aiiy 7 / /,,iiKfteotIL ei Sii''0
Type of work:
❑ New ❑ Addition ❑ Service Change /Remodel ❑ Tenant Improvement
71 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \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
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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.
ER
BUILDING OWN
Signature:
Print Name:
Mailing Address:
R ELECTRICAL CONTRACTOR:
�e. .1/ \J ET6- s le
H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised: August 2011
bh
Date:
Day Telephone: 2 S 3 2-2" 2
City 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.: 2623049069 Permit Number: EL12 -0739
Address: 17135 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/08/2012
Applicant: RED WING SHOES Issue Date:
Receipt No.: R12 -02306
Payment Amount: $63.00
Initials: WER Payment Date: 08/08/2012 09:50 AM
User ID: 1655 Balance: $0.00
Payee: SIGN -TECH ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 080334
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receipt -06 Printed: 08 -08 -2012
INSPECTION RECORD
Retain a copy with permit
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 : 1,
Project: g.
ICED s i4 SOntc
Type of Inspection:
2(00
`
Address: �s
M 3r.5 e.-• Pi/
Date Called:
Special Instructions:
Date Wanted:.
a.m.
p.m.
Requester:
Phone No:
nApproved per applicable codes.
COMMENTS:
01/
Corrections required prior to approval. fc
(Nw
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pri ter Friendly Page
•
Electrical Contractor
A business licensed by L &I 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
1/7/2014
General
Unused
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
08/08/2012