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Permit EL12-0821 - BEST BUY - MOBILE
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 -0821 Best Buy — Mobile 17250 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. BEST BUY MOBILE 17250 SOUTHCENTER PY EL1 2-0821 City ATukwila • 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.: 7888920020 Address: 17250 SOUTHCENTER PY TUKW Project Name: BEST BUY MOBILE ELECTRICAL PERMIT Permit Number: EL12 -0821 Issue Date: 08/29/2012 Permit Expires On: 02/25/2013 Owner: Name: WIG PROPERTIES LLC -SS Address: 4811 134TH PL SE , BELLEVUE WA 98006 Contact Person: Name: ROBERT CARSON Address: PO BOX 2015 , NORTH BEND WA, 98045 Contractor: Name: SECURE PROJECTS INC Address: PO BOX 2015 , NORTH BEND WA 98045 Contractor License No: SECURPI944BD Phone: 425 -884 -3823 Phone: 425 888 -3823 Expiration Date: 01/03/2014 DESCRIPTION OF WORK: INSTALL A CCTV SYSTEM AND SECURITY SYSTEM Value of Electrical: NRES: $8,000.00 RES: $0.00 Fees Collected: $230.10 Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 2008 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 local laws regulating construction or t • erf • rmance of work. I am authorized to sign and obtain this electrical permit. Date: pv P 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 -0821 Printed: 08 -29 -2012 ' • PERMIT CONDITIONS • Permit No. EL 12 -0821 * *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 -0821 Printed: 08 -29 -2012 CITY OF TUKFI1PA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. k L1 �� 02-1 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 King Co Assessor's Tax No.: Site Address: 17250 Southcenter Pkwy. Tukwila WA Suite Number: 116 Floor: / Tenant Name: Best Buy Mobile Express PROPERTY OWNER Name: Best Buy Mobile Express #2390 Address: 17250 Southcenter Pkwy., STE 116 City: Tukwila State: "WA Zip: 98188 CONTACT PERSON — person receiving all project communication Company Name: Secure Projects Inc Name: 1/ 5 City: North Bend State: WA Zip: 98045 Phone: (425) 888 -3823 Fax: (425) 888 -3 24 Address: p0 .9 U / 5 Tukwila Business License No.: BUS - 099263 City: ,� /� (L , , ,� State: w Zip: Phone::g2 S--1 r65/_ 3 y23Fax: Email: � . ` 4.. s4'J &.Scc - 77L't4 New Tenant: Er Yes m ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Secure Projects Inc Address: 16815 443rd AVE SE City: North Bend State: WA Zip: 98045 Phone: (425) 888 -3823 Fax: (425) 888 -3 24 Contr Reg No.: SECURPI944BD Exp Date: , .160/ ..160:1 ✓ Tukwila Business License No.: BUS - 099263 Valuation of Project (contractor's bid price): $ 8,000 Scope of Work (please provide detailed information): We will be installing a CCTV system and Security System. Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes Z No Type of Use: Tyne of work: ❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H:\Applications \Fors- Applications On Line \2011 Applications\ Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 Nt 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 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: 08/29/2012 Date: Print Name: Robet G Carson Day Telephone: (253) 709 -8527 Mailing Address: PO Box 2015 North Bend WA 98045 City H :\Applications \Forms-Applic Lions On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docs Revised: August 2011 bh 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.: 7888920020 Permit Number: EL12 -0821 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 08/29/2012 Applicant: BEST BUY MOBILE Issue Date: Receipt No.: R12 -02484 Payment Amount: $230.10 Initials: WER Payment Date: 08/29/2012 10:15 AM User ID: 1655 Balance: $0.00 Payee: SECURE PROJECTS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 021457 ACCOUNT ITEM LIST: Description 230.10 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 230.10 Total: $230.10 doc: Receiot -06 Printed: 08 -29 -2012 INSPECTION RECORD- Retain a copy with permit INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 DIVISION (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: fi 1?)1.11 Type of Inspection, . to() Address. I (1 o S.C.. Pl.. Date Called: Special Instructions: SCI Date Wanted:. 7 76m a'.m) Requester: Phone No O Approved per applicable codes. COMMENTS: A ElCorrections required prior to approval.. Inspector: Date; t)? \Irti REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be_ paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by LEt1 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 SECURE PROJECTS INC 4258883823 Po Box 2015 North Bend WA 98045 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602368306 Active SECURPI944BD Electrical Contractor 1/3/2006 1/3/2014 Limited Energy Unused Electrical Administrator INFORMATION License CARSORG953RT Name CARSON, ROBERT GEORGE Status Active Business Owner Information Name Role Effective Date Expiration Date CARSON, ROBERT Agent 01/03/2006 12/15/2011 CARSON, ROBERT G President 01/03/2006 $250.00 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 WESTERN SURETY CO 14635486 10/12/2004 Until Cancelled 10/12/2011 $4,000.00 01/03/2005 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 10/24/2011 Until Released Bond $4,000.00 10/24/2011 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 EBUJD00259 12/15/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 ESMWI00269 8/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 08/29/2012