HomeMy WebLinkAboutPermit EL12-0877 - 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 -0877
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
11
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.
RED WING SHOES
17135 SOUThCENTER PY
EL1 2-0877
City oilitukwila •
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.: 2623049069
Address: 17135 SOUTHCENTER PY TUKW
Project Name: RED WING SHOES
ELECTRICAL PERMIT
Permit Number: EL12 -0877
Issue Date: 09/18/2012
Permit Expires On: 03/17/2013
Owner:
Name: KTM GROUP LLC
Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110
Contact Person:
Name: GLENN SELLARS
Address: 29210 3RD AVE S , ROY WA, 98580
Contractor:
Name: SELLARS ELECTRIC INC
Address: 29210 3 AV S , ROY WA 98580
Contractor License No: SELLAEI963O4
Phone: (253)720 -7233
Phone: 253 - 843 -2009
Expiration Date: 09/24/2012
DESCRIPTION OF WORK:
INSTALL NEW LIGHTS
Value of Electrical: NRES: $10,000.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$264.50
2008
C-' /( i7 -
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 ttheperformance of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: (g//Z
Print Name:
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 -0877 Printed: 09 -18 -2012
• PERMIT CONDITIONS •
Permit No. EL 12 -0877
* *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 -0877 Printed: 09 -18 -2012
CITY OF TUKWII/A.
Community Development — epartment
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 **
King Co Assessor's Tax No.:
Site Address: I "7 /3 5 r c'Fk C (h- ,e g/zK Ay Suite Number: Floor:
Tenant Name: 4,t. & f'- 5h ce S New Tenant: (J Yes ❑.. No
ti�''''e}^o-`';
rs�d
Jc_
Name:
City: Ro Stat �
Address:
Phone: Fax:
5�- -7aa -7 -33 (2s3
4.Y3-2G17
City:
State:
Zip:
Name:�� 4,4-5
Address: 3t-�2 C0 3 R J4' . S
City: goY
State: (0,1-- Zip
Phone :5 5 , Zia• 72, 3� Fax: 5-3 _ c�3 _a2c�(j?
Email: a'Lo° S LC��t cow
Valuation of Project (contractor's bid price): $ 4000
Scope of Work (please provide detailed information): tar 2 -E-54-4- IC- )V c.o./ L /Joe._ t S
oG
Company Name: Si eLS 0LF
Jc_
Address:
✓' . 1210 :3 D40,4r 5
City: Ro Stat �
Zip:
Phone: Fax:
5�- -7aa -7 -33 (2s3
4.Y3-2G17
Contr Reg No.: , Exp Date:9/zWa .30
Tukwila Business License No.;
Will service be altered? ❑ Yes EL_ No Adding more than 50 amps? ❑ Yes ® No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change 21., Remodel c2 Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
51- 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
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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)
❑ Camivals
$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:
Print Name:k24
Mailing Address: 2 RIXv�
H:\Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx
Revised: August 2011
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Day Telephone:
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Date: ? /®llZ-
- -723 3 co AL ko
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 -0877
Address: 17135 SOUTHCENTER PY TUICW Status: PENDING
Suite No: Applied Date: 09/18/2012
Applicant: RED WING SHOES Issue Date:
Receipt No.: R12 -02633
Payment Amount: $264.50
Initials: LAW Payment Date: 09/18/2012 10:36 AM
User ID: 1632 Balance: $0.00
Payee: GLENN SELLARS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 03553B
ACCOUNT ITEM LIST:
Description
264.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
doc: Receipt -06 Printed: 09 -18 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. ►
CITY OF TUKWILA BUILDING DIVISION
0 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
3
6300
Inspection Request Line (206) 431 -2451
64-06\77
Project: s /
VeS
Type of Inspection:
2(00
Address:
I 7615:6 PI
Date Called:
Special Instructions:
Date Wanted:.
/
0 i Z
a.m
p.m.
Requester:
Phone No:
W'Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
0)494roopis rr
Inspector: Um &ewer\
Date:
;Lf I /17.
n 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
(1/(Z- or77
-.INSPECTION NO.: PERMIT NO.
CITY OF-TUKWILA BUILDING DIVISION
6300'.Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -3670
Kermit Inspection; Request Line (206) 431 -2451
(14.14[N 5uf-d
Type of Inspection: ,2,00
Date Called:
Special Instructions':
e
Date Wanted:. 100
Requester:
Phone No:
nApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Ao cati b J'r J4'
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NirSSt4L
Date:
r
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
612- oa
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
VV Project:
r
feS
Type of Inspection:
.P
Address:
a
w
Date Called:
Special Instructions:
Date Wanted :.
Q i4 6
Requester:
e
Phone No:
EtApproved per applicable codes. Corrections required prior to approval.
OMMENTS:
ickbU(Apk 14 cofriP6r6
Inspector:
Date: 004 )r�
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 Prir 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 SELLARS ELECTRIC INC UBI No. 602424221
Phone 2537207233 Status Active
Address 29210 3Rd Ave S License No. SELLAEI96304
Suite /Apt. License Type Electrical Contractor
City Roy Effective Date 9/24/2004
State WA Expiration Date 9/24/2014
Zip 98580 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License SELLAG`966J7
Name SELLARS, GLENN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SELLARS, GLENN E
Agent
09/24/2004
SELLARS, GLENN E
President
09/24/2004
SELLARS, DEANN W
Secretary
09/24/2004
SELLARS, GLENN E
Treasurer
09/24/2004
SELLARS, DEANN W
Vice President
09/24/2004
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
9/17/2004
Until
Released
Bond
$4,000.00
9/24/2004
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 No records found for the previous 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/18/2012