Loading...
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 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) ❑ 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 bh Day Telephone: v Ci 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' 40-1 -1 UJt&. Cr4tll'r5 To Pic 620 JP GJ ru- ` . DILL - rte/ P & C tial WA!" CALdtt, Rtc-0012C 6-- C.tt 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