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Home My WebLink AboutPermit EL13-0025 - TACO BELL - REMODEL 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. EL13-0025 Taco Bell 16350 West Valley Hy DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals’ social security Personal Information – numbers are redacted to protect those Social Security Numbers 5 U.S.C. sec. individuals’ privacy pursuant to 5 U.S.C. sec. DR1 Generally – 5 U.S.C. sec. 552(a); RCW 552(a), and are also exempt from disclosure under section 42.56.070(1) of the Washington 552(a); RCW 42.56.070(1) State Public Records Act, which exempts under 42.56.070(1) the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information – expiration dates, or bank or other financial RCW 9 DR2 Financial Information – account numbers, which are exempt from 42.56.230(5) disclosure pursuant to RCW 42.56.230(5) RCW 42.56.230(4 5) , except when disclosure is expressly required by or governed by other law. TACO BFALL 16350 WEST VALLEY HY EL1 3-0025 City ofikukwila 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.: 2523049083 Address: 16350 WEST VALLEY HY TIIKW Project Name: TACO BELL ELECTRICAL PERMIT Permit Number: EL13-0025 Issue Date: 01/10/2013 Permit Expires On: 07/09/2013 Owner: Name: NWR REALTY L L C Address: 16000 CHRISTENSEN RD STE 101 , SEATTLE WA 98188 Contact Person: Name: FARON LASH Address: 16 HORIZONS LANE , ABERDEEN WA, 98520 Contractor: Name: PHOENIX SIGN CO Address: PO BOX 497 , ABERDEEN WA 98520 Contractor License No: PHOENSC923CG Phone: 360 532-111 Phone: Expiration Date: 02/07/2014 DESCRIPTION OF WORK: REPLACE LOGOS, LETTERS, MENU BOARD, DIRECTIONS TO EXISTING CIRCUITS. Value of Electrical: NRES: $100.00 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: I hereby certify that I have read and e governing this work will be complied anu 'th, $63.00 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or theerformance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 4t-r1P)41,i 1` .1ti,2t0a Date: 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 EL13-0025 Printed: 01-10-2013 0 • PERMIT CONDITIONS Permit No. EL13-0025 **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 EL13-0025 Printed: 01-10-2013 CITY OF TUKWILL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • Electrical Permit No. EL -1-b0- Project No. Date Application Accepted: v l '' (7 13 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 Site Address: 16350 WEST VALLEY HWY Tenant Name: TACO BELL King Co Assessor's Tax No.: 2523049083 Suite Number: Floor: New Tenant: ❑ Yes ..No PROPERTY OWNER Name: FARON LASH Name: NWR REALTY LLC Address: SAME AS CONTRACTOR Address: 16000 CHRISTENSEN RD City: State: City: TUK.WILLA State: WA Zip: 98188 CONTACT PERSON - person receiving all project communication Name: FARON LASH Address: 16 HORIZONS LANE Address: SAME AS CONTRACTOR Phone: (360) 532-1111 Fax: (360) 637-8557 City: State: Zip: Phone: (360) 590-2252 Fax: Email: sh.phoenixsign@gmail.com ELECTRICAL CONTRACTOR INFORMATION Company Name: PHOENIX SIGN CO Address: 16 HORIZONS LANE City: ABERDEEN State: WA Zip: 98520 Phone: (360) 532-1111 Fax: (360) 637-8557 Contr Reg No.: PHOENSC923CG Exp Date: 02/07/2014 Tukwila Business License No.: 0994020 Valuation of Project (contractor's bid price): $ 3,000 Scope of Work (please provide detailed information): replace logos, letters, menu board, directionals to existing circuit Will service be altered? ❑ Yes Q No Type of Use: fast food signs Adding more than 50 amps? ❑ Yes 0 No Type of work: ❑ New 0 Addition 0 Service Change ❑ Low Voltage 0 Generator 0 Fire Alarm Property Served by: • Puget Sound Energy 0 Seattle City Light H:Wpplications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bit ❑ Remodel ❑ Telecommunication ® Tenant Improvement 0 Temporary Service 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 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 ;' h LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNS' t ' E CTRICAL CONTRACTOR: Signature/ Date: O 1 /09/2013 Print Name: FARON LASH Day Telephone: (360) 590-2252 Mailing Address: PO BOX 497 ABERDEEN WA 98520 City H:Wpplications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh Slate 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.: 2523049083 Permit Number: EL13-0025 Address: 16350 WEST VALLEY HY TUKW Status: PENDING Suite No: Applied Date: 01/10/2013 Applicant: TACO BELL Issue Date: Receipt No.: R13-00141 Initials: JEM User ID: 1165 Payment Amount: $63.00 Payment Date: 01/10/2013 07:37 AM Balance: $0.00 Payee: PHOENIX SIGN COMPANY, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13645 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 'Inn, Denein+_AR Prin+arl• A1_1A_�A14 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. Cu3-oo2. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 V. , (206) 431-36 Permit Inspection Request Line (206) 431-2451 Project: �j,.. li Type of Inspection: ,491.),491.)Address: J. VA l ill Date Called: o Special Instructions: 5/4415 Date Wanted: .m. il 21 P r Requester: Phone No: gl Approved per applicable codes. DCorrections required prior to approval. /- I< COMMENTS: Of( s Inspector: 7 611 /11 t / 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 Pryier 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 Phone Address Suite/Apt. City State Zip County Business Type Parent Company PHOENIX SIGN COMPANY INC 3605321111 Po Box 497 Aberdeen WA 98520 Grays Harbor Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602790701 Active PHOENSC923CG Electrical Contractor 2/7/2008 2/7/2014 Sign Unused Master Electrician INFORMATION License LASH*P972LT Name LASH, FARON Status Active Business Owner Information Name Role Effective Date Expiration Date JON M ANTHONY, P.S. Agent 02/07/2008 LASH, FARON A President 02/07/2008 LASH, TANYA M Secretary 02/07/2008 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 8/1/2007 Until Released Bond $4,000.00 2/7/2008 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 EMABQ03813 1/25/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 01/10/2013