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Home My WebLink AboutPermit EL13-0869 - T-MOBILE - LOW VOLTAGE 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. EL13-0869 T-Mobile 17401 Southcenter Pkwy 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. T -MOBILE 17401 SOUTHCENTER PY EXPIRED 03/09/14 ELi 3-0869 City ofOrukwila 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.: 2623049120 Address: 17401 SOUTHCENTER PY TUKW Project Name: T -MOBILE ELECTRICAL PERMIT Permit Number: EL13-0869 Issue Date: 09/10/2013 Permit Expires On: 03/09/2014 Owner: Name: WINNERS 3 LLC Address: 117 E LOUISA ST #230 , SEATTLE WA 98102 Contact Person: Name: CLIFF MIHM Address: 5209 122 ST E , TACOMA WA, 98446 Contractor: Name: CULBERTSON SIGN SERVICE LLC Address: 5209 122ND ST E , TACOMA 98446 Contractor License No: CULBESS984MU Phone: 253 538-0752 Phone: 800 925-6011 Expiration Date: 08/30/2014 DESCRIPTION OF WORK: HOOK UP LOW VOLTAGE LED SIGN TO EXISTING POWER Value of Electrical: NRES: $180.00 RES: $0.00 Type of Fire Protection: SPRINICLERS/AFAN 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 ami 'th, Fees Collected: $65.00 Washington Cities Electrical Code: 2011 Date: d 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 of pres i e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performa a of work. I am authorized to sign and obtain this electrical permit. i Signature: Date: Print Name: Ann - m I i- i(V\ 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 -7/13 EL13-0869 Printed: 09-10-2013 PERMIT CONDITIONS Permit No. EL13-0869 **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 -7/13 EL13-0869 Printed: 09-10-2013 CITY OF TUK,4 Community Develop nt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical P• ermit No. — ®Vi er 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.:62,.50/ - 9/.2,0 Site Address: l 7y D 1I\ -E2, - '4 . i`-( Suite Number: Tenant Name: T on 015 ( LEI= PROPERTY OWNER Name: W\0ts-3IZS 1--LC-- -->,GAddress: Address:t 7 Li 0 I GID C? Com, 2._ .L 4 City:TV 4'10 \LA- State: W, .R Zip:gg 15Z' CONTACT PERSON - person receiving all project communication Name: ,�1rc PAI A -1Y"\ Address:czOq I 2 ,N° ‘ 7T, City: TACO MA State: to p Zip: q 3,4446 Phone T3- 53T-0 75'2 -Fax: 2- -5-31507.7 C Email: PW m Ii-1Yh0 &I 111H\L,o CDYlf\ Floor: 1-5 r New Tenant: ❑ Yes Er.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Cl) LT3p/3 1 6) l\ -)i Address: ,�20 C( \ 2:2-/51' dir . ' City:AC Om�/A�,7 State: Zip: Phone:2�'��b Fax: 2.5-3__ �i6^D'U Z Contr Reg Na Vt_REq IC14�UExp Date: ( ) 14 Tukwila Tukwila Business License No.; bit (T, 0 I n Agi 5 Valuation of Project (contractor's bid price): $ I'D < 00 Scope of Work (please provide detailed information): Ho C?K v Lou VOLT -1/1,61 t Cz TC' T*-\ s -1 j ( ?o Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change 0 Remodel ❑ Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) O Garages, pools, spas and outbuildings $81.90 ea O 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: (1 ,17 'Van 'Print Name: C1—I Frorr) iy\ • IM (4-1 r \ Mailing Address: _• • Date: 9// Of/ 3 Day Telephone: Z V"r IA 1 , • city H:\Applications\Forms-Applications On Luse \2013 Apphcattons\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 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.: 2623049120 Permit Number: EL13-0869 Address: 17401 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/10/2013 Applicant: T -MOBILE Issue Date: Receipt No.: R13-02588 Initials: JEM User ID: 1165 Payment Amount: $65.00 Payment Date: 09/10/2013 11:08 AM Balance: $0.00 Payee: CULBERTSON SIGN SERVICE, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 12535 65.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 65.00 Total: $65.00 Anr• Peroinf_!1R Prinfarl• (19_1(1_9(113 2/3/2014 City of Tukwila Department of Community Development CLIFF MIHM 5209 122 ST E TACOMA, WA 98446 RE: Permit No. EL13-0869 T -MOBILE 17401 SOUTHCENTER PY Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 3/9/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 3/9/2014, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, r Marshall echnician File No: EL13-0869 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople oter Friendly Page Electrical Contractor A business licensed by La! 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 CULBERTSON SIGN SERVICE LLC 2535380752 5209 122Nd St E Tacoma WA 98446 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602043276 Active CULBESS984MU Electrical Contractor 8/30/2002 8/30/2014 Sign Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CULBESSO42N2 CULBERTSON SIGN SERVICE Electrical Contractor Sign Unused 8/22/1996 8/22/2002 Archived Master Electrician INFORMATION License CULBEP*979QL Name CULBERTSON, PAUL Status Active Business Owner Information Name Role Effective Date 07/31/2002 Expiration Date _ CULBERTSON, PAUL Partner/Member CULBERTSON, PAUL JR Partner/Member 07/31/2002 ELECTRICAL CITATION Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings 1 Assignment of Savings Account Number Effective Date 8/30/2002 Release Date Until Released Assignment Type Bond Impaired Date Amount $4,000.00 Received Date 8/30/2002 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 EOXFJ00292 2/19/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EALEJ00261 7/16/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 ELEIS00416 2/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ECAM000267 2/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 09/10/2013