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Home My WebLink AboutPermit EL13-1101 - H & R BLOCK - 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. EL13-1101 H & R Block 17151 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 10 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. H & R BLOCK 17115 SOUTHCENTER PY EXPIRED 05/21/2014 EL13-1101 City 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 Parcel No.: 2623049069 Address: 17115 SOUTHCENTER PY TUKW Project Name: H & R BLOCK ELECTRICAL PERMIT Permit Number: EL13-1101 Issue Date: 11/01/2013 Permit Expires On: 04/30/2014 Owner: Name: KTM GROUP LLC Address: 635 ANDOVER PARK W STE 107 , TUKWILA WA 98188 Contact Person: Name: RICHARD EASLEY Address: 5113 PACIFC HY E , FIFE WA, 98424 Contractor: Name: SIGN -TECH ELECTRIC LLC Address: 5113 PACIFIC HWY E, SUITE 12 , FIFE, WA 98424 Contractor License No: SIGNTEL988BG Phone: 253-922-5146 Phone: 253-922-2146 Expiration Date: 01/17/2014 DESCRIPTION OF WORK: INSTALL ONE CHANNEL LETTER SIGN. LOW VOLTAGE LED Value of Electrical: NRES: $100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Lau21- Fees Collected: Washington Cities Electrical Code: $65.00 2011 Date: I `� 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 do not presume to give au - 'ty to construction or the p orm ce of wor I am autho • to s' - and btain this electrical permit. Signature: Dater / /-J3 ate or cancel the provisions of any other state or local laws regulating 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 -7/13 EL13-1101 Printed: 11-01-2013 • • PERMIT CONDITIONS Permit No. EL 13-1101 **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 EL13-1101 Printed: 11-01-2013 CITY OF TUKVPA Community Development Department Permit Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 http://www. Tukwila WA. qov Electrical -Permit No. Project No. • (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** 1 7 / /� I (( King Co Assessor's Tax No.: Site Address: Sr,cA.An center Pk 1n/‘j Suite Number: New Tenant: ❑ Yes ..No Tenant Name: i' -g. a lock 4-- co3c,Sy Floor: Property Owners Name: Mailing Address: 171 15 &x5 c.cn L PL.,/ TSicAdvia City CONTACT PERSON - Who do we contact when your permit is readyto be issued Name:St1Y1 -Tech )-ec-C-r c. Mailing Address: S 113 Prix 44 C Gyp u y C E -Mail Address:Si p I-(efiN Pkri C Com State 98./sg- Zip Day Telephone: as -3 - 9 3a - A) Lite F‘ WA- 9 E&/,4 y City State Zip Fax Number: cab -3 ' 9 d - a• 1 S. . ELECTRICAL CONTRACTOR INFORMATION , CompanyName:S h TCh G-J.td c Mailing Address: S-11 3 Po cg V C {Av../ Contact Person: R�'CK10.4 Fck,sky City 9S4Ioly State Zip 1 r DayTelephone:ciS3 - 9aa-ac, iy E-MailAddress:c n1-.ec'�n eLeci�rrc , Cp—'- QFax Number: (95-3 - 9 -a)Sol Contractor Registration Number: S I4 N rt i .9 ,8 7C Expiration Date: J - 47 - Valuation of Project (contractor's bid price): $10/0/ �U Scope of Work (please provide detailed information): t ,-14-4i((/!43 .Q.- CIACVAVVa S I ) V1 . Low J6 l +aea} a- L.: ei Will service be altered? ❑ Yes at No Adding more than 50 amps? 0 Yes ligNo Type of Use: Type of work: o New ® Addition 0 Service Change 0 Remodel 0 Tenant Improvement o Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: gg Puget Sound Energy o Seattle City Light H:\Applications\Forms-Applications On Line12010 Applications\7-2010 - Electrical Permit Application doc hh Page 1 of2 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 addedlaltered 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 $10.50 ea PERMIT APPLICATION NOTES IDate Application Accepted: Value of Construction —In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: lC,L0.vca x.A$ Mailing Address: .57/3 Date: rr /d Day Telephone: 2 City Zip y Date Application Expires: Staff Initials: H:1ApplicationsWatms-Applications On Line 12010 Applications17-2010 - Electrical Permit Apphcahondoc bh Page 2 of 2 1 411 • 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: EL13-1101 Address: 17115 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/01/2013 Applicant: H & R BLOCK Issue Date: Receipt No.: R13-03034 Payment Amount: $65.00 Initials: WER Payment Date: 11/01/2013 11:21 AM User ID: 1655 Balance: $0.00 Payee: JOHN MENDENHALL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 012100 ACCOUNT ITEM LIST: Description 65.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 65.00 Total: $65.00 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. OQ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 ei-f3-101 Project: i 1 fi 4- SI- o� Type of Inspection:---;,/ Address: titSt 5%. P f - Date Called: Special Instructions: 9 (AA Date Wanted: - Z-1.- p.m. Requester: Phone No: ElApproved per applicable codes. COMMENTS: pCorrections required prior to approval. /- - cAl.if\tbr- Aux -s sitiAloc Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 4/1/2014 • • City of Tukwila Department of Community Development RICHARD EASLEY 5113 PACIFIC HWY E FIFE, WA 98424 RE: Permit No. EL13-1101 H & R BLOCK 17115 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 5/21/2014. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 5/21/2014, 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, ovpilv er Marshall Technician File No: EL13-1101 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by L&I 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 SIGN -TECH ELECTRIC LLC 2539222146 5113 Pacific Hwy E #12 Fife WA 98424 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602152490 Active SIGNTEL988BG Electrical Contractor 1/7/2002 1/7/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SIGNTE`055MMSIGN TECH ELECTRIC Electrical Contractor General Unused 7/14/1995 7/14/2003 Archived SIGNTE`055DA SIGN TECH ELECTRIC Electrical Contractor Sign Unused 3/1/1995 3/1/1997 Archived Electrical Administrator INFORMATION License MORRIT`943K6 Name MORRISON, TRAVIS Status Active Business Owner Information Name Role Effective Date Expiration Date MENDENHALL, JOHN C Partner/Member 01/07/2002 Received Date MENDENHALL, LINDA D Partner/Member 01/07/2002 Until Released Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 1/14/2002 8/4/2010 Bond $4,000.00 1/18/2002 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 ECHIR00656 8/8/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 11/01/2013