Loading...
HomeMy WebLinkAboutPermit EL14-0192 - FIRESTONE - SIGNThis 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. EL14-0192 FIRESTONE 215 Andover Park West DIGITAL RECORDS (DR)EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDESTHE FOLLOWING REDACTED INFORMATION Page #CodeExemptionBrief Explanatory DescriptionStatute/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 individuals’ privacy pursuant to 5 U.S.C.sec. 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW DR1Generally –5 U.S.C. sec. under section 42.56.070(1) of the Washington 42.56.070(1) 552(a); RCW 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 account numbers, which are exempt from 10DR2Financial Information – 42.56.230(5) disclosurepursuant to RCW 42.56.230(5), RCW 42.56.230(45) except when disclosure is expressly required by or governed by other law. Personal Information – Redactions contain information usedto prove RCW Driver’s License. –RCW identity, age, residential address, social security 42.56.230 (7a DR3 number or other personal information required to 42.56.230 & c) apply for a driver’s license or identicard. (7a & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney-Client Privilege –disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); RCW 5.60.060(2)(a); RCW which protects attorney-client privileged DR4 RCW 42.56.070(1)communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. FIRESTONE 215 ANDOVER PK W EL14-0192 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 9202470070 215 ANDOVER PARK W 1 Project Name: FIRESTONE Permit Number: EL14-0192 Issue Date: 3/6/2014 Permit Expires On: 9/2/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 CLIFF MIHM 5209 122 ST E , TACOMA, WA, 98446 CULBERTSON SIGN SERVICE LLC 5209 122ND ST E , TACOMA, WA, 98446 CULBESS984MU 1 I 1 Phone: (253) 538-0752 Phone: (800) 925-6011 Expiration Date: 8/30/2014 DESCRIPTION OF WORK: HOOK UP SIGN TO EXISTING ELECTRICAL CIRCUIT Valuation of single family: $0.00 Valuation of mf/comm: $180.00 Type of Work: REMODEL Fees Collected: $68.25 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: '• —I I hearby 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 the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature:/7 /7 Date: / if5e Print Name: CI-- «\ - vv/t, I H vvl This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L` "l1 Q t q2 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 Site Address: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes Tenant Name: t- 1 Rir- PROPERTY OWNER Name: 1 /.01 �-1 Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: 61,I.G-. rvi l NVh e v LT31 1b) 5t6 0,7 Address: —1-t9Q 1 Z-2.�1 S i_ g, City: T rc oM 1. State: to r‘ Zip zi. gyii i Phone: .-5-3)5;3$_0 5—Z-Fax-k3y l^�1_6‹ `` Email:L1.diM k tiMQ G Wk r1L-o COi0 ELECTRICAL CONTRACTOR INFORMATION Company Name: C VL1 D.) 6iG,� Sty (G� Address: Jai 1Z�yD 1 , - .j—- City:A-COMP- State: L Zip?8.,4y6 I/7% Phone: 04T. , 075Z-,Fax.( 3-) d Contr Reg No.:(uL- 5 ti$i-4 my Exp Date: 5 I., (/) 4 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ I '1/- Scope of Work (please provide detailed information): til2K Ut ''I (40 't0 + I5T1 k.)61 . ('`IZctJ l Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement gLow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications on Line\2014 Applications\Electrical Permit Application Revised 1-1-14. docx Revised: January 2014 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) $65.00 ❑ Temporary service (generator) $80.90 O Manufactured/mobile home service $86.25 (excluding garage or outbuilding) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 ELF TRICAL CONTRACTOR: Signature: Print Name: C�—I F rC-2 v • 1 h'i (�\ Mailing Address: Off( (221L) �J�, `FA('�j yl� 14 Yi- ��� City State Zip Date: "3//111 Day Telephone: ('2.c3) n`—©7 S� H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY I PAID $68.25 EL14-0192 Address: 215 ANDOVER PARK W 1 Apn: 9202470070 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000 322 101 00.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1404 R000.322 900.04 00 $3.25 $68.25 Date Paid: Thursday, March 06, 2014 Paid By: CULBERTSON SIGN SERVICE LLC Pay Method: CHECK 12659 Printed: Thursday, March 06, 2014 1:37 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit 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 Project: tn Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: C � ,aa.-m. /, p.m. Requester: Phone No: QApproved per applicable codes. Corrections required prior to approval. COMMENTS: ( ?iyf z„‘ Inspector: d Date:If 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 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 Project: fittesro n /e Type of Inspection: ", Address: ' . A Date Called: Special Instructions: Date Wanted: J f/ VI.3 Requester: Phone No: 'Approved per applicable codes. gJ Corrections required prior to approval. COMMENTS: - 4& 5 To 514n1 R,(9JLR&1) j Ik1.1kTD e J n-kCX &t5 0r tCL"` (Ci:a00.,rh, ,._ A -Al* vJ A 'r b t Se,-f 6wNCc KJ a J t. -1) CD J k(.t'r r i f TZ hMck A -5 ,Ja CkU(.- kS or I : 3 ,1 Veil. - 4('` ctdi - 'Nigh"- t nJ P2,)Jt 6f 4C(A"55 Inspector: I Date: d i/ 3 r l REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. CULBERTSON SIGN SERVICE LT r Page 1 of 3 Washington State Depar l ► ent of Labor & Indus ries CULBERTSON SIGN SERVICE LLC Owner or tradesperson CULBERTSON, PAUL Principals CULBERTSON, PAUL CULBERTSON, PAUL JR Doing business as CULBERTSON SIGN SERVICE LLC 5209 122ND ST E TACOMA, WA98446 253-538-0752 PIERCE County License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties SIGN License no. CULBESS984MU Effective — expiration 08/30/2002 — 08/30/2014 Designated administrator CULBERTSON, PAUL License type Master Electrician Bond No bonds during the previous 6 year period. Insurance Active. Meets current requirements. ACTIVE License no. CULBEP*979QL No insurance accounts during the previous 6 year period. Savings (in lieu of bond) $4,000.00 Received by L&I 08/30/2002 Savings account ID Effective date 08/30/2002 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602043276&LIC=CULBESS984MU&SAW= 03/06/2014