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Home My WebLink AboutPermit EL14-0809 - FAMOUS FOOTWARE - SIGNSThis 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. EL14-0809 FAMOUS FOOTWARE 17401 Southcenter Parkway, Suite 161 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 11DR2Financial 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 used to 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. FAMOUS FOOTWARE 17401 SOUTHCENTER PKWY STE 161 EL14-0809 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: httq://www.TukwilaWA.aov ELECTRICAL OTC PERMIT 2623049120 Permit Number: EL14-0809 17401 SOUTHCENTER PKWY 161 Issue Date: 8/18/2014 Permit Expires On: 2/14/2015 Project Name: FAMOUS FOOTWARE Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WINNERS 3 LLC 117 E LOUISA ST #230 , SEATTLE, WA, 98102 CLIFF MIHM 5209 122ND ST E , TACOMA, WA, 98446 CULBERTSON SIGN SERVICE LLC 5209 122ND ST E , TACOMA, WA, 98446 CULBESS984MU Expiration Date: Phone: (253) 538-0778 Phone: (800) 925-6011 DESCRIPTION OF WORK: HOOK UP SIGNS TO PRIMARY ELECTRIC. Valuation of single family: $0.00 Valuation of mf/comm: $180.00 Type of Work: LOW VOLTAGE Fees Collected: $68.25 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: (.t Date: OSA/ / 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: (. A j Print Name: (Lt (L7%) yv\ 1M 1 t- vv\ 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 Tenant Name: 'FAV U S 'F'O tPUJYA TLC PROPERTY OWNER Name:0(k)0 ez..6 0 Address: 1 /L40' 5"..iNcoulm. ""p y City: TO +C.W l LitV State: 04 Zip: CONTACT PERSON — person receiving all project communication Name: /) 0 f 04' 0 M Address:c2 1iso)'7T t/ City: —1o ^ State: '• vk Zip: It Phone: iiJJS s - 07 Fax: s3 •S D77 o Q Email: L.iFF:rY 14-1114QGMAIL•COM CITY OF TUE "LA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. gi-R/MO `1 Project No. Date Application Accepted: Date Application Expires: D -i/ill/S (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.: 24,2,.,30(4 -c (7a Site Address: I11O 0U TFII^Q.31 {CI,Jy Suite Number: I b 1 Floor: New Tenant: •... Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: p i 1 l / \ (65 Vi Address;`7 - C 5 0 ZZ o, - City: PEA - 0111 CJ l i- State: r _ `, Zip:9Re4 Phone: 25' 7b t27 %5 255 G D y-28. Conti Reg No.: e (,4L..'x ate: s,../7,/ OA: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1 Id • 617 Scope of Work (please provide detailed information): 1 1A,04 (4x)'7 100 Trz(P%' tifD1 GLEC Will service be altered? ❑ Yes No Type of Use:/X. Type of work: ew ❑ Addition 0 Service Change Low Voltage ❑ Generator 0 Fire Alarm Property Served by: 0 Puget Sound Energy 0 Seattle City Light H:\Applications\Farms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14.docx Revised: July 2013 bh Adding more than 50 amps? 11 Yes ArNo ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service 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 0 Meter/mast repair $68.25 O 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 ***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 EL , TRICAL CONTRACTOR: Signature: 1 Print Name: Li rrOla AA I1 W\ Date: crbs 14.1 Day Telephone: (?S1)531-0752_ Mailing Address:C110 12.72,4)! 47 T - 6 ►1Ac n b IA) V\—. q /(44'"T .6 City State Zip H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK 8.25 EL14-0809 Address: 17401 SOUTHCENTER PKWY;-161 Apn: 2623049120 68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2888 R000.322.900.04.00 0.00 $3.25 $68.25 Date Paid: Monday, August 18, 2014 Paid By: CULBERTSON SIGN SERVICE Pay Method: CHECK 12732 Printed: Monday, August 18, 2014 2:56 PM 1 of 1 CRWYSTEMS INSPECTION RECORD Retain a copy with permit 'OYO INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:A 'Type av/S roorviA-cf of Inspection: A rt, Address: /71/0/ 1 P' Date Called: Special Instructions: $.'14111 11,f NA— 1 K - P1-10k, Date anted: a. /2- cl P.m. Requester. gIDA1 Pone No: ;s3 2-6( 516.2, Approved per applicable codes. Corrections required prior to approval. *COMMENTS: Inspector: r- Date: 02, 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: 4rt j, 40_( Type of Inspection: t Aut._ Address: qi t Pf.. Date Called: Special Instructions: 5 (4/ A / Date Wanted: O P �T� Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: l7(.( :oA r tStoFS� poi E J� 2 �.l �� .c.�{r t i YIN0os((cki N t 62do/41)tIIcf n 4, Inspector: bifev4K Date: o t j30 fill r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Department of Community Development 2/2/2015 CLIFF MIHM 5209 122ND ST E TACOMA, WA 98446 RE: Permit No. EL14-0809 FAMOUS FOOTWARE 17401 SOUTHCENTER PKWY 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 3/29/2015. 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 3/29/2015, 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, Bill Rambo Permit Technician File No: EL14-0809 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 CULBERTSON SIGN SERVICE I T r Page 1 of 4 inkWashington State Department of Labor & Industries CULBERTSON SIGN SERVICE LLC Owner or tradesperson CULBERTSON, PAUL Principals CULBERTSON, PAUL, PARTNER/MEMBER CULBERTSON, PAUL JR, PARTNER/MEMBER Doing business as CULBERTSON SIGN SERVICE LLC WA UBI No. 602 043 276 5209 122ND ST E TACOMA, WA98446 253-538-0752 PIERCE County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties SIGN License no. CULBESS984MU Effective — expiration 08/30/2002— 08/30/2016 Designated administrator CULBERTSON, PAUL License type Master Electrician Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I 08/30/2002 Savings account ID License Violations Infraction no. EALEJ00261 Active. Meets current requirements. License no. CULBEP*979QL $4,000.00 Effective date 08/30/2002 Satisfied https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602043276&LIC=CULBESS984MU&SAW= 08/18/2014