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Home My WebLink AboutPermit EL14-0859 - BIG LOTS - POWER POLES FOR FREEZER AND COOLERThis 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. EL14-0859 BIG LOTS 17348 Southcenter Parkway 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 12DR2Financial 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. BIG LOTS 17348 SOUTHCENTER PKWY EL1 4-0859 CITY OF TUKWILA Community Development Department 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No.: 262304-9110 Address: 17348 Southcenter Pv Permit Number: EL14-0859 Issue. Date: Project Name: Big Lots Permit Expires On: Owner: Name: KIR Tukwila 050 LLC Address: 301 Minkler Blvd Tukwila, WA 98188 Contact Person: Name: Ashley Gray Phone: (253) 922-2146 Address: 5113 Pacific Hwy E Fife, WA 98424 Contractor: Name: Sign Tech Electric Address: 5113 Pacific Hwy E Fife, WA 98424 Phone: (253) 922-2146 License No.: SIGNTEL988BG Expiration Date: 01/17/15 Lender: Name: N/A Phone: Address: Description of Work: install (2) power poles for the freezer and (1) for the cooler Valuation of single family: $ 0.00 Valuation mf/comm: $1,500.00 Type of Work: new Fees Collected: $ 124.53 Electrical Service Provided by: Puget Sound Energy Water District: Tukwila Sewer District: Tukwila Current Codes adopted by the City of Tukwila International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2102 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: Date: 2012 2012 2012 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provision 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 oQrmit. Signature: Print Name: 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. PERMIT CONDITIONS: 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. PERMIT INSPECTIONS REQUIRED: Permit Inspection Line: (206)438-9350 7001 UNDERGROUND/SLAB 7002 SERVICE 7003 ROUGH -IN ELECTRICAL 2100 ELECTRICAL FINAL Tenant Name: ) LC, -) LA _,()2Cq CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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** c� am' King Co Assessor's Tax No.: 2lf' 23 '-�{ '\\ \( Site Address: \ \ 5C-A 6 G`A71A` C\ "eC P V-4,0L) Suite Number: Floor: \ New Tenant: ❑ Yes X..No PROPERTY OWNER Name: V.,.\ clu1 ct Lt—L.- Address: 30\ mvcl&\ei \�(L\ City: ��\� State: W'eN Zip \cam CONTACT PERSON — person receiving all project communication Name:› /..., v Address:5\\3 \c.:\� E City: t cot, State: W‘[ Zip.c---A,zstA2 Phone: 253gz. - IA1.4Gax:2 5/ 1:A22..2.0'2 Email: Q GT R T�TFORN A'TMUN Company Name:5\0vcv-Kecv..\ \e.c.,k,ct tQ r' Address: -..'\\ -) .A(„`c., �.ityi : City:State: A Zip:(1w4,22 \�('v � Phone:2,63 c12.2 2,144u 1yu Fax: 253 c12 .2 \2 Contr Reg No.:S\C fl \ e Lq &p Date: \' ., ( 5 Tukwila Business License No.; �LhS-Cpctc-1��.4 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): \eF-)\cA" ? x� e� \e4, c ( \ Y �� ze c' c OcA \ cr \‘0e Will service be altered? ❑ Yes tYZ, No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: 711, New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement ❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 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) Cl 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATIONNOTES - 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: ff r Mailing Address: b\\? .\C` \C . `-\ \ 2 \ C C,� q CTS ,2-( City State Zip Date:: 2CA f tL4 H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1.1.14.docx Revised: January 2014 hh Day Telephone: 23,', 22 2' - lo Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL14-0859 Address: 17348 SOUTHCENTER PKWY Apn: 2623049110 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE R000.322.900.04.00 0.00 $5.93 TOTAL FEES PAID BY RECEIPT: R3010 $124.53 Date Paid: Tuesday, September 09, 2014 Paid By: JOHN MENDENHALL Pay Method: CHECK 7071 Printed: Tuesday, September 16, 2014 2:03 AM 1 of 1 Trt.15 J INSPECTION RECORD Retain a copy with permit (14 'Part INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Permit Inspection Request Line (206) 438-9350 (206) 431-3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Project: Type of pection: hdA-t---- 407-5 Address: 7 3 lig ‘.5 e Al Date Called: Special Instructions: Date Wanted: 2- 4, itio In. Requester: 54 701 ,- Phone No: 2.r 5 3 575-Xr Approved per applicable codes. EJCorrections required prior to apprOval. COMME (Ataf' pd5r riAx)-(' Date: ••••"" REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. INSPECTION NO. INSPECTIONNECORD Retain a copy with permit #41 o57 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 I) Ulbt tor5 Type of Inspection: r i flAJAt.-- Address:173w Date Called: Special Instructions: 4 i Ki) 39'i 90 cfq) z c 12.3 .t 3 ckF lc" 71 17 Date Wanted: tilt) Ca:5,4 P.m. Requester: ----- , UOtt4 Phone No: SgO 11111 ElApproved per applicable codes. t Corrections required prior to approval. COMMENTS: AI et/WA14 -- 0 " e01( ;6f14..- ttit-i) tA1A44 a —' tbAlkOVJI-16) rie,. - Ovie-k. q cut9,6,4-- oW.414.1 c.Atod44-0s IWRI, TD 567(kto cm/ 3ok) - Ptt746, scoeixit,f ,1;4101<riAlAe.c_Ja_tv-t-i c_013.(c:17 '09140r r-,,No porbr 61k fAcA)Jr) iNisfkac)AY ,--- Rit,0Q) I Artif -rfo-s, 014 strt tAbrik 10 Fool-- ,- L-A-br" FA kiocr +Al shcrioi.) Inspector: Jr( it)/ 4 tit\ Date: I 1z4 lig REINSPECTION FEE REQUIRED, Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 Project: r,/� � Type of Inspection: Address: f 731/ 5. Date Called: Special Instructions: Date Wanted: /._- - Requester: ' * Phone No: no qui LjApproved per applicable codes. ElCorrections required prior to approval. COMMENTS: — Dtl6 q Gmk&Nir cklMlA% Cpc4((JCrra& S f ea,.l DJt r M MA -it TB 5-07o (" !v 0.4 3Dk) - G01-frit,/ uJtikCS C 4iJor&C US(1) icok c.LMIDJ(i ` bg 0. "Mkt,' 3 /Lj „ - Cf r wdCi t r CA-4 or+. y ma" ui Fri R.._ -- E. LoLKc JT r Asps ki aJt2 Fc)(k K viti toolPtlEivr - t Pn Sc r n P -- AJ 4(1 - CAW S T & C JPE ,'•J PA-46._ Aril) ...7- oyrt-S - JtPrf 1 Te IS( K 61) (F (for oilkivri tt,2 Gkw( rr - P icvlibM-N% gf rtokt ,PfC( FLU_.. Inspector: i 1 �r> f 1( q Date: �2 jr 7 �"It 7 / REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. CITY FORM NO 1 1912 ADOPTED By DIVISION OF MUNICIPAL CORPORATIONS. CITY OF TUKWILA TREASURER'S RECEIPT 1908 Received of FOR N 2 47834 TOTAL DEPT: Dollars, WHITE - Flnance Dept. CANARY - Customer PINK - File OLYMPIC PRINTERS, SIGN -TECH ELECTRIC LLC Page 1 of 5 41111114 Washington State Department of Labor & Industries SIGN -TECH ELECTRIC LLC Owner or tradesperson MENDENHALL, JOHN C Principals MENDENHALL, JOHN C, PARTNER/MEMBER MENDENHALL, LINDA D, PARTNER/MEMBER Doing business as SIGN -TECH ELECTRIC LLC WA UBI No. 602 152 490 5113 PACIFIC HWY E #12 FIFE, WA98424 253-922-2146 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 GENERAL License no. SIGNTEL988BG Effective — expiration 01/07/2002— 01/07/2016 Designated administrator MORRISON, TRAVIS License type Electrical Administrator Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I 07/27/2010 Savings account ID Savings history License Violations Active. Meets current requirements. License no. MORRIT*943K6 $4,000.00 Effective date 07/02/2010 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602152490&LIC=SIGNTEL988BG&SAW= 09/08/2014