HomeMy WebLinkAboutPermit EL15-0807 - XFINITY - ELECTRICAL FOR WALL 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.
EL15-0807
XFINITY
387 STRANDER BLVD
RECORDSDIGITAL D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Coda Exemption, �
� � I3ri6f Explanatory 6escrlofion,
Sfatutte/Ruilo
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.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
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
16
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
Personal Information —
Redactions contain information used to prove
RCW
DR3
Driver's License. — RCW
identity, age, residential address, social security
42.56.230 (7a
42.56.230
number or other personal information required to
& c)
(7a & c)
apply for a driver's license or identicard.
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);
DR4
RCW 5.60.060(2)(a); RCW
which protects attorney -client privileged
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.
XFINITY
387 STRANDER BLVD
EXPIRED
EL15-0807
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
Parcel No:
2623049064
Permit Number: EL15-0807
Address:
391 STRANDER BLVD
Issue Date: 9/16/2015
Permit Expires On: 3/14/2016
Project Name:
XFINITY
Owner:
Name:
REGENCY CENTERS LP
Address:
PO BOX 790830 C/O PROPERTY TAX
DEPT, SAN ANTONIO, WA, 78279
Contact Person:
Name:
CLIFF MIHM
Phone: (253) 538-0752
Address:
5209 122 ST E , TACOMA, WA, 98446
Contractor:
Name:
ADVANCED SIGNS LLC
Phone: (253) 347-5039
Address:
ONE 37TH ST NW, STE C , AUBURN,
WA, 98001
License No:
ADVANSL923DP
Expiration Date: 3/23/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ELECTRICAL FOR 2 WALL MOUNTED SIGNS
Valuation of single family: $0.00
Fees Collected: $68.25
Valuation of mf/comm: $180.00
Type of Work:
LOW VOLTAGE
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:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: fA& I Hp Date: V low
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. ��11
Signature: Date: v J 26115
Print Name: I (� P�
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.
S: 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
• 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
Parcel No: 2623049064
Permit Number: EL15-0807
Address: 387 STRANDER BLVD
Issue Date: 9/16/2015
Permit Expires On: 3/14/2016
Project Name: XFINITY
Owner:
Name: REGENCY CENTERS LP
Address: PO BOX 790830 C/O PROPERTY TAX
DEPT, SAN ANTONIO, WA, 78279
Contact Person:
Name: CLIFF MIHM
Phone: (253) 538-0752
Address: 5209 122 ST E , TACOMA, WA, 98446
Contractor:
Name: CULBERTSON SIGN SERVICE LLC
Phone: (800) 925-6011
Address: 5209 122ND ST E , TACOMA, WA,
98446
License No: CULBESS984MU
Expiration Date:
Lender:
Name:
Address: ,
DESCRIPTION OF WORK:
ELECTRICAL FOR 2 WALL MOUNTED SIGNS
Valuation of single family: $0.00
Fees Collected: $68.25
Valuation of mf/comm: $180.00
Type of Work: LOW VOLTAGE
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:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: Into Date: 6 �!
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 o the conditions attached to this permit.
Signature: �nn ', Date:
Print Name:- f��� I Y 1 r (�y,n
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 TUKW. 1
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
blt?://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. W6JEM
Project No.
Date Application Accepted:
Date Application Expires: _
use
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"
King Cc Assessor's Tax No.: 2 & 2, 3(p q —
Site Address: �J�� � ad,112QZ— ZL.(,)7 Suite Number: Floor:_'
Tenant Name: New Tenant: Yes ❑.. No
PROPERTY OWNER
Name: `"�1GA
Address:
City ` State: Zip:VJ (�
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: '
State: Zip: n
7 C{
Phone:
5Fax:
2 (M)5
Email:
`
( o
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
1
Address:
-,uD �
City:. 0- State: Zip:q,�
Phone: �� Fax: 7 , �3
>L
Contr Reg No.: , �Exp Date: I
Tukwila Business License No.; 306, O q, i 3
Valuation of Project (contractor's bid price): $ A � �0, 00
Scope of Work (please provide detailed information):_H DrO K V ��� A )�2 In M(1M A TW ELJ�r (' ( Z�) (j 5
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy ❑ Seattle City Light
HMpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes 0' No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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)
PERMIT APPLICATION NOTES -
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***
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:
l /1
Signature: v`� !�'. Date:D(? /I /I
Print Name: �� ��C2-14-- Day Telephone: 2
Mailing Address:IL'iYV1A
City State Zip
H:\Applications\Forms-Applications On Line\2014 ApphcationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
PermitTRAK
ACCOUNTDESCRIPTIONS QUANTITY
1
$68.25
EL15-0807 Address: 387 STRANDER BLVD
Apn: 2623049064
$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: R6176
R000.322.900.04.00 0.00
$3.25
$68.25
Date Paid: Wednesday, September 16, 2015
Paid By: CULBERTSON SIGN SERVICE LLC
Pay Method: CHECK 12862
Printed: Wednesday, September 16, 2015 12:55 1 of 1
RWSY57EM5
PM
City of Tukwila
Department of Community Development
2/8/2016
EMILY SOLINGER
ONE 37TH ST NW SUITE C
AUBURN, WA 98001
RE: Permit No. ELI5-0807
XFINITY
391 STRANDER BLVD
Dear Permit Holder:
Allan Ekberg, 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 3/14/2016.
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 3/14/2016, 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: ELI5-0807
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
City of Tukwila
Department of Community Development
2/2/2016
CLIFF MIHM
5209 122 ST E
TACOMA, WA 98446
RE: Permit No. EL15-0807
XFINITY
391 STRANDER BLVD
Dear Permit Holder:
Allan Ek
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 3/14/2016.
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 3/14/2016, 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,
Rachelle ipley
Permit Technician
File No: EL15-0807
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 0 Phone 206-431-3670 • Fax 206-431-3665
O \ 1/,t/K wIL.L
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Bill Rambo
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From: Culbertson Sign Service<culbertsonsignservice@comcast.net>
Sent: Friday, October 16, 2015 8:39 AM
To: Shilo Proctor; Bill Rambo
Cc: Advanced Sign & Lighting
Subject: Re: Xfinity Tukwila, WA permits
Hi Bill,
Culbertson Signs will not longer be doing the install for Xfinity as we cannot complete it by the time the
customer wants it done. They have hired Advance Sign and Lighting to do the install.
Thanks
Rebekah Hatch
Office Assistant
Culbertson Signs
1-800-925-6011
253-538-0778 Fax
From: Shilo Proctor
Sent: Friday, October 16, 2015 8:30 AM
To: Culbertson Sign Service
Cc: Advanced Sign & Lighting
Subject: RE: Xfinity Tukwila, WA permits
Hi Rebekah, we are going to have Advance sign & lighting to do the install on this one. I have copied Jason with the
installer on this email. I just spoke to Bill at City of Tukwila and he said that they just need a letter from you(can be
email) stating that you are no longer the installer and the Advance sign & lighting will be the new installer. No fee to be
refunded we will pay you for pulling the permits so, if you could send me an invoice for that I will get it turned around
and back to you.
Jason, once Rebekah has done this you will just need to go down and have your name added to the permit, no fees will
be due since Culberston's has taken care of it already.
Please update me when this is done & let me know if you need anything else from me.
s Lito- 7" lro-ctol C" Uf T�t OF TUK
LA
Project Manager -11
5150 Walcutt Court Columbus, OH 43228 !'
Direct: 61.4.429.2086
Cell:61.4-984-7778 PERMITCENTER
Fax: 614.429.2 l 50
W WW.ADVANCESIGNGROUP.COM
wlmlr
s
-get
ADVANCED SIGNS LLC
Page I of 3
Hone Inieio en tspaiiol Contact.
Safety
410*4 VOashington State Department of
"Labor & Industries
ADVANCED SIGNS LLC
Owner or tradesperson
Principals
FENTON, JASON S, PARTNER/MEMBER
FENTON, JENNIFER E, PARTNER/MEMBER
Doing business as
ADVANCED SIGNS LLC
A -'!.Index Help My Secure L&I
Claims & Insurance Workplace Rights Trades & Licensing
ONE 37TH ST NW STE C
AUBURN, WA98001
253-347-5039
KING County
WA UBI No. Business type
602 635 597 Limited Liability Company
Governing persons
JASON
STEVEN
FENTON
JENNIFER ELLEN FENTON;
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.
ADVANSL923DP
Effective — expiration
03/17/2008— 03/23/2016
Designat1.ed administrator
Active.
FENTON,JASON
Meets current requirements.
License type
License no.
Electrical Administrator
FENTOJ"951 NK
Bond
................
CBIC
$4,000.00
Bond account no.
SH7630
Received by L&I
Effective date
03/17/2008
03/12/2008
Expiration date
Until Canceled
Savings
...............
No savings accounts during the previous 6 year period.
License Violations
........ ............. ......_-..._..........
Infraction no.
EWHMB00296 Satisfied
................
Issue date RCW/WAC
04/03/2015 19.28.101 RCW
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602635597&LIC=ADVANSL923DP&SAW= 10/20/2015
CULBERTSON SIGN SERVICE I r r
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Safety
Washington State Department of
Labor & Industries
CULBERTSON SIGN SERVICE LLC
Search L&I
A-Z Indcx Help My Secure I &I
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 5209 122ND ST E
TACOMA, WA
Principals 253-538-0752
CULBERTSON, PAUL, PARTNER/MEMBER PIERCE County
CULBERTSON,PAUL
JR, PARTNER/MEMBER
Doing business as
CULBERTSON SIGN SERVICE LLC
WA UBI No. Business type
602 043 276 Limited Liability Company
Governing persons
PAUL
E JR
CULBERTSON
PAUL E SR CULBERTSON;
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
Des iynated_administrator Active.
CULBERTSON,PAUL
Meets current requirements.
License type License no.
Master Electrician CULBEP'979QL
Bond
................
No bond accounts during the previous 6 year period.
.Savings
............ ..
(in lieu of bond)
$4,000.00
Received by L&I
Effective date
08/30/2002
08/30/2002
Release date
Impaired date
N/A
N/A
Savings account ID
License Violations
Infraction no.
EALEJ00261 Satisfied
.......................
Issue date RCW/WAC
07/16/2012 19.28.101 RCW
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602043276&LIC=CULBESS984MU&SAW= 9/16/2015