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HomeMy WebLinkAboutPermit EL16-0207 - CAR TOYS - LIGHTING AND RESTROOM/STOCKROOM SENSORSThis 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. EL16-0207 CAR TOYS 16935 SOUTHCENTER PARKWAY 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 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 8 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. 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. EL16-0207 CAR TOYS 16935 SOUTHCENTER PARKWAY 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 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 8 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. CAR TOYS 16935 SOUTHCENTER PKWY EL16-0207 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: 2623049011 Permit Number: EL16-0207 Address: 16935 SOUTHCENTER PKWY Issue Date: 3/9/2016 International Residential Code Edition: Permit Expires On: 9/5/2016 Project Name: CAR TOYS 2014 Owner: 2012 Name: SCHOFIELD LP 2014 Address: 911 MAIN STREET STE 1500, KANSAS 2012 CITY, WA, 64105 2012 Contact Person: 2012 Name: MICHAEL BLAISDELL Phone: (360) 434-4816 Address: PO BOX 216, SOUTHWORTH, WA, 98386 Date: Contractor: Name: UNITY ELECTRICAL LLC Phone: (360) 434-4816 Address: PO BOX 216, SOUTHWORTH, WA, 98386 License No: UNITYEL843C9 Expiration Date: 3/8/2018 Lender: Name: Address: DESCRIPTION OF WORK: RETRO FIT OF LIGHTING FROM 4 LAMP TO 2 LAMP IN AUTO BAY. INSTALL OCCUPANCT SENSORS IN RESTROOM AND STOCKROOM Valuation of single family: $0.00 Fees Collected: $104.37 Valuation of mf/comm: $1,000.00 Type of Work: TENANT IMP 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: Date: 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: Date:,—,/�, Print Name: 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 TUKH I Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://\vww.TukwilaWA.gov SITE LOCATION Electrical Permit No. L-� lQ ^ 0)-0 7 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" King Co Assessor's Tax No.: Site Address: /(a 7-q5 Suite Number: Tenant Name: New T ,. New Tenant: a PROPERTY OWNER Name: s Address: City:,. State: Zip: l /� CONTACT PERSON — person receiving all project communication Name - Address, City: State: Zip: Phone: Fax: Email: I� Floor: ❑..... Yes JR.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: State: Zip: Phone: Fax: y- Contr Reg No.: Exp Date: a4 ' G Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: APuget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Linc\2014 Applications\Electrical Permit Application Revised I-I-I4.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes 29 No ❑ Remodel 4 Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel 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 $65.00 ❑ (no added/altered circuits) $80.90 ❑ 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) $10.80 ea ❑ 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: Signature: Date: _3 - a - .-Rc9i j�, Print Name: Day Telephone: -:?/,a Mailing Address: ,zo! Z—e / l„zz� City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Elect ical Permit Application Revised 1.1-14.docx Revised: July 2013 bh Page 2 of 2 City of Tukwila 6200 Southcenter Blvd, Tukwila, GSA 11 Finance Department 1606201-1 03/02/2016 BR1 T121 Med Mar02,2016 08:51AM Trans#1-1 Name: UNITY ELECTRICAL LLC UNITY E 1 $67.00 BUSLCN - Business Licenses Customer#: 00067807 Activity#: 00025528 1 ITEM(S): TOTAL: $67.00 Check (5764) PAID $67.00 www.tukw,lawa.gov 206-433-1835 City* Tukwila 2016 OUTSIDE Contractor - Bubiness License Application 6200 Southcenter Boulevard Tukwila, WA 98188-2544 FILL OUT • ' 206-431-3680/licensing@tukwilawa.gov INCOMPLETE APPLICATIONSBE FAX: 206-433-1833 Thos is an APPLICATfON ONLY, not a license to conduct business. You crust obtain a business license PRIOR to conducting business. ALL LICENSES EXPIRE DECEMBER 31 Business License: jK New ❑ Renewal ❑ Name Change ❑ Address Change ❑ Usage Change ❑ UBI # Change Information Business Name (Legal) Mailing Address (if different than business address) DBA (DoingB essAs) jAddress Suite# Business Address Suite # City ST ZIP s e _ CV x,4/1 h _. t- -f- City, �ST fZIP lF3G�'Corporate Email 'Corporate Phone# Email Bus Phone # Llow j Area ou Utility Cornrn yd Y tY Y Ownership Status ❑ Individual/ Sole Proprietor ❑ Corporation C No ❑ Yes, if yes specify type: ❑ Partnership ❑ Non -Profit 501C3 ❑ Government ig LLC Duration of Work herein the City: EWA STATE Contractor's License # I WA STATE UBI # REQUIRED Temporary Job/Work: []No ❑ Yes (Example: Contractor) ' ,r.4 G�l/S97 lr / .(/rt ,G �,y Regular Work/Service provided: ❑ No J9 Yes (Exa mple: Service Provider) (required if contractor) (p 3'✓ f /Z Description Of Business (in detail, list services and/or type of products sold or stored) REQUIRED - - �/t'�C !�l ` iQ c�ifi � .QC �i �/ ✓? �Y: �. '� �, - •C. � i�.q e i R S Building,.Planning & • • - Are you presently doing any installation of New Signage or Changes to existing signage, including copy changes? No ❑ Yes if yes, you mu_t c;mpletc the City of Tuicejila Sign Affidavit statins; that you have read and understand TRgC Title 19 Sign Cade. ,List all Owners/Partners/Officers (please attach separate sheet if needed) Name 1: ;Title: iDr.ver's License # REQ Issuing State Home adress���--G�_._1�./.___.s�l�_`: Ci i ty 5 T & ZIP )Phone: Work/ e�p % Home Date of Birth REQ _.�1i �DK. s!�✓'�_ _ ___ ___Iw�Li�r.=c^2_G��_��?,._%�3'�di���l�o-_Y,3�1-5�3'�.._ _'_>/_�-S'__� _. Name 2: )Title: ;Driver's License It REQ Issuing State _._ �s�•v 1_-.,_ ..,t�/��:s �/_�f� _ _ ... ---_._ _ _ _._.! _4 �t�----- - ----__ . . ��J :_ _ Home Address !City, ST&ZIP,- `--•__..._ -,___ - (Phone: Work /COP/ Home Date of Birth REQ G 6 SY,7/ f _e, ; I > O S "cv 3 i J-5 S-3 Business License Fee Licenses are valid JANUARY 1- DECEMBER 31 (Licenses are not pro -rated.) A. lda�s Total Number of Hours worked in Tukwila by Owners, Managers & Employees, Jan - Dec. • One Full -Time Equivalent (FTE) Employee =1,920 hours (per WA State Dept. of Labor & Industries) • Report only those hours worked in Tukwila. • Report all hours worked for each job in Tukwila, this would include on-site, planning, office hours worked etc. d B. � Multiply line "A" by $0.034896 (If less than $67, pay $67 minimum) `' C. Business License Fee, enter amount from line "B". Please make checks payable to "City of Tukwila" (All fees paid are non-refundable.) I certify the information contained herein is correct. I understand that any untrue statement is cause for revocation of my license. Print Name 'Title/Position Signature (Contact Phone Number FINANCE USE ONLY _ r Received b tCustomer % i• ( N eTM M• !�1 in 0 ti, 0 z. 0 C! --a 0 CD �:R 0 ,:I, .— r__11'.0 ,:D — / I t A,F� eTM M• !�1 in 0 ti, 0 z. 0 C! --a 0 CD �:R 0 ,:I, .— r__11'.0 ,:D — DESCRIPTIONS • QUANTITY PAID PermitTRAK $104.37 EL16-0207 Address: 16935 SOUTHCENTER PKWY Apn: 2623049011 $104.37 ELECTRICAL $99.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $99.40 TECHNOLOGY FEE $4.97 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTALRECEIPT:04 $4.97 Date Paid: Wednesday, March 09, 2016 Paid By: MICHAEL BLAISDELL Pay Method: CREDIT CARD 05404Z Printed: Wednesday, March 09, 2016 9:28 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit `v INSPECTION N0, PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: CA� al Type of Inspection: 7X Address: ;�� � Date Called: � Special Instructions: I Date Wanted. a. P.M. Requester: Phone No: 121 Approved per applicable codes. L_J Corrections required prior to approval. M M ENTS: jlrfspectorL:_� / /�� r / Date:®3/2_g/l� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Unity Electrical LLC Safety & Health (D Washington State Department of Labor & Industries Unity Electrical LLC Owner or tradesperson Blaisdell, Michael E Principals Blaisdell, Michael E, PARTNER/MEMBER Blasidell, Jason L 0, PARTNER/MEMBER WA UBI No. 603 589 572 License Home Espanol Contact Claims & Insurance PO BOX 216 SOUTHWORTH, WA98386 360-434-4816 KITSAP County Business type Limited Liability Company Page 1 of 2 A-1 Index Help M;YL&I Workplace Rights Trades & Licensing Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. .......................................................... . Meets current requirements. License specialties MAINTENANCE License no. UNITYEL843C9 Effective — expiration 03/08/2016— 03/08/2018 Designated administrator .... .......................... . Active. Blaisdell, Michael E Meets current requirements. License type License no. Electrical Administrator BLAISME892R2 Bond ................. Ironshore Indemnity Inc $4,000.00 Bond account no. SUR40008618 Received by L&I Effective date 02/29/2016 02/28/2016 Expiration date Until Canceled Savings ................... No savings accounts during the previous 6 year period. License Violations ........................................................ No license violations during the previous 6 year period. Workers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603589572&LIC=UNITYEL843C9&SAW= 3/9/2016