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
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M• !�1
in 0
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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