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Permit EL17-0052 - 85C BAKERY - POWER TO SIGNS
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. EL17-0052 85C BAKERY 1341 SOUTHCENTER MALL RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Pae # Code Exem floe , Bdef x lanat6 Descd floe', statute/Rulle 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 11 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. 85C BAKERY 1341 SOUTHCENTER MALL ELI 7-0052 Parcel No: Address: City of Tukwila Department of Community Development ��r� 6300 Southcenter Boulevard, Suite #100 ��' Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov Project Name: ELECTRICAL OTC PERMIT 9202470090 0 SOUTHCENTER MALL Nitti 85C BAKERY Permit Number: EL17-0052 Issue Date: Permit Expires On: 1/20/2017 7/19/2017 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 1.30940 , CARLSBAD, WA, 92013 Contact Person: Name: JOE SPRINGOB Address: 4549 125TH AVE SE , BELLEVUE, WA, 98006 Contractor: Name: Address: License No: Lender: Name: Address: NEW IMAGE CREATIVE SIGN INC 4549 125 AVE SE , BELLEVUE, WA, 98006 NEWIMIC969DC Phone: (206) 353-9204 Phone: (253) 395-5600 Expiration Date: 8/4/2018 DESCRIPTION OF WORK: CONNECT POWER TO SIGNS Valuation of single family: $0.00 Valuation of mf/comm: $300.00 Type of Work: TENANT IMP Fees Collected: $74.22 Electrical Service Provided by: PUGEST 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: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: --,JL Date: 1 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 re:ulating construction or the performance of work. I am authorized to sign and obtain this development permiani' agree to the conditions attached to this permit. Signature: Print Name: Date: 2c/ 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 TUKK 4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical` Permit No:, Li Project No. Date Application Accepted: Date Application Expires: (For once 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 Site Address: 13 SO -4 C. L)TtQ thl-LL- Tenant Name: gJ �L ,{Nb\ IU iZ V CA}-�, PROPERTY OWNER Name: W CS (L -LL Address: 2S 0° S b`T/'c —tal- it kL City: S CA T1LC State: wp, Zip: 93170s, CONTACT PERSON - person receiving all project communication . Name: E- Sig_ /� fJv,E Address: (.042rif1?:_k Avc st City: ZLDU/(Lr State: 4..#,Zip:y 0 �I, Phone: Zol;, 32))..04 Fax: Email: JZ�CSe2lN () 0 & A104 it -IA -6 L Ct2 King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: —11'1 h (.L l� ' La/Iv-out:- 2C/Iv(lVAddress: Address: L 9 (as -La AjlJ s--6:- [,City: City: ecz_LE_ UIi 4... Stater Zip Cy..-` Phone:. cr.sc-2 9 ci Fax: Contr Reg No.:ijai (tit( 9(9 P Date: Tukwila Business License No.; r __,39,?.3 3 7 i U t_. LO1"l Valuation of Project (contractor's bid price): $ 30.1 Scope of Work (please provide detailed information): COIJi i (r LT Pot -' Jt Pk /A -A- Tt) SI (,,&JS Will service be altered? ❑ Yes Type of Use: S 1 PJS. �No Adding more than 50 amps? ❑ Yes NI—No Type of work: ❑ New ❑ Addition ❑ Service Change O Low Voltage 0 Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light' H:Wpplications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh O Remodel 0 Tenant Improvement O 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 O Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O 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 ELECTRICAL CONTRACTOR: Signature: v Date: t\ /2Z / 1 L Print Name: SP(2_11-)CD (%! L I P 6 i (-cm TA -Gay Telephone: Mailing Address: ((S k4 9 12.V. At-UC S 6ELLC LI - Wk. 9g 20C -3S3 -, Zcy H:\Applications\Forms-Applications On Line k2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh City State Zip Page 2 of 2 PermitTRAK ACCOUNT Receipt Number R10532 QUANTITY I PAID $74.22 EL17-0052 Address: 1350 SOUTHCENTER MALL Apn: 9202470090 $74.22 ELECTRICAL $70.69 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $70.69 TECHNOLOGY FEE $3.53 TECHNOLOGY FEE e TOTAL Fth 4 =OP; # R000.322.900.04.00 44, 0.00 $3.53 Date Paid: Friday, January 20, 2017 Paid By: NIC STUDIOS INC Pay Method: CHECK 12992 Printed: Friday, January 20, 2017 2:21 PM 1 of 1 11 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: y05-6._ 3 Type of Inspection: 6-NAddress: �` ce? Date Called: Special Instructions: j O,OO /01,00 Date Wanted: c‘tilki AS p.m. Requester: Phone No: yo 72„0/ eT4 Approved per applicable codes. E Corrections required prior to approval. COMMENTS: 6:,/, Inspector: Cf-tgovitj ec REINSPECTIO FEE REQUIRED. Prior to next inspectio fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P MIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: F5.—c 6erte19, Type of Inspection: —/, Address: Date Called:. Special Instructions: Date Wanted:�� a.m. Requester:5141W, 19C Phone No: C 7z_e( Approved per applicable codes. IV Corrections required prior to approval. COMMENTS: �5? - 7 �% Lit -69 T L-0 C► 95 Inspector: "' %% ��� Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee r�diust be paid at 6300 S uthcenter Blvd.. Suite 100. Call to schedule reinspection. i INSPECTION NO. INSPECTION RECORD Retain a copy with permit P; RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: g cc_8/,Type of Inspection: �/ j IYtIAI I k,C, rOk IA%-jPe ' i 0r Address: /C3C6 iiifit pate Called: Special Instructions: i gitfs !i/A Date Wanted: 0 / a:m p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: r ketS Pja 6FPt-, I k,C, rOk IA%-jPe ' i 0r CO /1 P 0 /led tAi i kJ Af(21 tic -n+0 0 ) 0-th Pi ear 4 otri4Dfri Inspector: { _ ( 6L Dater Q l 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 outhcenter Blvd., Suite 100. Call to schedule reinspection. NEW IMAGE CREATIVE SIGN IIN' Home Pspa?ol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 2 SEARCHi A. Z lndex Help My L&I Workplace Rights Trades & Licensing NEW IMAGE CREATIVE SIGN INC Owner or tradesperson Principals RUST, GREGORY A, PRESIDENT RUST, GREG, AGENT Doing business as NEW IMAGE CREATIVE SIGN INC WA UBI No. 602 339 833 4549 125th Ave Se BELLEVUE, WA 98006 253-395-5600 KING County Business type Corporation 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. NEWIMIC969DC Effective — expiration 03/03/2004— 08/04/2018 Designated administrator RUST, GREG License type Electrical Administrator Bond ................. No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I 03/03/2004 Release date N/A Savings account ID License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. RUST`G`066JB $4,000.00 Effective date 03/02/2004 Impaired date N/A Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 564,347-03 Doing business as Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UB1=602339833&LIC=NEWIMIC969DC&SAW= 1/20/2017 NEW IMAGE CREATIVE SIGN INC NEW IMAGE CREATIVE SIGN INC Estimated workers reported Quarter 3 of Year 2016 "0" Workers L&I account representative T1 / IDA HAYNES (360)902-5635 - Email: HAYN235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 10/27/2015 Inspection no. 317937071 Location 8631 South 187th St. Kent, WA 98031 Inspection results date 01/06/2012 Inspection no. 315582023 Location 933 Market St Tacoma, WA 98402 Violations Violations Page 2 of 2 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602339833&LIC=NEWIMIC969DC&SAW= 1/20/2017