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HomeMy WebLinkAboutPermit EL17-0467 - BIG LOTS - OUTLETS AND CIRCUITThis 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. EL17-0467 BIG LOTS 17348 SOUTHCENTER PKWY 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 9 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. BIG LOTS 17348 SOUTHCENTER PKWY ELI 7-0467 Parcel No: Address: 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 2623049110 Permit Number: EL17-0467 17348 SOUTHCENTER PKWY Project Name: BIG LOTS Issue Date: Permit Expires On: 6/19/2017 12/16/2017 Owner: Name: Address: KIR TUKWILA 050 LLC 3333 NEW HYDE PARK RD 4100 C/O KIMCO REALTY CORP, PO BOX 5020 NEW HYDE PK, WA, 11042 Contact Person: Name: JAIME PABST Address: 5113 PACIFIC HWY E 47 , FIFE, WA, 98424 Contractor: Name: SIGN -TECH ELECTRIC LLC Address: 5113 PACIFIC HWY E, SUITE 7, FIFE, 9424 License No: SIGNIEL988BG Lender: Name: Address: Phone: (253) 922-2146 Phone: (253) 922-2146 Expiration Date: 1/7/2018 DESCRIPTION OF WORK: RUN HARD CONDUIT AND/OR UNI STRUT TO INSTALL OUTLETS. RUN (1) DEDICATED 20 AMP CIRCUIT Valuation of single family: $0.00 Valuation of mf/comm: $1,100.00 Type of '‘,Jork: TENANT IMP Fees Collected: $130.83 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGHLINE,TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: Interr,tinnal Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Coue 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: Date:if) 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 anagree to the conditions attached to this permit. Signature: Print Name: -A M P6ST" Date: p -i ---( 1 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ntp://wwvv.TukwilalyA.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** King Co Assessor's Tax No.: 262304911007 Site Address: 17348 Southcenter Pkwy Tenant Name: Big Lots Suite Number: Property Owners Name: KIR TUKWILA 050 LLC Floor: New Tenant: ❑ Yes Mailing Address: 3333 NEW HYDE PARK RD #100 NEW HYDE PK City NY 11042 State Zip RSON Who d'o re contact when your permit is ready to be Issued $ •t�, �Ra�cu�4 �'�i,S�if.�?r. kG���"r 4''eS't . � Name: Jaime Pabst Mailing Address: 5113 Pacific Hwy E #7 Day Telephone: (253) 922-2146 Fife WA 98424 E -Mail Address: Jaime@signtechelectric.com City Fax Number: State Zip ECTRICAL CONTRA`�CiTORtPi RMATI( Company Name: Sign -Tech Electric Mailing Address: 5113 Pacific Hwy E #7 Contact Person: Jaime Pabst E -Mail Address: Jaime@signtechelectric.com Contractor Registration Number: SIGNTEL988BG Fife WA City State Day Telephone: (253) 922-2146 Fax Number: 98424 Zip Expiration Date: 01/07/2018 Valuation of Project (contractor's bid price): $ 1,100 Scope of Work (please provide detailed information): Run hard conduit and/or uni strut to install outlets. Run (1) dedicate 20 amp circuit. Will service be altered? m Yes 0 No Type of Use: for coolers Adding more than 50 amps? 0 Yes m No Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy m Seattle City Light O Service Change ❑ Fire Alarm HAApplications\Forms-Applications On Line \2010 Applications\7-2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel 21 Tenant Improvement 0 Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT A`PP 'ICA 'ION NO 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 E CTRICAL CONTRACTOR: Signature: Print Name: 3-1\0\A, PAP -DST Mailing Address: 5113 Pacific Hwy E #7 Date: 06/16/2017 Day Telephone: (253) 922-2146 Fife IDate Application Accepted: City WA State 98424 Zip Date Application Expires: Staff Initials: H: ApplicationsWorms-Applications On Line\2010 Applications\7.2010 - Electrical Permit Application.doc bh Page 2 of 2 ae n g •t7N js4 PermitTRAK M1 4 -' Mme. '� ACCOUNT QUANTITY PAID $130.83 EL17-0467 Address: 17348 SOUTHCENTER PKWY Apn: 2623049110 $130.83 Credit Card Fee $3.81. Credit Card Fee R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101 C0.00 0.00 $120.97 TE::H.J.j_OG( FEE $6.05 TECHNOLOGY HE R000.322.900 04.00 0.00 $6.05 _sd Date Paid: Monday, June 19, 2017 Paid By: JOHN MENDENHALL Pay Method: CREDIT CARD 07449G Printed: Monday, June 19, 2017 11:19 AM 1 of 1 Pif SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit P RMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: he— e Address: ! y t . fy Date Called: Special Instruc�fiohS s: Date Wanted: g 03 . m. Requester: Phone No: 2ok sec) yip/ Approved per applicable codes. LJCorrections required prior to approval. COMMENTS: 01_ Inspector: rt‘f Date: D1j^(a�I�y REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SIGN -TECH ELECTRIC LLC Home Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Page 1 of 5 Search L&I A -Z Ircicx Help My L&I Workplace Rights Trades & Licensing SIGN -TECH ELECTRIC LLC Owner or tradesperson 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 #7 FIFE, WA 98424 253-922-2146 PIERCE County Business type Limited Liability Company Governing persons JOHN C MENDENHALL LINDA D MENDENHALL; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. SIGNTEL988BG Effective — expiration 01/07/2002— 01/07/2018 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 Release date N/A Savings account ID Savings history License Violations Active. Meets current requirements. Active. Meets current requirements. License no. MORRIT*943K6 $4,000.00 Effective date 07/02/2010 Impaired date N/A Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602152490&LIC=SIGNTEL988BG&SAW= 6/19/2017 SIGN -TECH ELECTRIC LLC Infraction no. EMABQ04510 Issue date 08/31/2016 Violation city FIFE Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Infraction no. EMABQ04509 Issue date 08/31/2016 Violation city FIFE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. ELYOD00630 Issue date 07/30/2015 Violation city FIFE Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. (Rees Edmunds) Infraction no. ELYOD00628 Issue date 07/30/2015 Violation city FIFE Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE VIOLATIONS. Infraction no. ELYOD00629 Issue date 07/30/2015 Violation city Satisfied RCW/WAC 19.28.161 RCW Violation amount $500.00 Satisfied ............... RCWNVAC 19.28.101 RCW Violation amount $2,000.00 Satisfied ................... RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCWNVAC 19.28.101 RCW Violation amount $12,000.00 Satisfied ....................... RC WNdAC 19.28.101 RCW Violation amount f1 Page 2 of 5 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602152490&LIC=SIGNTEL988BG&SAW= 6/19/2017