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