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HomeMy WebLinkAboutPermit EL18-0563 - BARTELL DRUG - DAMAGE REPAIR OF 2 HEADED POLE LIGHTThis 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. EL18-0563 BARTELL DRUG 14227 TUKWILA INTL BLVD THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemptio (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION defExplanatory Description S a u el ule DR1 Personal Information — Social Security Numbers Generally — 5 U.S.C. sec. 552(a); RCW 42.56.070(1) The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security numbers are redacted to protect those individuals' privacy pursuant to 5 U.S.C. sec. 552(a), and are also exempt from disclosure under section 42.56.070(1) of the Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. 5 U.S.C. sec. 552(a); RCW 42.56.070(1) 12 DR2 Personal Information — Financial Information — RCW 42.56.230(4 5) Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit expiration dates, or bank or other financial account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. RCW 42.56.230(5) DR3 Personal Information — Driver's License. — RCW 42.56.230 (7a & c) Redactions contain information used to prove identity, age, residential address, social security number or other personal information required to apply for a driver's license or identicard. RCW 42.56.230 (7a & c) DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW 42.56.070(1) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. RCW 5.60.060(2)(a); RCW 42.56.070(1) BARTELL DRUG 14227 TUKWILA INTERNATIONAL BLVD EXPIRED 12/26/18 ELI 8-0563 Parcel No: Address: e City of Tukwila 0 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.eov ELECTRICAL OTC PERMIT 1523049011 Permit Number: EL18-0563 14227 TUKWILA INTL BLVD Project Name: BARTELL DRUG Issue Date: 6/19/2018 Permit Expires On: 12/16/2018 Owner: Name: Address: SEG 56TH LLC 845 106TH AVE NE SUITE 100 , BELLEVUE, WA, 98004 Contact Person: Name: BRIAN BROSNAN Address: Contractor: Name: Address: License No: Lender: Name: Address: 909 S 28TH ST, TACOMA, WA, 98409 PLUMB SIGNS INC (ELECTRICAL) 909 S 28 ST, TACOMA, WA, 98409- 2613 PLUMBS1077QS Phone: (253) 473-3323 Phone: (253) 473-3323 Expiration Date: 11/10/2019 DESCRIPTION OF WORK: REPAIR OF TWO HEADED POLE LIGHT HIT BY CAR, HOOK UP (1) POLE LIGHT TO EXISTING POWER. SIGN CIRCUIT DONE BY OTHERS. Valuation of single family: $0.00 Valuation of mf/comm: $3,400.00 Type of Work: LOW VOLTAGE Fees Collected: $178.48 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: 2017 2017 2017 2015 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: Print Name: Date: d./f/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 and the Washington Cities Electrical Code. 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 TUAAILA community Development Deportment l'emil Center 6300 Smut/center Blvel.„S'uite /00 Tukwila, WA 98188 http://www.TukwilaWA.gov Date Application Accepted: Date Application Expires: (For olllee use only) ELECTRICAL PERMIT APPLICATION Applications and plans must he complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. "Please Print** SITE IMCATIC)N Site Address: /1-y P i14ir S. Tenant Name: BAR-r()ROO" K 0, Co Assessor's Tax No.: /5 230'7'90 //eel Suite Number: Fluor: New Tenant: Ell Yes PROPERTY OWNER Name: S6rt9 1 -LZ- S9o'f76 Address: 04,7,5 106rfl ity 6_ 4/ 76' /AO City: VVE-tA.Azip: cieerl slate - CONTACT PERSON — perso cornrnufllcatiori 8Ri r3R csA/AN Adtiress:610, eceiving all project (y: Stale: State Z i P Va 9 1111)ne: .253 "/ 7 3 3 3 Z 1 Fax: 2 53 417 2 '3 / 7 ELECTRICAL CONTRACTOR INFORMATION—a— Company Name: pLome Address: 90, s 2 or,di State: wA Zip: "IY: 7) A phone: .253 332.3 Fax: 2 5,3 ¥72 3/6 7 Collo- Reg No.: p4 1)018 5 72ce_s F:xp Dale: "Itikwila Business License No.: Bus - 09951/5" Valuation of Project (contractor's hid price): Scope of Work (please provide detailed information): RPA''E 7-1-Kiri)ED POLE 1,16 Hi7 (-3 11-Uor yr)14.6H7 (../( kAi Cr 1,c--1 p(--- • „ .. w sorvice[)e altered? n Yes No Type t Ise: PAZ-KiNt-Luz 146 H 7 rype of work: New 1:1 Addition ro Low Voltage 1111 Generator l'inpeity Served by: Puget Sound Fnergy ri Service Change l'ire Alarrn Seattle City 1.ight l4 t ( tA pith, tatttns-littntittutstl'elottt A pitItctitttl'oaAnt I tt AI tort5 1-Itt. rt. tt-ttti thttttt.tt 201 Ittt Adding more than 50 amps? Yes IN No Rernodel [7"] Tenant Improvement ri Telecommunication Li Temporary Service rare I nil RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea O Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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: 6 • /A / 8 Print Name: I3RIA/V ROS•✓A.✓ Day Telephone: 253 Y,3 33i 3 Mailing Address: 94 9 S. ,2 t "I 5r WAPcrmit Center\Applicaoottsalattdouts\Pcnnit Applications\PDFs\Electrical Pe Revised: January 2017 bh Atmtication Revised 1-1-17.docx lA Go,il A tn/A 9bY0 q City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $178.48 EL18-0563 Address: 14227 TUKWILA INTL BLVD Apn: 1523049011 $178.48 Credit Card Fee $5.20 Credit Card Fee R000.369.908.00.00 I 0.00 $5.20 ELECTRICAL $165.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 I $165.03 TECHNOLOGY FEE $8.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14748 R000.322.900.04.00 0.00 $8.25 $178.48 Date Paid: Tuesday, June 19, 2018 Paid By: CONNIE GUFFEY Pay Method: CREDIT CARD 03374G Printed: Tuesday, June 19, 2018 12:52 PM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 06/19/2018 12:51:53 PM CREDIT CARD SALE VISA CARD NUMBER: **********0801 K TRAN AMOUNT: $178.48 APPROVAL CD: 03374G RECORD #: 000 CLERK ID: Rachelle X (CARDHOLDER'S SIGNATURE) I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTra... 6/19/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 06/19/2018 12:51:53 PM CREDIT CARD SALE VISA CARD NUMBER: **********0801 K TRAN AMOUNT: $178.48 APPROVAL CD: 03374G RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTra... 6/19/2018 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-367 Project: .�� / Type of Inspection: � "i ikl Address: 7 '] ` iii Date Called: Special Instructions: ' ro LE + I POLZ L I C Date Wanted: �` c 6-..-r„/� p.m. Requester: &Lk Acti 1(&()S NAN( Phone No: 17 1 330 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6-NICL-tp Inspector: Date: 66/z1/1\9 / 7t\9 C REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 11/1/2018 City of Tukwila Department of Community Development BRIAN BROSNAN 909 S 28TH ST TACOMA, WA 98409 RE: Permit No. EL 18-0563 BARTELL DRUG 14227 TUKWILA INTL BLVD Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/26/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/26/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL18-0563 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PLUMB SIGNS INC Washington State Department of Labor & Industries Home Espanol Contact !Search L&I A -Z iide Udp My Page 1 of 3 Safety & Health Claims & Insurance Workplace Rights Trades & Licensing PLUMB SIGNS INC Owner or tradesperson Principals MARSTON, ROBERT C III, PRESIDENT MARSTON, KARA M, SECRETARY MARSTON, ROBERT C 111, AGENT PLUMB, DONN C, PRESIDENT (End: 04/24/2006) PLUMB, DONN C, AGENT (End: 04/24/2006) PLUMB, MARGARET J, SECRETARY (End: 05/04/2006) Doing business as PLUMB SIGNS INC WA UB{ No 600 455 295 909 S 28TH ST TACOMA, WA 98409-8106 253-473-3323 PIERCE County Business type Corporation License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties SIGN License no PLUMBSI077QS Effective — expiration 11/10/1993-11/10/2019 Designated administrator MARSTON, MICHAEL $ License type Electrical Administrator Active. Meets current requirements. License no MARSTMS95102 Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 10/13/1993 Release date Impaired date N/A N/A Savings account ID License Violations Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600455295&LIC=PLUMBSI077QS&SAW= 6/19/2018 PLUMB SIGNS INC Infraction no. ESTL000375 — Issue date 03/06/2018 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Class B eligible work - Failing to obtain an electrical/telecommunications work permit, or post a provisional electrical work permit, or valid Class B Zabel prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EJORP07439 Issue date 10/19/2017 Violation city TACOMA 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 electricaUtelecommunication installation or altaration as referenced in WAC 296-46B-901. (TE;S CITATION WAS ISSUED IN MATRIX FORMAT; THIS CITATION IS INTENDED TO COVER SEVERAL PROJECTS) Satisfied RC WNVAC 19.28.101 RCW Violation amount $100.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $2,000.00 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 452,038-00 Doing business as PLUMB SIGNS INC Estimated workers reported Quarter 1 of Year 2018 "21 to 30 Workers" L&I account contact T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments hove been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 08/08/2017 Inspection no. 317945762 Location 6405 S Tacoma Way Tacoma, WA 98409 Violations Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600455295&LIC=PLUMBSI077QS&SAW= 6/19/2018