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)
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Financial Information —
RCW 42.56.230(4 5)
Redactions contain Credit card numbers, debit
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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)
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Driver's License. — RCW
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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
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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
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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
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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
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