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Home My WebLink AboutPermit EL18-0867 - LANTERN LANDING - CONNECT SIGN INTO EXISTING ELECTRICALThis 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. EL18-0867 LANTERN LANDING 1233 ANDOVER PARK E THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description tatute/Rule 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) 10 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) LATERN LANDING 1233 ANDOVER PARK E ELI 8-0867 Parcel No: Address: e 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 3523049084 Permit Number: EL18-0867 1233 ANDOVER PARK E Project Name: LANTERN LANDING Issue Date: 10/10/2018 Permit Expires On: 4/8/2019 Owner: Name: Address: Contact Person: Name: Address: PETERSON MATT 3356 E SHORE DR HOUGHTON HARBOR LLC, SEATTLE, WA, 98112 SHARI RUST 4549 125TH AVE SE , BELLEVUE, WA, 98006 Contractor: Name: NEW IMAGE CREATIVE SIGN INC Address: 4549 125 AVE SE , BELLEVUE, WA, 98006 License No: NEWIMIC969DC Lender: Name: Address: Phone: (206) 909-6996 Phone: (253) 395-5600 Expiration Date: 8/4/2020 DESCRIPTION OF WORK: CONNECT SIGN INTO EXISTING ELECTRICAL Valuation of single family: $0.00 Valuation of mf/comm: $150.00 Type of Work: TENANT IMP Fees Collected: $69.62 Electrical Service Provided by: PUGET 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: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: I 0-1 I hearby certify that I have rea provisions of law and ordina d examined this permit and know the same to be true and correct. All governing this work will be complied with, whether specified herein or not. The granting of this perm' do s not presume to give authority to violate or cancel the provisions of any other state or local laws regula in: construction or the performance of work. I am authorized to sign and obtain this development permit an• •gree to conditions attached to this permit. /� Signature: Date: Print Name:ad/ /lo� 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 054,7 Project No. Date Application Accepted: Date Application Expires: (For office 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: 1233 Andover Park E Tenant Name: Lantern Landing PROPERTY OWNER Name: Shari Rust Name: Matt Person City: Bellevue State: WA Zip: 98006 Address: 1233 Andover Park East Email: shari@newimagecreative.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Shari Rust Address: 4549 125th Ave SE City: Bellevue State: WA Zip: 98006 Phone: (206) 909-6996 Fax: (253) 395-3332 Email: shari@newimagecreative.com King Co Assessor's Tax No.: 3523049084 Suite Number: Floor: New Tenant:0 Yes 0 ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: New Image Creative Sign Inc. Address: 4549 125th Ave SE City: Bellevue State: WA Zip: 98006 Phone: (206) 909-6996 Fax: (253) 395-3332 Contr Reg No.: N—y r, w IMIC96 91X Exp Date: 08/04/2018 Tukwila Business License No.; BUS -0997363 Valuation of Project (contractor's bid price): $ 150 Scope of Work (please provide detailed information): 446614-ffirm-aad connect into existing electrical ..emseeeticartceepirstitigzolettraifil Will service be altered? Yes 0 No Adding more than 50 amps? El Yes IJ No Type of Use: Retail Tyrie of work: New 0 Addition 0 Service Change D Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: EZI Puget Sound Energy Seattle City Light W: \Permit Center \Applications-HandoutsTermit Applications d'DFs \Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ 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 ❑ 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) O 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*** 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 Revie The Building Official may and justifiable cause demo I HEREBY CERTIF PENALTY OF PERJU pplications for which no permit is issued within 180 days following the date of application shall expire by limitation. one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing d. T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER +R ELECT :!11 CONTRACTOR: Signature: Print Name: Shari Rus Date: 10/16/2017 Day Telephone: (206) 909-6996 Mailing Address: 4549 125th Ave SE, Bellevue, WA 98006 City State Zip W:\Permit Cente0Applications-Hatdotes\Permit Applications\PDFs\Electrical Permit Revised: January 2017 bh anon Revised 1.1.17.docx Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY PAID $69.62 EL18-0867 Address: 1233 ANDOVER PARK E Apn: 3523049084 $69.62 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15581 R000.322.900.04.00 0.00 $3.32 $69.62 Date Paid: Wednesday, October 10, 2018 Paid By: NEW IMAGE CREATIVE SIGN INC Pay Method: CHECK 14961 Printed: Wednesday, October 10, 2018 11:58 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: i .01 ., N Type of Inspection: Address:3,3 z 1-)....) Artp . tt-- 1)late Called: Special Instructions: 01 Date Wanted: , .ii p.m. Requester: Phone No: 2_04 ?DI 6,ne 7Approved per applicable codes. O 0 Corrections required prior to approval. M MENTS: Inspector: Date: r-- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection. 3/1/2019 0 City of Tukwila Department of Community Development SHARI RUST 4549 125TH AVE SE BELLEVUE, WA 98006 RE: Permit No. EL 18-0867 LANTERN LANDING 1233 ANDOVER PARK E 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 4/8/2019. 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 4/8/2019, 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: EL18-0867 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 NEW IMAGE CREATIVE SIGN IN kWashington State Department of ,, Labor & Industries Horne Ispanol Contact Safety & Health Claims & Insurance 0 !Search L&I A -"L Index Help Page 1 of 2 Cts Workplace Rights Trades & Licensing NEW IMAGE CREATIVE SIGN INC Owner or tradesperson Principals RUST, GREGORY A, PRESIDENT RUST, CHARLOTTE, VICE 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 License specialties SIGN License no, NEWIMIC969DC Effective — expiration 03/0312004— 08/04/2020 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. 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 Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602339833&LIC=NEWIMIC969DC&SAW= 10/10/2018 NEW IMAGE CREATIVE SIGN INC Doing business as NEW IMAGE CREATIVE SIGN INC �► Estimated workers reported Quarter 2 of Year 2018 "0" Workers L&I account contact T1 / IDA HAYNES (360)902.5635 - Email: HAYN235@Ini.wa.gov 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 have 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 10/27/2015 Inspection no. 317937071 Location 8631 South 187th St. Kent, WA 98031 Violations Page 2 of 2 rc, 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= 10/10/2018