The URL can be used to link to this page

Home My WebLink AboutPermit EL18-0997 - SOUTHCENTER SQUARE - REPLACE DAMAGED MONUMENT SIGNThis 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. EL18-0997 SOUTHCENTER SQUARE 17250 SOUTHCENTER PKWY 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) 9 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) SOUTHCENTER SQUARE 17250 SOUTHCENTER PKWY ELI 8-0997 Parcel No: Address: Project Name: 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 7888920020 17250 SOUTHCENTER PKWY SOUTHCENTER SQUARE Permit Number: EL18-0997 Issue Date: 11/26/2018 Permit Expires On: 5/25/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WIG PROPERTIES LIC -SS 4811 134TH PL SE , BELLEVUE, WA, 98006 HANS VISSER 5209 122ND ST E , TACOMA, WA, 98446 CULBERTSON SIGN SERVICE LLC (ELECTRIC) 5209 122ND ST E , TACOMA, WA, 98446 CULBESS984MU Phone: (253) 538-0752 Phone: (800) 925-6011 Expiration Date: DESCRIPTION OF WORK: REPLACE (LIKE FOR LIKE) DESTROYED S/F MONUMENT SIGN WITH NEW.WILL TIE INTO EXISTING J BOX/SIGN CIRCUIT Valuation of single family: $0.00 Valuation of mf/comm: $300.00 Type of Work: TENANT IMP Fees Collected: $74.22 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: ��'�C Date: l • 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: ,4 A)5 Z.51T Date 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 e CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L,L o qct 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 King Co Assessor's Tax No.: 788892-0020 Site Address: 17250 Southcenter Square Pkwy Tenant Name: Southcenter Square - MG Properties Suite Number: PROPERTY OWNER Name: Hans Visser Name: WIG PROPERTIES LLC -SS City:Tacoma State: WA Zip: 98446 Address: 4811 134TH PL SE Contr Reg No.: CULBESS984M1ExP Date: 08/30/2020 City: Bellevue State: WA Zip: 98006 CONTACT PERSON — person receiving all project communication Name: Hans Visser Address: 5209 122nd ST E City:Tacoma State: WA Zip: 98446 Address: 5209 122nd ST E Contr Reg No.: CULBESS984M1ExP Date: 08/30/2020 Tukwila Business License No.; BUS -0993893 City: Tacoma State: WA Zip: 98446 Phone: (253) 538-0752 Fax: (253) 538-0778 Email: csspermits@gmail.com Floor: New Tenant: Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Culbertson Sign Service Address: 5209 122nd ST E City:Tacoma State: WA Zip: 98446 Phone: Fax: (253) 538-0752 (253) 538-0778 Contr Reg No.: CULBESS984M1ExP Date: 08/30/2020 Tukwila Business License No.; BUS -0993893 Valuation of Project (contractor's bid price): $ 300 Scope of Work (please provide detailed information): Replace (like with like) destroyed S/F monument sign with new. Will tie into existing J box/sign circuit. Will service be altered? Yes 121 No Adding more than 50 amps? E) Yes 121 No Type of Use- Sign circuit Type of work: O New 0 Addition 0 Service Change E] Remodel El) Tenant Improvement O Low Voltage 0 Generator EJ Fire Alarm D Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy 0 Seattle City Light Terrnit CenterlApplications-Handouts \Permit Applications \Mrs \Electrical Permit Application Revised 1-1-17.docx Revise& 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 El 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) ❑ Carnivals $82.21 Number of concessions $1L02 ca 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 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: 11/21/2018 Print Name: Hans Visser Day Telephone: (253) 538-0752 Mailing Address: 5209 122nd St E Tacoma WA 98446 W:Perrnit Center \Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised Revised. January 2017 bh 7 City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 74,22 EL18-0997 Address: 17250 SOUTHCENTER PKWY Apn: 7888920020 $74.22 ELECTRICAL $70.69 PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15893 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 $70.69 $3.53 $74.22 Date Paid: Monday, November 26, 2018 Paid By: CULBERTSON SIGN SERVICE Pay Method: CHECK 13255 Printed: Monday, November 26, 2018 11:47 AM 1 of 1 SYSTEMS INSPECTION NO. Retain a copy with permit 6/1g- Oil PERMIT NO. INSPECTION RECORD CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 5C--Project: SaJ/re,• Type of Inspection: 6- / Address: /70....0.3 . pl Date Called: Special Instructions: 1.) ki J el ClIr .r Ct6ti Date Wanted: P.m. Requester: I al Phone No: 41 424 Approved per applicable codes. LJ Corrections required prior to approval. OMMENTS: Date: e7/34/17 REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspeclion. Inspector: CULBERTSON SIGN SERVICE e Washington State Department of Labor & Industries Horne Elia/o1 CNet Search L&I A -Z Index1 Idj, My 1 Page 1 of 2 Safety & Health Claims & Insurance Workplace Rights Trades & Licensing CULBERTSON SIGN SERVICE LLC Owner or tradesperson Principals CULBERTSON, PAUL PARTNER/MEMBER CULBERTSON, PAUL JR, PARTNER/MEMBER Doing business as CULBERTSON SIGN SERVICE LLC WA UBI No. 602 043 276 5209 122ND ST E TACOMA, WA 98446 253-538-0752 PIERCE County Business type Limited Liability Company Governing persons PAUL E JR CULBERTSON PAUL E SR CULBERTSON; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties SIGN License no CULBESS984MU Effective — expiration 08/30/2002— 08/30/2020 Designated administrator CULBERTSON, PAUL License type Master Electrician Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I 08/30/2002 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. CULBEP*979QL $4,000.00 Effective date 08/30/2002 Impaired date N/A Workers' comp Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602043276&LIC=CULBESS984MU&SAW= 11/26/2018 CULBERTSON SIGN SERVICE LLC Do you know if the business has employees? If s ' fy the business is up-to-date on workers' comp premiunialiN Account is current. ...� L&I Account ID 964,604-01 Doing business as CULBERTSON SIGN SERVICE LLC Estimated workers reported Quarter 3 of Year 2018 "7 to 10 Workers" L&I account contact T4 / TERRI MADISON (360)902-4654 - Email: KIRT235®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 No inspections during the previous 6 year period. Page 2 of 2 0 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=602043276&LIC=CULBESS984MU&SAW= 11/26/2018