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HomeMy WebLinkAboutPermit EL12-0922 - CITY OF TUKWILA - TUKWILA COMMUNITY CENTERThis 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. EL12 -0922 City of Tukwila / Tukwila Community Center 12424 42nd Avenue South RECORDS DIGITAL D- ) EXEMPTIO THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 9 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. TUKWILA COMMUNITY CENTER 12424 42 AV S EL1 2-0922 City orfukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 0179003225 Address: 12424 42 AV S TUICW Project Name: TUKWILA COMMUNITY CENTER Permit Number: Issue Date: Permit Expires On: EL12 -0922 10/02/2012 03/31/2013 Owner: Name: Address: Contact Person: Name: Address: CITY OF TUKWILA 6200 SOUTHCENTER BLVD , TUKWILA WA 98188 KEN KRULLER Phone: 206 - 579 -3927 6355 137 AV NE, SUITE 305 , REDMOND WA, 98052 Contractor: Name: TRADESHOW POWER INC Address: 6355 137 NE, SUITE 305 , REDMOND WA 98052 Contractor License No: TRADEPI013KQ Phone: 425 - 883 -0684 Expiration Date: 01/04/2014 DESCRIPTION OF WORK: INSTALL CITY PROVIDED TEMPORARY GENERATOR Value of Electrical: NRES: $1,600.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT 1 Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $78.75 2008 Date: t V I hereby 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 electrical permit. Signature: Print Name: Vzjif- Date: (6 ( Z ( )2_ This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0922 Printed: 10 -02 -2012 PERMIT CONDITIONS l Permit No. EL12 -0922 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL12 -0922 Printed: 10 -02 -2012 CITY OF TUKWII,. r=te. Community Developmen�Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:I /www.TukwilaWA v Electrical Per 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 ** C� o� Tcikwi�� com'"A 1 Site Address: C1-c' King Co Assessor's Tax No.: ) 2-4 24 42 4.d A-ve. S. -14.w1 es wP Tenant Name: lke..c)e_ S1n.O' -✓ — C_no� in5 sle.�F' )s O ✓' ,4r5J Suite Number: New Tenant: o 4 wt .i-o S P w• PROPERTY OWNER Name: 4 Address: 6? SS 1374'1 4/e or; d4 3O5 Name: t %-5 ©S 1 L., ki,t,1' 1 Tukwila Business License No.; Address: City: State: Zip: CONTACT- PERSON= person receiving'al1 project communication` Name: 4 Address: 6? SS 1374'1 4/e or; d4 3O5 City: nt� Stater Zia:, e 7"t6 tosZ 1 Phone:2_0c 57,1 3SZ7 Fax: Email: k'- k2t4llei co cotar4S4- s✓1e.i_ Floor: ❑ Yes No ELECTRICAL CONTRACTOR INFORMATION Company Name I , P 514.4(...0 Pbw42, Address: Oa 3OS G.? SS 437 44' 1-�-v� City: 2 cJ 1 ma State:NAA. Zipq &OSZ Phone: zpG L-7c1 7434 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1 IL�y00cp–d Scope of Work (please provide detailed information): Wit i 45 T r\ S imp - Ckac,.) Lia KV t4- Ci -efAer (err- Cer0 dec) R3 c;S) - a,e_ cl , ...5 s G-- �,A,N_ Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applicauons \Forms - Applications On Line \2011 Applicatwns\Elec rical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh ens Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $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 ❑ emporary service (residential) $63.00 orT 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 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: Print Name: 41 kr; lI er Mailing Address: 63 (< 13 7-'" Ave /V 4-7DS H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 1'b I ? i I Z-- Day Telephone: 245‘ 'c%ci -7c 3 L 4M6J /,t4 Gho SZ City State Zip Page 2 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 0179003225 Permit Number: EL12 -0922 Address: 12424 42 AV S TUKW Status: PENDING Suite No: Applied Date: 10/02/2012 Applicant: TUKWILA COMMUNITY CENTER Issue Date: Receipt No.: R12 -02750 Payment Amount: $78.75 Initials: WER Payment Date: 10/02/2012 02:18 PM User ID: 1655 Balance: $0.00 Payee: TRADESHOW POWER INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9652 78.75 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 78.75 Total: $78.75 doc: Receiot -06 Printed: 10 -02 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. e4. FIZZ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: -/-4 -. brim . (A-k. of Inspection: 2.r00 Address: 1 �4 �1 9 � �- Date Called: Special Instructions: W-C-va-k tc) Date Wanted:. ( / a:m. • Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: l Inspector: A Date: IUVy/1„, REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prier Friendly Page • Electrical Contractor A business licensed by Lai to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company TRADESHOW POWER INC 4258830684 6355 137Th Ne Unit 305 Redmond WA 98052 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601702635 Active TRADEPI013KQ Electrical Contractor 5/18/1999 1/4/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status TRIUMPI01306 TRIUMPH POWER INC Electrical Contractor General Unused 9/2/1999 9/2/2001 Archived EVENTSE044PU EVENTS 8 SHOWS ELECTRICAL Electrical Contractor General Unused 10/31/1996 10/31/1998 Archived Master Electrician INFORMATION License KRULLK'974LW Name KRULLER, KEN Status Active Business Owner Information Name Role Effective Date Expiration Date KRULLER, KEN Violation Amount 01/01/1980 12/7/2007 KRULLER, KEN Agent 01/01/1980 $250.00 KRULLER, A W Secretary 01/01/1980 05/16/2003 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 5/18/1999 Until Released Bond $4,000.00 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJUDR00358 12/7/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 10/02/2012