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HomeMy WebLinkAboutPermit EL07-016 - KING COUNTY CORRECTIONS GUILDThis 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. EL07 -016 King County Corrections Guild 6417 South 143rd Place RECORDS DIGITAL D- ) EXEMPTIO THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) 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 numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. KING COUNTY CORRECTIONS GUILD 6417 S 143 PL ELO7-016 Parcel No.: 3365901850 Address: 6417 S 143 PL TUKW Suite No: Tenant: Name: KING COUNTY CORRECTIONS GUILD Address: 6417 S 143 PL , TUKWILA WA Owner: Name: PATERA DAVID P Phone: Address: 143RD , TUKWILA WA 98168 Contact Person: Name: DEBBIE BUNTLING Phone: 425 - 562 -1771 Address: 13359 NE 16 ST , BELLEVUE WA Contractor: Name: LANDER ELECTRIC SERVICE LLC Phone: 425 - 562 -1771 Address: 13359 NE 16 ST , BELLEVUE WA Contractor License No: LANDEES991BC Expiration Date: 01/03/2009 DESCRIPTION OF WORK: REPLACE 125 AMP Ml:i'Elt AND PANEL. Value of Electrical: $0.00 Permit Center Authorized Signature: Cityf 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.ci.tukwila.wa.us Electrical Service provided by: PUGET SOUND ENERGY ELECTRICAL PERMIT Fees Collected: Permit Number: ELO7-016 Issue Date: 04/09/2007 Permit Expires On: 10/06/2007 Type of Fire Protection: NONE National Electrical Code Edition: 2005 Date: $81.25 -o7 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 orrr �� t p rf • ance of work. I am authorized to sign and obtain this mechanical permit. L� Signature: !� �( Date: J 7 Print Name: C 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 -4/07 EL07 -016 Printed: 04 -09 -2007 Parcel No.: 3365901850 Address: 6417 S 143 PL TUKW Suite No: Tenant: KING COUNTY CORRECTIONS GUILD 1: ** *ELECTRICAL * ** 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. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. kirl 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.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: EL07 -016 Status: ISSUED Applied Date: 04/09/2007 Issue Date: 04/09/2007 Date: W`/ doc: Cond -Elec EL07 -016 Printed: 04 -09 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., '' Suite 100 Tukwila, WA $$t$8 ff http://www.cLtukwila.wa.us Electrical Permit No. ELOI • of Project No. (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.: Site Address: lot 7 so. C ti 1 1- Suite Number: Floor: Tenant Name: IC,( ile,. &wit Corve c.' t2 l -1-1 New Tenant: ❑ Yes ❑ . No Property Owners Name: la (i (' ,� LL ((�/✓ G ISYI2 I�'O! LLLd (0 1 7 lac c P .ru.lei.0 ela C ity Mailing Address: 9 vugr State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: J i klear c. Sego/ de ,,,� I Mailing Address: 1 3 3 3' 9 1\16. 16 "St 6e.tiplxc.e, City 1 Q State // 10 Zip Contact Person: ' ?? Q . $LJY14+ ✓� Day Telephone: 6 2 1- 2- 17 Z 1 E -Mail Address: ! t? (l�� �(A' PH1IU!&I Fax Number: L E - 5&,a '�to�o Contractor Registration Number: 1.411./D Ee S q q 113 Expiration Date: 1 — 7 -oq __, Valuation of Project (contractor's bid price): $ 41b1) Scope of Work (please provide detailed information): i.D c,C.L. I ?' ' r rYvie -/ ✓ par J . Will service be altered? ❑ Yes �No Adding more than 50 amps? ❑ Yes Q Type of Use: Type of work: ❑ New ❑ Addition [v�Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: [r Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: ) uitkb-' Print Name: t 1Fi P Lu'i`t1 I/111 Mailing Address: 1. - 53 59 1 \ Ii 1 G ""SE Date Application Accepted: 4 ®. A 7 H:Wpplications\Forms- Applications On Line \42007 - Electrical Permit Application.doc bh Date Application Expires: /0 MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. Date: `'t - --o 7 Day Telephone: 1 -I 6 'oZ- 1 7 7 / City State Zip Staff Initials: e ... Page 2 of 2 Parcel No.: 3365901850 Permit Number: EL07 -016 Address: 6417 S 143 PL TUKW Status: APPROVED Suite No: Applied Date: 04/09/2007 Applicant: KING COUNTY CORRECTIONS GUILD Issue Date: Receipt No.: R07 -00532 Initials: BLH Payment Date: 04/09/2007 01:52 PM User ID: ADMIN Balance: $0.00 Payee: LANDER ELECTRIC SERVICE LLC TRANSACTION LIST: Type Method Description Amount ACCOUNT ITEM LIST: Description doc: Receiot -06 Payment Check 3230 81.25 ELECTRICAL PERMIT - RES ELECTRICAL PLAN - RES 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.ci.tukwila.wa.us RECEIPT Account Code Current Pmts 000.322.101.00.0 65.00 000.345.832.00.0 16.25 Total: $81.25 Payment Amount: $81.25 Printed: 04 -09 -2007 Pi Pro ect: 4k �u�v� ca�‘C Type of Inspection: U c iao fire //4 / 7O Z SeAec ACC, S Ng Ro ,e/ Date Called: Special Instructions: Date Wanted: , Ws s p.m. Requester: Phone No: CYXsa/y-U INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 C OMMENTS: ol< s-E4 ct /r,w,3 roved per applicable codes. 0 Corrections required prior to approval. °F/zS /n7 n $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: z "emu 5'?t Date: 207 -06 PERMIT NO. April 24, 2007 Debbie Buntling Lander Electric Service LLC 13359 NE 16 Street Bellevue, WA 98005 RE: Plan Review Refund Dear Ms. Buntling: Enclosed is a check in the amount of $16.25 for the plan review fee paid at the time of permit issuance for the project located at 6417 South 143 Place, Tukwila, Washington. This scope of work did not require a plan review, therefore a refund is being sent to you. If you have any questions, please feel free to contact our office at 206 - 431 -3670. Sincerely, Brenda Holt, Permit Coordinator encl xc: Permit No. EL07 -016 city of Tukwila H:\DocumentsUxtters\EL07 -016 - refund letter.doc bh Steven M Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 1+1Tv AC TI HeIA111 A WA OR1AA -99AA ACCOUNTS PAYABLE CHECK mo MVOICE NUMB ER = — DATE P:OaJUMBER DESMPTK)N, UNT 42307303 04/17/2007 EL07 -016 PLAN REFUND 16.25 Wow CITY OF TUKWILA 6200 Southcenter Boulevard Tukwila WA 98188 -2544 1906 PLEASE DETACH BEFORE DEPOSITING PAY Sixteen Dollars and Twenty Five Cents TO THE LANDER ELECTRIC SERVICE LLC ORDER 13359 NE 16TH ST OF BELIEVUE, WA 98005 PAYABLE THROUGH -. U.S. SANK 1 T1 .Andover Park ELV redacted Memo Alai 16, 2007 To: Laurie Anderson From: Brenda Holt D Re: EL07 -016 Xc: File No. EL07 -016 Lander Electric Service LLC 13359 NE 16 Street Bellevue, WA 98005 H:1Documents\L.etters\EL07 -016 - refund memo.doc bh City of Tukwila Permit Center Please refund $16.25 for the plan review fee paid for the above reference permit application to Lander Electric Service LLC. The permit did not require a plan review therefore a refund is due. Please make the check out to the following and I will forward it to them: License Information License LANDEES991BC Licensee Name LANDER ELECTRIC SERVICE LLC Licensee Type ELECTRICAL CONTRACTOR UBI 602087340 Ind. Ins. Account Id PARTNER/MEMBER Business Type LIMITED LIABILITY COMPANY Address 1 13359 NE 16TH ST Address 2 City BELLEVUE County KING State WA Zip 98005 Phone 4255621771 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/3/2001 Expiration Date 1/3/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License JESSEJE970MA Business Owner Information Name Role Effective Date Expiration Date WKG INC AGENT 01/01/1980 JESSEN, JEFFREY PARTNER/MEMBER 01/01/1980 JESSEN, JAMES PARTNER/MEMBER 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. Master Electrician Information License Name Status JESSEJE970MA JESSEN, JAMES E ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= LANDEES991 BC 04/09/2007