HomeMy WebLinkAboutPermit EL09-0229 - BROADSTRIPEThis 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.
EL09 -0229
Broadstripe
4345 South 104th Place
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
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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
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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.
ROAB STRIPE
4345 S 104 PL
ELO9O229
Cit301of 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
Parcel No.: 0323049026
Address: 4345 S 104 PL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0229
Issue Date: 03/31/2009
Permit Expires On: 09/27/2009
Tenant:
Name: BROADSTRIPE
Address: 3435 S 104 PL , TUKWILA WA
Owner:
Name: SEBCO INC Phone:
Address: 4020 E MADISON #320 , SEATTLE WA
Contact Person:
Name: CHRIS :LANE Phone: 206 947 -4081
Address: 12624 SE 231 ST , KENT WA
Contractor:
Name: LANE COMMUNICATIONS INC Phone: 253 520 -3563
Address: 12624 SE 231 ST , KENT WA
Contractor License No: LANECI *992L2 Expiration Date: 06/22/2009
DESCRIPTION OF WORK:
PULL 9 CAT SE LINES FOR PHONE AND DATA
Value of Electrical: NRES: $540.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature : /
I hereby certify that I have read and
governing this work will be complie
exan
dwit
Fees Collected: $72.00
National Electrical Code Edition: 2005
Date: a
Lined t permit and know the same to be true and correct. All provisions of law and ordinances
h. 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 perfotrmance of work. 1 am a9horized to sign and obtain this electrical permit.
Signature:
Print Name: P2-1 S1 O/PE%L ,B 24/V'-
Date: 3 :3/
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
EL09 -0229 Printed: 03 -31 -2009
Parcel No.:
Address:
Suite No:
Tenant:
•
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
0323049026
4345 S 104 PL TUKW
BROADSTRIPE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0229
ISSUED
03/31/2009
03/31/2009
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 :he 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 cther ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this author: ty are therefore not valid.
7: Any change in the scope o:` 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.
Signature:
Print Name:
Lh',a,S % cpkE.e
Date: d / `
doc: Cond -Elec
EL09 -0229 Printed: 03 -31 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Soutt,center Blvd., Suite 100
Tukwila, W4 98188
http://www..;i.tukwila.wa.us
Electrical Permit No.
Project No.
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
/03/a-2 m 1 x A/G T2 WAY King Co Assessor's Tax No.: �� Z (vim W
Site Address: y3 Y $ J- /oy 7- tmewL4 5 ?)' Suite Number:
Tenant Name: x82014 i S7-2) /L
New Tenant:
Floor:
• Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready.to be issued - '.
Name: -1-49-i& C4R's Z-4-Ali
Day Telephone:
Mailing Address:
Zip
E -Mail Address:
City
State
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
L- I' . G o rfai A)1 GAr)o,r/ S /NC.
/a-bay J4• d-))77
L/�,i�
zi/21,5e 24/4_65mmnAnt-Arp4v.r.
Contractor Registration Nt.mber: 44,1 C 14e 99 D..1.2
,C�E•�T hiA 9Po3l
City State Zip
Day Telephone(c)04) 9i d - N 0P/
NET Fax Number: C ?SJ (PC) 9- t:4
Expiration Date:
Valuation of Project (contractor's bid price): $
Sya
/®1iLL
Scope of Work (please provide detailed Information):
P44).4 1- D4-7-19-
9 e.97- Ems&
Will service be altered? 0 Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ No Adding more than 50 amps? ❑ Yes tEl No
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H :\Applications \Forms - Applications On Lint \I -2009 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $]45 60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration .................... $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems . . . $57.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: HR T0/ /PEA., �a
Mailing Address: / v2)0 J r sr
j
Date: 3'3 / -09
Day Telephone 0�
h/i9 ‘,5,03)
City State Zip
Date Application Accepted: �y
Rjf d,
Date Application Expires:
Staff Initials:
H.Upphcat ons\Forms- Applications On Linell -2009 - Electrical Permit Applicationdoc
bh
Page 2 of 2
1
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
Parcel No.: 0323049026
Address: 4345 S 104 PL TUKW
Suite No:
Applicant: BROADSTRIPE
RECEIPT
Permit Number: EL09 -0229
Status: PENDING
Applied Date: 03/31/2009
Issue Date:
Receipt No.: R09 -00508
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $72.00
Payment Date: 03/31/2009 01:20 PM
Balance: $0.00
LANE COMMUNICATIONS INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 72.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 72.00
Total: $72.00
PAYMENT
ECEIVED
doc: Receiot -06
Printed: 03 -31 -2009
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
0.07- OWT
P MIT NO.
(206)431 -3670
Project:0� STk APE
{ { {{ ST R,
Type of Inspection: ZI oO
Address:
) .). /Ott it -
Called:
Special Instructions:
4141%kirk
Date Wanted:
05/07 ���
ttt(
p.m.
Requester:
Phone No:
4 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
---1/441J
Inspector: v� Date: b5 D� 0
r REINS TION FEE REQUIRED. Prior to inspection, fee must be
I I $60.00 REI C p ,
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: 'Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
£w -0227
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431: 3670
Project: Q�t 1P!
Type of Inspection:
7i
Address:
Date Called:
Special Instructions:
/qt. I f)VrA
Date Wanted:
00
6
Requester:
Phone No:
`'Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
;--gQJct 4. IN
JE�
Inspector:
6Nd
Cl $60.00 REINSPECTION FEE REdUIRED. Prior to inspection, fee mutt be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: i'.!it 1rA
Receipt No.:
Date:
Untitled Page
0
•
Electrical Contractor
A business licensed by LEt1 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 desigrated 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
.ANE COMMUNICATIONS
NC
2535203563
12624 SE 231ST ST
CENT
WA
98031
<1 NG
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
602038727
ACTIVE
LANECI *992L2
ELECTRICAL
CONTRACTOR
6/22/2001
6/22/2009
LANE *CB992L2
TELECOMMUNICATIONS
UNUSED
ADMINISTRATOR INFORMATION
License LANE *CB992L2
Name LANE, CHRISTOPHER B
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
HACK, RICHARD JR
AGENT
06/22/2001
Received
Date
LANE, CHRISTPHER B
PRESIDENT
06/22/2001
Until
Released
RAYMOND, PENNY 1
SECRETARY
06/22/2001
03/06/2004
Assignment of Savings Information
Savings
Assignment of
Savings Account
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
1
06/22/2001
Until
Released
Bond
$4,000.00
6/22/2001
Insurance Information
Page 1 of 2
Insurance
Company
Policy
Effective Expiration Cancel
Impaired) Amount
Received
https: // fortress .wa.gov /lni/bb:p /Detail.aspx ?License= LANEC1 *992L2 03/31/2009