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Home My WebLink AboutPermit EL09-0426 - SEATTLE BAGEL BAKERYThis 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 -0426 Seattle Bagel Bakery 4445 South 134th 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 9 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. SEATTLE BAGEL BAKERY 4445 S 134 PL EXPIRED 01 -13 -10 ELO9-0426 Parcel No.: Address: Suite No: City* 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 2613200086 4445 S 134 PL TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL09 -0426 07/17/2009 01/13/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SEATTLE BAGEL BAKERY 4445 S 134 PL , TUKWILA WA FOSTORIA PARK ASSOC LLC C/O ESM PROPERTIES INC , 15100 SE 38TH ST #792 JOHN SIMONS PO BOX 4236 , RENTON WA LIGHTEK COM INC PO BOX 4236 , RENTON WA Contractor License No: LIGHTCI999KZ Phone: Phone: 206 419 -9374 Phone: 425 271 -5210 Expiration Date: 05/09/2011 DESCRIPTION OF WORK: RETRO -FIT FLUORSESCENT LUMINAIRES FOR ENERGY EFFICIENCY - SCL PROJECT Value of Electrical: Type of Fire Protection: NRES: $4,250.00 RES: $0.00 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 complied Fees Collected: $170.00 National Electrical Code Edition: 2005 Date: 01 -111-1 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this pe construction or the perf to give&thority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. Signature: Print Name: Date: '7k1 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 E L09 -0426 Printed: 07 -17 -2009 Parcel No.: 2613200086 Address: Suite No: Tenant: • City of Tukwila 1 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 4445 S 134 PL TUKW SEATTLE BAGEL BAKERY PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0426 ISSUED 07/17/2009 07/17/2009 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 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 p sume to give authority to violate or cancel the provision of any other work or local laws regulating copstni tionior the p ormanc= of work. Signature: Print Name: Date: doc: Cond -Elec EL09 -0426 Printed: 07 -17 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us 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 U U P (� ( /,K` in Co Assessor's Tax No.: I x'72 -O — 00 910 Site Address: \ `C (� 1 .. (A.. -'^ t �°� Suite Number: Floor: Tenant Name: f �P,r..1 (1t `4 01_3?( k'-e4-.P v New Tenant: ❑ Yes ❑ ..No Property Owners Name: Y L / Mailing Address: City CONTACT PERSON_- Who do we contact whee'your permit is ready to,b�esissuett' Name: Mailing Address: v G % `c �G .,Q,1,t ,7eAKtr.- 6) 1—(1:-Fle- '.1;t1 E -Mail Address: State Zip Day Telephone: e6-- L((C 3 71( State Zip Fax Number: 40ti ` Cif— ^ O ig City ELECTRICAL CONTRACTOR INFORMATION Company Name: (,..S I,■, e k - r^� ee►ti . A-e • Mailing Address 0 d 3G Contact Person: �o� ct■ � `IA vut 5 E -Mail Address: J e•L t,_ ea) l [Ate k _ Cow— Contractor Registration Number: Lr6,TC3- 9 c g k2 City State Zip Day Telephone: ,5-€) 6 " t{(1- R 31 1( Fax Number: In S - .1 C4.- inbc) Expiration Date: C167 (b-apq Valuation of Project (contractor's bid price): $ Scope of Work (please vide detailed information): e L_c,,acy - S'C L )Sv Will service be altered? ❑ Yes of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes \No ❑ Remodel 14_ Tenant Improvement Property Served by: ❑ Puget Sound Energy 'Seattle City Light H;\Applications\Porms- Applications On Line \I -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (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. BUILDINGtOW1ER QR ELEQTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Day Telephone: Date: 77 7 (°1 L((ct— ` X71( IDate Application Accepted: n-ton State g71) 5 7 Zip Date Application Expires: Staff Initials: H Wpplicauons\Forms- Apphcat:ons On Line] -2009 - Electrical Permit Apphcation.doc bit t"'" I Page 2 of 2 • City of Tukwila A 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.: 2613200086 Address: 4445 S 134 PL TUKW Suite No: Applicant: SEATTLE BAGEL BAKERY RECEIPT Permit Number: EL09 -0426 Status: PENDING Applied Date: 07/17/2009 Issue Date: Receipt No.: R09 -01116 Initials: User ID: Payee: ]EM 1165 Payment Amount: $170.00 Payment Date: 07/17/2009 08:43 AM Balance: $0.00 LIGHTTEK COM INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 017114 ACCOUNT ITEM LIST: Description 170.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 170.00 Total: $170.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 07 -17 -2009 Department of Community Development JOHN SIMONS PO BOX 4236 RENTON WA 98057 RE: Permit No. EL09 -0426 4445 S 134 PL TUKW Dear Permit Holder: Jim Haggerton, 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 01/13/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206- 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -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 01/13/2010, 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. Bill Rambo Permit Technician File: Permit File No. EL09 -0426 C.- ._,,outil____ 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206- 431 -3665 Untitled Page Page 1 of 2 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 LIGHTEK COM INC 4252715210 PO BOX 4236 RENTON WA 98057 KING Corporation UBI No. Status License No. 601950222 ACTIVE LIGHTCI999KZ License Type ELECTRICAL CONTRACTOR Effective Date 5/9/2001 Expiration Date 5/9/2011 Suspend Date Specialty 1 LIGHTING MAINTENANCE Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License SIMONJL976BG Name SIMONS, JOHN L Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date SIMONS, JOHN L AGENT 05/09/2001 Received Date SIMONS, JOHN L PRESIDENT 05/09/2001 Until Released Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 05/09/2001 Until Released Bond $4,000.00 5/14/2001 https: // fortress .wa.gov /lni/bbip /Detail.aspx 07/17/2009