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HomeMy WebLinkAboutPermit EL09-0464 - LES SCHWABThis 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 -0464 Les Schwab 6804 South 180th Street RECORDS DIGITAL D- ) EXEMPTION LOG 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. LES SCHWAB 6804 S 180 ST ELO9-0464 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 Parcel No.: 3623049106 Address: 6804 S 180 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0464 Issue Date: 08/03/2009 Permit Expires On: 01/30/2010 Tenant: Name: LES SCHWAB Address: 6804 S 180 ST , TUKWILA WA Owner: Name: SFP B LP LTD PTNRSHP Phone: Address: PO BOX 5350 , BEND OR Contact Person: Name: DWAYNE HUMENNY Phone: 425 - 766 -7677 Address: 24317 NE 27 PL , SAMMAMISH WA Contractor: Name: CJ ELECTRICAL SUPPLY & SVCS LL Phone: 425 766 -7677 Address: 24317 NE 27 PL , SAMMAMISH WA Contractor License No: CJELEES966M7 Expiration Date: 10/23/2010 DESCRIPTION OF WORK: LIGHTING RETROFIT. NEW LAMPS AND BALLAST Value of Electrical: NRES: $6,655.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY r \ Permit Center Authorized Signature: Fees Collected: $202.80 National Electrical Code Edition: 2005 Date: 3-01 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 perform'of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: 07 - 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 -0464 Printed: 08 -03 -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 3623049106 6804 S 180 ST TUKW LES SCHWAB PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0464 ISSUED 08/03/2009 08/03/2009 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 shat' 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 m 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. Signature: Print Name: Ve"17 gl4c Date: doc: Cond -Elec EL09 -0464 Printed: 08 -03 -2009 CITY OF TUKW! Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hti�_!�www. cr_', tuk wila. wa, tJN Electrical Permit No. E J©3- Q 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 Site Address: a 04 ftwA Jed Tenant Name: 1—e -Z 5e-i\ King Co Assessor's Tax No.: /4,2.304'9 [D `p Suite Number: _ Floor:_ New Tenant: ❑ Yes ❑ ..No 1-11- kid la. (-04 lige? Property Owners Name: , / Mailing Address: �'$o `'t` J 8D 44- City State Zip CONTACT PERSON Who'do we contact when your permit is,ready to be issued ��// Day Telephone: $10F5'- 74.4 —76) 77 Name: G-41 Val /2.Ll �'%f >°�7 �'► Mailing Address: o21713/ / /Vt.- E -Mail Address: d Itut n'1 enrx 401- nut-, /, i a '- 98/88' City State Zip Fax Number: at) - 575 - 73-x, T ELECTRICAL CONTRACTOR'INFORMATION Company Name: G, e t.� -�r- 1 cta c.Lpip ServeLe 07543/7 Iv? )�54.,i,,n � sk t,t)i 91/U Mailing Address: Contact Person: E -Mail Address: a 14.m e--n r1 t) k 4 MQ.r I .I CD M Contractor Registration Number: CS S L. C 5 q 7 City State Zip L Day Telephone: "71.Z5 -7t _7 77' X46 -f71- 7f/4, Fax Number: Expiration Date: /a —/c Valuation of Project (contractor's bid price): $ 66 ��vG Scope of Work (please provide detailed in ormation): C�q a ! Q New La_vklas Will service be altered? Type of Use` d• Type of work: ❑ New ❑ Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes JX(No Addition ❑ Service Change ❑ Fire Alarm I Appticatioiis \Forms - Applications On Line' -2000 - Electrical Permit Application_doc hh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single fan ily 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 CHANGE ❑ 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. 1 HEREBY CERTIFY THAT 1 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: 7' 36 Print Name: to G.. / in to i4 U n e. n i1 y e- Day Telephone: $1,25 -766- 7 77 Mailing Address: 2�.3 / 7 Are .27Z jv)Z c-rl Mop i�, &4 '98ISS*/ State Zip City Date Application Accepted: Date Application Expires: Staff Initials: 11Mpplications\Fotms- Applications On Line \l -2009 - Electrical Permit Apptication.doc bh 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.ci.tukwila.wa.us Parcel No.: 3623049106 Address: 6804 S 180 ST TUKW Suite No: Applicant: LES SCHWAB RECEIPT Permit Number: EL09 -0464 Status: PENDING Applied Date: 08/03/2009 Issue Date: Receipt No.: R09 -01212 Initials: WER User ID: 1655 Payment Amount: $202.80 Payment Date: 08/03/2009 02:09 PM Balance: $0.00 Payee: CJ ELECTRICAL TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3237 202.80 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 202.80 Total: $202.80 AYME T RECEIVED doc: Receiot -06 Printed: 08 -03 -2009 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PtK 1 i NU. CITY OF TUKWILA BUILDING DIVISION I' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Les al ^Y Type of Inspection: 1ov Address: (WO 1 s. ('$D% Date Called: Special Instructions: 0"61. IZt O rt 1— Date Wanted: %(( J :m m. Requester: Phone No: X Approved per applicable codes. Corrections required prior to approval. /.S:' COMMENTS: �rV Inspector: „I...#-664 I, Nos Date: o l' ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page • 0 Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 CJ ELECTRICAL SUPPLY Et SVCS LL 4257667677 24317 NE 27TH PL SAMMAMI SH WA 98074 KING Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602327997 ACTIVE CJELEES966M7 ELECTRICAL CONTRACTOR 7/27/2004 10/23/2010 GENERAL UNUSED ADMINISTRATOR INFORMATION License RABOICE985RW Name RABOIN, CHRISTIAN E I Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date HUMENNY, DWAYNE M PARTNER /MEMBER 07/27/2004 Received Date Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 05/26/2004 Until Bond $4,000.00 7/27/2004 https://fortress.wa.gov/lni/bbip/Detail.aspx 08/03/2009