HomeMy WebLinkAboutPermit EL09-0468 - PANATTONI CONSTRUCTIONThis 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 -0468
Panattoni Construction
6840 Fort Dent Way #350
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.
PANATTONI
CONSTRUCTION
6840 FO
T DENT WY
#350
CANCELLED 09 -14-09
ELO9-0468
CitAf Tukwila
0
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.u.s
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0468
Issue Date: 08/04/2009
Permit Expires On: 01/31/2010
Tenant:
Name: PANATTONI CONSTRUCTION CO
Address: 6840 FORT DENT WY #350 , TUKWILA WA
Owner:
Name: PEPPERWOOD HOLDINGS LLC Phone:
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA
Contact Person:
Name: BRAD SHOPE Phone: 253 859 -2000
Address: 4826 B ST NW #101 , AUBURN WA
Contractor:
Name: KIRBY ELECTRIC INC Phone: 253 859 -2000
Address: 4826 B ST NW, STE 101 , AUBURN WA
Contractor License No: KIRBYEI077BN Expiration Date: 01/13/2011
DESCRIPTION OF WORK:
PROVIDE 120V 20 A DEDICATED COPIER OUTLET
Value of Electrical: NRES: $600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$76.00
National Electrical Code Edition: 2005
Date: 09414
I hereby certify that I have read and e • ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied hether specified herein or not.
The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performances work. ,I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
oe rkQ.-
Date:
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 -0468
Printed: 08 -04 -2009
0
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
Parcel No.: 2954900425
Address:
Suite No:
Tenant:
6840 FORT DENT WY TUICW
PANATTONI CONSTRUCTION CO
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0468
ISSUED
08/04/2009
08/04/2009
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 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: dti� Date:
Print Name:
4,e1A&J
yoerf,
doc: Cond -Elec
EL09 -0468 Printed: 08 -04 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa. us
Elect cal Permit No:a
Project
Oe of ice 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 Address: 6% iti9 For+ ORf
Tenant Name: f c*--no I T%r C®en-S
Property Owners Name: i. t
King Co Assessor's Tax No.: G- `c 41,61,0 C) 42
Suite Number: 3 S7) Floor:
New Tenant: ❑ Yes OrFro
# 3S--0
Cso ,
t<
Mailing Address: 6 ( +Ve.►•t
Name: \g.,04._,1.. IS %N
Mailing Address: Lt-%26 Si: N La 4 1.6 i
E -Mail Address: VS ,rx..2 Ca 114 4Y b y `e � L Lo vh
Company Name:
Mailing Address: WS 2( 5 h 4v 44-161
City
Statel.I.U..
'1%1%8
Zip
Day Telephone: 2- S3 E Tei- 1 L'c
rtn l,l•y `I goes/
Ity
State Zip
Fax Number: Z S "$ — l 3 e 3
1 ity State Zip
Contact Person: G1 nre�- te' tS e Day Telephone: 2 5 SS-1-
E-Mail Address: 'I "-A. Q b ..`C t y d e- �� r � Lorl -� Fax Number: 2— S 3 —' % Sq — 2 3 (3
Contractor Registration Number: k'/" 1 eyE / D 7 7 /?M Expiration Date: i / 3 "fa 1/
Valuation of Project (contractor's bid price): $ b ) O
Scope of Work (please provide detailed information): � vi 1 Zo Lf
Will service be altered? ❑ Yes Erno Adding more than 50 amps? ❑ Yes {1I—No
Type of Use: Cu,"%,,Aw.&r C.4.'-t- ( z 'e
Type of work:
❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
1uget Sound Energy
❑ Seattle City Light
HAApplications\Fonns- Applications On Line\4 -2007 - Electrical Permit Applicetion.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including ar 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 nay 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 IIEREBY CERT :FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF TIIE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR E ECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
CZ AK) ynpialk
Date:
Day Telephone: .ZS .3
Date Application Accepted:
Date Application Expires:
City
State
Staff Initials:
Zip
11 \Apphcations\Forms- Applicatio Is On Lme \I -2009 - Electncal Permit Application 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
RECEIPT
Parcel No.: 2954900425 Permit Number: EL09 -0468
Address: 6840 FORT DENT WY TUKW Status: APPROVED
Suite No: Applied Date: 08/04/2009
Applicant: PANATTONI CONSTRUCTION CO Issue Date:
Receipt No.: R09 -01218
Payment Amount: $76.00
Initials: JEM Payment Date: 08/04/2009 10:11 AM
User ID: 1165 Balance: $0.00
Payee: KIRBY ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 509858 76.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 76.00
Total: $76.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -04 -2009
Cif f Tukwila
Jim Haggerton, Mayor
Department of Community Development
October 7, 2009
Brenda Brousseau
Kirby Electric, Inc.
4826 "B" St NW, Ste 101
Auburn, WA 98001
RE: Request for Refund
Electrical Permit No. EL09 -0468
Panattoni Construction Co. — 6840 Fort Dent Wy
Dear Ms. Brosseau,
Jack Pace, Director
This letter is in response to your written request for the cancellation and refund of electrical
permit EL09 -0468. The Building Official has reviewed your written request for refund and made
his determination. Enclosed is a check in the amount of $60.80, which is 80% of the permit fee.
Sincerely,
ifer arshall
it Technician
File:
Encl
Permit No. EL09 -0468
W.\Permit Center\Refunds\Refunds\EL09 -0468 Permit Refund.doc
h3nn .Snnthrenter Rnulevard_ Suite #1nn o Tukwila_ Wa.chinatnn OR1RR a Phnne. 2nh- 471 -7h7n o Far - 2nh -4 1 -3h(S
CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO.
INVOICE NUMBER
DATE
P.O. NUMBER
DESCRIPTION ' .`
AMOUNT
100609311
I
09/29/2009
* * * * * * * ** *60.80
PARTIAL REF EL09 -0468
I
I
i
60.80
( ' Wow CITY OF TUKWILA
= 6200 Southcenter Boulevard
N
Tukwila WA 98188 -2544
7906
PAY Sixty Dollars and Eighty Cents
PLEASE DETACH BEFORE DEPOSITING
PAYABLE THROUGH
U.S. BANK
151 Andom Park East
T1,kw11n VVA 9A1AA
19 -10
1250
• +��a uEN 1OR "It i
i UD' ; :'
•:.'`':acr cK .:
:. : .: CHECKAMI0UNT
011954
10/05/2009
* * * * * * * ** *60.80
TO:
FROM::
DATE:
SUBJECT:
MEMORANDUM
Laurie Anderson
Brenda Holt
09/18/2009
Panattoni Construction
Permit Number EL09 -0468
Please draw a check in the amount of $60.80 (sixty dollars and eighty cents) to be
payable to Kirby Electric Incorporated care of Brenda Brousseau at 4826 "B" Street NW
Suite 101, Kent Washington, 98001.
The scope of work under this permit was awarded to a different contractor and therefore
this permit is unnecessary. Per the Building Official, this check is a reimbursement for
80% of the electrical permit fees (account number 000.322.101.00).
Please forward the check to me and I will forward it on to the applicant.
Thank you!
RECEIVED
'AUG 14 MB
COMMUNITY
DEVELOPMENT
Kirby Electric Inc.
4826 "B" :;t. NW Ste. 101
Auburn, WA 98001
EL ECTRI Cinc.
COMMERCIAL•INDUSTIRIAL
Telephone (253) 859 -2000
Fax (253) 859-2363
August 12, 2009
City of Tukwila
Department of Community Development
6300 Southcenter Blvd Ste 100
Tukwila, WA 98188
Attn: Brenda
Re: Panattoni Construction
On 8/4/2009we were issued a permit with the anticipation of getting the job. The
customer decided not the do the work.
We would like to have the permit refunded please. It is as follows:
EL09 -0468
Attached please find original permits, inspection records for the above permit.
Please release the permit from Kirby Electric, Inc account and please issue a check for
the refund.
Thank you,
*L /$011"641
Brenda J. Bro sseau
Office Manager
a/t° C101-4a441
46174P OUS'
RECEIVED
'AUG 14 xU9 MAW'
COMMUNITY
DEVELOPMENT
Kirby Electric Inc.
4826 "8" St. NW Ste. 101
Auburn, WA 98001
EL ECTR /Clnc.
COMMERCIAL•INDUSTRIAL
Telephone (253) 859 -2000
Fax (253) 859 -2363
8.610
ti
August 12, 2009
City of Tukwila
Department of Community Development
6300 Southcenter Blvd Ste 100
Tukwila, WA 98188
Attn: Brenda
Re: Panattoni Construction
On 8/4/2009we were issued a permit with the anticipation of getting the job. The
customer decided not the do the work.
We would like to have the permit refunded please. It is as follows:
EL09 -0468
Attached please find original permits, inspection records for the above permit.
Please release the permit from Kirby Electric, Inc account and please issue a check for
the refund
Thank you,
e..)14-wiA-Lek-
Brenda J. Brohsseau
Office Manager
Untitled Page
•
Page 1 of 2
Electrical Contractor
A business licensed by LEH 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
KIRBY ELECTRIC INC
2538592000
4826 B ST NW STE 101
AUBURN
WA
98001
KING
Corporation
UBI No.
Status
License No.
601433048
ACTIVE
KIRBYEI077BN
License Type ELECTRICAL CONTRACTOR
Effective Date 1/15/1993
Expiration Date 1/13/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
KIRBYE *101QE
KIRBY
ELECTRIC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
11/5/1990
11/5/1994
ARCHIVED
MASTER ELECTRICIAN INFORMATION
License KIRBYDE962LZ
Name KIRBY, DOUGLAS E
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
KIRBY, DOUGLAS E
Cancel
Date
01/01/1980
Bond
Amount
KIRBY, SHANNON
5
01/01/1980
70607132
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
5
WESTERN
SURETY CO
70607132
01/14/2009
Until
Cancelled
$4,000.0011
/05/2008
MERCHANTS
https: // fortress .wa.gov /lni/bbip /Detail.aspx
08/04/2009