HomeMy WebLinkAboutPermit EL09-0779 - SACHI FURNITUREThis 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 -0779
Sachi Furniture
1169 Andover Park West
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.
SACHI FURNITURE
1169 ANDOVER PK W
ELO9-0779
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite # 100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
Parcel No.: 3523049097
Address: 1169 ANDOVER PK W TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0779
Issue Date: 12/08/2009
Permit Expires On: 06/06/2010
Tenant:
Name: SACHI FURNITURE
Address: 1169 ANDOVER PK W , TUKWILA WA
Owner:
Name: WALTON CWWA SOUTHCENTER 4 L Phone:
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR
Contact Person:
Name: KEN FLEEK Phone: 206 255 -6855
Address: 1169 ANDOVER PK W , TUKWILA 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:
RETRO -FIT NEW LAMP & BALLAST
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $52.00
National Electrical Code Edition: 2008
I hereby certify that I have read and e
governing this work will be complied
ami
pith,
Date: `Z (,: 10‘)
ed this permit and know the same to be true and correct. All provisions of law and ordinances
yvhether 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 performan of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: (7-1k f
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 -0779
Printed: 12 -08 -2009
Parcel No.: 3523049097
Address:
Suite No:
Tenant:
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
1169 ANDOVER PK W TUKW
SACHI FURNITURE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0779
ISSUED
12/08/2009
12/08/2009
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 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:
Date:
doc: Cond -Elec
EL09 -0779 Printed: 12 -08 -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 No. .6O°0)1161
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.: 1..--92C1-1 1, (7r1 1
/
Site Address: l l4'7 0 k.. (4,/. 7 IEW te4 ,Suite Number:
Tenant Name:
Property Owners Name: SQYIA_e
Mailing Address:
New Tenant:
0
Floor:
Yes
•1
0
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Day Telephone: Zig.°
Mailing Address:
State Zip
E -Mail Address: erU /ost • (ci-v._
City
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: C ( cArt. iGNA- 1 -SJPi0i'.1 - a s—
Mailing Address: z11,3t7 /. Z? gilliAsut Poe< 6 CI W(.01(7
City State "Lip
Contact Person: K61/1-to ��-; C,K Day Telephone:
E -Mail Address: J f tt3 - , COW%
Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
/1U
—
l- r;/ ij L " Jq-
Will service be altered? ❑ Yes "No Adding more than 50 amps? ❑ Yes [1-10
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
ItPuget Sound Energy
❑ Seattle City Light
H \Apphcatnons \Forms - 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
ircuits 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
(alarm, furnace thermostat)
$57.00
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: - -- Date: /2-4'0
Print Name: ,d/✓ R61=2(.. Day Telephone: Zag -253--(A9CC
Mailing Address: AlRo i P'lt z)L • ce7).1 /7 IVY Z1. c- iel. 'A7 rn , /6l> -L 2 4(1'023,
City State Zip
IDate Application Accepted: \I 9461?
Date Application Expires:
H 1Applmatons\Forms.Applhcanons On Lme\I -2009 - Einon cal Fermi Apphcaton.doc
bh
Staff Initials: -
V
1
Page 2 of 2
Ci, of Tukwila,
4
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206-431-3665
Web site: hip: //www. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R09 -01961
Initials: JEM
Payment Date: 12/08/2009
User ID: 1165 Total Payment: 104.00
Payee: CJ ELECTRICAL SERVICES & SUPPLY LLC
SET ID: 1208 SET NAME: CJ ELECTRICAL
SET TRANSACTIONS:
Set Member
EL09 -0779
EL09 -0780
TOTAL:
Amount
52.00
52.00
52.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3416 104.00
TOTAL: 104.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 104.00
TOTAL: 104.00
PAYMENT
RECEIVED
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Project: C DAckft ('�„ /
((�
Type of Inspection:
2/00
Address:
Date Called:
Special Instructio s:
Ix( . Q ERor,.r-
11.E F�
Date Wanted:
Ir
f %
a:m
m.
Requester:
r r
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
z v;:k-
Date: I2 I /07
ri $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
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
SAMMAMISH
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
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
5/26/2004
Until
Bond
$4,000.00
7/27/2004
https://fortress.wa.gov/lni/bbip/Detail.aspx
12/08/2009