The URL can be used to link to this page

Home My WebLink AboutPermit EL09-0780 - OMNI FITNESS EQUIPMENTThis 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 -0780 Omni Fitness Equipment 1171 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. OMNI FITNESS EQUIPMENT 1171 ANDOVER PK W EXPIRED 06 -06 -10 ELO9-0780 Parcel No.: 3523049097 Address: Suite No: Cityatf 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: / /www.ci.tukwila.wa.us 1171 ANDOVER PK W TURIN ELECTRICAL PERMIT Permit Number: EL09 -0780 Issue Date: 12/08/2009 Permit Expires On: 06/06/2010 Tenant: Name: OMNI FITNESS EQUIPMENT Address: 1171 ANDOVER PK W , TUKWILA WA Owner: Name: WALTON CWWA SOUTHCENTER 4 L Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR Contact Person: Name: KEVIN FLEEK Address: 1171 ANDOVER PK W , TUKWILA WA Contractor: Name: CJ ELECTRICAL SUPPLY & SVCS LL Address: 24317 NE 27 PL , SAMMAMISH WA Contractor License No: CJELEES966M7 Phone: Phone: 206 255 -6855 Phone: 425 766 -7677 Expiration Date: 10/23/2010 DESCRIPTION OF WORK: RETRO -FIT NEW LAMP & BALLAST WAREHOUSE AND OFFICE Value of Electrical: NRES: $3,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: National Electrical Code Edition: 2008 $52.00 Date: N.-1/0)11 ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not prey' e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo s .. ce of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 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 -0780 Printed: 12 -08 -2009 Parcel No.: 3523049097 Address: Suite No: Tenant: m 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 1171 ANDOVER PK W TUKW OMNI FITNESS EQUIPMENT PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0780 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: Name: Date: 72-4 — 4 ' 09 doc: Cond -Elec EL09 -0780 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. etA7 " t 17 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: Tenant Name: 1/ / ANAcvz.er. that u, 41'. ,L'4NLss Property Owners Name: Mailing Address: King Co Assessor's Tax No.: V-')')-1304 Suite Number: Floor: New Tenant: ❑ Yes "..No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 1�CYttV >�L� -�C Day Telephone: ZGr,- 2-'"T -- S Mailing Address: State Zip 204, -67c- i 106- E -Mail Address: City Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: C l‘,z. At, 21 -1-3(-) Contact Person: •11)%1 e Se.,w2c- E -Mail Address: ieemm A Ci-to4, Co Contractor Registration Number: City Day Telephone: State 44L14t Zip Zvtc — Z cc- (353 Fax Number: Zdo '%S Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): u4v2 .6 14$1 oeci v tt€7i..1 Lolivte Will service be altered? ❑ Yes 'No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel [zi Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service 'Jo Prope Served by: ad Puget Sound Energy ❑ Seattle City Light H.\Apphcations\Forms- Applications On Line \1.2009 - Electrical Permit Application doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings ........................ (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $145.60 $78.00 ea $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) ig 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Date Application Accepted: Date: /2 67 Day Telephone: 2.oe -Xs 271- P- 5ef / State Zip H tApphutionsWorms- Applications On Ianel -2009 - Electrical Pc mo Apphcahon.doc bh Date Application Expires: City Staff Initia Page 2 of 2 of 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.us SET RECEIPT Copy Reprinted on 12 -08 -2009 at 12:48:10 12/08/2009 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: Temporary Set 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 Department of Community Development KEVIN FLEEK 1171 ANDOVER PK W TUKWILA WA 98188 RE: Permit No. EL09 -0780 1171 ANDOVER PK W 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 06/06/2010. 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 06/06/2010, 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. Sincerely, Bill Rambo Permit Technician File: Permit File No. EL09 -0780 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Untitled Page r 1 Page 1 of 2 Electrical Contractor A business licensed by Led 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 St 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 $4,000.007/27/2004 https: // fortress .wa.gov /lni/bbip /Detail.aspx 12/08/2009