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Home My WebLink AboutPermit EL10-0035 - SEATTLE BAGEL COMPANYThis 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. EL10 -0035 Seattle Bagel Company 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 COMPANY 4445 S 134 PL EL1O-0035 City.f 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 Parcel No.: 2613200086 Address: 4445 S 134 PL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0035 Issue Date: 01/19/2010 Permit Expires On: 07/18/2010 Tenant: Name: SEATTLE BAGEL COMPANY Address: 4445 S 134 PL , TUKWILA WA Owner: Name: FOSTORIA PARK ASSOC LLC Phone: Address: C/O ESM PROPERTIES INC , 15100 SE 38TH ST #792 Contact Person: Name: JOHN SIMONS Phone: 206 - 419 -9374 Address: PO BOX 4236 , RENTON WA Contractor: Name: LIGHTEK COM INC Address: PO BOX 4236 , RENTON WA Contractor License No: LIGHTCI999KZ Phone: 425 271 -5210 Expiration Date: 05/09/2011 DESCRIPTION OF WORK: LIGHTING RETROFIT Value of Electrical: NRES: $4,250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: J)1:- Fees Collected: $178.50 National Electrical Code Edition: 2008 Date: 1— 1 `I� 16 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 ith, whether specified herein or not. The granting of this construction or the Signature: Print Name: s not p sume to,give authority to violate or cancel the provisions of any other state or local laws regulating ce of w I am uthorized to sign and obtain this electrical permit. 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 L10 -0035 Printed: 01 -19 -2010 Parcel No.: 2613200086 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 4445 S 134 PL TUKW SEATTLE BAGEL COMPANY PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0035 ISSUED 01/19/2010 01/19/2010 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 const=uctio> r the perforiance of work. Signature: Print Name: L- ( S A S Date: doc: Cond -Elec ELI 0-0035 Printed: 01 -19 -2010 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 ** jr J' g Co Assessor's Tax No.: Site Address: `'1 �� e 1L)t 1 Suite Number: Floor: Tenant Name: SPs(` O. key 1 n kto TetLc 7 New Tenant: ❑ Yes Ed.. No Property Owners Name: For �'d�r ► Petµ k Mailing Address: eie S'ln2 4} r I moo S' 78.'5- � 4 7q4 State ERSON, Who do we contact when our perm∎ is rea Name: (S i iM.o ►1S Mailing Address: � d �())( � 7‘ E -Mail Address: -7 k € Company Name: l-. F t L Mailing Address: 1St) ,�'d* 1076 Contact Person: i%'ld A %- Caws Zip D ay Telephone: i z 7_y City Stat ?Toad Zip Fax Number: toc- _a3- D E -Mail Address: Contractor Registration Number: L264T - T l oR Valuation of Project (contractor's bid price): $ Scope f Work (please provide de as ar information I Ilkcik.cf c..„7 ti - ): (GliAt .1 Vl et (1/_'e City / � State p� y Zip Day Telephone: l 11(� ? 7 (( Fax Number: (0 /� j 1(_ ! Cif g Expiration Date: 6S /f.�`'r/�1 Will service be altered? ❑ Yes G.. No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Telecommunication Tenant Improvement Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $152.85 $81.90 ea $59.85 ea ❑ Low voltage systems (alarm, furnace thermostat) RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added /altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added /altered without service change $54.60 (up to 5 circuits) ❑ Circuits added /altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured /mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea 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 o WN Signature: Print Name: Mailing Address: ELEC ICAONTRACTOR: Date Application Accepted: C)4 ? Day Telephone: Cit§ Date: l Ole S ate Zip Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \1.2010 - Electrical 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 Parcel No.: 2613200086 Address: 4445 S 134 PL TURIN Suite No: Applicant: SEATTLE BAGEL COMPANY RECEIPT Permit Number: EL10 -0035 Status: PENDING Applied Date: 01/19/2010 Issue Date: Receipt No.: R10 -00073 Payment Amount: $89.25 Initials: WER Payment Date: 01/19/2010 03:55 PM User ID: 1655 Balance: $0.00 Payee: LIGHTEK TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 719145 ACCOUNT ITEM LIST: Description 89.25 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 89.25 Total: $89.25 PAYMENT RECEIVED doc: Receiot -06 Printed: 01 -19 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION \'2' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 duo -6035" Project: g/161.0. /' Type of Inspection: ; la) Address ' gl/F . /3`f Pi— ' Date Called: Special I struc ions: ll __ Date Wanted: / 2 a.m: Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: o/ J $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: A Zi 10. Receipt No.: Date: Untitled Page • • 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 LIGHTEK COM INC 4252715210 PO BOX 4236 RENTON WA 98057 KING Corporation UBI No. Status License No. License Type Effective Date 601950222 ACTIVE LIGHTCI999KZ ELECTRICAL CONTRACTOR 5/9/2001 Expiration Date 5/9/2011 Suspend Date Specialty 1 Specialty 2 UNUSED LIGHTING MAINTENANCE 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 5/9/2001 Until Released Bond $4,000.00 5/14/2001 https:/ / fortress .wa.gov /lni/bbip /Detail.aspx 01/19/2010