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Home My WebLink AboutPermit EL10-0276 - FIRST CHOICE COFFEEThis 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 -0276 First Choice Coffee 4471 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. FIRST CHOICE COFFEE 4471 S 134 PL EXPIRED 70 -11 -10 EL1O-0276 Citylif 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.: 2613200084 Address: 4471 S 134 PL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0276 Issue Date: 04/14/2010 Permit Expires On: 10/11/2010 Tenant: Name: FIRST CHOICE COFFEE Address: 4471 S 134 PL , TUKWILA WA Owner: Name: NORTH STREAM DEVELOPMENT Phone: Address: 720 4TH AVE STE 102 , IURKLAND WA Contact Person: Name: JOHN L 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: RETROFIT FLOURESCENT LUMINAIRES - SEATTLE CITY LIGHT REBATES FOR ENERGY EFFICIENCY Value of Electrical: NRES: $3,205.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: 2008 $157.50 Date: Li-Ill-to 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 thi • ernut oes no presume to give authority to violate or cancel the provisions of any other ate or local laws regulating construction or the : e ritfnce of }�i(ork. I am authorized to sign and obtain this electrical permit. Signature: %�\ Date: ! I Print Name: L - S;molks (� ' •10 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 ELI 0-0276 Printed: 04 -14 -2010 Parcel No.: 2613200084 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 4471 S 134 PL TUKW FIRST CHOICE COFFEE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0276 ISSUED 04/14/2010 04/14/2010 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 construction or the performance of work. Signature: Print Name: S'isAke•As doc: Cond -Elec ELI 0-0276 Printed: 04 -14 -2010 CITY OF TUKWILA. Community Developmen epartment 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 ** Site Address: -1 14.) `�. � I C• `tA ttw ` Q Suite Number: Tenant Name: F,V'S � he i c.¢ CO King Co Assessor's Tax No.: e) (p O 009 Floor: New Tenant: ❑ Yes R.. No Property Owners Name: Mailing Address: Name: �b V►h. L • S i Wl ovk s Mailing Address: IN D Ilt d 7( Lk, 3 - - ` E -Mail Address: V Q L ti'$ `_ - �G Company Name: L \ae R COW% I .0 Mailing Address: '�i kD L u,? b Contact Person: Z v N V L- 1MD A S •City State Zip Day Telephone: t� i l(0-9?-1 14 keZtov■ k1AA- cr eo S 7 City u d C-' R ' et Zip Fax Number: l� 1- l 1 8 E -Mail Address: o Cv L .3\ C& k. C Contractor Registration Number: LI 6141 C I ct C(q 1\ City tAit4- lees, State Zip Day Telephone:c /� I '1 0 - Z-)11 Fax Number: to ) 3 -- if -- qq 0se Expiration Date: S17/50( Valuation of Project (contractor's bid price): $ Scope of Work (plea provide detailed information): • a- tkOtQS'C 44- 1 U %A, ry�A a h « C Q? oAav5 Q C-C tLtAxe r Will service be altered? ❑ Yes I. No Adding more than 50 amps? ❑ Yes Ill No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Tenant Improvement Property Served by: ❑ Puget Sound Energy R. Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \I -2010 - 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) $152.85 $81.90 ea $59.85 ea 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 t $78.75 Number of concessions $10.50 ea PE'RMIT:'A .f LIcsyvriONNOT Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF, WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER O)Li ELECT ICAL CONTRACTOR: Signature: Date:$+ -i 319 16 Print Name: L - 1 Wl o,A S ay Telephone: d'''° Mailing Address: D tD ` - L( b i62.vt CM- et. City State Zip Date Application Accepted: Date Application Expires: Staff Initials: HAApplications\Forms- Applications On Line \20I0 ApplicationAl -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.: 2613200084 Address: 4471 S 134 PL TUKW Suite No: Applicant: FIRST CHOICE COFFEE RECEIPT Permit Number: EL10 -0276 Status: PENDING Applied Date: 04/14/2010 Issue Date: Receipt No.: R10 -00629 Initials: User ID: Payee: WER 1655 Payment Amount: $157.50 Payment Date: 04/14/2010 09:25 AM Balance: $0.00 JOHN L SIMONS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 114142 ACCOUNT ITEM LIST: Description • 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 AYMENT F_ E\1ED doc: Receiot -06 Printed: 04 -14 -2010 09 -01 -2010 JOHN L SIMONS PO BOX 4236 RENTON WA 98057 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL10 -0276 4471 S 134 PL TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the International Codes, Uniform Plumbing/Fuel Gas Code and /or the National Electrical Code, every permit issued by the Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: CaII the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and /or the National Electrical Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 10/11 /2010 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician xc: Permit File No. EL10 -0276 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by L8I 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 Expiration Date Suspend Date Specialty 1 Specialty 2 601950222 Active LIGHTCI999KZ Electrical Contractor 5/9/2001 5/9/2011 Lighting Maintenance Unused 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 5/25/2007 Simons, John L President 05/09/2001 $250.00 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 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 Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EBRIC00860 5/25/2007 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC00861 5/25/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ02859 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Not satisfied $125.00 . EMABQ02858 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Not satisfied $500.00 EMABQ02842 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EMABQ02843 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Not satisfied $125.00 EMABQ02854 5/8/2009 19:28.101 RCW ELECTRICAL CITATION Not satisfied $500.00 EMABQ02855 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Not satisfied $125.00 EBRIC01602 5/7/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EBRIC01603 5/7/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $125.00 EMABQ02846 5/8/2009 19.28.101 RCW ELECTRICAL CITATION Not satisfied $500.00 https: / /fortress.wa.gov /lni/bbip /Print.aspx 04/14/2010