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HomeMy WebLinkAboutPermit EL10-0304 - PAWS-ABILITIESThis 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 -0304 Paws — Abilities 1007 Industry Drive 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. PAWS- ABILTI'IES 1007 INDUSTRY DR EL1 0-0304 City0f 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 ELECTRICAL PERMIT Parcel No.: 'i s r Permit Number: EL10 -0304 Address: 1007 A3ti W TUKW Issue Date: 04/26/2010 Suite No: Permit Expires On: 10/23/2010 Tenant: Name: PAWS - ABILITIES Address: 1007 INDUSTRY DR , TUKWILA WA Owner: Name: Address: Contact Person: Name: CHRIS RABOIN Address: 1407 132 AV NE SUITE 9 , SAMMAMISH WA Contractor: Name: CJ ELECTRICAL SUPPLY & SVCS LL Address: 24317 NE 27 PL , SAMMAMISH WA Contractor License No: CJELEES966M7 Phone: X41 Phone: 360-49+-5449 Phone: 425 766 -7677 Expiration Date: 10/23/2010 DESCRIPTION OF WORK: LIGHTING RETROFIT. REPLACE EXLSITING 175 WATT MH WALL PACK WITH NEW 2 LAMP T5 WALL PACK Value of Electrical: NRES: $300.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $67.20 National Electrical Code Edition: 2008 Date: —,)--l.P �� v 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, whethe • ecified herein or not. The granting of permit does not esume t construction o erformanc work. I Signature: Print Name: ority to violate or cancel the provisions of any other state or 1 cal laws regulating to sign and obtain this electrical permit. 2/ VS R/i/30/,1 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 ELI 0-0304 Printed: 04 -26 -2010 Parcel No.: Address: Suite No: Tenant: 1007 • • 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 itteereeitzwitsr TUKW PAWS - ABILITIES PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0304 ISSUED 04/26/2010 04/26/2010 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 presum ve thority to violate or cancel the provision of any other work or local laws regulating construction or the perfo •f vf�rk. Signature: Print Name: 6/2l doc: Cond -Dec ELI 0-0304 Printed: 04 -26 -2010 CITY OF TUKW1 Community Development Department Pennit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httal/www.ci.tuicwila.wa.us Electrical Permit No. E LI O- D &y 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: 1007 Industry Dr Tenant Name: Paws - Abilities Property Owners Name: Walton CWWA Tukwila, LLC Mailing Address: 631 Stander Blvd King Co Assessor's Tax No.: Suite Number. New Tenant: Tukwila City Floor: ❑ Yes 0..No WA 98188 State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Chris Raboin Mailing Address: 1407 132nd Ave NE Suite 9 E -Mail Address: Chris @cjlightingserVices.COm Day Telephone: (360) 941 -5449 Bellevue Wa 98005 City State Zip Fax Number. (425) 452 4009 ELECTRICAL CONTRACTOR INFORMATION Company Name: CJ Electrical Supply & Services, LLC Mailing Address: 24317 NE 27th PI Contact Person: Chris Raboin E -Mail Address: Chris ©cjlightingserVlces.com Contractor Registration Number. cjelees966m7 f»IM tt yYl i Sr) WA 98074 State Zip City Day Telephone: (425) 452 -7000 Fax Number: (425) 452 4009 Expiration Date: Valuation of Project (contractor's bid price): $ 300 Scope of Work (please provide detailed information): Lighting retrofit. Replace existing 175 watt MH wall pack, with new 2 lamp T5 wall pack Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No TypeofUse: commercial Tyne of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served bv: • Puget Sound Energy ❑ Seattle City Light H:MpplicatiaasWamtApp>i on Iino12010 Applicat a \I -2010. Electrical Permit Appliaaioadx ❑ Service Change ❑ Fire Alarm td, Pagelof2 ❑ Remodel m Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $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, fumace 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 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. BITli DING OWNER OR ILIO RICAL CONTRACTOR: Signature: Date: 04/26/2010 Print Name: Chris Raboin Mailing Address: 1407132nd Ave NE Suite 9 IDate Application Accepted: Day Telephone: Bellevue City (360) 941 -5449 WA 98005 State Zip Date Application Expires: Staff Initials: HAApplirations Fonm-Applionions On Line12010 Applic nuns\ -x010 - ©amain! Permit Appli arimAac en Page 2 of 2 1 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.: Address: 1007 ANDOVER PK W TUKW Suite No: Applicant: PAWS - ABILITIES RECEIPT Permit Number: EL10 -0304 Status: PENDING Applied Date: 04/26/2010 Issue Date: Receipt No.: R10 -00709 Payment Amount: $67.20 Initials: WER Payment Date: 04/26/2010 11:57 AM User ID: 1655 Balance: $0.00 Payee: CHRIS RABOIN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 316245 ACCOUNT ITEM LIST: Description 67.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -26 -2010 INSPECTIONRECORD 640-`0301 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION k=4"-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Project: AbIldirle5 ‘411A6- Type of Inspection: G t�O Address: I0o1 I'��` STiz 1 DL Date Called: Special Instructions: I . R D Date Wanted: bl a:m Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: rijtriv Inspector: Date:01 fz/io ❑ $60.00 REINSPECTION'FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: .. .3.2E— ',try..., Contractors or Tradespeople Per Friendly Page 1 Electrical Contractor A business licensed by Lai 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 a 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 7/19/2005 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings 1 Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 5/26/2004 Until Released Bond $4,000.00 7/27/2004 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 E52554 7/19/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 E52555 7/19/2005 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 E52556 7/19/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $100.00 E52557 7/19/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $100.00 EBRIC01531 4/2/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01406 11/14/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01459 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01462 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01460 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01457 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01463 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01458 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 04/26/2010