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HomeMy WebLinkAboutPermit EL10-0389 - STATE FARM INSURANCEThis 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 -0389 State Farm Insurance 7100 Fort Dent Way 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 13 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. STATE FARM INSURANCE 7100 FORT DENT WY EL1 0-0389 J��ALA City of [ukwila 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.: 2954900440 Address: 7100 FORT DENT WY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0389 Issue Date: 05/25/2010 Permit Expires On: 11/21/2010 Tenant: Name: STATE FARM INSURANCE Address: 7100 FORT DENT WY , TUKWILA WA Owner: Name: RADOVICH PROPERTIES LLC Phone: Address: 2835 82ND AVE SE STE 300 , MERCER ISLAND WA Contact Person: Name: MICHAEL PASICH Phone: 206 406 -8674 Address: 7056 S 220 ST , KENT WA Contractor: Name: SEA TAC ELECTRIC INC Phone: Address: 7056 S 220TH ST , KENT WA Contractor License No: SEATAEI077RW Expiration Date: 12/17/2011 DESCRIPTION OF WORK: RELOCATE (20) LIGHT FIXTURES. INSTALL (18) OUTLETS. REWORK SWITCHING. Value of Electrical: NRES: $11,000.00 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: $281.70 National Electrical Code Edition: 2008 0\M? 09 Date:( (/° t tl xa ned this permit and know the same to be true and correct. All provisions of law and ordinances wit whether specified herein or not. The granting of this permit does not pr- , e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or theepperforma f worms am authorized to sign and obtain this electrical permit. Signature: c'- -d' '� 7 I Date: S [. ZS It ( \.. Print Name: /'(/ltic-- St c £ 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 0-0389 Printed: 05 -25 -2010 • 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.: 2954900440 Address: Suite No: Tenant: 7100 FORT DENT WY TUKW STATE FARM INSURANCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0389 ISSUED 05/25/2010 05/25/2010 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: Date: S (2S (C doc: Cond -Elec EL10 -0389 Printed: 05 -25 -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 No. e1 0 OW1 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: 7100 Fort Dent Way Tenant Name: Statefarm Insurance Property Owners Name: John C Radovich Mailing Address: 28354 82nd Avenue SE King Co Assessor's Tax No.: " l�" I.,O ,1-1tO Suite Number: 260 Floor: New Tenant: ❑ Yes ..No Mercer Island WA 98040 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Michael Pasich Mailing Address: 7056 South 220th Street Zip WA Day Telephone: 206- 406 -8674 Kent 98032 E -Mail Address: mikep @seatacelectric.com City State Fax Number: 253- 872 -4112 ELECTRICAL CONTRACTOR INFORMATION Company Name: SeaTac Electric, Inc. Mailing Address: 7056 South 220th Street Kent WA City State Contact Person:Michael Pasich Day Telephone: 206 -406 -8674 E -Mail Address: mikep @seatacelectric.com Fax Number: 253- 872 -4112 Contractor Registration Number: seataei077rw Expiration Date: 12/09 98032 Zip Valuation of Project (contractor's bid price): $ 11,000.00 Scope of Work (please provide detailed information): Relocate (20) Light Fixtures. Install (18) Outlets. Rework Switching Will service be altered? ❑ Yes ❑ No Type of Use: Commercial Type of work: ❑ New ❑ Addition ❑ Service Change El Remodel 0 Tenant Improvement Adding more than 50 amps? ❑ Yes D No ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: l7 Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added /altered circuits) ❑ Service change with added /altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added /altered without service change $50.00 (up to 5 circuits) ❑ Circuits added /altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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 AP 'LICATION 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 Pen-nit 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: Michael Bich Mailing Address: 7056 South 220th Street Date: May 25th, 2010 Day Telephone: 206- 406 -8674 Kent City WA 98032 State Zip IDate Application Accepted: 72 Date Application Expires: Staff initials: ll:',Applications'fams- Applications On Line \4 -2007 - Electrical Permit Application.doc hh Page 2 of 2 • City of Tukwila fir`{ Z 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.: 2954900440 Address: 7100 FORT DENT WY TUKW Suite No: Applicant: STATE FARM INSURANCE RECEIPT Permit Number: EL10 -0389 Status: PENDING Applied Date: 05/25/2010 Issue Date: Receipt No.: R10 -00924 Initials: User ID: Payee: JEM 1165 Payment Amount: $281.70 Payment Date: 05/25/2010 11:32 AM Balance: $0.00 MICHAEL S PASICH, SEA -TAC ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 025026 ACCOUNT ITEM LIST: Description 281.70 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 281.70 Total: $281.70 PAYMENT RECEIVED doc: Receipt -06 Printed: 05 -25 -2010 INSPECTION RECORD 640 ^� Retain a copy with permit INSP ION NO. ,PERMIT NO. CITY OF TUKWILA BUILDING DIVISION !l--IL 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: /A/5. Type of Inspection: �© 7003 Address: 7/00 Fr , DeAtr Date Called: - R.1,%/4,14- iAI /` Special Instructions: Date Wanted: 6/ cay!rtnr. Requester: A Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 7 "/ �..4 u °A/S .d ? m91, 9X- - al u411 e.avelk - R.1,%/4,14- iAI of K A Inspector $60.00 REIN PECTION FEE Date: t�to 28 iv ri $ EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit 0/(0-0511 PERMIT NO. L (206)431 -36 CITY OF TUKWILA BUILDING DIVISIO N 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: � kri irI5 . Type of Inspection: %03 Address: ' ��� 7 /.0 e-, Date Called: Special Instructions: Date Wanted: �% a.m m. Requester: i Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: McsSi 4(,,1 K. o s ;k - Sf /5 j I C_, 6 K -77Do 140(5 Inspectort /J6646c, ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 1. 0yrj v Receipt No.: Date: a2.4iLlitiodi tr .rgiia kf c. ..:,r'h ,-mrzles2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 610 -03 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 12-' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project' i pt1 Type of Inspection: 7 Add ress: n� �lW �• fy- 1..711! Date Called: Special Instructions: Date Wanted: to Q p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: eadatokt) r1A.pE OK - - ()Ow/ C3t(t Inspector: /' Date: 06 A3A0 $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: a,<, S'+ c::.;' r�r_-, r✓.*., 7, �. v: i7'-.:...- r..':sc_,{a'-.�yc.�.:�„t�?s�.:, 7fr^y.�.•..r� a3��LRl�i2? a�^3- rllasr�.- swt'�.-' °3�Fja`a!f'.�::�c3xG`., �.e-d'�. INSPECTION RECORD Retain a copy with permit INSP CTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Probe r,� 5 ''f 1. ork , ( i/A 5 . Type of Inspection: 3 7c - £aJ iP &Ji 8.0044 6c11,64 a-rstDLTIMii . Address:71 / Date Called: Special Instructions: Date Wanted: / O 6 j (a. m . m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: I 1116541 4 0. 5Ctt/ /-n 6 r r I i-oc& &/T 4r 64 rot StAl'r - £aJ iP &Ji 8.0044 6c11,64 a-rstDLTIMii . iliS5(4 o4 sothr s( - gt/Silmf REZ,Jre) 643 a D 6Txz ml4 -.77 tic, eD cro0 C xl fi.ocx4 v P4101/10 Date orta ri $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: s'.� -." '" -•-- r: ;- yYY: Y - "'"'.`v...�r,S�cFw`al� s fY-.��4w�^- x " 4""n"'`. °'..'".,' "Y';cT ""' '.fi !`."'.1�.^= \t'�_'w'�7• '.:tip f .,.,,,M„I.., tir City of f Tukwila 11 -01 -2010 MICHAEL PASICH 7056 S 220 ST KENT WA 98032 Jim Haggerton, Mayor epartment of Community ;Development Jack Pace, Director RE: Permit No. EL10 -0389 7100 FORT DENT WY TUKW Dear Permit Holder: 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 12/25/2010. 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, provided the inspection shows progress. -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 12/25/2010, 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, ifer Marshall it Technician File: Permit File No. EL10 -0389 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 LEI 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 Sea Tac Electric Inc 2538725553 7056 5 220Th St Kent Wa 98032 County King Business Type Corporation Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601510212 Active SEATAEI077RW Electrical Contractor 12/16/1993 12/17/2011 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration. Date Status SEATAEC131QCSea-Tac Electrical Contractors Electrical Contractor General Unused 11/3/1987 11/3/1995 Archived MASTER ELECTRICIAN INFORMATION License HARGRT'974CD Name Hargreaves, Tom Status Active Business Owner Information Name Role Effective Date Expiration Date Hargreaves, Tom Agent 12/17/1993 Bond Amount Hargreaves, Tom President 12/17/1993 798649C Bean, Eric Secretary 12/10/2008 Bean, Eric Treasurer 12/10/2008 MERCHANTS BONDING CO (MUTUAL) Jordan, Tom Vice President 01/01/2002 01/22/2009 Hargreaves, Katherine Secretary 12/17/1993 12/10/2008 Burks, Roy Vice President 12/17/1993 12/15/1995 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 DEVELOPERS SURETY & INDEM CO 798649C 12/16/2008 Until Cancelled $4,000.00 $4,000.00 12/03/2008 5 MERCHANTS BONDING CO (MUTUAL) WA11373 12/16/2004 Until Cancelled 01/22/2009 $4,000.0012/17/2004 4 CUMBERLAND CAS & SURETY CO MB912300132 12/16/2001 Until Cancelled 12/16/2004 $4,000.0001/09/2002 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 12/16/1993 Until Released Bond $4,000.00 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 https://fortress.wa.gov/lni/bbip/Print.aspx 05/25/2010