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Permit EL10-0460 - QWEST COMMUNICATIONS
This 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 -0460 Qwest Communications 3416 South 146th Street 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 11 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. QWEST COMMUNICATIONS 3416 S 146 ST CANCELLED 10-05-10 EL1O-0460 City oftukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0040000072 Address: Suite No: 3416 S 146 ST TUKW ELECTRICAL PERMIT Permit Number: EL10 -0460 Issue Date: 06/18/2010 Permit Expires On: 12/15/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: QWEST COMMUNICATIONS 3416 S 146 ST , TUKWILA WA PHAVONG BOUNSON PO BOX 69712 , SEATTLE WA Contractor: Name: THOMPSON ELECT CONSTRS INC Address: PO BOX 45260 , TACOMA WA Contractor License No: THOMPECOO8CW Phone: Phone: Phone: 253 539 -0999 Expiration Date: 02/16/2012 DESCRIPTION OF WORK: NEW 100 AMP 120/240 VOLT PEDESTAL SERVICE AND (3) 15 AMP 120 VOLT CIRCUITS FOR COMM CABINET OUTLETS. Value of Electrical: NRES: $3,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $157.50 National Electrical Code Edition: 2008 Date C{/[04 I hereby certify that I have read and exa 'ne this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied wi w ether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Date: 6A27/0 Print Name: v� et (-ernPA.) 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 EL10 -0460 Printed: 06 -18 -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.: 0040000072 Address: Suite No: Tenant: 3416 S 146 ST TUKW QWEST COMMUNICATIONS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0460 ISSUED 06/18/2010 06/18/2010 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: /1'1 1 �/3 Date: G //P' //O doc: Cond -Elec ELI 0-0460 Printed: 06 -18 -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. .L 1. o 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 King Co Assessor's Tax No.: C) L(COnoc O72- Site Address: 3 (// 6 S, / 6 7.S' Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑..No Property Owners Name: (ais 7 C'5vv7rnelA)j( 7?t)A7' Mailing Address: '7-11 I AJE #1124cYte ST' PDI2T1.4120O City O 1528 State Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: FLR1^Jle 61V /flFl-2aEL4..l Mailing Address: SA .' 6 A 3 i0v' - Day Telephone:: 5-03 — 37 63 City State Zip E-Mail Address: Fax Number: 5n3 -2-tf2 — ELECTRICAL CONTRACTOR INFORMATION Company Name: DinniP.SD.J FGi 77 2 C. L- Ct n)S'%ze)c77 R LsJC. Mailing Address: ?C) e)X'-1,5?,r) 77 rvrA4 City Contact Person: L) J ( SDi3 1.-dg State Day Telephone: 2-5-3 - 7 G' / - re 3 2- / E -Mail Address: '23043 a Gt.) / L ,J 6 77% Stn) C V7?2OCTb41.CD' Fax Number: z.5-3— 3-2 9 - 0) O j Contractor Registration Number: 77 ro Pt -COO Pet-4) Expiration Date: //G //2.- 9S'yyR- Zip Valuation of Project (contractor's bid price): $ 3 2-00 Scope of Work (please provide detailed information): /oat) 'Dr) Pn7? P l 26/7f(t) ∎('DCr ?6-1Z -SP9G -54244C6 . dS rn62.. CiDni pt l )AJ/ Will service be altered? ❑ Yes a No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Tyne of work: EL New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy It Seattle City Light HMpplicali s\Foaui-Applimtiau On tmc,2010 ApphwtiueuU -2010 - Electrical Permit Applcaflt doc bh Page 1 of 2 1 5i • • 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 8 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 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. )UILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 5,U n /►)l. Mailing Address: P. O i `R c- 4 C-2-60 ' Date Application Accepted: ai,IltIw Date: c:11-7/In Day Telephone: %]9 M 'g- ory Gr1I State Zip 1 Date Application Expires: Staff Initials: H:ApplicatioosWomu- Applications On Line 2010 Applications \ 1-2010 - Electrical Permit Application.doc bh Page 2 of 2 • • SET RECEIPT Copy Reprinted on 06 -18 -2010 at 12:48:20 06/18/2010 RECEIPT NO: R10 -01096 Initials: JEM Payment Date: 06/18/2010 User ID: 1165 Total Payment: 472.50 Payee: THOMPSON ELECTRICAL CONSTRUCTORS, INC. SET ID: 0618 SET NAME: THOMPSON ELECTRICAL SET TRANSACTIONS: Set Member Amount EL10 -0460 EL10 -0461 EL10 -0462 TOTAL: 157.50 157.50 157.50 157.50 PAYMENT RFOFIVED TRANSACTION LIST: Type Method Description Amount Payment Check 19222 472.50 TOTAL: 472.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 472.50 TOTAL: 472.50 t -8 b'1! 7 411M7C1J- �S lac? t '5 '')/h2 41m-9 z m lb 2 -10 err r1-1. is �83mb no3,Z /021 01 - 6ii+.9z (a) — srov1 Aahz /02,r Ol RAN oat - oLLth — /.# 00 V,J, 10�+ c✓o # o N _ 708 10917 l-1.1 J 21.1.4 S • • • • MOO 17- o/2-ITN f'owe�. 'pep TYPfC L. QwEST N LGC72./CAL, v ST}? a- 977oa7 77) SCL pot, 3 - #Zco -rwij, gy cGC. 1 /?_ (PI/C. Co &ou17' - 4r) 4 -MN QWEsrr Cc19c. 'D MQ )C D4 R 3 301+ G) PIS IWA 3OA Go). 3 ,3,S 9 4 .CP 10 5 // 4 i Pars ;I 2- TbnIL Lokfl 3co Vfr 33t) YA . ia"p9C. LOAD - City of Tukwila Jim Haggerton, Mayor Department of Community Development October 19, 2010 Diana Thompson Thompson Electrical Constructor PO Box 45260 Tacoma, WA 98445 RE: Request for Refund Electrical Permit No. EL10 -0460 Qwest Communications — 3416 S 146 St Dear Ms. Thompson, Jack Pace, Director This letter is in response to your written request for the cancellation and refund of electrical permit EL10 -0460. The Building Official has reviewed your written and confirmed that this was indeed a duplicate permit. Consequently it has been determined that a full refund will be issued. Enclosed is a check in the amount of $157.50. Sincerely, fer Marshall it Technician File: Permit No. EL 10 -0460 Encl W:\Permit Center \Refunds\Refunds\2010\EL10 -0460 Permit Refund.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. r. INVOICE NUMBER'' DATE " PO NUMBER DESCRIPTION` AMOUNT 101810304 10/07/2010 * * * * * * ** *157.50 EL10 -0460 PERMIT REFUND 157.50 PLEASE DETACH BEFORE DEPOSITING THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND —NOT A WHITE BACKGROUND PAY TO THE ORDER OF CITY OF TUKWILA 6200 Southcenter Boulevard Tukwila WA 98188 =2544 PAYABLE THROUGH • U S BANK 151 Andover Park East Tukwila: WA 98188 19 -10 1250 to riZNENDOR NUMBER . mDAT CHECK„ 10 i :`NUMBER , - r's,q:'fCHECK•AiVlOUNT':1 -..! i ce . ,,.. .. . 012669 10/18/2010 * * * * * * ** *157.50 One Hundred Fifty Seven Dollars and Fifty Cents THOMPSON ELECTRICAL CONTRUCTOR PO BOX 45260 TACOMA, WA 98445 THE BACK OF THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK — HOLD AT AN ANGLE TO VIEW ?" MEMORANDUM TO: Laurie Anderson FROM: Jennifer Marshall (on behalf of Bren 10/07/10 Holt who is out of the office) SUBJECT: Qwest Communications Permit Number EL10 -0460 Please draw a check in the amount of $157.50 (one hundred fifty -seven dollars and fifty cents) to be payable to Thompson Electrical Constructors at PO Box 45260, Tacoma, WA, 98445. The applicant applied for duplicate permits and has requested the cancellation of and refund for permit EL 10 -0460. Per the Building Official, a refund is to be granted for 100% of the electrical permit fees (account number 000.322.101.00). Please forward the check to me and I will forward it on to the applicant. Thank you! Page 1 of 1 Jennifer Marshall - FW: Permit refund From: To: Date: Subject: CC: Attachments: "Diana Thompson - TEC Inc." 10/05/2010 4:41 PM FW: Permit refund From: Diana Thompson - TEC Inc. [mailto:diana @thompsonconstructors.com] Sent: Tuesday, October 05, 2010 4:36 PM To: 'brambo @ci.tukwila.wa.us' Cc: 'jmarshal @ci.tukwila.wa.us' Subject: Permit refund I would like to request a refund for a duplicate permit. The Permit number is EL 10 -0460 at 3416 S 146 Street Tukwila. We discovered that we already had permit number EL -10 -0479 for the same site. I have attached a copy of the permit that we are requesting the refund on. If you have any questions you can reach me at 1- 253 -539 -0999. Thank You, Diana Thompson Thompson Electrical Constructors Diana- Thompson. Vice Pra.ident Os ripsvp.om r'e 253.539..1Di Cs 21:4.465.79oa [diana©tbonnPannaernanTa star +.corn P.O. b . 4nbu3'aaoana, WA404441 o iio Alex-46f d't4t144;td° latiA4 awe( 444)) (444-0e(A.z-4, e--VeCt ioA /2o/6 file : / /C: \temp\XPGrpWise \4CAB551 Etuk- mail6300 -po 10016B6D3 6184BC 1 \GW } 00001... 10/05/2010 Contractors or Tradespeople Peer Friendly Page • 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 Thompson Elect Constrs Inc UBI No. 602011056 Phone 2535390999 Status Active Address Po Box 45260 License No. TH0MPEC008CW Suite /Apt. License Type Electrical Contractor City Tacoma Effective Date 2/16/2000 State Wa Expiration Date 2/16/2012 Zip 98448 Suspend Date County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ADMINISTRATOR INFORMATION License THOMPKV122NF Name Thompson, Kevin V Status Active Business Owner Information Name Role Effective Date Expiration Date Thompson, Lori K &Nbsp; 01/01/1980 Bond Amount Thompson, Diana L &Nbsp; 01/01/1980 68953093 Thompson, Lori K Agent 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 WESTERN SURETY CO 68953093 02/01/2000 Until Cancelled $4,000.00 Assignment of Savings Information No records found for the previous 6 year period 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 Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EN0RW00246 1/16/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 06/18/2010