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HomeMy WebLinkAboutPermit EL10-0476 - GOLFTECThis 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 -0476 Golftec 406 Baker Boulevard, Suite 120 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. GOLFTEC 406 BAKER BL STE 120 EL1 0-0476 Parcel No.: Address: Suite No: City PTukwila 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 0223100037 406 BAKER BL TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0476 06/23/2010 12/20/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: GOLFTEC 406 BAKER BL, STE 120 , TUKWILA WA VILLAGE PARTNERS SOUTHCENTE 1420 5TH AVE #2200 , SEATTLE WA JUAN GEARY 7527 12 AV NW , SEATTLE WA Contractor: Name: QUEEN ANNE ELECTRIC LLC Address: 7527 12 AV NW , SEATTLE WA Contractor License No: QUEENAE914LK Phone: Phone: 206 579 -7225 Phone: 206 782 -3200 Expiration Date: 06/08/2011 DESCRIPTION OF WORK: RETAIL OFFICE /SHOW ROOM UPGRADES - LIGHTING, RECEPTACLES, AND COMMUNICATION Value of Electrical: Type of Fire Protection: NRES: $9,000.00 Fees Collected: $247.30 RES: $0.00 UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied a it mii h, The granting of this permit does not pre construction or the p;; ormance of work. Signature: Date: CCO I C� ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Date: Print Name: v iT iii 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 -0476 Printed: 06 -23 -2010 Parcel No.: 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 0223100037 406 BAKER BL TUKW GOLFTEC PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0476 ISSUED 06/23/2010 06/23/2010 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: L doc: Cond -Elec EL10 -0476 Printed: 06 -23 -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 ** // // King Co Assessor's Tax No.: 02.-1-1W--003-1 Site Address: `?'d (-0 F.4,C'_,4c- ,FFAO • 9f�/ 8 8 Suite Number: 1 20 Floor: Tenant Name: OZ.,," 7aeve New Tenant: Yes ❑ .. No Property Owners Name: / /"C ,l//t Mailing Address: WO Ca /3,K., 52.d) City NTACT;`PERSON r ho W do e contact when yourpermrt is ready to be Issued' Name: c /� C� Mailing Address: 7527 /2IA 'Are_ e.. AIL 011— State Zip Day Telephone: o?Od2/57- Al�,�" � City ,��// / State Zip E -Mail Address: a�2ea an Iv_ Pku-k(c.® ���/ ° co-74 Fax Number: /x /" ELECTRICAL;CONTRACTOR INFORMATION. At A-N G /4_ Company Name: Mailing Address: 98// 7 � �' / City State Zip -�/ Contact Person: 7/Sfi!/t/ t6,1-2 y // Day Telephone: �UV ' 7$Z 52_0O E -Mail Address: �J2.�t .tnn.e �/,9 /'/L'c Q /104-41 u� /• 'C /'dr►'I Fax Number: Contractor Registration Number: aU6( —mil./ q/q i_- Expiration Date: /// Valuation of Project (contractor's bid price): $ 000 Scope of Work (please provide detailed information): , - 41t /l 'S — 7Z, T; YPeeO C45 , (1nM/ct J Will service be altered? ❑ Yes j' No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: T e of w k: New Addition ❑ Service Change ❑ Remodel , enant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property S d by: Puget Sound Energy ❑ Seattle City Light H:\ApplicationsWorms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bh Page 1 of 2 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, furnace thermostat) MULTI - FAMILY AND COMMERCIAL aluation 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 PPtI CATION :NOTE 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 R ELECTRICAL CONTRACTOR: Signature: Date: 6 J2&/ii Print Name: i <J ¢.� Day Telephone: e2o6 - 5 - 7 Z z r Mailing Address: ? 5a7 /c-11-4 41/' /( Date Application Accepted: old tAiid- 79//7 City State Zip 2�a W Date Application Expires: Staff Initials: HAApplicanons \Forms - Applications On Lme\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 RECEIPT Parcel No.: 0223100037 Permit Number: EL10 -0476 Address: 406 BAKER BL TUKW Status: PENDING Suite No: Applied Date: 06/23/2010 Applicant: GOLFTEC Issue Date: Receipt No.: R10 -01130 Initials: User ID: Payee: JEM 1165 Payment Amount: $247.30 Payment Date: 06/23/2010 12:19 PM Balance: $0.00 JUSTIN GEARY, QUEEN ANNE ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 048267 ACCOUNT ITEM LIST: Description 247.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 247.30 Total: $247.30 PAYMENT RFCFIVED doc: Receipt -06 Printed: 06 -23 -2010 INSPEC ION NO. INSPECTION RECORD Retain a copy with permit ruo-otri PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 4.6 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ( ��� � Type of Inspection: ov Address: 106 bAK‘fic Date Called: Special Instructions: Date Wanted: /iJ �m p Requester: Phone No: Vil Approved per applicable codes. El Corrections required prior to appro Inspector: Date: 6 ?/6/0 n REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (00-*Dti% PERMIT NO. INSPEC ION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION t'e' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -370 Permit Inspection Request Line (206) 431 -2451 Project: I�A ��� Type of Inspection: 00 Address: �0 `%r Date Called: _ Special Instructions: Date Wanted: 9 10 a.m.` ( r Requester: r Phone No: • Approved per applicable codes. Corrections required prior to approval. c COMMENTS: oPeq Air-Jr-km .._ (co nova) Inspector: Date: 05 b /io REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION. RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION lw 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 6,10-01/7(0 46 Project: tiobritc, Type of Inspection: 7003 Address: qo (10 ifYr, Date Called: Special Instructions: Date Wanted: . .3 / Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: (1,6-a_4(1 bvt(-14, Inspector: dp/.3/ � ©� Date: I ri REINSPECTIONIFEE REQUIRED Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 7- INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. (r CITY OF TUKWILA BUILDING DIVISION 12- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 640-virko Project: Ned Type of Inspection: 7003 Address: ,,/•O 6itti (61 c Date Called: i Special Instructions: Date Wanted: 3D a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: C t 1—mt 6oKe, 2EY R«Q ✓tt 3tiffoRS RoJc eyj I ri4 (4-?stir(,, 5of / %Ir/ i tm )t)(4 ,,J or tic Co/L.5 1/V refund) C4,14/ LJ j iQ ,)UZt 5I7 fl &f ove lot ilk. 11-r740 od- ,Af sP ,OAI REC.O b CA Inspector: r Date: A/ REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Ctio-oY76 /(S Project: //,,,, Type of Inspection: Address: � � gori e 6rt_. Date Called: Special Instructions: Date Wanted: 627 a. . Requester: Re q l Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: cokkfl Inspector: Date:7 J/0 ri $60.00 REINSPECTION FEE REQ<)IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: - �- �,, �p+. �.• �!. a�. �a�i�° g�... o-? �—, �,:• ��' �' !--�s±ti- :sww�,,,�^`r's= �- fk:: -« r- �..,.;- ,�R"`�— ,���s.:.: ^�-- .-..._ Contractors or Tradespeople PSer Friendly Page • Electrical Contractor A business licensed by L &I 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 Queen Anne Electric Llc UBI No. 602462469 Phone 2067823200 Status Active Address 7527 12Th Ave Nw License No. QUEENAE914LK Suite /Apt. License Type Electrical Contractor City Seattle Effective Date 6/8/2009 State Wa Expiration Date 6/8/2011 Zip 98117 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status QUEENAE951CAQueen Anne Electric Llc Electrical Contractor Residential Unused 2/1/2005 2/1/2011 Suspended ADMINISTRATOR INFORMATION License GEARYJT910KF Name Geary, Justin T Status Active Business Owner Information Name Role Effective Date Expiration Date Geary, Justin Partner /Member 06/08/2009 Received Date Lindsay, Hunan Partner /Member 06/08/2009 Until Released Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 1 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 2/1/2005 Until Released Bond $4,000.00 2/3/2005 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 https: / /fortress.wa. gov /lni /bbip /Print.aspx 06/23/2010