HomeMy WebLinkAboutPermit EL10-0571 - GVA / KIDDER MATHEWSThis 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 -0571
GVA / Kidder Matthews
12886 Interurban Avenue South
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.
GVA/KJDDER MATHEWS
12886 INTERURBAN AV S
EL1O-0571
City ("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.: 2716000010
Address: 12886 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0571
Issue Date: 07/19/2010
Permit Expires On: 01/15/2011
Tenant:
Name: GVA/KIDDER MATHEWS
Address: 12886 INTERURBAN AV S , TUKWILA WA
Owner:
Name: RREEF AMERICA REIT II CORP/ Phone:
Address: PO BOX 4900 #207 , SCOTTSDALE AZ
Contact Person:
Name: DOUG JARVIS Phone: 206 396 -2856
Address: BOX 266 , HOBART WA
Contractor:
Name: D J ELECTRIC & CONSTRUCTION Phone:
Address: P 0 BOX 266 , HOBART WA
Contractor License No: DJELECI027L9 Expiration Date: 06/29/2012
DESCRIPTION OF WORK:
COMPLETE WORK UNDER PERMIT EL09 -0547 - ONLY FINAL REMAINING. (ELECTRICAL FOR 4
NEW OFFICES, DIVIDE EXISTING OFFICE INTO 2 OFFICES)
Value of Electrical: NRES: $3,650.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
Fees Collected: $78.75
National Electrical Code Edition: 2008
Date: \ 1 " th Q
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit
construction or the perfo
Signature:
Print Name:
es no
anc= •f.
esume
give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit.
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 -0571 Printed: 07 -19 -2010
•
J L4 wq City of Tukwila
1 \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.: 2716000010
Address:
Suite No:
Tenant:
12886 INTERURBAN AV S TUKW
GVA/KIDDER MATHEWS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0571
ISSUED
07/19/2010
07/19/2010
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 p esume to • 've authority to violate or cancel the provision of any other work or local
laws regulating construction or the,:;- rforman - of work.
Signature: l/
Print Name:
doc: Cond -Elec
ELI 0-0571 Printed: 07 -19 -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. a 10 P 1 1
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.:
Site Address: /� �� ' ' /071:5 Uea S
Tenant Name:
V4t //4( ci E��12 GK 64 TrfcS
Suite Number: Floor:
New Tenant: ❑ Yes
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Day Telephone:
Mailing Address:
City
Fax Number:
E -Mail Address:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: c'k Z(Q
Contact Person: 2) ®CJ GG ,fi-te--ve-i/ cS
E -Mail Address:
Contractor Registration Number: L-L. L C r0 Z % L �' Expiration Date:
City State Zip
Day Telephone:
Fax Number: �f Z -�/� Z-/ 3
Valuation of Project (contractor's bid price): $ �� C(2-O
Scope of Work (please provide detailed information): C.C32-rac/ /L— Z' 4,.." 09 a., `pc
Will service be altered? ❑ Yes I No Adding more than 50 amps? ❑ Yes ,&No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel (a Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
Ej• Seattle City Light
H: Applications\Forms- Applications On Line\2010 Applications \7 -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 $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.
BUILDING OWNER OR " ECT L C ' T ' . CTOR:
Signature: Date: 7 /P
Print Name:
Mailing Address:
f(s:X 2L
Date Application Accepted:
Day Telephone: 2 3 F,6
fkJ4 pgo Z
City State Zip
it 0
Date Application Expires:
H: Applications\Forns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials:
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
RECEIPT
Parcel No.: 2716000010 Permit Number: EL10 -0571
Address: 12886 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 07/19/2010
Applicant: GVA/KIDDER MATHEWS Issue Date:
Receipt No.: R10 -01341
Payment Amount: $78.75
Initials: JEM Payment Date: 07/19/2010 01:17 PM
User ID: 1165 Balance: $0.00
Payee: D J ELECTRIC & CONSTRUCTION INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2974 78.75
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 78.75
Total: $78.75
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 07 -19 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF T.UKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431.3670
Permit Inspection Request Line (206) 431 -2451
fU0-05-7
Project: to /MY) ec O
(I `441
T�e of Inspection:
2'00
Address:
Date Called:
Special Instructions:
Date Wanted:
I P ea-.
.
q:po
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-fit f � -��,/
Inspector:
i; &!,\Ie\
Date:
02/10
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople liter Friendly Page
1
Electrical Contractor
A business licensed by L81 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 D J ELECTRIC ft CONST INC UBI No. 601872945
Phone 4254322513 Status Active
Address Po Box 266 License No. DJELECI027L9
Suite /Apt. License Type Electrical Contractor
City Hobart Effective Date 6/29/1998
State WA Expiration Date 6/29/2012
Zip 98025 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
DJENT * *022BT
D J ENTERPRISES
Electrical
Contractor
General
Unused
1/30/1998
1/30/2000
Archived
TRIWEE1051D4TR1 WEST
ENTERPRISES INC
Electrical
Contractor
General
Unused
3/24/1995
3/24/2001
Archived
MASTER ELECTRICIAN INFORMATION
License JARVIVD96209
Name JARVIS, VIRGIL D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JARVIS, VIRGIL D
Impaired Date
01/01/1980
Received Date
JARVIS, VIRGIL D
Agent
01/01/1980
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
1
4/7/2000
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
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
EMEHU03260
3/25/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: / /fortress.wa. gov /lni/bbip /Print.aspx
07/19/2010