HomeMy WebLinkAboutPermit EL10-0593 - HORIZON FORD TRUCKThis 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 -0593
Horizon Ford
11000 Tukwila International Boulevard
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.
HORIZON FORD
11000 TUKWILA
INTERNATIONAL BL
EXPIRED
01 -22 -11
EL1O-0593
City ofTukwila
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.: 0323049029 Permit Number: EL10 -0593
Address: 11000 TUKWILA INTERNATIONAL BL TUKW Issue Date: 07/26/2010
Suite No: Permit Expires On: 01/22/2011
Tenant:
Name: HORIZON FORD TRUCK
Address: 11000 TUKWILA INTERNATIONAL BL , TUKWILA WA
Owner:
Name: D &C INVESTMENTS LLC Phone:
Address: 720 RAINIER AVE S , RENTON WA
Contact Person:
Name: JOHN SIMONS Phone: 206 - 419 -9374
Address: PO BOX 4236 , RENTON WA
Contractor:
Name: LIGHTEK COM INC
Address: PO BOX 4236 , RENTON WA
Contractor License No: LIGHTCI999KZ
Phone: 425 271 -5210
Expiration Date: 05/09/2011
DESCRIPTION OF WORK:
RETRRO -FIT FLUORESCENT LUMINAIRES - 8 -FOOT SHOP AND PARTS
Value of Electrical: NRES: $8,560.00 Fees Collected: $247.30
RES: $0.00
Type of Fire Protection: AUTO FIRE ALARM National Electrical Code Edition: 2008
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
a
it
Date: rfllu��w
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 oes n t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the •e,• nce o work I am authorized to sign and obtain this electrical permit.
/ \
Date:
Signature: \
r
Print Name: ' 6 IN
L� SoAS
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 -0593 Printed: 07 -26 -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.: 0323049029
Address:
Suite No:
Tenant:
PERMIT CONDITIONS
11000 TUKWILA INTERNATIONAL BL TUKW
HORIZON FORD TRUCK
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0593
ISSUED
07/26/2010
07/26/2010
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 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:
doc: Cond -Elec
ELI 0-0593 Printed: 07 -26 -2010
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
•
Electrical Permit No.
Project No.
61,10-096
(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 1000 'I RKu),kq _1% r, Q�dd i k (A14
11 ` ( n King Co Assessor's Tax No.•
Site Address: lU0D 7t&1S(.,i► 1al ).\A k �S �1id 1 1-w�(u���et Suite Number: Floor:
Tenant Name: o r t� ov. in v 4 True k ( Sou A 4 Fowl New Tenant: ❑ Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ‘.■■h S►dws /
Mailing Address: P 0 0 % 13 6
IC
E -Mail Address: "--Z"; INA c `is t-\ `
Day Telephone: 1- i t 1 3 7 "1
City State Zip
Fax Number: ti) C-5 % Si{ - N o g
ELECTRICAL CONTRACTOR INFORMATION
Company Name: L•'6 Ott K • Cow\ t 7,A.c -
Mailing Address: IN 19 go* L( 3' ‘
Contact Person: . o' ' rv1 o N S
E -Mail Address: �a� a / 6 de tc • C DAM
Contractor Registration Number: 1-I 6- T c* Cf l 1 K 2
City
Vkk OS-
//�� State Zip
Day Telephone: c 4(9 - 9 ?1 Lf
Fax Number: `I1 C- Pc- c(c(o 6
Expiration Date: S/9 /50.11
Valuation of Project (contractor's bid price): $ gi Jnn 60 (��L
Scope of Work (please provide detailed information): F e c-f (Acre &A t- l [AA tea Are S — Q - ige,16
S a•-ok j r S — Sc L 1,4g s
Will service be altered? ❑ Yes E - No
Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ! Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy
VI—Seattle City Light
HAApplications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
❑ 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, 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)
❑ Carimivals $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 O ` N 9L' OI?rf'ELECT
Signature:
Print Name:
CAL C¢NTRACTOR:
.S0 & L- Cpovt5
Mailing Address: g IN
Date Application Accepted: 1 o
Date JU` -+6l 'O(
Day elephone: �" v - �'� c ¶ TV(
g2v, w` l \AA- 8oS
City State Zip
Date Application Expires: 1_4_4
Staff Initials:
H: Applications \Forms - Applications On Line\2010 Applications N7-2010 - Electrical Permit Application.doc
bh
Page 2 of 2
1
wqs 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.: 0323049029 Permit Number: EL10 -0593
Address: 11000 TUKWILA INTERNATIONAL BL TURIN Status: APPROVED
Suite No: Applied Date: 07/26/2010
Applicant: HORIZON FORD TRUCK Issue Date:
Receipt No.: R10 -01405
Payment Amount: $247.30
Initials: BLH Payment Date: 07/26/2010 01:21 PM
User ID: ADMIN Balance: $0.00
Payee: JOHN L. SIMONS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 516202
ACCOUNT ITEM LIST:
Description
247.30
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 247.30
Total: $247.30
PAYMENT
PE.CFJV ED
doc: Receiot -06 Printed: 07 -26 -2010
12 -01 -2010
City of f Tukwila
Jim Haggerton, Mayor
Department of Community evelopment Jack Pace, Director
JOHN SIMONS
PO BOX 4236
RENTON WA 98057
RE: Permit No. EL10 -0593
11000 TUKWILA INTERNATIONAL BL 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 01/22/2011.
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 01/22/2011, 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,
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0593
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by L&l 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
LIGHTEK COM INC
4252715210
Po Box 4236
Renton
WA
98057
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601950222
Active
LIGHTCI999KZ
Electrical Contractor
5/9/2001
5/9/2011
Lighting Maintenance
Unused
MASTER ELECTRICIAN INFORMATION
License SIMONJL976BG
Name SIMONS, JOHN L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SIMONS, JOHN L
Agent
05/09/2001
5/25/2007
SIMONS, JOHN L
President
05/09/2001
$250.00
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 2
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
5/9/2001
Until
Released
Bond
$4,000.00
5/14/2001
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
EBRIC00860
5/25/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBRIC00861
5/25/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ02859
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EMABQ02858
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$500.00
EMABQ02842
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMABQ02843
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EMABQ02854
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$500.00
EMABQ02855
5/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$125.00
EBRIC01602
5/7/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 07/26/2010