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HomeMy WebLinkAboutPermit EL10-0923 - UHSThis 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 -0923 UHS 3225 South 116th 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 11 Personal Information — expiration dates, or bank or other financial RCW 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. UHS 3225 S 116 ST EL 10-0923 Parcel No.: 0923049066 Address: Citylk 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 3225 S 116 ST TUKW Tenant Name: UHS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0923 11/12/2010 05/11/2011 Owner: Name: Address: Contact Person: Name: Address: RRTEEF AMERICA REIT II PO BOX 4900 #207 , SCOTTSDALE AZ 85261 DOUG JARVIS Phone: 206 396 -2856 PO BOX 266 , HOBART WA 98025 Contractor: Name: D J ELECTRIC & CONSTRUCTION Address: P 0 BOX 266 , HOBART WA 98025 Contractor License No: DJELECI027L9 Phone: 425 432 -2513 Expiration Date: 06/29/2012 DESCRIPTION OF WORK: NEW OFFICES AND WAREHOUSE Value of Electrical Work: NRES: $28,000.00 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 complie The granting of this permit construction or the perfo Signature: Print Name: Fees Collected: $574.10 National Electrical Code Edition: 2008 0\1\(7)./a Date: U v ned this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. o give authority to violate or cancel the provisions of any other state or local laws regulating utttorized 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 -9/09 ELI 0-0923 Printed: 11 -12 -2010 • City of Tukwila iDepartment of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http://www.ci.tulcwila.wa.us Parcel No.: 0923049066 Address: Suite No: Tenant: UHS 3225 S 116 ST TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0923 ISSUED 11/12/2010 11/12/2010 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 constructi• • or e pe r .. ce of work. Signature: Print Name: vt/ r Jls doc: Cond -Elec ELI 0-0923 Printed: 11 -12 -2010 • r 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.: 0923049066 Address: 3225 S 116 ST TUKW Suite No: Applicant: UHS RECEIPT Permit Number: EL10 -0923 Status: PENDING Applied Date: 11/12/2010 Issue Date: Receipt No.: R10 -02289 Initials: User ID: JEM 1165 Payment Amount: $574.10 Payment Date: 11/12/2010 12:57 PM Balance: $0.00 Payee: D:J.ELECTRIC & CONSTRUCTION, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 10623 574.10 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 574.10 Total: $574.10 doc: Receipt -06 Printed: 11 -12 -2010 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.wa.us • Electrical Permit No. 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.: 9 04\ !�J — C1CVP Site Address: 3 Z-z s- -5', t (74, a > dy, , 1- Suite Number: / O / q Floor: Tenant Name: U 1.7t S New Tenant: 0. Yes ❑ .. No Property Owners Name: G ��'¢- b S Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: Tip -rd_ J/S Day Telephone: 2-d)'6 3F( Z8J City State Zip E -Mail Address: Fax Number: y Z -1-(732- Z ' 3 ELECTRICAL CONTRACTOR INFORMATION Company Name: 't �� GT e cp.e, $7 Mailing Address: OX /49 &4-7-2—r— w44" 9 g©2-S`— Contact Person: .S E -Mail Address: Contractor Registration Number: Expiration Date: City State Day Telephone: Z ' 6 31� f Fax Number: Valuation of Project (contractor's bid price): $9e:P° Scope of Work (please provide detailed information): /L°G e,11------(52/-t---5- 4 figa-°0-14-- Will service be altered? ❑ Yes Ef No Adding more than 50 amps? ❑ Yes a No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forns- Applications On Line \2010 Applications \7 -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 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 0 ' LEC_* : ALC ! TRACTOR: U /(2 . /L ,0 c �v < S. Signature: Print Name: Mailing Address: SPX 26 4; T Date: /7 Day Telephone: ZeO 32.6 �c City State Zip Date Application Accepted: woo Date Application Expires: Staff Initials: H:\Applications\Fonns- Apphcanons On Line \2010 Applications \7 -2010 - Electncal Permit Application.doc bh Page 2 of 2 INSPECTION RECORD Retain a copy with permit INS CTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION "" 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 OR0-oiZ3 Project: 045 Type of Inspection: 7400 Address: p Date Called: Special Instructions: c n PkQOic Date Wanted: f 707 m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: S rkalOri/ Inspector: 1" n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: q°1111 ( 6\6 206) 431 -3670 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION `2 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: 00-5 Type of Inspection: iz /©o Address: 32(.5./it 3r Date Called: Special Instructions: Date Wanted: /� /30 cap.:.; m. Requester: Phone No: Approved per applicable codes. EJ Corrections required prior to approval. COMMENTS: �9( Koog-r-bP cd-00,tt t Jf r A1f64 c)14{-401..ir, LaSt(-7..5 ticCA (WW1 ATA-Cili9 Date: /2,/30/91 0 n 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 INSPEC ON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C" 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ki tf5 Type of Inspection: 7003 . Address: v 5r .5, luti, 5 i--. Date Called: Special Instructions: _ Date Wanted: 11 f i 5°- p.m. Requester: ... Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: tAimA 441) Inspector: Date: 1 e115 110 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 Electrical Contractor A business licensed by LEN 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 D J ELECTRIC Et CONST INC 4254322513 Po Box 266 Hobart WA 98025 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601872945 Active DJELECI027L9 Electrical Contractor 6/29/1998 6/29/2012 General Unused 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 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 11/12/2010