HomeMy WebLinkAboutPermit EL10-1048 - LABOR & INDUSTRIESThis 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 -1048
Labor and Industries
12806 Gateway Drive
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
10
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.
LABOR & INDUSTRIES
12806 GATEWAY DR
EL1O-1048
Parcel No.:
Address:
Tenant Name:
Cityef 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
2716000050
12806 GATEWAY DR TUKW
LABOR & INDUSTRIES
ELECTRICAL PERMIT
Permit Number: EL10 -1048
Issue Date: 12/28/2010
Permit Expires On: 06/26/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
RREEF AMERICA REIT II CORP/
PO BOX 4900 #207 , SCOTTSDALE AZ 85261
DOUG JARVIS
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: 206- 396 -2856
Phone: 425 432 -2513
Expiration Date: 06/29/2012
DESCRIPTION OF WORK:
INSTALL (1) 20A CIRCUIT AND LOW VOLTAGE CONTROLS FOR AUTOMATIC DOOR OPENER.
Value of Electrical Work:
Type of Fire Protection:
NRES: $1,500.00
RES: $0.00
UNKNOWN
Electrical Service provided by:
SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$115.50
National Electrical Code Edition: 2008
Date:
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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
construction or the pe
of this permit.
es e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit and agree to the conditions on the back
Signature:
Date:
Print Name:
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 0-1048 Printed: 12 -28 -2010
• •
PERMIT CONDITIONS
Permit No. EL 10 -1048
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
ELI 0-1048 Printed: 12 -28 -2010
CITY OF TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. )-1. 0
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 / Z.67 74 64,4_75-wit y
King Co Assessor's Tax No.: 1 (D 00 DO St
Site Address: / Z lv • 6,c-TL' C i4/ D fa Suite Number: Floor:
Tenant Name:
Property Owners Name: C- /3 l ci-eb
Mailing Address:
New Tenant: ❑ Yes ..No
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: �CU Gil C ` Coi�/SLL (Jc_77 a' .vaC
Mailing Address: $D X z& / 4' ' Reee
Contact Person: r 3-0-Q v r_S
E -Mail Address:
Contractor Registration Number: Expiration Date:
City
State
Zip
Day Telephone: /2 0 (9 3 "(v a 8s-6
Fax Fax Number: ei3 Z z '3
Valuation of Project (contractor's bid price): $ ! CO/ 00
—±j1/57;4-
Scope of Work (please provide detailed information): 2.40/11- / w v C %/ c9
)e96' lb L.1 1/ cei'r to s/.s
Will service be altered? ❑ Yes tiZ No Adding more than 50 amps? ❑ Yes tg__No
Type of Use:
Type of work:
0` New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
j Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
9-- Seattle City Light
H:'.pplications \Forms - Applications On Line ‘2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
IDate Application Accepted:
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 I R E ' C C C TRACTOR:
Signature:
Date: / e 70
_ P&z7s
Print Name: (/� � r� ��J "�e v �—� Day Telephone: 2
Mailing Address: (� (39><. c�C� /�d 2620,1°-
City
State
Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line \2010 Applications\ -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
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
Parcel No.: 2716000050
Address: 12806 GATEWAY DR TUKW
Suite No:
Applicant: LABOR & INDUSTRIES
RECEIPT
Permit Number: EL10 -1048
Status: PENDING
Applied Date: 12/28/2010
Issue Date:
Receipt No.: R10 -02569
Initials: WER
User ID: 1655
Payment Amount: $115.50
Payment Date: 12/28/2010 10:20 AM
Balance: $0.00
Payee: D J ELECTRIC & CONSTRUCTION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 10692 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 12 -28 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.,
CITY OF TUKWILA BUILDING DIVISION _
6300 Southcenter Blvd., #100, Tukwila. WA 98188 - (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
Type of Inspection:
Address: / 2406
(J�
��
Date Called:
/"
Special Instructions:
Date Wanted:
a.m.
Requester:
,
Phone No:
ISkApproved per applicable codes.
COM M ENTS:
Corrections required prior to approval.
al< F4rtjt
Inspector:
Date: vS ' is,
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
05 -02 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
DOUG JARVIS
PO BOX 266
HOBART WA 98025
RE: Permit No. EL10 -1048
12806 GATEWAY DR 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 06/26/2011.
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 06/26/2011, 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,
ft14)
Bill Rambo
Permit Technician
File: Permit File No. ELI 0 -1048
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by Lai 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 a 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
TRIWEEI051D4TR1 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
Violation Amount
01/01/1980
3/25/2010
JARVIS, VIRGIL D
Agent
01/01/1980
$250.00
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 12/28/2010