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Permit EL11-0141 - HILLCREST APARTMENTS - BLDG C
This 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. EL11 -0141 Hillcrest Apartments — Building C 14895 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. HILLCREST APARTMENTS BLDG C 14895 INTF.RLJRBAN AV S EL1 1 -0141 Parcel No.: Address: Tenant Name: City ft 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: / /wwwci.tukwila.wa.us ELECTRICAL PERMIT 3597000020 14895 INTERURBAN AV S TUKW HILLCREST APARTMENTS - BLDG C Permit Number: Issue Date: Permit Expires On: EL11 -0141 02/22/2011 08/21/2011 Owner: Name: HILLCREST TUKWILA LLC Address: 950 N 72ND ST #100 , SEATTLE WA 98103 Contact Person: Name: CHAD MARTIN Address: 3810 166 PL NE, SUITE 203 , ARLINGTON WA 98223 Contractor: Name: SMOB:EY POINT ELECTRIC INC Address: 3810 166 PL NE, STE 203 , ARLINGTON WA 98223 Contractor License No: SMOKEPE933MB Phone: 425 - 750 -3462 Phone: 360 659 -5310 Expiration Date: 07/03/2011 DESCRIPTION OF WORK: INSTALL SMOKE DETECTORS IN EACH DWELLING UNIT Value of Electrical Work: NRES: $5,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $178.50 National Electrical Code Edition: 2008 Date: / t 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: cg — 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 EL11 -0141 Printed: 02 -22 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0141 * *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 EL 11 -0141 Printed: 02 -22 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Electrical Permit No. —\ \'! 0V-11 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 j King Co Assessor's Tax No.: 100— ®0 l t/ Site Address: _/ 5 rt u ftaan A3- a Suite Number: Floor: / g '2i 3 Tenant Name: New Tenant: ❑ Yes X.No Property Owners Name: 1.1/ 11 L f Z5 --r, / .t k Ct i la_ C. Lk..., Mailing Address: 9 L) hi a 1 Z, 5 f,.4 /DU SC'-titttr'., City C It" State /?Y /e 3 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: S M U Le / PP I }' El ex_.41;tc., Day Telephone: 142.5 75-0 -- 3 y (a , 41 Gs / 4 Pt /l.�€ " 2 3 4rl i n /-o n i.R.Ai4 9 2-23 Mailing Address: t �p �% II j) / City . State Zip E -Mail Address: C katiYYlli.f el ;rst je-r- rIC rte atFax Number: 36 ,0 (g;')- 5 37 ELECTRICAL CONTRACTOR INFORMATION Company Name: S /11,-)key >o ' ri I- fie. (:r 1 C - / F Mailing Address: :39 )Li /,�4 /-h /Z- /iir E 2L -'3 4 /rn I'n eciA- ,8 Z -3i ] l , City State Zip Contact Person: Ciulci 11/1/t(h 11 / f Day Telephone: 1/25 7S1) - _31/ /0 Z- E -Mail Address:t h 4Ci F11ct (I1 r©!iilyi -F (/gn. nt< f- /eCP�' / t.. CG�MFax Number: - 3W) � ,� T 6-737 j Contractor Registration Number: // Expiration Date: Valuation of Project (contractor's bid price): $ S, DDD . ""� 11 5���1 �l?� L�U (, i n (f�C'.1 Scope of Work (please provide 9 etailed information): nS Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes S., 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:1Applications \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 $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, fumace 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 OR ELE Signatures Print Name: Mailing Address: CINTRACTOR: Chad Mat- Date: '2/ I1 Day Telephone:405 756 - 3 V/02 City State ZZ Zip Date Application Accepted: Date Application Expires: Staff Initials: H: Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 SET RECEIPT RECEIPT NO: R11 -00326 Initials: WER Payment Date: 02/22/2011 User ID: 1655 Total Payment: 829.50 Payee: STACY GRIEB SET ID: 022211 SET NAME: HILLCREST SET TRANSACTIONS: Set Member EL11 -0139 EL11 -0140 EL11 -0141 EL11 -0142 EL11 -0143 TOTAL: Amount 157.50 178.50 178.50 157.50 157.50 157.50 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 829.50 TOTAL: 829.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 829.50 TOTAL: 829.50 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 hge. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 • :.' \e -v: t141-01'1I _ ND . 11_, y Project: d a it5r Type of Inspection: 00 Address: MC /4M Date Called: Special Instructions: • Date Wanted: 05— a:m m. Requester: Phone No: Approved per applicable codes. aCorrections required prior to approval. l f OMMENTS: 'Aftct nspector: Date: Oil I s tS 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 Pryer Friendly Page • Electrical Contractor -7 A business licensed by Lftl 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 SMOKEY POINT ELECTRIC INC 3606511252 3810 166Th Pl Ne Ste 203 Arlington WA 98223 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602737967 Active SMOKEPE933MB Electrical Contractor 7/3/2007 7/3/2011 General Unused Electrical Administrator INFORMATION License GRIEBSF223PK Name GRIEB, STACY F Status Active Business Owner Information Name Role Effective Date Expiration Date SAGE, IAN D Agent 07/02/2007 SAGE, IAN D President 07/02/2007 SAGE, TOMI R Vice President 07/02/2007 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 7/3/2007 Until Released Bond S4,000.00 7/10/2007 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 02/22/2011