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Home My WebLink AboutPermit EL11-0184 - WALGREENS OPTION CAREThis 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 -0184 Walgreens Option Care 13035 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 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. WALGREENS OPTION CARE 13035 GATEWAY DR EXPIRED 09 -03 -11 EL1 1 -0184 Parcel No.: Address: Tenant Name: Citywf 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 0004800015 13035 GATEWAY DR TUKW WALGREENS OPTION CARE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0184 03/07/2011 09/03/2011 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: RELOCATE EXISTING CUBICLE CIRCUITS TO NEW LOCATIONS FOR NEW CUBICLES Value of Electrical Work: Type of Fire Protection: NRES: $3,000.00 RES: $0.00 UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and xami governing this work will be complied with, The granting of this permit does construction or the perfo of this permit. Signature: Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit and agree to the conditions on the back Print Name: Date: 3 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 -0184 Printed: 03 -07 -2011 PERMIT CONDITIONS Permit No. EL 11 -0184 * *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 -468 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 EL11 -0184 Printed: 03 -07 -2011 CITY OF TUKRA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.wa.us Electrical Permit No. i LI `— l 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 ,/3 as-- se �1 ! King Co Assessor's Tax No.: 0001-i SD---001.C. Q c' —co t' Site Address: /3035— 7 L u//x y Se Suite Number: Floor: ( Tenant Name: d P770,(% oC^ W4 L 6jl2Ct/Z%.5 New Tenant: ❑ Yes * C-t 3t IC,1/ /9-44) S 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: t) c EG6—G77Z( f4nn.e,Srr' Mailing Address: & 6 e3 46e 7- cc, •¢ P8'ar City State Zip Contact Person: J coci , -3`440z U/ .s Day Telephone: 2m 60 3P6 e.45-5-6 E -Mail Address: Fax Number: Contractor Registration Number: :L G� -.-t`10 17L l Expiration Date: Valuation of Project (contractor's bid price): $ 3mC'o • 670 Scope of Work (please provide detailed information): fL L 7Z 7 sr- C /,2GLP t TS To /Uc 42c lam. 's 1 =0122 ,06- Cc ., JfcG Will service be altered? ❑ Yes la,No Adding more than 50 amps? ❑ Yes �No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ELRemodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy .Seattle City Light H:Wpplications \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 $8L90 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 T . STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILD NG OWNER O ' ECT Signature: ' - Date: Print Name: /E 67C, " �r V f S Day Telephone: & 7 Mailing Address: Ae( Z �P 8� - % GcJ� PRo Date Application Accepted: Qj,l 0-01 Date Application Expires: H:\Applications\Forns- Applications On Line \2010 Applications\7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 City State Zip Staff Initials: 1 • City of Tukwila Ems_ Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http:/lwww.ci.tukwila.wa.us Parcel No.: 0004800015 Address: 13035 GATEWAY DR TUKW Suite No: Applicant: WALGREENS OPTION CARE RECEIPT Permit Number: EL11 -0184 Status: PENDING Applied Date: 03/07/2011 Issue Date: Receipt No.: Initials: User ID: R11 -00422 JEM 1165 Payment Amount: $136.50 Payment Date: 03/07/2011 01:03 PM Balance: $0.00 Payee: J.J.ELECTRIC & CONSTRUCTION, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 10796 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receipt -06 Printed: 03 -07 -2011 08 -01 -2011 • Gity of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DOUG JARVIS PO BOX 266 HOBART WA 98025 RE: Permit No. EL11 -0184 13035 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 09/03/2011. 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 09/03/2011, 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, ----R.:4i. • Bill Rambo Permit Technician File: Permit File No. ELI 1 -0184 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 Contractors or Tradespeople Pr ter Friendly Page 1 Electrical Contractor A business licensed by Lal 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 ft 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 ther 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 03/07/2011