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HomeMy WebLinkAboutPermit EL11-0323 - MADRONA SPECIALTY FOODSThis 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 -0323 Madrona Specialty Foods 18300 Cascade Avenue 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 12 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. MADRONA SPECJAUTY FOODS 18300 CASCADE AV EL1 1-0323 Parcel No.: Address: Tenant Name: City (I 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 7888900175 18300 CASCADE AV TUKW MADRONA SPECIALTY FOODS ELECTRICAL PERMIT Permit Number: EL11 -0323 Issue Date: 04/11/2011 Permit Expires On: 10/08/2011 Owner: Name: Address: Contact Person: Name: Address: RIVERPOINT TWO LLC PO BOX 20399 , SEATTLE WA 98102 BUTCH HUMPHRES Phone: 206 - 793 -2421 855 TROSPER RD, SUITE 108 BOX 365 , TUMWATER WA 98512 Contractor: Name: S & H ELECTRIC INC Address: 855 TROSPER RD #108 , TUMWATER WA 98512 Contractor License No: SHELEI *044JZ Phone: 360 352 -1621 Expiration Date: 04/10/2012 DESCRIPTION OF WORK: ADD OUTLETS, SWITCHES, RELOCATE LIGHTS, ADD EXIT LIGHTS Value of Electrical Work: NRES: $24,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $505.30 National Electrical Code Edition: 2008 Date: `'r 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. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Date: Print Name: t 4 — / / J 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 -0323 Printed: 04 -11 -2011 PERMIT CONDITIONS Permit No. EL11 -0323 * *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 EL11 -0323 Printed: 04 -11 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenfer Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us • Electrical Permit No. i- Lt 1— 0 323 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 , vEz,° pV%- Z).efOted4 %E e./1/7-4 6. /a�7 D 67.5 2E/T✓e.S ������ /J King Co Assessor's Tax No.: Site Address: /�l.J Z �45 j.- /UE..'. j . /3L}DG . Suite Number: 0� FToor: Tenant Name: %l A (RD /V 4p sPE6/4'r , eao S New Tenant: kr Yes ❑..No Property Owners Namee:� /(I viale -/ o/� »uT GIB L. 1- - C' �/ Mailing Address: /". 0. L3 U� .. 03 / % e/� 7i_:�• `� .'3 i0,z. City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 811 TC 71/41, D)/,&€ S� / Day Telephone: ���— 7V "vim 2� Mailing Address:Rss ?/246P .2 "Y . .d/ 1 7X3 5 7z4/220,47- �9 yx5�c 2 City State Zip E -Mail Address: Fax Number: GWg ELECTRICAL CONTRACTOR INFORMATION Company Name: ral H Mailing Address:2 S /'D&/° Rdit/cMa— - G40a/i�r City State . 2 Zip Contact Person: B/L%� f-r ' 7/%/� E S Day Telephone: a 6- 7 3 7 ' 2 / E -Mail Address: ' / Fax Number: 0253- �,c� - 67986 Contractor Registration Number: S,V L L'V 9 -J Z Expiration Date: +1—/Z2 — Valuation of Project (contractor's bid price): $�f% Scope of Work (please provide detailed informatiory4U 7C -!E 7 5 $a'%%G/ -/ S' ` ,CLOGtf4TE Z /--/ %S / Aidd fix/ T L/ G AfTS Will service be altered? ❑ Yes 0- No Type of Use: 7'.Z .. ©F .76.E S iaA+GE Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: pg Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 Adding more than 50 amps? ❑ Yes No ❑ Remodel M Tenant Improvement ❑ Telecommunication ❑ 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) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - 1 Date Application Accepted: 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 ELECTRICAL CONTRACTOR: Signature: Print Name: 4gt r i G a/,Ip,L4ee.S Day Telephone: GU.- /%3 —052 2/ Mailing Addressg �T /2 SP.. R,(1. /0 ki00 5--- 7:G%72I 47 1/A4 ff. 5 /.2 City State Zip Date: Date Application Expires: Staff Initials: H:V■pplicationslFonns- Applications On Line @010 Applicationsl7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 4. 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.tukwi la. wa. us Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Suite No: Applicant: MADRONA SPECIALTY FOODS RECEIPT Permit Number: EL11 -0323 Status: PENDING Applied Date: 04/11/2011 Issue Date: Receipt No.: R11 -00689 Payment Amount: $505.30 Initials: WER Payment Date: 04/11/2011 12:05 PM User ID: 1655 Balance: $0.00 Payee: EARL HUMPHRES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4299 505.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 505.30 Total: $505.30 doc: Receiot -06 Printed: 04 -11 -2011 ri*F7c7.3 -77-Z7.7".rrO.,..7•7 r • • : • : LI INSPECTION NO. INSPECTION RECORD Retain a copy with permit &WO 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: A-1)4VA tt Type Type of Inspection: / Address: Date Called: /13 Special Instructions: . Date Wanted: c P.m. 07 n Requester: Phone No: Approved per applicable codes. EJCorrections required prior to approval. COMMENTS: ifr, 1c4-1o45 P"( 12' Cft titi (p46 Koti a id C�i9L617 24w 0.141 - p441-- Inspector: Date: 0101 /11 ri REINSPECTION FEE REQUIRE b. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. • • J- '� " F" •p ;gyp _r..,� �r•a- ,.�- ,.�,.�.:}." �s INSPECTION RECORD . Retain a copy with permit P1RMIT 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: V ri Address: !yam citts_ _ O6 Date Called: Special Instructions: Date Wanted: I* Clato P.m. Requester: • Phone No: . "' Approved per applicable codes. Corrections required prior to approval. COMMENTS: 70 & L tb(-�6s4v4wril 6 JP?o -rr - Auttitestvos Saies A4, egAtover5_ £'Lai Gil %)scp � v -r `C#5 St 6tcv SriktiCrWQ- J p bit, „0 - � s PJtf ID 'Zf i.oCkTzo4 of R (Prxi 5 57t. 4ori8E` ., AtNip 10d 15, La-AK-10d /n Inspector: Date: O u n REINSPECTION l E REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. c`w... ._ _ a_�• a _ .. .. — ' • • •. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMf NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 4,-. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 z Project:��7 6.05 Type of Inspection: pv Address: ,yam, 64? eitSCA•06" Date Called: Special Instructions: Date Wanted: / m. Requester: ,/ Phone No: r-- JApproved per applicable codes. D Corrections required prior to approval. COMMENTS: K• (Aiktou 5%/eic 220 kiei-or Inspector: Date: vH 1�1 11 REINSPECTION FEE REQUIR D. 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 INSPECTION NO. PERMIT NO. CITY OF TUKWILA.BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 1414 M IJ vA° SjArc r Ar tY j Type of In;p.,ection: m l /0d 3 . Address: 116194 Pear rdt no' Air - Date Called: Special Instructions: Pi* Date Wanted: �/ Y/a / a.m. p.m. Requester: Phone No: ElApproved per applicable codes. ID Corrections required prior to approval. COMMENTS: ‘:9/4. &) k-& , 4, X60 Inspector: Date: 4/JfrJ C REINSP CTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prinikriendly Page • Electrical Contractor A business licensed by L&I 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 5 Et H ELECTRIC INC 3603521621 855 Trosper Rd #108 BOX 365 Tumwater WA 98512 Thurston Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601703614 Active SHELEI *044JZ Electrical Contractor 4/9/1996 4/10/2012 General Unused Electrical Administrator INFORMATION License SCHWESR9320J Name SCHWENK, SCOTT R Status Active Business Owner Information Name Role Effective Date Expiration Date HUMPHRES, EARL Agent 04/09/1996 4/25/2007 HUMPHRES, BRIAN President 01/18/2011 $500.00 HUMPHRES, EARL Vice President 01/18/2011 ELECTRICAL CITATION SMITH, WILLIAM H Member 04/09/1996 01/03/2011 HUMPHRES, TERRI Secretary 04/09/1996 01/03/2011 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 4/8/1996 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 EBRIC00799 4/25/2007 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EVANC00253 3/12/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHATR00288 7/10/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied S250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 04/11/2011