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HomeMy WebLinkAboutPermit EL11-0392 - CUTTING SPECIALISTSThis 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 -0392 Cutting Specialists 6238 South 143rd Place 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. CUTTING SPECJAUSTS 6238 S 143 PL EL1 1 -0392 Parcel No.: Address: Tenant Name: City ef 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 3365901700 6238 S 143 PL TUKW CUTTING SPECIALISTS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0392 05/04/2011 10/31/2011 Owner: Name: ENGSTROM MICHAEL +LESLIE Address: 6400 S 143RD PL , TUKWILA WA 98168 Contact Person: Name: MIKE KEITHLY Address: 827 S DIRECTOR , SEATTLE WA 98108 Contractor: Name: KEITHLY ELECTRIC CO Address: 827 S DIRECTOR ST , SEATTLE WA 98108 Contractor License No: KEITHEC 101 BJ Phone: 206 947 -9407 Phone: 26 723 -3418 Expiration Date: 01/11/2012 DESCRIPTION OF WORK: ADD 120 VOLT OUTLET FOR ALARM SYSTEM Value of Electrical Work: NRES: $200.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xam with The granting of this permit does not p su construction or ty • erformance of work. of this permit. Signature: Print N Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: ied this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. 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 • / ' 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 -0392 Printed: 05 -04 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0392 * *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 E L 11 -0392 Printed: 05 -04 -2011 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. 1J ( O2 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 Site Address: 633 s, 43 (-d 7L- King Co Assessor's Tax No.: — 11 00 Tenant Name: Property Owners Name: (. 51-6 Mailing Address: 1 4 3 r 6v, Suite Number: New Tenant: Floor: ❑ Yes ❑..No T. KW 110\ City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: P7i /4 lit t`f h / % _ Mailing Address: d■-7 SO - D i f .i L. 1 r Day Telephone: ?() 6'14 7 4 LI ( Sc.cr\ U,/A cfr‘ 0sT City State Zip E -Mail Address: VIII t Kt. K t, tt 41 l`/ r 1/4c, ,fib 01 Fax Number: 3.0'‘ 6 y g 0 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: tTYt ( 0 a, so- Dirzc. or sTA Contact Person: Pt.-i t/i / E -Mail Address: [ KZ © Ke.. (-DAN lrc ir, . r jM Contractor Registration Number: L l± t L C t t QJ S ut, `,] yq City State Ziip( Day Telephone: ao c C4 7 QI 4, O Fax Number: ao6 76 4 Expiration Date: Valuation of Project (contractor's bid price): $ o,0O . 0 0 Scope of Work (please provide detailed information): CA d pI % tA.G V O `J l -` I r cq. (cz i iM Sy: Will service be altered? ❑ Yes }a"'No Type of Use: M1/4'tk.r`t�� Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes trNo ❑ Service Change ❑ Fire Alarm H:' pplications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Telecommunication Tenant Improvement ❑ 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 - 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 1 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: Date: S/ / /( ( Print Name: Day Telephone: O 9. 7 "{ 07 Mailing Address: .R3N7 S • D i ( �Z�C f Si I \ • S 2� v /A `-\$ +6 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applicanons\Fonns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 • 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.: 3365901700 Address: 6238 S 143 PL TUICW Suite No: Applicant: CUTTING SPECIALISTS RECEIPT Permit Number: EL11 -0392 Status: PENDING Applied Date: 05/04/2011 Issue Date: Receipt No.: R11 -00886 Initials: User ID: Payee: JEM 1165 Payment Amount: $63.00 Payment Date: 05/04/2011 12:11 PM Balance: $0.00 KEITHLY ELECTRIC COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13605 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 05 -04 -2011 oaf �: `9 ,: � .•g : a^ .3-r ': "4 �� ►' .r,�:u._ , tc ;„�-. z-;i•" INSPECTION •RECORD . ':; ; , .x,..li : Retain a copy with permit INSPECTION NO. 'PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ('ivw Type of Inspection: /) Address:6 4 3, /'3 ii. Date Called: Special Instructions: r Date Wanted: a.m m. Requester: Phone No: • IXApproved per applicable codes. D Corrections required prior to approval. COMMENTS: r/Imy Inspector: /1/ n REINSPECTIOIL FEE REQUIREb. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ..�._a .. set." • , • — -- Contractors or Tradespeople Paler Friendly Page so Page 1 of 2 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 KEITHLY ELECTRIC CO 2067233418 827 S Director St Seattle WA 98108 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601218771 Active KEITHEC101 BJ Electrical Contractor 1/11/1990 1/11/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status KEITHEC339R9 KEITHLY ELECTRIC CO Electrical Contractor General Unused 12/29/1967 12/31 /1990 Archived Master Electrician INFORMATION License KEITHDM963DZ Name KEITHLY, DANIEL M Status Active Business Owner Information Name Role Effective Date Expiration Date KEITHLY, DANIEL Impaired Date 01 /01/1980 Received Date KEITHLY, ROBERT 1/10/1990 Until Released Bond $4,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 05/04/2011