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Home My WebLink AboutPermit EL11-0577 - DR MOAWADThis 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 -0577 Dr. Moawad 6720 Fort Dent Way 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. DR MOAWAD 6720 FORT DENT WY EL1 1 -0577 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 Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Tenant Name: DR MOAWAD ELECTRICAL PERMIT Permit Number: EL11 -0577 Issue Date: 06/29/2011 Permit Expires On: 12/26/2011 Owner: Name: JOHN C RADOVICH LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: GREG DUNK Address: PO BOX 7459 , KENT WA 98042 Contractor: Name: CASCADE ALARM LLC Address: P 0 BOX 7459 , KENT WA 98042 Contractor License No: CASCAAL963JT Phone: 206 - 767 -5800 Phone: Expiration Date: 04/30/2012 DESCRIPTION OF WORK: ADDING 2 STROBES, 7 HORN STROBES AND 1 POWER SUPPLY Value of Electrical Work: NRES: $1,300.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $115.50 National Electrical Code Edition: 2008 Date: (fit'-A i 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 thqperformance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: gP Date: 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 -0577 Printed: 06 -29 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0577 * *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 -0577 Printed: 06 -29 -2011 CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http.//www.ci.tukwila.wa.us Electrical Permit No. C Lit 0,-77 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 Collo Site Address: `20 FORT DENT WAY King Co Assessor's Tax No.: 5-4c ' °LISS- Tenant Name: DR. MOAWAD Suite Number: 120 Floor: 1 New Tenant: ® Yes ❑..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: CASCADE ALARM, LLC. Mailing Address: PO BOX 7459 Day Telephone: (206) 767 -5800 KENT WA 98042 E-Mail Address: gdunk @cascadealarm.com City State Fax Number: (253) 630 4851 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: CASCADE ALARM, LLC. Mailing Address: PO BOX 7459 KENT WA 98042 Contact Person: GREG DUNK E-Mail Address: gdunk @cascadealarm.com Contractor Registration Number: CASCAAL963JT City State Day Telephone: (206) 767 -5800 Fax Number: (253) 630 4851 Zip Expiration Date: 04/30/2012 Valuation of Project (contractor's bid price): $ 1,300 Scope of Work (please provide detailed information): Adding 2 strobes, 7 horn strobes and 1 power supply. Will service be altered? ❑ Yes 1ZI No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes I No Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 1-1 \Applications\Forms- Applications On Line\2010 Applications \I-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, 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 OR ELECTRICAL CONTRACTOR: Signature: Print Name: GREG DUNK Mailing Address: PO BOX 7459 Date: 06/29/2011 Day Telephone: (206) 767 -5800 KENT City WA 98042 State Zip Date Application Accepted: Date Application Expires: Staff Initials: H. \Applications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application doc bh Page 2 of 2 • City of Tukwila \yam Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Suite No: Applicant: DR MOAWAD RECEIPT Permit Number: EL11 -0577 Status: PENDING Applied Date: 06/29/2011 Issue Date: Receipt No.: R11 -01347 Payment Amount: $115.50 Initials: WER Payment Date: 06/29/2011 02:18 PM User ID: 1655 Balance: $0.00 Payee: CASCADE ALARM TRANSACTION LIST: Type Method Descriptio Amount Payment Check 23304 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: 06 -29 -2011 - INSPECTION RECORD Retain a copy with permit fL1t" 0577 INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 0A ,T Type of Inspection:00 Address: 4 1_0 rjr. pf4r Date Called: Special Instructs ns: p(Itt Date Wanted: /1/ d m. p.m Requester: Phone No: 4fil Approved per applicable codes. COMMENTS: ElCorrections required prior to approval. Inspector: Date: 67/11 tri 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 tinter Friendly Page 1 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 CASCADE ALARM LLC 2067675800 Po Box 7459 Kent WA 98042 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602156869 Active CASCAAL963JT Electrical Contractor 4/30/2004 4/30/2012 Limited Energy Unused icenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CASCAAS175CZ CASCADE ALARM Et SIGNAL CO INC Electrical Contractor Limited Energy Hvac /Rfrg Ltd Energy 2/9/1983 4/30/2004 Archived Electrical Administrator INFORMATION License CRAINKB222QN Name CRAINE, KEITH B Status Active Business Owner Information Name Role Effective Date Expiration Date CASCADE ALARM LLC Partner /Member 04/30/2004 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SF9033 11/30/2004 Until Cancelled $4,000.00 12/15/2004 Assignment of Savings Information Savings 1 Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 4/30/2004 Until Released Bond $4,000.00 4/30/2004 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 06/29/2011