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Home My WebLink AboutPermit EL11-0624 - PRINTING CONTROLThis 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 -0624 Printing Control 1011 Andover Park East 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. PRINTING CONTROL 1011 ANDOVER PK E EL1 1 -0624 City ogTukwila 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.: 2623049019 Address: 1011 ANDOVER PK E TUKW Project Name: PRINTING CONTROL ELECTRICAL PERMIT Permit Number: EL11 -0624 Issue Date: 07/13/2011 Permit Expires On: 01/09/2012 Owner: Name: M3 PROPERTIES LLC Address: C/O JSH PROPERTIES INC , 555 S RENTON VILLAGE PL # 100 Contact Person: Name: DWAYNE HUMENNY Address: 21817 88 PL S , KENT WA Contractor: Name: CJ ELECTRICAL SUPPLY & SVCS LL Address: 24317 NE 27 PL , SAMMAMISH WA Contractor License No: CJELEES966M7 Phone: 425 - 766 -7677 Phone: 425 766 -7677 Expiration Date: 10/23/2012 DESCRIPTION OF WORK: RETROFIT AND /OR REPLACE 215 T12 STRIPS AND /OR TROFFERS WITH T8 AND /OR T5 LAMPS AND BALLASTS AND /OR NEW FIXTURES Value of Electrical: NRES: $11,090.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $298.90 National Electrical Code Edition: 2008 Date: ` I 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 o this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructionrformance of work. I am authorized to sign and obtain this electrical permit. Signature: LV Date: r '�% _ , 3 I 1 Print Name: War -e— k.41 e-vt w permit ermit shall become null and void if the works 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 -4/10 EL11 -0624 Printed: 07 -13 -2011 PERMIT CONDITIONS Permit No. EL11 -0624 * *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 -4/10 EL11 -0624 Printed: 07 -13 -2011 CITY OF TUKVA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 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 ''11 1 King Co Assessor's Tax No.: Site Address: I V L 1 Alkeibile6' 196-c k- ELLS r Suite Number: Floor: ?r n4- ■ kro Tenant Name: Property Owners Name: Mailing Address: New Tenant: ❑ Yes ❑..No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: r*?- (4A.1.41.C.V1b4 Mailing Address: S f nv 119L. s. E -Mail Address: Ci ‘AiCt-7 ke- of ItJ L fi s Day Telephone: ild S - 6-74 7 7 wA `12183 City State Zip • C c Fax Number: LfSa - 70o9 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: C j L;3L.t,' 5a- as Contact Person: SA Cs 60 E -Mail Address: Sft� Contractor Registration Number: Cr ELEE S %4 rv►-j City Day Telephone: Fax Number: Expiration Date: State 5146- to -aolla Zip Valuation of Project (contractor's bid price): $ it 1(tOq O • ^n ibc j Scope of Work (please provide detailed information): RE ±(0 ? (� 16-0-- v. 1 S T-1 o . Sl-rtDS l o� +wo -e-Per-S w -� l' i �,J. f or TS s 6:.kA 6-1ksis 6..6t/cw- n x Luc; . Will service be altered? ❑ Y E"No Vr<_s s Type of Use: Type of work: Erve -r3/ Cc, hSuJe. Ieh ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property S ved by: LE/Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes ❑ No Pc.'`'rai; + ❑ Service Change ❑ ❑ Fire Alarm ❑ II:\Applications\Porms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 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 $1 1.55 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 OWN OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: fir" h& �k�ne�t s. Date: l - 0 - 1 1 Day Telephone: 7) S ' 766 - 7677 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H,1Applications\Forms- Applications On Line.2010 Applicalionsl7 -2010 - Electrical Permit Application. doc Revised. May 2011 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.TukwilaWA.gov RECEIPT Parcel No.: 2623049019 Permit Number: EL11 -0624 Address: 1011 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 07/13/2011 Applicant: PRINTING CONTROL Issue Date: Receipt No.: R11 -01452 Payment Amount: $298.90 Initials: WER Payment Date: 07/13/2011 02:30 PM User ID: 1655 Balance: $0.00 Payee: DWAYNE HUMENNY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 613192 ACCOUNT ITEM LIST: Description 298.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 298.90 Total: $298.90 doc: Receiot -06 Printed: 07 -13 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit ea I- OU1 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Vt. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ert,A11144 ept,frkci. Type of Inspection: 7 100 Address: j /� '' • Date Called: Special Instructions: ii 1,T4 �4 � f�w, Date Wanted:. C /6 6:.)n Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. 7:1 COMMENTS: Inspector: L. J,1 Date: 091101i REINSPECTION FEE REQUIRED'. Prior to next Inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by LEI 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 CJ ELECTRICAL SUPPLY ft SVCS LL 4254527000 24317 Ne 27Th Pt Sammamish WA 98074 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602327997 Active CJELEES966M7 Electrical Contractor 7/27/2004 10/23/2012 General Unused Business Owner Information Name Role Effective Date Expiration Date HUMENNY, DWAYNE M Partner /Member 07/27/2004 9/25/2008 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 5/26/2004 Until Released Bond $4,000.00 7/27/2004 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJURT00255 9/25/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJURT00256 9/25/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESWAT00257 6/15/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 E52554 7/19/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 E52555 7/19/2005 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 E52556 7/19/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $100.00 E52557 7/19/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $100.00 EBRIC01459 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01462 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01460 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01457 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01463 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01458 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01464 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01461 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 07/13/2011