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HomeMy WebLinkAboutPermit EL11-0676 - REGIONAL ACCEPTANCEThis 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 -0676 Regional Acceptance 6840 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 14 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. REGIONAL ACCEPTANCE 6840 FORT DENT WY EL1 1 -0676 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 Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Project Name: REGIONAL ACCEPTANCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0676 07/25/2011 01/21/2012 Owner: Name: PEPPERWOOD HOLDINGS LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA Contact Person: Name: COREY MCKINNON Address: 7056 S 220 ST , KENT WA Contractor: Name: SEA TAC ELECTRIC INC Address: 7056 S 220TH ST , KENT WA Contractor License No: SEATAEI077RW Phone: 253 - 867 -2354 Phone: Expiration Date: 12/17/2011 DESCRIPTION OF WORK: RELOCATE (7) 2 X 4 LAY -IN FIXTURES. PROVIDE AND INSTALL (4) OCCUPANCY SENSORS, (2) SWITCHES, (2) DEDICATED QUAD RECEPTACLES, (1) DEDICATED DUPLEX RECEPTACLE, (6) GENERAL PURPOSE QUAD RECEPTACLES, (3) WALL FURNITURE FEEDS, (8) TELE/DATA RINGS AND PULL STRINGS. Value of Electrical: NRES: $10,800.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature. I hereby certify that I have read governing this work will be comp The granting oft 's permit does not construction or e performance of wor . I Signature: LIO .L4 A Print Name: ASOIU 8-6:yerk—S Date: $281.70 2008 ed 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. Date: !-2S` zo/l 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 -4/10 EL11 -0676 Printed: 07 -25 -2011 i • PERMIT CONDITIONS Permit No. EL 11 -0676 * *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 EL 11 -0676 Printed: 07 -25 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httD://www.ci.tukwila.wa.us Electrical Permit No. -01-0(07b 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: 6840 FORT DENT WAY Tenant Name: FORT DENT II - REGIONAL ACCEPTANCE Property Owners Name: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: I Yes Mailing Address: 6840 FORT DENT WAY TUKWILA ❑ ..No WA 98188 City State CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: COREY MCKINNON Mailing Address: 7056 S. 220TH STREET Day Telephone: (253) 867 -2354 KENT WA 98032 E -Mail Address: corey.m @seatacelectric.com City State Fax Number: (253) 872 -4112 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: SEA -TAC ELECTRIC, INC. Mailing Address: 7056 S. 220TH STREET KENT WA City State Contact Person: SEA -TAC ELECTRIC, INC. Day Telephone: (253) 867 -2354 E -Mail Address: corey.m @seatacelectric.com Fax Number: (253) 872 -4112 Contractor Registration Number: SEATAEI077RW Expiration Date: 12/17/2011 98032 Zip Valuation of Project (contractor's bid price): $ 10,800 Scope of Work (please provide detailed information): RELOCATE (7) 2X4 LAY -IN FIXTURES. PROVIDE AND INSTALL (4) OCC. SENSORS, (2) SWITCHES, (2) DED QUAD REC, (1) DED DUPLEX REC, (6) GENERAL PURPOSE QUAD REC, (3) GENERAL PURPOSE DUPLEX REC, (3) WALL FURNITURE FEEDS, (8) TELE /DATA RINGS AND PULL STRINGS. Will service be altered? ❑ Yes No Adding more than 50 amps`? ❑ Yes V1 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: El Puget Sound Energy ❑ Seattle City Light 11: Applications\Fonns- Applications On Line'2010 Applications,7 -2010 - Electrical Pennit 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 554.60 (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 ELECTRICA Signature: ONTRACTOR: Date: l/ Print Name: �crNV o G o ' - _ ^I Day Telephone: (253) 867 -2354 Mailing Address: 7056 S. 220TH STREET IDate Application Accepted: KENT vv A- 98032 City State Zip Date Application Expires: Ii: ApplicationslForms- Applications On Line \2010 Applications') -2010 - Electrical Permit Application.doc bh Page 2 of 2 Staff Initials: dr IP 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 Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Suite No: Applicant: REGIONAL ACCEPTANCE RECEIPT Permit Number: EL11 -0676 Status: APPROVED Applied Date: 07/25/2011 Issue Date: Receipt No.: R11 -01561 Initials: User ID: Payee: JEM 1165 Payment Amount: $281.70 Payment Date: 07/25/2011 10:28 AM Balance: $0.00 SEA -TAC ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 15413 281.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 281.70 Total: $281.70 doc: Receiot -06 Printed: 07 -25 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: g fetid ��Ef Type of Inspection: Address: ('YO ��. Dc Ir Date Called: • Special Instructions: I) 0p Date Wanted: `7 v m. p.m. M Requester: Phone No: Approved per applicable codes. L Corrections required prior to approvat.: OMMENTS: kikui-10A6 I'�nRF Inspector: (Date: ay ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • s NSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 11' (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 I 6,1 I- ot9-7 Project: 6410141. A— �Ty e of Inspection: POO Address:( Der Date Called: • Special Instructions: Date Wanted: a:m P.m. Requester: Phone No: Approved per applicable codes. 'Corrections required prior to approval. COMMENTS: ("Mier Ft4 Cf4.CJfr r 61 /1,-r4. - A-,1 I f r8 . ,LT'S . Inspector: 'Date: 111 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee :must be • paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 INS PE TION NO. INSPECTION RECORD Retain a copy with permit etij-!414. MIT NO., CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 p. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 . Projectg (�Aagivilype (Q�j of Inspection: j 1oU Address: Date Called: Special Instructions: Date Wanted:. Requester: „ Phone No: • ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 601 Tio 4 J1''16, gt1D L.zchrm or o0rmt-13■ - /1/41 61. Li citk-c5, ' 'S Inspector: IDate: op fit ❑ REINSPECTION FEE REQUIRED. 'rior to next inspection; •fee'must be .: paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. . • 3 INSPECTION NO. INSPECTION. RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 P. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project:rpe �(rdn/nv of Inspection: ex Address: {psy° Kr., Date Called: Special Instructions: Date Wanted:. y a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: DL z"1S riorgif 66-f u ("it‘ eoAll Kwity,k (Ai Inspector: 1 hi Date: REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. z INSPECTION RECORD `• Retain a copy with permit L-1-41 INSPECTION NO. PERMIT NO. -061(0 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project al (04 At- Pre-CePi Type of Inspection: 7o3 Address: 6 ;1 t Pfr. Date Called: Special Instructions: Date Wanted: 7 .m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ?A'' eXCHT i I I A4 D et - HiSStAkt Sh991t , .- Milo A-gfrdtio4e9 c.f `A-C- t CFttanki ill ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .:77. °.F-.r..ti'S-v..„„ti�� �rs _fsry .. - ' ^F" - • -yJ •q.^.• --- i. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .(Z, (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 641-0614 Project: k atcydAv pe of Inspection: 7003 Address: '1° Vi. ve w, c Date Called: Special Instructions: Date Wanted: 7 /2z r�, p.m? Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. ' COMMENTS: f _ v ""fi-tii60/461 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.' . . Inspector: Date: Coitill f Contractors or Tradespeople Peter Friendly 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 SEA TAC ELECTRIC INC 2538725553 7056 S 220Th St Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601510212 Active SEATAEI077RW Electrical Contractor 12/16/1993 12/17/2011 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SEATAEC131QC SEA TAC ELECTRICAL CONTRACTORS Electrical Contractor General Unused 11/3/1987 11/3/1995 Archived Master Electrician INFORMATION License HARGRT'974CD Name HARGREAVES, TOM Status Active Business Owner Information Name Role Effective Date Expiration Date HARGREAVES, TOM Agent 12/17/1993 Bond Amount HARGREAVES, TOM President 12/17/1993 798649C BEAN, ERIC Secretary 12/10/2008 BEAN, ERIC Treasurer 12/10/2008 MERCHANTS BONDING CO (MUTUAL) JORDAN, TOM Vice President 01/01/2002 01/22/2009 HARGREAVES, KATHERINE Secretary 12/17/1993 12/10/2008 BURKS, ROY Vice President 12/17/1993 12/15/1995 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 DEVELOPERS SURETY & INDEM CO 798649C 12/16/2008 Until Cancelled $4,000.00 12/03/2008 5 MERCHANTS BONDING CO (MUTUAL) WA11373 12/16/2004 Until Cancelled 01/22/2009 $4,000.0012/17/2004 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 12/16/1993 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 https://fortress.wa.gov/lni/bbip/Print.aspx 07/25/2011