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:.
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a.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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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
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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