HomeMy WebLinkAboutPermit EL11-0701 - MADRONA SPECIALTY FOODSThis 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 -0701
Madrona Specialty Foods
18300 Cascade Avenue
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
10
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.
MADRONA
SPECIALTY FOODS
18300 CASCADE AV
EXPIRED
01-28-12
EL1 1 -0701
City oftukwila
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.: 7888900175
Address: 18300 CASCADE AV TUKW
Project Name: MADRONA SPECIALTY FOODS
ELECTRICAL PERMIT
Permit Number: EL11 -0701
Issue Date: 07/29/2011
Permit Expires On: 01/25/2012
Owner:
Name: RIVERPOINT TWO LLC
Address: PO BOX 20399 , SEATTLE WA
Contact Person:
Name: SCOTT SCHWENK
Address: 3650 14 AV W, APT 6 , SEATTLE WA
Contractor:
Name: S & H ELECTRIC INC
Address: 855 TROSPER RD #108 , TUMWATER WA
Contractor License No: SHELEI *044JZ
Phone: 206 - 391 -8296
Phone: 360 352 -1621
Expiration Date: 04/10/2012
DESCRIPTION OF WORK:
INSTALL (1) 100A SUBPANEL, (1) LIGHT SWITCH, (15) RECEPTACLES, (1) ELECTRIC
CONVECTION OVEN, (1) ELECTRIC RANGE TOP AND (1) EXHAUST FAN
Value of Electrical: NRES: $6,200.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by:
Permit Center Authorized Signature:
$212.90
2008
-7-_ (
Date:
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 the perform of work. I am authorized to sign and obtain this electrical permit.
Signature:
Dater 2c -0911,
Print Name:
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 -0701 Printed: 07 -29 -2011
•
PERMIT CONDITIONS
Permit No. EL11 -0701
* *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
ELI 1-0701 Printed: 07 -29 -2011
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. TukwilaWA. qov
Electrical Permit No. � _ k�` � 0 'j D
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: 18300 Cascade Ave S.
Tenant Name: Madrona Specialty Food Kitchen
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor: 1
Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
Zip
'CONTACT)PEIISON — Who do.we coataet when your permit is ready to be issued
Name: Scott Schwenk
Mailing Address: 3650 14th Ave W Apt 6
E -Mail Address: srschwenk @comcast.net
Day Telephone:
Seattle
City
Fax Number:
(206) 391 -8296
WA
State
98119
Zip
:-ELECTRICAL CONTRACTOR INFORMATION
Company Name: S & H Electric
Mailing Address: 855 Trosper Rd. #108 Box 365
Contact Person: Butch Humphres
E -Mail Address: butchhumphres @hotmail.com
Contractor Registration Number: SHELEI *044JZ
Tumwater WA 98512
City state
Day Telephone: (206) 793 -2421
Fax Number: (253) 852 -5880
Zip
Expiration Date: I-lox .30 1204
Valuation of Project (contractor's bid price): $ (.01 Q00
Scope of Work (please provide detailed information): 1 - 100A sub panel, 1 Tight switch, 15 receptacles, 1 electric convect
CI :a■ aver, r eiec e % 6 ?1 ¶ e.x\eutu.sa cs,‘
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? m Yes ❑ No
Type of Use: Kitchen
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
m Puget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H AApplications\Ronna- 4pplications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
hh
Page 1of2
❑ Remodel
❑ Telecommunication
m 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 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: SCA S cInW e % �C
Mailing Address: 3650 14th Ave W Apt 6
Date Application Accepted:
Date: 07/29/2011
Day Telephone: (206) 391 -8296
Seattle
City
k)A
state
98119
Zip
Date Application Expires:
Staff Initials:
H:\Application Totms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
1
• •
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.Qov
Parcel No.: 7888900175
Address: 18300 CASCADE AV TUKW
Suite No:
Applicant: MADRONA SPECIALTY FOODS
RECEIPT
Permit Number: EL11 -0701
Status: PENDING
Applied Date: 07/29/2011
Issue Date:
Receipt No.: R11 -01614
Initials: WER
User ID: 1655
Payment Amount: $212.90
Payment Date: 07/29/2011 09:49 AM
Balance: $0.00
Payee: SCOTT SCHWENK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 04584A
ACCOUNT ITEM LIST:
Description
212.90
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 212.90
Total: $212.90
doc: Receiot -06 Printed: 07 -29 -2011
�5*' -: tir-- ^ate :�r. % "i.- rmi+•rsz.w -;�-� .-:-T . -�-'
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: --�,�A�
Type of Inspection: .
:
Address:
./A.3419 4;tA '
Date Called:
DrFier
Specia Instructions:
��()
TiA
Date Wan ed:
a.m.
• rte'
Requester:
Phone No:
RI N.
'Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
A «- (64.iA.! ,t e),/VL S
,rQalw "7V
DrFier
0.) Sc./t-r -cAr
aas A; - c :4cCa,
.
(JJ '7i4 i= 9i0..d
RI N.
r
n
Inspector:
Date:
el-J-1/ •
n REINSPPL`TION FEE REQUIRED. Prior to next inspection. fee. must be : •
paid at, 300 Southcenter Blvd.. Suite 100. Call to schedule reinspection... •
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SCOTT SCHWENK
3650 14 AV W, APT 6
SEATTLE WA 98119
RE: Permit No. EL11 -0701
MADRONA SPECIALTY FOODS
18300 CASCADE AV TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 01/28/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 01/28/2012, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. ELI 1 -0701
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pr,,nter 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
S & H ELECTRIC INC
3603521621
855 Trosper Rd #108
BOX 365
Tumwater
WA
98512
Thurston
Corporation
UBI No. 601703614
Status Active
License No. SHELEI'044JZ
License Type Electrical Contractor
Effective Date 4/9/1996
Expiration Date 4/10/2012
Suspend Date
Specialty 1 General
Specialty 2 Unused
Electrical Administrator INFORMATION
License SCHWESR932OJ
Name SCHWENK, SCOTT R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMPHRES, EARL
Agent
04/09/1996
4/25/2007
HUMPHRES, BRIAN
President
01/18/2011
$500.00
HUMPHRES, EARL
Vice President
01/18/2011
ELECTRICAL CITATION
SMITH, WILLIAM H
Member
04/09/1996
01/03/2011
HUMPHRES, TERRI
Secretary
04/09/1996
01/03/2011
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 1
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
4/8/1996
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
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
EBRIC00799
4/25/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EVANC00253
3/12/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHATR00288
7/10/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 07/29/2011