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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