HomeMy WebLinkAboutPermit EL11-0725 - 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 -0725
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
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.
REGIONAL ACCEPTANCE
6840 FORT DENT WY
EL1 1 -0725
City 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: EL11 -0725
Issue Date: 08/04/2011
Permit Expires On: 01/31/2012
Owner:
Name: PEPPERWOOD HOLDINGS LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA
Contact Person:
Name: JEFF DUNLAP Phone: 206 234 -5700
Address: PO BOX 23700 , FEDERAL WAY WA
Contractor:
Name: FIRE COM NW INC
Address: 7815 EAST SIDE DR NE , TACOMA WA
Contractor License No: FIRECCN901JL
Phone: 206 234 -5700
Expiration Date: 04/20/2012
DESCRIPTION OF WORK:
RELOCATE 10 EXISTING FIRE ALARM SIGNAL DEVICES
Value of Electrical: NRES: $1,500.00 Fees Collected: $115.50
RES: $0.00
Type of Fire Protection: SPRINKLERS
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
ex
National Electrical Code Edition: 2008
Date: 01>
I hereby certify that I have read an ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli-d wit , whether specified herein or not.
The granting of this permit does not res e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
construction or the performance of wo
Signature:
Print Name: �Vc(
This permit shall become null and void if the work is not commen d 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.
Date: 13 \
doc: EL -4/10
EL11 -0725
Printed: 08 -04 -2011
• PERMIT CONDITIONS
Permit No. EL11 -0725
* *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 NF'PA 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 -0725 Printed: 08 -04 -2011
g
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
tr /AA' V T:.lj{UVliaWA gov
Electrical Permit No. l/ tA��,
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 Wy
Tenant Name: Regional Acceptance
Property Owners Name: John C Radovich
Mailing Address: 2835 - 82nd Ave SE Suite 300
King Co Assessor's Tax No.: 295 490 0425
Suite Number:
New Tenant:
Mercer Island
Floor: 1
m Yes ❑..No
WA 98040
Zip
City
State
C'ONTAC'T PERSON — who do we contact when your permit is ready to be issued
Name: Jeff Dunlap
Mailing Address: PO Box 23700
E -Mail Address: jeffdunlap1@aol.com
Day Telephone: (206) 234 -5700
Federal Way WA 98093
City State
Fax Number: (253) 517 -5775
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Fire Com NW
Mailing Address: PO Box 23700
Contact Person: Jeff Dunlap
Federal Way
WA 98093
E -Mail Address: jeffdunlapl @aol.corn
Contractor Registration Number: FIRECCN901 JL
rgy State
Day 'Telephone: (206) 234 -5700
Fax Number: (253) 517 -5775
Zip
Expiration Date: 04/20/2012
Valuation of Project (contractor's bid price): $ 1,500
Scope of Work (please provide detailed information): Relocate 10 existing fire alarm signal devices
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel VI Tenant Improvement
❑ Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro Served
Puget Sound Energy
❑ Seattle City Light
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Page1of2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CIIANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits 581.90
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 584.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions 510.50 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:
Mailing Address:
a-ey
PO Box 23700
Date: 08/03/2011
Day Telephone: (206) 234 -5700
Federal Way u„J . 98093
Date Application Accepted:
oth
City
State Zip
Date Application Expires:
Staff Initials:
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Page 2 0
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 -0725
Status: PENDING
Applied Date: 08/04/2011
Issue Date:
Receipt No.: R11 -01677
Payment Amount: $115.50
Initials: JEM Payment Date: 08/04/2011 01:03 PM
User ID: 1165 Balance: $0.00
Payee: FIRE COM NW INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 130257
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 08 -04 -2011
z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Proje rA 11�� i-
extrtio
Type of Inspection: 4/a 4)
Address: ��� � Pr . ��
Date Called:
1
Special Instructions:
r lik
Date Wanted:.
7 23
(m.
'Requester:
Phone No:
Approved per applicable codes. - E Corrections required prior to approval. /d
COMMENTS:
(fVk
Z 3/i/
Date:
REINSPECTION FEE REQUIRED! Prior to next inspectio , fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD (Io7z( Retain a copy with permit
INSPE ION NO. PERMIT NO.
CITY OF-TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 „ (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: (4-- 104 /f J Type of Inspection: 7�O
Address: Date Called: / FT- War
Special Instructions:
f
Date Wanted:
Requester:
Phone No:
Approved per applicable codes.
ECorrections required prior to approval.
COMMENTS:
CEPAlti 6.3A16.1
r4 ea 1J9Ltere
Inspector:
Date: D^ 1 II i
n REINSPECTION FEE REQUIRED. prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Py ter Friendly Page
•
Electrical Contractor
A business licensed by Lal 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
FIRE COM NW INC
2062345700
7815 East Side Drive Ne
Tacoma
WA
98422
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602467420
Active
FIRECCN901JL
Electrical Contractor
4/20/2010
4/20/2012
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
FIRECNL988NR
FIRE COM NW
Electrical
Contractor
Limited
Energy
Unused
Unused
8/19/2002
8/19/2010
Re-
Licensed
Electrical Administrator INFORMATION
License HECHIM'961PH
Name HECHINGER, MIKE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DUNLAP, JEFF
Agent
04/13/2010
2/11/2011
DUNLAP, JEFF
President
04/13/2010
$250.00
DUNLAP, JEFF
Secretary
04/13/2010
DUNLAP, JEFF
Treasurer
04/13/2010
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
2
4/20/2010
Until
Released
Bond
$4,000.00
4/20/2010
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
EFONC00223
2/11/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
08/04/2011