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Home My WebLink AboutPermit EL11-0875 - MIRACLE EARThis 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 -0875 Miracle Ear 644 Strander Boulevard 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. MIRACLE EAR 644 STRANDER BL EL1 1 -0875 City oAlTukwila II 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.: 0005800037 Address: 644 STRANDER BL TUKW Project Name: MIRACLE EAR ELECTRICAL PERMIT Permit Number: EL11 -0875 Issue Date: 09/21/2011 Permit Expires On: 03/19/2012 Owner: Name: BC PARTNERS LLC Address: C/O MK PROPERTY SVC LLC , PO BOX 997 Contact Person: Name: KAMA STUART Address: 21307 67 AV W , LYNNWOOD WA Contractor: Name: ELECTRIC ELECTRIC INC Address: 21307 67 AV W , LYNNWOOD WA Contractor License No: ELECTEI258MH Phone: 425 - 771 -3293 Phone: 425 - 771 -3293 Expiration Date: 07/31/2012 DESCRIPTION OF WORK: ELECTRICAL WORK, WIRING, ADDING FIXTURES AND RECEPTACLES IN EXISTING SPACE. Value of Electrical: NRES: $9,724.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: W:t/a.- Date: 61')1—'1 ! 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 performance of work. I am authorized to sign and obtain this electrical permit. ?'-0/'-1/ Signature: 1'i' Date: - Print Name: Fees Collected: $264.50 National Electrical Code Edition: 2008 ifv/.; _. - 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 -0875 Printed: 09 -21 -2011 PERMIT CONDITIONS Permit No. EL11 -0875 * *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 EL11 -0875 Printed: 09 -21 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httal/www.TukwilaWA.00v Electrical Permit No. `� `` 0 87S 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 (o4L Site Address: "4 Strander Blvd, Tukwila, WA King Co Assessor's Tax No.: Tenant Name: Miracle Ear Suite Number: 674 Floor: street la New Tenant: m Yes ❑..No Property Owners Name: ? rt f f! U.0 G�v {• k. P'ceGtiti S.2tV1 c.¢.S .1 City State Mailing Address: 0,0. gOx 441 ' 91tooR Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Kama Stuart Mailing Address: 21307 67th Ave W Day Telephone: (425) 771 -3293 Lynnwood WA 98036 E -Mail Address: eei200 @aol.com City State Fax Number: (425) 771 -3805 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Electric Electric, Inc. Mailing Address: 21307 67th Ave W Contact Person: Kama Stuart E -Mail Address: eei200 @aol.com Contractor Registration Number: ELECTEI258MH Lynnwood WA 98036 City State Day Telephone: (425) 771 -3293 Fax Number: (425) 771 -3805 Zip Expiration Date: 07/31/2012 Valuation of Project (contractor's bid price): $ 9,724 Scope of Work (please provide detailed information): space. Electrical work, wiring, adding fixtures and receptacles in existing Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m 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: m Puget Sound Energy ❑ Seattle City Light H: \Applications \Fomu- Apphcauons On Line \2010 Applications \7 -2010 - Electrical Permit 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 $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. 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: V S -cv�.e c Mailing Address: 21307 67th Ave W. Day Telephone: Lynnwood City Date: Ci ' 2SZI '2.0 42-6 - k--'6251 3 WA 98036 State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H:\Applicalions \Forts - Applications On Line \2010 Applications \7 - 2010- Electrical Permit Application doc bh Page 2 of 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.: 0005800037 Address: 644 STRANDER BL TUKW Suite No: Applicant: MIRACLE EAR RECEIPT Permit Number: EL11 -0875 Status: PENDING Applied Date: 09/21/2011 Issue Date: Receipt No.: R11 -02073 Initials: WER User ID: 1655 Payment Amount: $264.50 Payment Date: 09/21/2011 02:26 PM Balance: $0.00 Payee: ELECTRIC ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 21390 264.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 264.50 Total: $264.50 doc: Receiot -06 Printed: 09 -21 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit Cu I -opts PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 112. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: r'v\ 6 Type of Inspection: Date Called: 2400/700) Address: 671 r Special Instructions: Date Wanted:. l0I� A. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: • —. a/VoNiti C.OVeic R»j,rJ PI. ( n REINSPECTION FEE REQUIRED! Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Z. INSPECTION RECORD al', v915.1 Retain a copy with permit D ! I • • INSPECTION . 0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION :630Q''Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: 7 Address: (. Date Called: ti. Special7iistruetions: Date Wanted:. 7/22. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: F r. �:.. CiAfti\ Date: 01 /2,1/I I 0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Plater 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 ELECTRIC ELECTRIC INC 4257713293 21307 67Th Ave W Lynnwood WA 98036 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600349839 Active ELECTEI258MH Electrical Contractor 7/8/1975 7/31/2012 General Unused Master Electrician INFORMATION License VERHESJ963D5 Name VERHEY, STEPHEN J Status Active Business Owner Information Name Role Effective Date Expiration Date VERHEY, STEPHEN J 01/01/1980 VERHEY, STEPHEN J Agent 01/01/1980 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 8/7/1989 Until Released Bond $4,000.00 8/7/1989 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 09/21/2011