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Permit EL11-0910 - KIDDER MATHEWS
This 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 -0910 Kidder Mathews 631 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. KIDDER MATHEWS 631 STRANDER BL EL1 1 -0910 City o*ukwila 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.: 0223300020 Address: 631 STRANDER BL TUKW Project Name: KIDDER MATHEWS ELECTRICAL PERMIT Permit Number: EL11 -0910 Issue Date: 10/03/2011 Permit Expires On: 03/31/2012 Owner: Name: WALTON CWWA TUKWILA 1 LLC Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR Contact Person: Name: KEVIN FLEEK Address: 21817 88 PL S , KENT WA Contractor: Name: CJ ELECTRICAL SUPPLY & SVCS LL Address: 24317 NE 27 PL , SAMMAMISH WA Contractor License No: CJELEES966M7 Phone: 206 255 -6855 Phone: 425 766 -7677 Expiration Date: 10/23/2012 DESCRIPTION OF WORK: LIGHTING RETROFIT IN OFFICE GOING FROM 4L T12 TO 2L T8 (37 FIXTURES). Value of Electrical: NRES: $1,700.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compli Fees Collected: National Electrical Code Edition: $115.50 2008 Date: lv - 11 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not p construction or the performance • work. I am authorized to sign and obtain this electrical permit. e to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: Date: jp -3 -got ( 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 -0910 Printed: 10 -03 -2011 ill II PERMIT CONDITIONS Permit No. EL11 -0910 * *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 -0910 Printed: 10 -03 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. C/ l 091 L 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 King Co Assessor's Tax No.: Site Address: 631 Strander Blvd Tukwila, Wa 98118 Tenant Name: Kidder Mathews 02(29-)12o —D094) Suite Number: C' Floor: 1 New Tenant: ❑ Yes m ..No Property Owners Name: Mailing Address: 631 Strander Blvd Wa 98118 Tukwila wa 98118 City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Kevin Fleek Mailing Address: 21817 88th Place S E -Mail Address: Kevin @fleek.com Day Telephone: (206) 255 -6855 Kent wa 98031 City State Fax Number: (425) 452 -7009 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Cj Lighting Mailing Address' 21817 88th Place S Kent wa 98031 Zip Contact Person: Kevin Fleek E -Mail Address: Kevin @fleek.com City State Day Telephone: (206) 255 -6855 I u ' nr a Fax Number: (425) 452 -7009 Contractor Registration Number: l,� uC V 7�la�l.LM Expiration Date: 101 Z�l IL Valuation of Project (contractor's bid price): $ 1,700 Scope of Work (please provide detailed information): Lighting retro fit in office going from 4L T12 to 2L T8 34_ 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 21 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H.'Apphcanons \Forms -Apph canons On Lme\2010 Applications \7 -2010 - Electncal Permn Application doc bh Page I 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 ❑ 'fernporary 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: / /✓ `��� x/8/7- .F4 '1 4 rie / ^city,1p3/ Mailing Address: Day Telephone: Date Application Accepted: q 01, 023 I, Date Application Expires: H \Apphcmtons \Forms- Apphcaaons On Line \2010 Apphcanons\7 -2010 - Llectncal Permit Apphcanon.doc hh Page 2 of 2 Date: f.' -( 245-5--- 46T-- State Zip Staff Initials: • • 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.: 0223300020 Address: 631 STRANDER BL TUKW Suite No: Applicant: KIDDER MATHEWS RECEIPT Permit Number: EL11 -0910 Status: PENDING Applied Date: 10/03/2011 Issue Date: Receipt No.: R11 -02152 Initials: User ID: Payee: JEM 1165 Payment Amount: $115.50 Payment Date: 10/03/2011 12:44 PM Balance: $0.00 CJ ELECTRICAL SUPPLY & SERVICES LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4286 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 10 -03 -2011 • 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.: 0223300020 Address: 631 STRANDER BL TUKW Suite No: Applicant: KIDDER MATHEWS RECEIPT Permit Number: EL1 1-0910 Status: PENDING Applied Date: 10/03/2011 Issue Date: Receipt No.: R11 -02152 Payment Amount: $115.50 Initials: JEM Payment Date: 10/03/2011 12:44 PM User ID: 1165 Balance: $0.00 Payee: CJ ELECTRICAL SUPPLY & SERVICES LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4286 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 10 -03 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6uf- a9to 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: r il11 -EIS Type of Inspection: / ©v Address: 43 � 5� 1(x_,1 �. Date Called: Special Instructions: ?to cal 4 -i l Date Wanted:. 0/1)4, a/ Requester: Phone No: EXLApprthied per applicable codes. ElCorrections required prior to approval. COMMENTS: lY� 1lnspector: i vl' ni/Jel ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: /0/04 t � Contractors or Tradespeople P ter 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 CJ ELECTRICAL SUPPLY & SVCS LL UBI No. 602327997 Phone 4254527000 Status Active Address 24317 Ne 27Th PI License No. CJELEES966M7 Suite /Apt. License Type Electrical Contractor City Sammamish Effective Date 7/27/2004 State WA Expiration Date 10/23/2012 Zip 98074 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License MORRIG *932KS Name MORRIS, CHRIS G Status Active Business Owner Information Name Role Effective Date Expiration Date HUMENNY, DWAYNE M Partner /Member 07/27/2004 9/25/2008 Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 5/26/2004 Until Released Bond $4,000.00 7/27/2004 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 EJURT00255 9/25/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJURT00256 9/25/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESWAT00257 6/15/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EBRIC01459 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01462 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01460 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01457 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01463 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01458 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC01464 1/23/2009 19.28.061 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 10/03/2011