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Home My WebLink AboutPermit EL11-1030 - PUETZ GOLFThis 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 -1030 Puetz Golf 402 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. PUETZ GOLF 402 STRANDER BL EL1 1 -1030 City oPfukwila • 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.: 0223200010 Address: 402 STRANDER BL TUKW Project Name: PUETZ GOLF ELECTRICAL PERMIT Permit Number: EL11 -1030 Issue Date: 11/15/2011 Permit Expires On: 05/13/2012 Owner: Name: FIDELITY NORTHWEST ASSOC Address: 4211 HOLLY LN , MERCER ISLAND WA Contact Person: Name: TOM CORRIGAN Address: 17555 15 AV NE , SEATTLE WA Contractor: Name: PUGET SOUND ALARM INC Address: 17555 15 AV NE , SHORELINE WA Contractor License No: PUGETSA175OH Phone: 206 - 362 -3385 Phone: 206 - 365 -3155 Expiration Date: 05/31/2013 DESCRIPTION OF WORK: INSTALL LOW VOLTAGE ALARM SYSTEM Value of Electrical: NRES: $500.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $75.60 2008 < I r / Date: 6 ` - 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 the perform- ce of w I am aut ed to d obtain this electrical permit. Signature. Print Name: -e[INS Co w Date: l I 1 151 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 -1030 Printed: 11 -15 -2011 PERMIT CONDITIONS Permit No. EL 11 -1030 * *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 -1030 Printed: 11 -15 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaW A.gov 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 ** `SI : :TELOCATiO Site Address: Tenant Name: ind Co Assessor's Tax No.: Suite Number: f'"'"<vsa.+ ka ,S HFb ., Ste. '.P C1PE�T�Y =DOWNER. ` y , :�. ,.��., Name: SAMAYMMEM Address: M0 IIMIIMMIZIMEING Floor: New Tenant: ❑ Yes 1,.No ,'ms's -err "ef .d��.r tae��,}�rei. .y�.... ELECTRICAL. C.QNt7TtAC rd,tal , iijir" ''ION Company Name: Address: /7-- Z-- Cite_ State: Zip: ge /s, Phone: >%/ : 0, —3t it czo, .10 lNo..:1,u/f Contr Reg a5 rr1 X70 p Date: CT /��, /�/ 7 1 J Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (ple e provide detailed infor ation): Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement VLow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Application \Forms- Applications On Line \2011 Application \Electrical Permit Application Revised 8 -9 -1 l.docx Revised: August 2011 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 RMI T APPPL CATION NO 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: Date: V1 I ) SI H MCorr Day Telephone: V(1' S 3155 Mailing Address: 11c JS 1S / t t NC v )/oYQ(I H:\ Applications \Fora- Application On Line\2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh VVA City State Zip Page 2 of 2 II 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 RECEIPT Parcel No.: 0223200010 Permit Number: EL11 -1030 Address: 402 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 11/15/2011 Applicant: PUETZ GOLF Issue Date: Receipt No.: R11 -02484 Payment Amount: $75.60 Initials: WER Payment Date: 11/15/2011 10:43 AM User ID: 1655 Balance: $0.00 Payee: PUGET SOUND ALARM COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 25417 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 11 -15 -2011 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 61-11-1034) 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: 'Km / Type of Inspection: 7 /0 0 Address: '] Date Called: Special Instructions: <<�� 1 E64/4 1 I / Date Wanted:. ( Q Q a r p.m. Requester: Phone No: Approved per applicable codes. 1 Corrections required prior to approval. OMMENTS: f rr • ri L--1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION lJ� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 fe. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 �u I o3o Project: C''Zfl�F Type of Inspection: 4-1 100 Address:'. Date Called: Special Instructions: Date Wanted:. a.m Requester: It; 1 Phone No: ' Approved per applicable codes. Corrections required prior to approval. COMMENTS: oe 96,,itm btd 61 i 14iNik ICCIA D4 St it- 1 %AiA4.X... 1145P o -1+1- G, it 6c0PC a( uh 2 Inspector: 4.16\ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Contractors or Tradespeople Par Friendly Page • Electrical Contractor A business licensed by Lai 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 PUGET SOUND ALARM INC 2063653155 17555 15Th Ave Ne Seattle WA 98155 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600343508 Active PUGETSA1750H Electrical Contractor 9/8/1983 5/31/2013 Limited Energy Unused Master Electrician INFORMATION License CORRIM *976K8 Name CORRIGAN, MIKE Status Active Business Owner Information Name Role Effective Date Expiration Date CORRIGAN, MICHAEL Impaired Date 01/01/1980 Received Date CORRIGAN, TOM 9/8/1983 Until Released Bond $4,000.00 9/8/1983 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 ESTRL00844 12/16/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 http s : / /fo rtre s s. wa. g ov /l ni/bbip /Print. aspx 11/15/2011