HomeMy WebLinkAboutPermit EL11-1124 - SHOWALTER MIDDLE SCHOOLThis 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 -1124
Showalter Middle School
4628 South 144th Street
RECORDS DIGITAL D- ) EXEMPTIO
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
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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
11
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
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SHOWALTER MIDDLE
SCHOOL
4628 S 144 ST
EL1 1 -1124
City oikukwila
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.: 1523049164
Address: 4628 S 144 ST TUKW
Project Name: SHOWALTER MIDDLE SCHOOL
ELECTRICAL PERMIT
Permit Number: EL11 -1124
Issue Date: 12/22/2011
Permit Expires On: 06/19/2012
Owner:
Name: TUKWILA SCHOOL DISTRICT
Address: 4640 S 144TH ST , TUKWILA WA
Contact Person:
Name: PAT BOYD
Address: 19754 SE 128 WY , ISSAQUAH WA
Contractor:
Name: LAKES ELECTRIC INC
Address: 19754 SE 128 WY , ISSAQUAH WA
Contractor License No: LAKESEI101MC
Phone: 206 - 423 -6239
Phone: 206 235 -9786
Expiration Date: 07/03/2012
DESCRIPTION OF WORK:
INSTALL (1) 120 VOLT CIRCUIT
Value of Electrical: NRES: $250.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$78.75
National Electrical Code Edition: 2008
Date: l )--)- v 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 giv thority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance ojwork. I am au oyed to sign and obtain this electrical permit.
Signature:
Print Name:
Date: / — Z' /f
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 -1124 Printed: 12 -22 -2011
PERMIT CONDITIONS •
Permit No. EL 11 -1124
* *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 -1124 Printed: 12 -22 -2011
CITY OF TUKWILA
Community Developme'°epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /; www. Tukwi laW 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 **
Site Address: s-:
King Co Assessor's Tax No.:
Suite Number: Floor:
Tenant Name: ��/ O%' r�i �G//l�e New Tenant: ❑ Yes ❑.. No
Company Namek ,f4,'
Address >” cy S/— /2 /T f /%
City: / ✓ S State:` // Zip y
Phone`, Y.1 ,(2 31 Faxvzi__yi /�
Contr Rea No
L ,�/fJ c` / v' //t'JC Exp Date: 2/ z
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ .S P.-
Scope of Work (please provide detailed information): ,/ /2. 0 �r2 // �� ✓��
Will service be altered? ❑ Yes jEr No Adding more than 50 amps? ❑ Yes Agr No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line\201 I Applications\Electrical Permit Application Revised 8- 9- 11 .docx
Revised August 2011
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Page 1 of 2
Name: /,-.74,7-0,,,-- cJ�? yz,
Name:
. fi lG'-'17)
Phone io,:_ j �2,S-,?Fax:1S _
Address:
Emai/Y`'_ ,Cv: 1 / A'
P'V/fi/t
City:
State:
Zip:
Company Namek ,f4,'
Address >” cy S/— /2 /T f /%
City: / ✓ S State:` // Zip y
Phone`, Y.1 ,(2 31 Faxvzi__yi /�
Contr Rea No
L ,�/fJ c` / v' //t'JC Exp Date: 2/ z
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ .S P.-
Scope of Work (please provide detailed information): ,/ /2. 0 �r2 // �� ✓��
Will service be altered? ❑ Yes jEr No Adding more than 50 amps? ❑ Yes Agr No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line\201 I Applications\Electrical Permit Application Revised 8- 9- 11 .docx
Revised August 2011
bh
Page 1 of 2
Name: /,-.74,7-0,,,-- cJ�? yz,
Address 9/,S_` jz-- /2. s / �zkii
City: 757-_,‘ State:77 ,7 Zip9 13.7 tz,"
Phone io,:_ j �2,S-,?Fax:1S _
/ CS% _
Emai/Y`'_ ,Cv: 1 / A'
P'V/fi/t
Company Namek ,f4,'
Address >” cy S/— /2 /T f /%
City: / ✓ S State:` // Zip y
Phone`, Y.1 ,(2 31 Faxvzi__yi /�
Contr Rea No
L ,�/fJ c` / v' //t'JC Exp Date: 2/ z
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ .S P.-
Scope of Work (please provide detailed information): ,/ /2. 0 �r2 // �� ✓��
Will service be altered? ❑ Yes jEr No Adding more than 50 amps? ❑ Yes Agr No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line\201 I Applications\Electrical Permit Application Revised 8- 9- 11 .docx
Revised August 2011
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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
'PERMTT7
TIO]
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 CONTRAS' FCR:
Signature:
Print Name: /— �/ U O •
Mailing Address: r 9 s 9 8 1 — " / / , / 1 1 1 /
H:\Applications\Forms- Applications On Line12011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised. August 2011
bh
Day Telephone:
/sf41
City
Date: /,2 / I' —/ /
X7�� 9'822
State Zip
Page 2 of 2
SET RECEIPT
RECEIPT NO: R11 -02746
Initials: Payment Date: 12/16/2011
User ID: 1655 Total Payment: 236.25
Payee: LAKES ELECTRIC INC
SET ID: 121611 SET NAME: SCHOOLS
SET TRANSACTIONS:
Set Member Amount
EL11 -1124 78.75
EL11 -1125 78.75
EL11 -1126 78.75
TOTAL: 78.75
TRANSACTION LIST:
Type Method Description Amount
Payment Check 10955 236.25
TOTAL: 236.25
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
ELECTRICAL PLAN - NONRES 000.345.832.00.0
189.00
47.25
TOTAL: 236.25
INSPECTION NO.
INSPECTIONRECORD
Retain a copy with permit
6uf 1111
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: tolIC
Type of Inspection: 00 `\
Address:
1/621 s.
Date Called:
Special Instructions:
C , , OS Ill (
Date Wanted:. l D
a.m'
p.m.
Requester: /y�
Phone No: ii2d..5 o l ,8
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
yz° "C
REVISIONS
No changes shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Revisions will require a new plan submittal
and may include additional plan review fees.
FILE COPY
POI review approval Is subject to oars and omissions.
k' .viva! of construction documents does not authorize
1i .:orlon of any adopted code or ordi Receipt
of .proved Field Copy and conditions is : viedgad:
City Of 1Ukwila
BULLING DIVISION
Ltl- I
/71fri
/2 O l G1,�
SEPARATE PERMIT
REQUIRED FOR:
erMec hanical
D Eleatriad
(rPI mbing
atlas Piping
City of Tukwila
BtiiIDING DIVISION
REVIEWED FOR
COMPLIANCE WITH
NFPA 70 - NEC
2 0 2011
City of Tukwila
BUILDING DIVISION
RECEIVED
DEC 16 2011
PERMIT CENTER
• •
PE Y PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: EL11 -1124 DATE: 12 -16 -11
PROJECT NAME: SHOWALTER MIDDLE SCHOOL
SITE ADDRESS: 4628 S 144 ST
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
BB/wiv
Buildin Division ir I
Public Works
Fire Prevention
Structural
Planning Division
Permit Coordinator
n
1
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12-20-11
Complete
Incomplete
n
Not Applicable
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping El PW ❑ Staff Initials:
LETTER OF COMPLETENESS MAILED:
TUES /THURS ROUTING:
Please Route
Structural Review Required
❑ No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
DUE DATE: 01 -17 -12
Approved n Approved with Conditions IX'.
Not Approved (attach comments)
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing slip.doc
2 -28 -02
Contractors or Tradespeople Pr 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
LAKES ELECTRIC INC
2064236239
19754 Se 128Th Way
Issaquah
WA
98027
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601249946
Active
LAKESEI101MC
Electrical Contractor
7/3/1990
7/3/2012
General
Unused
Electrical Administrator INFORMATION
License BOYD *P'101CC
Name BOYD, PAT
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BOYD, PAT M
Violation Amount
01/01/1980
6/8/2010
BOYD, KATHY A
ELECTRICAL CITATION
01/01/1980
$250.00
WICHMAN, BRIAN
Agent
01/01/1980
ELECTRICAL CITATION
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
5/24/1990
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
EJORP03856
6/8/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP03858
6/8/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 12/22/2011