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Home My WebLink AboutPermit EL11-1126 - TUKWILA ELEMENTARY 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 -1126 Tukwila Elementary School 5939 South 149th Street 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 12 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. TUKWIIA ELEMENTARY SCHOOL 5939 S 149 ST EL1 1 -1126 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 ELECTRICAL PERMIT Parcel No.: 3597000120 Address: 5939 S 149 ST TUKW Project Name: TUKWILA ELEMENTARY SCHOOL Permit Number: EL11 -1126 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: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $78.75 National Electrical Code Edition: 2008 Date: 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 - . ority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of vyork. I am auth d to sign and obtain this electrical permit. Signature: Print Name: Date: 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 -1126 Printed: 12 -22 -2011 PERMIT CONDITIONS • Permit No. EL11 -1126 * *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 -1126 Printed: 12 -22 -2011 CITY OF TUKWILA Community Developmeepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:Pwww.TukwilaWA.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 ** King Co Assessor's Tax No.: Site Address: 5-939 /a7 � Suite Number: Floor: Tenant Name: ezq n� 4 E,d..! r# t+. ff C a arv�.�.,�. ai,a��e.�."o''�'"m�'.c9•r.,..� ,�wa 6� ��!S '>'a. "r'a�iS ,��°'`3M.., t. '2,: /i Name: ��e ( z')Address: /%, �� /2,,., � � Name: 5�ve Email:z9,t°St`G,,,,/dam /G2 t-f'%w/ °- Address: City: State: Zip: n� 4 E,d..! r# t+. ff C a arv�.�.,�. ai,a��e.�."o''�'"m�'.c9•r.,..� ,�wa 6� ��!S '>'a. "r'a�iS ,��°'`3M.., t. '2,: /i Name: ��e ( z')Address: /%, �� /2,,., � � City: / 5 f/ State: /� Zip d `, 49) � Phone ,"j___5->'‘2 )- "Fax: ,2.,),--._ )2%7- (J %1-s Email:z9,t°St`G,,,,/dam /G2 t-f'%w/ °- 2 2 New Tenant: ❑ Yes J.. No Company Name „��(..,s- Address: /9 ns--y S City: / Sf4/ State: Phony G'd j? Fax: )/ �- Cont`Rea .5 , -/ � Exp Date O/ Tukwila Business License No.; Valuation of Project (contractor's bid price): $�t/- 0 0 Scope of Work (please provide detailed information): 1 /2 0 / /C7`Z' /' /, 2 /T Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ,1 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 F1 \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.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 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: .�7 $ z /2s7 77/7/' City -" State Zip Date: /Z --/6_ Day Telephone: 2.-Ac—r2 7'2 ✓ G G ]� H:VApplicationsWorms- Applications On Line12011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 EL11 -1124 EL11 -1125 EL11 -1126 TOTAL: Amount 78.75 78.75 78.75 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. INSPECTION RECORD Retain a copy with permit P RMIT NO. CITY OF TUKWILA BUILDING DIVISION t� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: < .may Type of Inspection: 00 Address: 57375• /f r• Date Called: '\ Special Instructions: Oil ✓ • Puo \ / a:mm. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. OMMENTS: //) liCQA-voi9 ips\X Inspector: Date: a 105-/a ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPEITION NO. INSPECTION RECORD Retain a copy with permit RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 re.._ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project K • 6-6 * `� A I Type of Inspection: Address: 5�3 5 - ly sr- Date Called: -. Special Instructio s: C(Q ll n C am,. Date Wanted:. VO y a ..,11.' Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: emaitfhh-Ackilo rJ tro(,I1 ti Sci-(-W5 005 � I CIS Inspector: 'Date: 01 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. /--)</,r7/// z C a//. /t /o REVISIONS No changes shall be am to the scope of work without prior approval of Tukwila Building Division. WTI Revisions will require a new plan submittal and may include additional plan review fees. FILE COPY Permit No.. E L 4\— \`)j PI^" rrviow approval is subject to errors and orrllsirmt ir; r .4xa! of construction documents loos not authcthe ti;:: Jiatinn of any adopted code or ordinance. Reccir t o� ;proved F e,d Copy and conditions ' owisdg4 Date: l Z - z z– Cry ¶f Tukwila ECi:w.,:vC DIVISION �LI1-llz0 SEPARATE PERMIT REQUIRED FOR: (Mechanical ❑ Electrical [Plumbing G as Piping ') "j of Tukwila ►' -'iN DIVISION REVIEWED l-UI•t COMPLIANCE WITH NFPA7O -NEC 2 6 2011 City of Tukwila BUILDING DIVISION RECEIVED DEC 16 2011 PERMIT CENTER • PLAN KEv • TING SLIP ACTIVITY NUMBER: EL11 -1126 DATE: 12 -16 -11 PROJECT NAME: TUKWILA ELEMENTARY SCHOOL SITE ADDRESS: 5939 S 146 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: 0-- uuilding / /��Diivision MID Public Works n Fire Prevention Structural n Planning Division Permit Coordinator pi DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 12 -20 -11 Complete Comments: Incomplete Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 01 -17 -12 Not Approved (attach comments) 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 Peer Friendly Page • Electrical Contractor A business licensed by L&l 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 LAKESEI101 MC 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 S250.00 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 S250.00 EJORP03858 6/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 12/22/2011