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HomeMy WebLinkAboutPermit EL12-0024 - SALON 80This 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. EL12 -0024 Salon 80 981 Industry Drive RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 9 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. SALON 80 981 INDUSTRY DR EL1 2-0024 City o*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.: 2523049034 Address: 981 INDUSTRY DR TUKW Project Name: SALON 80 ELECTRICAL PERMIT Permit Number: EL12 -0024 Issue Date: 01/09/2012 Permit Expires On: 07/07/2012 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 8 PL S , KENT WA Contractor: Name: Address: Contractor License No: Phone: 206 - 255 -6855 Phone: Expiration Date: DESCRIPTION OF WORK: LIGHTING UPGRADE Value of Electrical: NRES: $1,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $115.50 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 authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Date: / — `– / 7� Print Name: CC-4( / Akrz: 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 EL12 -0024 Printed: 01 -09 -2012 PERMIT CONDITIONS • Permit No. EL12 -0024 * *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 EL12 -0024 Printed: 01 -09 -2012 y • CITY OF TUKWILA Community Development Department Permit. Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98/88 http://vvww.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (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: 981 industry drive Tukwila, wa Suite Number: Floor: Tenant Name: salon 80 PROPERTY OWNER Name: Kevin Fleek Name: Kidder math Address: 21817 8th PI S Address: 631 Strander Blvd City: Kent State: wa City: Tukwila State: wa Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Kevin Fleek Address: 21817 88th place s Address: 21817 8th PI S Phone: (425) 452 -7000 Fax: (425) 452 -7009 City: Kent State: wa Zip: 98031 Phone: (206) 255 -6855 Fax: Email: kfleek @cjlightingsolutions.com New Tenant: ❑ Yes ® ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Cj Electrical supply and service Address: 21817 88th place s City: kept State: wa Zip: 98031 Phone: (425) 452 -7000 Fax: (425) 452 -7009 Contr RegNo.: 6.0- L , gg llicr: p Date: I0 /2,27/(v 11� l Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): ura-fe Will service be altered? ❑ Yes l511 No Adding more than 50 amps? ❑ Yes Type of Use: Type ol'work: ❑ New ❑ Addition ❑ Service Change ❑ low Voltage ❑ Generator ❑ Fire Alarm Property Served bv: ® Puget Sound Energy ❑ Seattle City Light n: \Applicatums \Ibrms- Applications On L01e \201 I Applications \Electrical Pei mil Application Revised 8-9 -11 duce Revised: August 2011 bh No El Remodel ® Tenant Improvement El -telecommunication ❑ Temporary Service 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 CHANCES ❑ 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 (occluding garage or outbuilding) ❑ Carnivals .......... ...... ............................... $78.75 Number of concessions $10 50 ea PERMIT APPLICATION NOTES Value of Construction — In all cases, a value ol'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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Kevin Fleek Date: 01/06/2012 Day Telephone: (206) 255 -6855 Mailing Address: 21817 88th PL S Kent wa 98031 City H:\ Applications \Forms- Applicatlu. On I_ntcC011 Applicaoon:\Eleuriwl Pei mit Appli,,ation Revised 8 -9 -1 I duce Revised: August ^_01 I bh Stale zit? Page 2o12 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.00v Parcel No.: 2523049034 Address: 981 INDUSTRY DR TUKW Suite No: Applicant: SALON 80 RECEIPT Permit Number: EL12 -0024 Status: PENDING Applied Date: 01/09/2012 Issue Date: Receipt No.: R12 -00069 Payment Amount: $115.50 Initials: WER Payment Date: 01/09/2012 10:40 AM User ID: 1655 Balance: $0.00 Payee: DWAYNE HUMENNY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 21908G ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receipt -06 Printed: 01 -09 -2012 \INSPECTION' RECORD A Retain a copy with permit -°'t �� - INSPECTION NO . PERMIT NO. '.-CITY OF TUI WILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 k-' (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project; - : o Y0 Type of Inspection: ivv Address : V RI IA Date Called: Special tnstruction`s: Date Wanted:. ' 3 r . Requester. Phone No Approved per applicable codes. E Corrections required prior to approval. OMMENTS: Date: • r REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople *ter Friendly Page • Electrical Contractor A business licensed by Lal 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 CJ ELECTRICAL SUPPLY a SVGS LL 4254527000 24317 Ne 27Th Pt Sammamish WA 98074 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602327997 Active CJELEES966M7 Electrical Contractor 7/27/2004 10/23/2012 General Unused 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 EJORP03773 5/5/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP03772 5/5/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EBRIC01406 11/14/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01531 4/2/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 01/09/2012