HomeMy WebLinkAboutPermit EL12-0082 - LES SCHWAB TIRE CENTERThis 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 -0082
Les Schwab Tire Center
6804 South 180th Street
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
10
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.
LES SCHWAB
TIRE CENTER
6804 S 180 ST
EL1 2-0082
n
City oPi'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.: 3623049106
Address: 6804 S 180 ST TUKW
Project Name: LES SCHWAB TIRE CENTER
ELECTRICAL PERMIT
Permit Number: EL12 -0082
Issue Date: 02/01/2012
Permit Expires On: 07/30/2012
Owner:
Name: SFP B LP LTD PTNRSHP
Address: PO BOX 5350 , BEND OR
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
MARK SADAY
PO BOX 69802 , TUKWILA WA
AERIAL LIGHTING LLC
PO BOX 69802 , TUKWILA WA
Contractor License No: AERIALL908B6
Phone: 206 - 244 -2379
Phone: 206 - 244 -2379
Expiration Date: 02/02/2012
DESCRIPTION OF WORK:
INSTALL NEW 208 20A SINGLE PHASE SERVICE FOR ROTARY VEHICLE LIFTS
Value of Electrical:
NRES: $3,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$136.50
2008
Date: 2:– I— l
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 rformancft, of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: `rik0 -a.V �ii WI'
Date: 2
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 -0082
Printed: 02 -01 -2012
• PERMIT CONDITIONS •
Permit No. EL 12 -0082
* *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 -0082 Printed: 02 -01 -2012
CITY OF TUKWILA
Community Developmlepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.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 **
Site Address: ( O Ll I 1\1)
Tenant Name: .. -Se H. / / R C7
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes 0.. No
Name:
Address:
City:
State:
Zip:
Company Name: 4.56Q1 L 11017/n4 L LC
Address: pc R& 2, j9(0
City: u le 44 'f C4. State: i(� Ci ZiP f
Phone: n,66 I/7/y1 2379 Fax:
Contr Reg No. :bq�� /,SILL 06136Exp Date: (.1 )(2–.
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ ) -lJ 6
Scope of Work (please provide detailed information): / v t- 20 2(9 P %
Will service be altered? ❑ Yes 1 No Adding more than 50 amps? ❑ Yes XNo
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 \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised August 2011
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\(2)9 S-r)
Page 1 of 2
Name: 4
Si4 -i'it
Address:.
. C 0
j
City: I�t (,LJi
`C L State:l t �]CFJ
�/
Zip: / �1 ��
Phone: ,/Z / L
, F3 4 ax:
Email: ?a.{ h(�
�� 11/1
Li- CcQ
Company Name: 4.56Q1 L 11017/n4 L LC
Address: pc R& 2, j9(0
City: u le 44 'f C4. State: i(� Ci ZiP f
Phone: n,66 I/7/y1 2379 Fax:
Contr Reg No. :bq�� /,SILL 06136Exp Date: (.1 )(2–.
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ ) -lJ 6
Scope of Work (please provide detailed information): / v t- 20 2(9 P %
Will service be altered? ❑ Yes 1 No Adding more than 50 amps? ❑ Yes XNo
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 \2011 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)
4111111/41111...... xlsPlassMal.H•111.1mTlloaassimassmaassailm
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:
Date: � k / / ` 2
Print Name: S . 144 14 }� V— - 4 1� Day Telephone: &2& . 21/ L/, 2279
Mailing Address: Po 9 7 ®L — ..dc tt 7ct
H: ApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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City
9E/6e
State Zip
Page 2 of 2
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.ov
Parcel No.: 3623049106
Address: 6804 S 180 ST TUKW
Suite No:
Applicant: LES SCHWAB TIRE CENTER
RECEIPT
Permit Number: EL12 -0082
Status: PENDING
Applied Date: 02/01/2012
Issue Date:
Receipt No.: R12 -00402
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $136.50
Payment Date: 02/01/2012 01:58 PM
Balance: $0.00
MARK SADAY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 00160B
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 02 -01 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. 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:
Type of Inspection:
Address:
Date Called:
Special, Instructions:
Date Wanted:.
�'j
�w O
p.m.
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
00(-T1045 na;IE
Date: 02.../ 08 (12..._
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION 'RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 rz, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: L� !
Type of Inspection:
/00
" or 6ioaC'
Address: Address:
)70 5 /gv ST-
Date Called:
- i, srk14 c.o cxo JT ( P4 e4 a
K6
Special Instructio s:
Date Wanted:.
"'
o7
r:a.n,„�
C"t
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval. //
COMMENTS:
— 50RA-P /s Po('' f 001114 /2.-
" or 6ioaC'
— L A _ Li Pr vii MA iSrw R. C-E P
AJb ekr.
- i, srk14 c.o cxo JT ( P4 e4 a
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1 1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter 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
AERIAL LIGHTING LLC
2062442379
Po Box 69802
Tukwila
WA
98168
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602507689
Active
AERIALL908B6
Electrical Contractor
2/2/2010
2/2/2014
General
Unused
Electrical Administrator INFORMATION
License SADAYJJ902CB
Name SADAY, JIHAN J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SADAY, SAMIM MARK
Partner /Member
01/26/2010
SADAY, TAMI
Partner /Member
01/26/2010
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
2
1/26/2010
Until
Released
Bond
$4,000.00
1/26/2010
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
EJUBD00299
12/28/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 02/01/2012