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HomeMy WebLinkAboutPermit EL12-0585 - WALGREENSThis 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 -0585 Walgreen's 13035 Gateway 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. WALGREENS 13035 GATEWAY DR EM1IRED 12 -22 -12 EL1 2-0585 Parcel No.: Address: City oftukwila 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 0004800015 13035 GATEWAY DR TUKW Project Name: WALGREENS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0585 06/25/2012 12/22/2012 Owner: Name: Address: Contact Person: Name: Address: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE AZ 85261 DOUG JARVIS PO BOX 266 , HOBART WA, 98025 Contractor: Name: D J ELECTRIC & CONSTRUCTION Address: P 0 BOX 266 , HOBART WA 98025 Contractor License No: DJELECI027L9 Phone: 206 396 -2856 Phone: 425 432 -2513 Expiration Date: 06/29/2012 DESCRIPTION OF WORK: RENEWAL FOR PERMITS EL 11-0184 & EL11 -0941 - RELOCATE EXISTING CUBICLE CIRCUITS TO NEW CUBICLES Value of Electrical: NRES: $3,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $136.50 2008 Date: I hereby certify that I have read and xami ed 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 per construction or the p ve authority to violate or cancel the provisions of any other state or local laws regulating - ' - d to sign and obtain this electrical permit. 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 EL12 -0585 Printed: 06 -25 -2012 PERMIT CONDITIONS Permit No. EL12 -0585 * *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 -0585 Printed: 06 -25 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. S L1 Z - D71/7 Project No. Date Application Accepted: £Ull 14 (( L 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: 13035 Gateway Drive Suite Number: Floor: Tenant Name: Walgreens PROPERTY OWNER Name: Doug Jarvis Address: Box 266 Name: Address: Box 266 Contr Reg No.: DJELECI027L9 Exp Date: (jCl(JLI Address: City: Hobalt State: WA City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Doug Jarvis Address: Box 266 City: Hobart State: WA Zip: 98025 Address: Box 266 Contr Reg No.: DJELECI027L9 Exp Date: (jCl(JLI Tukwila Business License No.: n , 0IGOV) City: Hobalt State: WA Zip: 98025 Phone: (206) 396 -2856 Fax: (425) 432 -2513 Email: New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: D J Electric & Construction Address: Box 266 City: Hobart State: WA Zip: 98025 Phone: (206) 396 -2856 Fax: (425) 432 -2513 Contr Reg No.: DJELECI027L9 Exp Date: (jCl(JLI Tukwila Business License No.: n , 0IGOV) Valuation of Project (contractor's bid price): $ VOV Scope of Work (please provide detailed information): RESUBMIT FOR EXPIRED PERMIT EL 11 -0184 & EL11 -0941 - RELOCATE EXISTING CUBICLE CIRCUITS TO NEW CUBICLES Will service be altered? ❑ Yes © No Adding more than 50 amps? ❑ Yes 0 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 \20I I Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Page 1 oft 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 PERMIT APPLICATION NOTES - 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. 1 HEREBY CERTIFY THAT 1 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 ! ' ELE.e421 �• L CONT • t CTOR: Signature: A ■P'011-4/111111111ra Print Name: Doug Jarvis Day Telephone: (206) 396 -2856 Mailing Address: Box 266 Hobart WA 98025 Date: (1/ City H:\ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh State Zip Page 2 of 2 Cit, 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. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R12 -01971 Initials: JEM Payment Date: 06/25/2012 User ID: 1165 Total Payment: 252.00 Payee: D.J. ELECTRIC & CONSTRUCTION, INC. SET ID: 0625 SET NAME: D J ELECTRIC SET TRANSACTIONS: Set Member EL12 -0582 EL12 -0584 EL12 -0585 TOTAL: Amount 115.50 68.25 68.25 115.50 TRANSACTION LIST: Type Method Description Amount Payment Check 11289 252.00 TOTAL: 252.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 252.00 TOTAL: 252.00 11 -01 -2012 DOUG JARVIS PO BOX 266 HOBART WA 98025 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL12 -0585 WALGREENS 13035 GATEWAY DR TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/22/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 12/22/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. ELI2 -0585 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Prater 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 D J ELECTRIC a CONST INC 4254322513 Po Box 266 Hobart WA 98025 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601872945 Active DJELECI027L9 Electrical Contractor 6/29/1998 6/29/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status DJENT "022BTDJENTERPRISES Agent Electrical Contractor General Unused 1/30/1998 1/30/2000 Archived TRIWEE1051D4TR1 WEST ENTERPRISES INC Electrical Contractor General Unused 3/24/1995 3/24/2001 Archived Master Electrician INFORMATION License JARVIVD96209 Name JARVIS, VIRGIL D Status Active Business Owner Information Name Role Effective Date Expiration Date JARVIS, VIRGIL D Violation Amount 01/01/1980 3/25/2010 JARVIS, VIRGIL D Agent 01/01/1980 $250.00 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 4/7/2000 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 EMEHU03260 3/25/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 06/25/2012