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Home My WebLink AboutPermit EL12-0613 - JACKSON SHELL GAS - REDBOXThis 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 -0613 Jackson Shell Gas — Redbox 13138 Interurban Avenue South 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. JACKSON SHELL RED BOX 13138 INTERiJRBAN AV S EL12 -0613 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 Parcel No.: 0003000108 Address: 13138 INTERURBAN AV S TUKW Project Name: JACKSON SHELL GAS - REDBOX ELECTRICAL PERMIT Permit Number: EL12 -0613 Issue Date: 07/02/2012 Permit Expires On: 12/29/2012 Owner: Name: PACWEST ENERGY LLC Address: 3450 COMMERCIAL CT , MERIDIAN ID 83642 Contact Person: Name: CPT NETWORK SOLUTIONS INC Phone: (630)735 -7000 Address: 1062 THORNDALE AVE , BENSENVILLE IL, 60106 Contractor: Name: HILL ELECTRIC CORPORATION Address: PO BOX 1095 , WOODINVILLE WA 98072 -1095 Contractor License No: HILLEC *045B9 Phone: 425 485 -4321 Expiration Date: 01/29/2014 DESCRIPTION OF WORK: PROVIDE POWER TO REDBOX Value of Electrical: NRES: $330.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $67.20 National Electrical Code Edition: 2008 Date: D 770 -- // 2\ 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 o s pe mit doe ,fiot presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction •r the p- orma a of work. I am authorized 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 EL12 -0613 Printed: 07 -02 -2012 PERMIT CONDITIONS • Permit No. EL 12 -0613 * *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 -0613 Printed: 07 -02 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov _2 o (o030 Electrical Permit No. - LE). I oL O(/ 3 Project No. Date Application Accepted: (9i /o„1i / vZ Date Application Expires: 0 / /0g j1, 3 (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 Site Address: 1 3132 rurbon Ave, S King Co Assessor's Tax No.: Oa) 7o'M vt Tenant Name: JackS0n Shell C�a� Reelbc)X Suite Number: PROPERTY OWNER Name: CPi - o- Svi,44 -70(15) To C. Address: 1 O (o-. Thocvtdole AVM Name: Phone: (v3o ---i35- -7000 Fax: 6,30 —735 -7 ov l Email: vrdet'Strr) Gp+ne +Woc-115. corym Address: City: State: Zip: CONTACT PERSON — person receiving all project communication - Name: CPi - o- Svi,44 -70(15) To C. Address: 1 O (o-. Thocvtdole AVM City: Be n se-nv i tie, State: _I L Zip: 010('0 Phone: (v3o ---i35- -7000 Fax: 6,30 —735 -7 ov l Email: vrdet'Strr) Gp+ne +Woc-115. corym Floor: New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: � � Gi -eGTriC_ Co rratiO 1 Address: leo (30-)c I oq 3 V City: vuUVdoAu i !It State: WA Zip: "lc0 /Z Phone: L.1) -S -L� 5-432IFax:tf25 -yIs'S- 1302 o Contr Reg No.: RI LLE0O4569Exp Date: 0l _-Q 1o1y Tukwila Business License No.: 0 9 9.2 9 Co a Valuation of Project (contractor's bid price): $ 33 0 Scope of Work (please provide detailed information): p (-to O iciQ p��' 4-0 Beck. o i( . Will service be altered? ❑ Yes f. No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement 1 ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications'Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.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) :PERMITAPPLICATION 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 PERJUR ' Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW ►R O ' ELECTRI AL CONTRACTOR: Signature: Print Name: R oqe r D J --kl 1 Mailing Address: PC' BOX t0 ?5 Date: g -12— I Day Telephone: S -^ LI VS—L(3;4 14()Oc{ (1101 6 wTT 90 61'Z___ H: \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City 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.Qov RECEIPT Parcel No.: 0003000108 Permit Number: EL12 -0613 Address: 13138 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 07/02/2012 Applicant: JACKSON SHELL GAS - REDBOX Issue Date: Receipt No.: R12 -02026 Initials: User ID: LAW 1632 Payment Amount: $67.20 Payment Date: 07/02/2012 09:52 AM Balance: $0.00 Payee: HILL ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 06672G ACCOUNT ITEM LIST: Description 67.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 doc: Receiot -06 Printed: 07 -02 -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:,,/ f t Type of Inspection: Address: iir373i Date Called: Special Instructions: ko)&ait Date Wanted:. - me Requester: t ; Phone No: VIApproved per applicable codes. COMMENTS: ElCorrections required prior to approval. Inspector: Date: inrn\/ A 7Q S s. 0:7 n 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 Lftl 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 HILL ELECTRIC CORPORATION UBI No. 601684223 Phone 4254854321 Status Active Address Po Box 1095 License No. HILLEC*045B9 Suite /Apt. City Woodinville State WA Zip 980721095 County King Business Type Corporation Parent Company License Type Electrical Contractor Effective Date 1/29/1996 Expiration Date 1/29/2014 Suspend Date Specialty 1 General Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HILLE " "137BA HILL ELECTRIC Electrical Contractor General Unused 1/1/1987 1 / 1 / 1997 Archived Master Electrician INFORMATION License HILL*RD964KG Name HILL, ROGER D Status Active Business Owner Information Name Role Effective Date Expiration Date HILL, CHERI L Violation Amount 01/01/1980 10/8/2010 HILL, CHERI L Agent 01/01/1980 $250.00 HILL, ROGER D President 01/01/1980 ELECTRICAL CITATION 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 1/25/1996 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 ESHA000414 10/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000413 10/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01861 6/17/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/02/2012