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Home My WebLink AboutPermit EL12-0965 - LABOR & INDUSTRIESThis 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 -0965 Labor and Industries 12806 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. LABOR & INDUSTRIES 12806 GATEWAY DR EL1 2-0965 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.: 2716000050 Address: 12806 GATEWAY DR TUICW Project Name: LABOR & INDUCTRIES ELECTRICAL PERMIT Permit Number: EL12 -0965 Issue Date: 10/11/2012 Permit Expires On: 04/09/2013 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: DOUG JARVIS Phone: 206 - 396 -2856 Address: 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: 425 432 -2513 Expiration Date: 06/29/2014 DESCRIPTION OF WORK: RELOCATE 2 EXISTING 20A 120V RECEPTACLES, 2 TELE /DATA STUBS Value of Electrical: NRES: $550.00 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: $75.60 2008 Date: 60— 1 1 —'Z. 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 es �Cres to • 've authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf �%'° • authorizeckto sign and obtain this electrical permit. Signature: Print Name: Date: /0 —/A—/ 7 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 -0965 Printed: 10 -11 -2012 • PERMIT CONDITIONS Permit No. EL12 -0965 * *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 -0965 Printed: 10 -11 -2012 CITY OF TUKWW Community Developm epartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Pet Project No. Date Application Accepted:. Date.Application Expires: _(For offta It he 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 l King Co Assessor's Tax No.: Site Address: l 2 'mP ' G�lt/�� "W�/ +�� Suite Number: Floor: Tenant Name: �/'1'B40/< <i ...Z.-44 d1S1X !Lf 5' New Tenant: ❑ Yes No PROPERTY OWNER ' - person receiving all project ' Name: City: /Iv B r State: G/,C- QU'tS Address: uo c. Contr Reg Nob zez4, G.Io ZTL 9p Date: City: State: Zip: CONTACT PERSON communication -, - person receiving all project Address: aml) Rave ?...6,4. Name: bee) C City: /Iv B r State: G/,C- QU'tS Address: 19)( uo c. Contr Reg Nob zez4, G.Io ZTL 9p Date: City: Aced3647-- State: w4 Zip9p,21— Phone: 0.m6 x910 c7Fax:Zr^9��s -73 ��P 7 Email: ELECTRICAL• CONTRACTOR INFORMATION' Company Name: 2) , 3-, CZG-_,T. C' s7 .^ Address: aml) Rave ?...6,4. City: /Iv B r State: G/,C- Zip: ? i'D a Phone: e,orv. 3 7,6 a esiz Fax: vu- v3 -C7 3 Contr Reg Nob zez4, G.Io ZTL 9p Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ S 5.719 • 40, Scope of Work (please provide detailed information): IC". L C01-77.-- _ L- X c S r! #.,4- r4" l7'[/ g - � ' s!`-" ? s Will service be altered? ❑ Yes ,LNo Adding more than 50 amps? ❑ Yes f 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 C UL V H:\Apphcanons \Forms - Applications On Line \201 I Applications\Electncal Permit Application Revised 8 -9 -1 Ldocx 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 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE L WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER E ' CT IC. O RACTOR: Signature: � Date: / 7 / Z- Print Name: (/ 1�� yevrs Day Telephone: ?e6 3p6 2-9 -S`s� Mailing Address: o.$4 242 6 A 7- GJ# gee9a -- City State Zip H:\Applicauons \Forms - Applications On Ltne\201 I Applications\Electncal Permit Application Revised 8- 9- 11 .docx Revised: August 2011 bh 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.gov RECEIPT Parcel No.: 2716000050 Permit Number: EL12 -0965 Address: 12806 GATEWAY DR TUICW Status: PENDING Suite No: Applied Date: 10/11/2012 Applicant: LABOR & INDUCTRIES Issue Date: Receipt No.: R12 -02838 Payment Amount: $75.60 Initials: WER Payment Date: 10/11/2012 09:59 AM User ID: 1655 Balance: $0.00 Payee: D J ELECTRIC & CONSTRUCTION INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11365 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receipt -06 Printed: 10 -11 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY` OF`TUKWILA BUILDING DIVISION 6300 :Southcenter Blvd., #100, Tukwila. WA 98188 tZ (206) 431 -3670 P.errnit Inspection Request Line (206) 431 -2451 t (1.1 2-0to Project: l` , ( Type of Inspection: 2.1O0 Address:, 0706 ; ‘�`` l Date Called: Special Instructions:. . J( Or I. Ti, . V' ". . Dv IDate Wanted:. �(i / / a.m.` p.m. Requester: Phone No. Approved per applicable codes. Corrections required prior to approval. COMMENTS: 11: r Inspector: hri I Date: /o /� ,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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company D J ELECTRIC ft 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 her Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status DJENT * *022BT D J ENTERPRISES 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 JARVIVD962O9 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 10/11/2012