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Home My WebLink AboutPermit EL12-0985 - KIDDER MATTHEWSThis 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 -0985 Kidder Mathews 679 Strander Boulevard 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 13 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. KIDDER MATHEWS 679 STRANDER BL EL1 2-0985 City ofi'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.: 0223300020 Address: 679 STRANDER BL TUKW Project Name: KIDDER MATTHEWS ELECTRICAL PERMIT Permit Number: EL12 -0985 Issue Date: 10/16/2012 Permit Expires On: 04/14/2013 Owner: Name: WALTON CWWA TUKWILA 1 LLC Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIF( 63134 Contact Person: Name: JEFF COY Address: 21817 88 PL S , KENT WA, 98031 Contractor: Name: CJ ELECTRICAL SUPPLY & SVCS LL Address: 24317 NE 27 PL , SAMMAMISH WA 98074 Contractor License No: CJELEES966M7 Phone: 206 395 -7545 Phone: 425 766 -7677 Expiration Date: 10/23/2012 DESCRIPTION OF WORK: HOUSE PANEL, REPLACE LAMPS AND BALLAST ON BUILDING EXTERIOR Value of Electrical: NRES: $3,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: (ku Date: $136.50 2008 I hereby certify that I have read and e =d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied ' 'th, i ether specified herein or not. The granting o • , t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio • r the pe orm• o ..I•T I am authorized to sign and obtain this electrical permit. Signatur 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 -0985 Printed: 10 -16 -2012 41 • PERMIT CONDITIONS Permit No. EL12 -0985 * *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 -0985 Printed: 10 -16 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http:/ /www. Tu kwi laW A. gov ' Pri sect. No. -.Date Application Accepted': . Date Application Expires:_ or 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 ** ri :.... Site Addres...(O 7 6771,11-4 oe bug), S� O- 'L �3o -oo2-v our , tvumber: 6,7 r lour: Tenant Name: Kir)i)fra, mierif 1J 5 - pm-Ai az New Tenant: ❑ Yes - PROPERTYOWNER Name: �L,. Name: << 1 Dien rn City: K State: 100 Zip: ?go! 6 Address:cc:, 3 1 57124 6ex V 0(4 - y City: �'144 \u1 ca State: 1 I , Zip: CONTACT PERSON,—, person receiving all' project;' communication, , .: - Name: �L,. Address: 2 l g (-7 B L S City: K State: 100 Zip: ?go! 6 PhoneZm _3T5:15- T S Fax: Email: — -a rr.0.� G c.,A,41 %. Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ft4u t e" Lis - (2.4 -45-r 07•4 1 ELECTRICAL CONTRACTOR INFORMATION . Company Name: lam -s i_Lcve Y ' �± Address: 2 1 g 1 ( -y $3 j L SS • City: veviT--- State: um. Zip: „O Phone: /L6j'�'2-7r 42-- LI 'SZ % 6 Contr ReeggtNocs $g tAxg"� Date: `/..2 2, J Tukwila Business License No.: Dig ✓ 91L LG ' Will service be altered? ❑ Yes No Type of Use: C`EJr1.0%-QR Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Pro.e : -rved bv: Puget Sound Energy ❑ Seattle City Light H:\A. 'cations \Forms-Applications On Linel201 I Applications \Electrical Permit Application Revised 8- 9- 11.docs Revis. August 2011 bh Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Telecommunication Tenant Improvement ❑ Temporary Service Page I 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 $ I0.50 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 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELEC CAL CONTRACTOR: Signature: � C Print Name: eFy Z5 Mailing Address: 2 % / 7 �-7 g' c� ' ' PL. c ' H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Day Telephone: City Date: ! ` b r l 373 -7S1f5 4M 7,903 State Zip Page 2 of 2 C� 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 Copy Reprinted on 10 -16 -2012 at 13:38:56 10/16/2012 RECEIPT NO: R12 -02876 Initials: JEM Payment Date: 10/16/2012 User ID: 1165 Total Payment: 546.00 Payee: CJ ELECTRICAL SUPPLY & SERVICES LLC SET ID: 1016 SET NAME: Temporary Set SET TRANSACTIONS: Set Member Amount EL12 -0985 EL12 -0986 EL12 -0987 EL12 -0988 TOTAL: 136.50 136.50 136.50 136.50 136.50 TRANSACTION LIST: Type Method Description Amount Payment Check 4736 546.00 TOTAL: 546.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 546.00 TOTAL: 546.00 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT' NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12,; . (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 012-071C Project: A-N 4));•(t 1 cs Type of Inspection: Address: 477 944 _ Date Called: Special Instruc ns: Date Wanted:. /,/ a.m Requester: Phone No: Fr] `Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 0 - HAim, p Date: Viy il n REINSPECTION FEE REQUIRED. Prior to next inspection. ( n. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: 3' •7%6C 03 -05 -2013 JEFF COY 21817 88 PL S KENT WA 98031 • City of .Tukwila • 7irn Haggerton; Mayor Department of Community Development JackPace; Director RE: Permit No. EL12 -0985 KIDDER MATTHEWS 679 STRANDER BL 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 04/14/2013. 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 04/14/2013, 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, File: r Marshall Technician Permit File No. EL12 -0985 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 • Phone 206431 -3670 • Fax 206-431 -3665 November 7, 2012 Citifof Tukwila Jinn Haggerton, Mayor Department of Community Development Jack Pace, Director CJ Electrical Supply & Service ATTN: Jeff Coy 21817 88th Place S Kent, WA 98031 RE: Refund for Permit Number EL12 -0985 through 0988 Kidder Mathews Buildings Dear Mr. Coy, A request for an adjustment to the job valuation for the permits EL12 -0985, EL12 -0986, EL12 -0987, and EL12 -0988 was received by the Tukwila Permit Center. The Building Official has determined that this adjustment can be made and the refund of overpayment be paid in full. Each permit was overpaid by $52.50. Enclosed is a check for a refund in the amount of $210.00 (two hundred ten dollars and no cents). Sincerely, shall ician File: Permit No. EL12 -0985, 0986, 0987, 0988 Encl: Check No. 361832 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206 -431 -3665 • MEMORANDUM TO: Laurie Anderson FROM: Brenda Holt DATE: 10/23/2012 SUBJECT: CJ Electric Permits Permit Number EL12 -0985 thru EL12 -0988 Please draw a check in the amount of $210.00 (two hundred ten dollars and zero cents) to be payable to CJ Electrical Supply & Services LLC (attention Jeff Coy) at 21817 88th PI S in Kent, Washington 98031. This is a refund is for part of the electrical permit fees paid. The applicant provided incorrect information at the time of submittal which resulted in excess permit fees being paid. The Acting Building Official has approved a full refund of the permit fees overpaid based on the change in valuation. Please provide the refund as follows: Permit Account Number Refund Amt EL12 -0985 000.322.101.00.00 $52.50 EL12 -0986 000.322.101.00.00 $52.50 EL12 -0987 000.322.101.00.00 $52.50 EL12 -0988 000.322.101.00.00 $52.50 Total Refund $210.00 Please forward the check to me and I will forward it on to the applicant. Thank you! 44 • Jennifer Marshall From: jeff coy <jffcoy @gmail.com> Sent: Friday, October 19, 2012 3:16 PM To: Jennifer Marshall Subject: Re: FW: Electrical Permits EL12 -0985 through EL12 -0988 Dear Jennifer, I am writing this letter to correct an error I made in purchasing 4 permits on 10/16/12. I incorrectly stated the value for each permit as 3000.00, when the total job value was 3000.00, or 750.00 each. The whole job scope was replacing 12 lighting ballasts and replacing 21 lamps. The permit numbers are as follows: e112 -0985 ,e112 -0986 , e112 -0987 ,e112 -0988. Thanks again for your help, I will wait for your reply. Jeff coy 206 393 7545 On Fri, Oct 19, 2012 at 10:35 AM, Jennifer Marshall < Jennifer .Marshall@tukwilawa.gov> wrote: Here you go... From: Jennifer Marshall Sent: Tuesday, October 16, 2012 3:23 PM To: 'jeffcoyftgmail.com' Subject: Electrical Permits EL12 -0985 through EL12 -0988 Jeff, I received a message from my staff that there was an issue with the valuations on the electrical permits that were issued today. In order to make any changes and begin the refund process, I will need something in writing for my files. This can be a letter mailed in or an email including an explanation of the situation and a request for the overpayment of fees to be refunded. )ennifer Marshall Permit Technician, City of Tukwila T: 206 431 -3670, F: 206 431 -3665 iennifer.marshall @tukwilawa.gov 1 Contractors or Tradespeople Printer Friendly Page • Electrical Contractor A business licensed by LEI 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 SVCS LL 4254527000 21817 88Th PI 5 Kent WA 98031 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 10/23/2014 General Unused Master Electrician INFORMATION License KOSKIWR969LG Name KOSKI, WILLIAM R 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 ECOXE00668 3/21/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 10/16/2012