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HomeMy WebLinkAboutPermit EL12-1003 - MADRONA FOODSThis 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 -1003 Madrona Foods 18300 Cascade Avenue 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. MADRONA FOODS 18300 CASCADE AV EL1 2-1003 City o. 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 Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Project Name: MADRONA FOODS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -1003 10/19/2012 04/17/2013 Owner: Name: RIVERPOINT TWO LLC Address: PO BOX 20399 , SEATTLE WA 98102 Contact Person: Name: BUTCH HUMPHRES Phone: Address: 855 TROSPER RD # 108, BOX 365 , TUMWATER WA, 98572 Contractor: Name: S & H ELECTRIC INC Address: 855 TROSPER RD # 108 , TUMWATER WA 98512 Contractor License No: SHELEI *044JZ Phone: Expiration Date: 206 - 793 -2421 360 352 -1621 04/10/2014 DESCRIPTION OF WORK: CONDUIT ONLY PERMIT. 15 KVA UPS UNIT APPLICATION (WITH PLAN REVIEW) TO FOLLOW. Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: Permit Center Authorized Signature: 1A. Fees Collected: National Electrical Code Edition: $63.00 2008 Date: t ( ` 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 the performance of work. I am au horized to sign and obtain this electrical permit. Signature: Print Name: Z-Aez_ c f/.ter. e,S Date: /0 // tom-.. 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 -1003 Printed: 10 -19 -2012 PERMIT CONDITIONS Permit No. EL 12 -1003 * *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 -1003 Printed: 10 -19 -2012 CITY OF TUKW Community Developm epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /wwvv.TukwilaWA.v.ov Electrical Pet No Pro�ectTlo _ Date Application Accepted:._ Date Application Expires: (For ofce 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: Arda, eA5c4oe Tenant Name: 17 4 e-eNi ©/ King Co Assessor's Tax No.: Suite Number: PROPERTY OWNER Name: 4GL`7C /1 Wa,c)1,10h1,e-e- S Address: Name: R5-c-2_ PhonVi)d_7 2``� / Fax:o� �J� 79S :,�`7 L Email: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: 4GL`7C /1 Wa,c)1,10h1,e-e- S Address: City: State: R5-c-2_ PhonVi)d_7 2``� / Fax:o� �J� 79S :,�`7 L Email: New Tenant: Floor: o2- Yes ❑.. No ELECTRICAL CONTRACTORINFORMATION Company Na -vi ` FL ETp2 -(G J N G [� Address�.��6ed-�pee /l e 0 X35 City': r ria4 Ee Sta 4 Zip9f 7i2 Phon�,7� 79 ax ,��—s- X Contr Reg N x / &z./ ,cejw.1 Date: V_1_,20/ Tukwila Business License No.; 1i Valuation of Project (contractor's bid price): $ 4- -As. ©t2 Scope of Work (please provide detailed information): Xid CU-7Z / 9 ,Ppi ".96 Czm11 /Y Will service be altered? ❑ Yes � + No Adding more than 50 amps? - Type of Use: - F/(/ . 9/A -Cif df iGti= Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: \ApplicationsTorms- Applications On Line \20I I Applications\Electncal Permit Application Revised 8.9 -I l.docx Revised: August 2011 bh ❑ Remodel ❑ Yes /171No enant Improvement ❑ Telecommunication ❑ Temporary Service 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. 1 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: f2/ (, Date: /6 —1? —7°2- 7°2- Print Name: �� f /G2 Day Telephone�0 — 3 '�"! Mailing Addressi53'72,P S, X /lam jDk /� /a4% �% g+937.2 H:Wpplications\Forms- Applications On Line\201 I Applications\Electncal Permit Application Revised 8 -9.1 I.docx Revised: August 2011 bh City te 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.gov Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Suite No: Applicant: MADRONA FOODS RECEIPT Permit Number: EL12 -1003 Status: PENDING Applied Date: 10/19/2012 Issue Date: Receipt No.: R12 -02917 Payment Amount: $63.00 Initials: WER Payment Date: 10/19/2012 02:20 PM User ID: 1655 Balance: $0.00 Payee: S & H ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8872 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 rinr• RPrvint_nf Printari• 1 n -1 Q -2n17 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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: ff , Type of Inspection: - Address: 'iy300 /J_ _ (/�� {t Date Called: Special Instructions: Date Wanted:. /� �/ a.m, .p.m. Requester: Phone No: ® Approved per applicable codes. Corrections required prior to approval. COMMENTS: it:4)11,/ n REINSPECTION FEE REQUIRE . Prior to next inspection, fee, must Ise' 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 S a H ELECTRIC INC 3603521621 855 Trosper Rd #108 BOX 365 Tumwater WA 98512 Thurston Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601703614 Active SHELEI'044JZ Electrical Contractor 4/9/1996 4/10/2014 General Unused Electrical Administrator INFORMATION License SCHWESR9320J Name SCHWENK, SCOTT R Status Active Business Owner Information Name Role Effective Date Expiration Date HUMPHRES, EARL Agent 04/09/1996 9/17/2012 HUMPHRES, BRIAN President 01/18/2011 $250.00 HUMPHRES, EARL Vice President 01/18/2011 ELECTRICAL CITATION SMITH, WILLIAM H Member 04/09/1996 01/03/2011 HUMPHRES, TERRI Secretary 04/09/1996 01/03/2011 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 4/8/1996 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 EPEJP00335 9/17/2012 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EVANC00253 3/12/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC00799 4/25/2007 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EHATR00288 7/10/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https:// fortress .wa.gov /lni/bbip/Print.aspx 10/19/2012