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HomeMy WebLinkAboutPermit EL12-1132 - 6840 FORT DENT WAY - VACANT SUITEThis 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 -1132 Pepperwood Holdings - Vacant Suite 6840 Fort Dent Way 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. VACANT SUITE 6840 FORT DENT WY EL12-1 132 A w City �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.: 2954900425 Address: 6840 FORT DENT WY TIIKW Project Name: VACANT SUITE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -1132 12/04/2012 06/02/2013 Owner: Name: PEPPERWOOD HOLDINGS LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: COREY MCKINNON Address: 7056 S 220 ST , KENT WA, 98032 Contractor: Name: SEA TAC ELECTRIC INC Address: 7056 S 220TH ST , KENT WA 98032 Contractor License No: SEATAEI077RW Phone: 253 872 -2354 Phone: Expiration Date: 12/17/2013 DESCRIPTION OF WORK: ADD UP TO (4) NEW OUTLETS ON EXISTING CIRCUITS. MOVE (1) OUTLET. Value of Electrical: NRES: $700.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied Fees Collected: National Electrical Code Edition: $84.00 2008 Date: 14 V" ` 12 ed this permit and know the same to be true and correct. All provisions of law and ordinances Nether specified herein or not. The granting of this permit does not pre construction os.(he performance of wor Signature: Print Name: to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. Date: /Z. / Z✓ 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 -1132 Printed: 12 -04 -2012 • PERMIT CONDITIONS • Permit No. EL12 -1132 * *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 -1132 Printed: 12 -04 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. V�2 1 I 91- Project No. Date Application Accepted: Date Application Expires: r---- (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: 6840 FORT DENT WAY King Co Assessor's Tax No.: 221c-1410 2c Suite Number: 120 Tenant Name: \cM DVM PROPERTY OWNER Name: COREY MCKINNON Name: JC RADOVICH City: KENT State: WA Zip: 98032 Address: 6840 FORT DENT WAY Email: corey.m @seatacelectric.com City: TUKWILA State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: COREY MCKINNON Address: 7056 S. 220TH STREET City: KENT State: WA Zip: 98032 Phone: (253) 872 -2354 Fax: (253) 872 -4112 Email: corey.m @seatacelectric.com New Ten : t: g Yes ® .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: SEA -TAC ELECTRIC, INC. Address: 7056 S. 220TH STREET City: KENT State: WA Zip: 98032 Phone: (253) 867 -2354 Fax: (253) 872 -4112 Contr Reg No.: SEATAEI077RW Exp Date: 12/01/2013 Tukwila Business License No.: 01 -212 Valuation of Project (contractor's bid price): $ 700 Scope of Work (please provide detailed information): ADD UP TO (4) NEW OUTLETS ON EXISTING CIRCUITS. MOVE (1) OUTLET. INCLUDE THE RELOCATION, REMOVAL AND INSTALLATION OF MISC ELECTRICAL SYSTEMS PERTAINING TO THE AFOREMENTIONED SCOPE OF WORK Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes I1 No Type of Use: COMMERCIAL Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: VI Puget Sound Energy ❑ Seattle City Light H:1Applications'Fornts- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9.1 l.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) 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 OR ELECTRICAL CONTRACTOR: Signature: , � ,� - � /� Date: 12/04/2012 Print Name: IAN EDMUNDS Mailing Address: 7056 S. 220TH STREET H.AApplications \Forms- Applications On Line\2011 Applications \Electrical Permit Application Revised 8 -9 -I I_docx Revised .August 2011 bh Day Telephone: (253) 867 -2354 KENT WA 98032 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.gov Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Suite No: Applicant: VACANT SUITE RECEIPT Permit Number: EL12 -1132 Status: PENDING Applied Date: 12/04/2012 Issue Date: Receipt No.: R12 -03248 Initials: JEM User ID: 1165 Payment Amount: $84.00 Payment Date: 12/04/2012 01:16 PM Balance: $0.00 Payee: THOMAS HARGREAVES, SEA TAC ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 004680 ACCOUNT ITEM LIST: Description 84.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 rtnr. RArpint -(1R PrintMMP 17- (14_7019 INSPECTION-RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. (tiZ=.1131- CITY OF TUKWILA BUILDING DIVISION 1 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: / -r5L/ Type of Inspection: 00 Address: Ytt f:;. t0 Date Called: Special Instructions: Date Wanted:. �� J 7 P. Requester: Phone No: RI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 1 Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Calf to schedule reinspection:, INSPECTION- R,CORD. 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: Type of Inspection _ Address: V690 Fr. bt'_ fr- 1N Date Called: Special Instructions: Date Wanted: f/��m. Requester: Phone No: ❑Approved per applicable codes. DCorrections required ,Prior to approval COMMENTS: DA' Inspector: tAiNtA c..9J Kfaepo4 4 ❑ REINSPECTION FEE REQUIRED. Prior to next inspection fee must: be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule -_rinspection: Contractors or Tradespeople loiter Friendly Page • Electrical Contractor A business licensed by L &I 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 SEA TAC ELECTRIC INC 2538725553 7056 S 220Th St Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601510212 Active SEATAEI077RW Electrical Contractor 12/16/1993 12/17/2013 General Unused icenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status LIGHTSJ897QN LIGHTHORSE SEATAC JV Construction Contractor General Unused 11/9/2011 11/9/2013 Active SEATAEC131QC SEA -TAC ELECTRICAL CONTRACTORS Electrical Contractor General Unused 11/3/1987 11/3/1995 Archived Master Electrician INFORMATION License HARGRT'974CD Name HARGREAVES, TOM Status Active Business Owner Information Name Role Effective Date Expiration Date HARGREAVES, TOM Agent 12/17/1993 Bond Amount HARGREAVES, TOM President 12/17/1993 798649C BEAN, ERIC Secretary 12/10/2008 BEAN, ERIC Treasurer 12/10/2008 MERCHANTS BONDING CO (MUTUAL) JORDAN, TOM Vice President 01/01/2002 01/22/2009 HARGREAVES, KATHERINE Secretary 12/17/1993 12/10/2008 BURKS, ROY Vice President 12/17/1993 12/15/1995 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date. Cancel Date Impaired Date Bond Amount Received Date 6 DEVELOPERS SURETY & INDEM CO 798649C 12/16/2008 Until Cancelled $4,000.00 12/03/2008 5 MERCHANTS BONDING CO (MUTUAL) WA11373 12/16/2004 Until Cancelled 01/22/2009 $4,000.00 12/17/2004 Assignment of Savings Information Savings 1 Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 12/16/1993 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 https://fortress.wa.gov/lni/bbip/Print.aspx 12/04/2012