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Home My WebLink AboutPermit EL12-1149 - POLL BUILDINGThis 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 -1149 Poll Building 3920 South 146th Street 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. POLL BUILDING 3920 S 146 ST EL12-1 149 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.: 0040000254 Address: 3920 S 146 ST TUKW Project Name: POLL BUILDING ELECTRICAL PERMIT Permit Number: EL12 -1149 Issue Date: 12/10/2012 Permit Expires On: 06/08/2013 Owner: Name: POLL TUKWILA LLC Address: 8915 SE 44TH ST , MERCER ISLAND WA 98040 Contact Person: Name: PAUL PETERSON Address: 1314 DENNY WY, SUITE 103 , SEATTLE WA, 98109 Contractor: Name: SCHNEIDER ELECTRIC INC Address: 2305 N 178 ST , SHORELINE WA 98133 Contractor License No: SCHNEEI014LC Phone: 206 - 652 -5300 Phone: 206 - 440 -0203 Expiration Date: 07/24/2013 DESCRIPTION OF WORK: RELOCATE (2) TWO 100A PANELS, PROVIDE 90A FEED TO (2) TWO HVAC UNITS, INSTALL (4) FOUR GFCI'S AND (2) TWO EXIT SIGNS. Value of Electrical: NRES: $2,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $115.50 2008 Date: l al— [ � 1 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 • - _ t does not presume t • : ' - authority to violate or cancel the provisions of any other state or local laws regulating construction or the • - ormanc ;; ;;�''yjQ' ed to sign and obtain this electrical permit. Signature: Print Name: 6/i,' G- /dv Date: /2 -/d iZ 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 -1149 Printed: 12 -10 -2012 PERMIT CONDITIONS 1 Permit No. EL12 -1149 * *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 -1149 Printed: 12 -10 -2012 CITY OF TUKWiakl. Community DevelopmRIFDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 h ttp://w ww.Tti kw i I aW A . go v Electrical Pit No. Project No. Date Application Accepted: • Date Application Expires: (tor office use orily) 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 • • King Co Assessor's Tax No.:400'.4225e,..2.:5-7/ Suite Number: 4/.6" Floor: New Tenant: El Yes 1No Site Address: 33:20 Tenant Name: 4-141e7C.,09' MIA/ a 27T /5 • PROPERTY, OWNER', ' ' • . _ Name: ,4't- heE4eZZ 4 — City: --26.- State: Am Zip:-7k- .9.. Address: rfr- c.5-- s- City:,, ..zrzo7di State:Ain Zip.yxylp CONTACT PERSON person receiving all project communication Name/4/i/1.- 4/ 4-77.4;41.2040.1/ Addressk,4,,/ 4.7_/44///x7 ,37/.27//e23...., City: --26.- State: Am Zip:-7k- .9.. Phon.e.*s_z_3:370, Fax Ph o niw 91.71, ...ozos Fax iv_ozzy EmailAW 4,ZWZreeditar,,erreiti 0 ,ten EILEORIC4 'CONTRACTOtt :11NIKIJRMAil0141: Company Name Address:./3.--- 4/ (7‘051 City:7„.62...,,,„...... State:4/4i zip,yrzo Ph o niw 91.71, ...ozos Fax iv_ozzy Contr Reg No.: Exp Date: Tukwila Business License No.; A:er Valuation of Project (contractor's bid price): $ r, Scope of Work (please provide detailed information): ,4er47 6— /At) A:4,4' At/770c- • 991 .4770 6/045C ,A/273... At!ee X.,Aefr-f ..09,240 I7 S27 Will service be altered? 11 Yes No Adding more than 50 amps? 0 Yes ,EI No Type of Use: Type of work: ID New 0 Addition 0 Service Change 0 Remodel "Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 ,Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light \\C' C° H:\Applications\Forms-Applications On Line \2011 ApplicationsTlectrical Permit Application Revised 8-9-II.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. 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 ELECTRICAL CONTRACTOR: Signature: Print N Mailing Address: Date: 1/- /° �2 Da Telephone: A5 (_ f59. r5- yr z.< -tee- 1✓,�1 'mss' City H: \Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -11. docx Revised- August 2011 bh State Z. p Page 2 of 2 • City of Tukwila �� by 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.: 0040000254 Permit Number: EL12 -1149 Address: 3920 S 146 ST TUKW Status: PENDING Suite No: Applied Date: 12/10/2012 Applicant: POLL BUILDING Issue Date: Receipt No.: R12 -03286 Payment Amount: $115.50 Initials: WER Payment Date: 12/10/2012 10:39 AM User ID: 1655 Balance: $0.00 Payee: BRYAN TODD TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 010923 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 rinr. PAr.Pint_nR PrintArl• 17_1n_7n19 INSPECTION NO. INSPECTION RECORD Retain a copy with permit Eu2 -rl�y PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 lar- Project: f `�d lid-- 61--0C1 . Type of Inspection: 2/00 Address: Date Called: Special Instructions: 30 — '1 ` oa IL l Date Wanted: a.. r ( r': Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. �' COMMENTS: Oil/. .4 • Inspector: Date: aL5 , �.s' I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P ter 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 SCHNEIDER ELECTRIC INC 2064400203 2305 N 178Th St Shoreline WA 98133 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601953858 Active SCHNEEI014LC Electrical Contractor 6/3/1999 7/24/2013 General Unused Master Electrician INFORMATION License SCHNEJJ950JQ Name SCHNEIDER, JOSEF J Status Active Business Owner Information Name Role Effective Date Expiration Date SCHNEIDER, JOSEF 01/01/1980 SCHNEIDER, JOSEF Agent 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 COLONIAL AM CAS Et SURETY OF MD LPM4054407 06/24/2001 Until Cancelled $4,000.00 08/23/2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 5/27/1999 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 No records found for the previous 6 year period https:// fortress .wa.gov /lni/bbip/Print.aspx 12/10/2012