HomeMy WebLinkAboutPermit EL13-0343 - WALGREENS - REMODEL
This 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.
EL13-0343
Walgreens
13035 Gateway Dr
DIGITAL RECORDS (DR) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Code Exemption Brief Explanatory Description Statute/Rule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals’ social security
Personal Information –
numbers are redacted to protect those
Social Security Numbers 5 U.S.C. sec.
individuals’ privacy pursuant to 5 U.S.C. sec.
DR1 Generally – 5 U.S.C. sec. 552(a); RCW
552(a), and are also exempt from disclosure
under section 42.56.070(1) of the Washington
552(a); RCW 42.56.070(1)
State Public Records Act, which exempts under
42.56.070(1)
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information –
expiration dates, or bank or other financial
RCW
10 DR2 Financial Information –
account numbers, which are exempt from
42.56.230(5)
disclosure pursuant to RCW 42.56.230(5)
RCW 42.56.230(4 5)
,
except when disclosure is expressly required by
or governed by other law.
WALGREENS
13035 GATEWAY DR
EXPIRED
10-09-13
EL1 3-0343
City di/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.: 0004800015
Address: 13035 GATEWAY DR TUKW
Project Name: WALGREENS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL13-0343
04/11/2013
10/08/2013
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:
RENEWAL FOR PERMITS EL11-0184, EL11-0941, & EL12-0585 - RELOCATE EXISTING
CUBICLE CIRCUITS TO NEW CUBICLES
Value of Electrical: NRES: $3,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be com
The granting of thi
construction or e
Fees Collected: $136.50
National Electrical Code Edition:
Date:
2008
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
Signature:
to give authority to violate or cancel the provisions of any other state or local laws regulating
uthorized to sign and obtain this electrical permit.
Print Name:
(('c.-,() ,•.;1--,2x/r 3
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
EL13-0343 Printed: 04-11-2013
1111
• PERMIT CONDITIONS
Permit No. EL13-0343
**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
EL13-0343 Printed: 04-11-2013
CITY OF TUKW41
Community Developm. Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukw ilaW A .gpv
Electrical Pe. .<it No.
Project No.
Date Application Accepted:
Date Application Expires:-
(For::oj
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 Address: / 3O 3 S
King Co Assessor's Tax No.: W- t LO 0 OI
Tenant Name:
PROPERTY OWNER
77��
Name: DCc'c,9 q. ,J�l'"v S
Name: _
Crape
Address: Q D fp-, (7\,4
ti 6t 1 Vv
City: 6c40 p
- State:
Zip: Kzk
CONTACT PERSON.=_person receiving all project.
communication
77��
Name: DCc'c,9 q. ,J�l'"v S
Address: (2(2p �67
City:,'e-� States,
`` CC
Zip: 9sca
Phone:0_3 agF,a ;,r`
Email:
s
Suite Number: Floor:
New Tenant: ❑ Yes APILNo
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 3 LZ(. -rte( (
Address: ".�x ___(,2 G_'
City: �_ State: „6L
Zipc� 2 j
L
Phone: Z,,P 36.22E
Contr Reg No6/f.—Gi2-7Fc?,ate:
Tukwila Business License No.; Imo' c (/3
17114
Valuation of Project (contractor's bid price): $ c_1-,C1:3e9C (CO
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes --No Adding more than 50 amps? ❑ YesNo
Type of Use:
Type of work:
O New 0 Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy Seattle City Light
H \Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11 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_;A>'P"LX ATS 0
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 TH. AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN NTRACTOR:
Signature: j//�" �✓
Print Name:
Mailing Address:
H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-0-! 1 docx
Revised August 2011
bh
Date:
Day Telephone: 412
61-2.4f—
(3
Pcfo L
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.: 0004800015
Address: 13035 GATEWAY DR TUKW
Suite No:
Applicant: WALGREENS
RECEIPT
Permit Number: EL13-0343
Status: PENDING
Applied Date: 04/11/2013
Issue Date:
Receipt No.: R13-01288
Payment Amount: $68.25
Initials: JEM Payment Date: 04/11/2013 11:30 AM
User ID: 1165 Balance: $0.00 .
Payee: D.J. ELECTRIC & CONSTRUCTION, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11488 68.25
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 68.25
Total: $68.25
arinfarl• nA_1 L9M'3
r
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
£J,o3Lf3
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 v.. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
4
Project: jAttotkx€61
j�
Tyeof Inspection:
2400
Address: t .;63 c/1
Date Called:
3 - voT c.tR utT t(��1 P -
6
Special Instructions:
n, , ' B/L. • poodis
Date Wanted:.
1.04.
�p.m/aJrr
.
Requester:
Phone No:
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
' 1. 6tUr( pR 1, TJiz Rt-D<>Zko o tQ
cJ t1(\kil
3 - voT c.tR utT t(��1 P -
6
'
j 1 ` _ L
Inspector:/N .. y
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
09-03-2013
DOUG JARVIS
PO BOX 266
HOBART WA 98025
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace. Director
RE: Permit No. EL13-0343
WALGREENS
13035 GATEWAY DR 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 10/09/2013.
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 10/09/2013, 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,
Bill Rambo
Permit Technician
File: Permit File No. EL13-0343
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 9S'188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople Iter 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
D J ELECTRIC a 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
DJELEC1027L9
Electrical Contractor
6/29/1998
6/29/2014
General
Unused
Other 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
TRIWEEI051D4TRI
WEST
ENTERPRISES INC
Electrical
Contractor
General
Unused
3/24/1995
3/24/2001
Archived
Master Electrician INFORMATION
License JARVIVD96209
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
httnc•//fnrtreec wa anv/lni/hhin/Print acnx
04/1 1 /2013