HomeMy WebLinkAboutPermit EL13-0703 - FOUR SEASONS BEAUTY SUPPLY - 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.
EL13-0703
Four Seasons Beauty Supply
1083 Andover Park E
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
9 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.
FOUR SEASONS
BEAUTY SUPPLY
1083 ANDOVER PK E
ELi 3-0703
City oftukwila
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.: 2623049106
Address: 1083 ANDOVER PK E TUKW
Project Name: FOUR SEASONS BEAUTY SUPPLY
ELECTRICAL PERMIT
Permit Number: EL13-0703
Issue Date: 07/24/2013
Permit Expires On: 01/20/2014
Owner:
Name: PROLOGIS TLF(ANDOVER) LLC
Address: C/O STOCKBRIDGE CAPITAL GP , 4 EMBARCADERO CENTER #3RD FL 94111
Contact Person:
Name: DESIREE MICHAEL
Address: 21817 88TH PLS , KENT WA, 98031
Contractor:
Name: CJ ELECTRICAL SUPPLY & SVCS LL
Address: 21817 88TH PLS , KENT WA 98031
Contractor License No: CJELEES966M7
Phone: (425) 452-7000
Phone: 425 766-7677
Expiration Date: 10/23/2014
DESCRIPTION OF WORK:
REPLACING T12 LAMPS AND BALLASTS WITH T8
Value of Electrical: NRES: $1,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $99.40
Washington Cities Electrical Code: 2011
Date: 0 %( s
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
construction or the performance of work. I am
Signature?
'ty to violate or cancel the provisions of any other state or local laws regulating
sign and obtain this electrical permit.
Print Name:
.6 y_
Date: 72 - Z K
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 -7/13
EL13-0703 Printed: 07-24-2013
II •
PERMIT CONDITIONS
Permit No. EL13-0703
**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 -7/13
EL13-0703 Printed: 07-24-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. A 0 703
Project No.
Date Application Accepted:
Date Application Expires:
(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: 1083 Andover Park E
Tenant Name: Four Seasons Beauty Suppy
PROPERTY OWNER
Name: Desiree Michael
Address: 21817 88th P1 S
Name:
Phone: (425) 452-7000 Fax: (425) 452-7009
Email:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Desiree Michael
Address: 21817 88th P1 S
City: Kent State: WA Zip: 98031
Phone: (425) 452-7000 Fax: (425) 452-7009
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes E..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: CJ Electrical Supply & Svcs
Address: 21817 88th P1 S
City: Kent State: WA Zip: 98031
Phone: (425) 452-7000 Fax: (425) 452-7009
Contr Reg No.: CJELEES966M7 Exp Date:
Tukwila Business License No.; BUS -0992934
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information): Replacing T12 lamps and ballasts with T8.
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
• Puget Sound Energy 0 Seattle City Light
H:Wpplications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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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
O 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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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 Name: Desiree Michael
Mailing Address: 21817 88th P1 S Kent, WA 98031
Date: 07/17/2013
Day Telephone:
City
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7.1.13.docx
Revised: July 2013
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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.Rov
RECEIPT
Parcel No.: 2623049106 Permit Number: EL13-0703
Address: 1083 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 07/24/2013
Applicant: FOUR SEASONS BEAUTY SUPPLY Issue Date:
Receipt No.: R13-02199
Payment Amount: $99.40
Initials: LAW Payment Date: 07/24/2013 08:45 AM
User ID: 1632 Balance: $0.00
Payee: CJ ELECTRICAL SUPPLY & SERVICES LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4965 99.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 99.40
Total: $99.40
An, Rcrcinl-(1R
Printed: 07-24-2013
INSPECTION RECORD
Retain a copy with permit
6f37o5
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]
5golly/
Type of Inspection:
Address:
10`�3��
Date Called:
Special Instructions:
Date Wanted:
am
p.m.
Requester:
Phone No:
5-111
1 COMMENTS:
Approved per applicable codes. Corrections required prior to approval.
A
Date: 07/2,5/13
n REINSPECTIOI1 FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by La! 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 CJ ELECTRICAL SUPPLY ft SVCS LL UBI No. 602327997
Phone 4254527000 Status Active
Address 21817 88Th PI S License No. CJELEES966M7
Suite/Apt. License Type Electrical Contractor
City Kent Effective Date 7/27/2004
State WA Expiration Date 10/23/2014
Zip 98031 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMENNY, DWAYNE M
Partner/Member
07/27/2004
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 foundfor 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
ESHA000554
1/31/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$4,000.00
ESHA000561
1/31/2012
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$4,000.00
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
ESHA000563
1/31/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$4,000.00
EBRIC01531
4/2/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP05426
1/10/2013
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EJORP05427
1/10/2013
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
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
EBRIC01460
1/23/2009
19.28.061 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EBRIC01457
1/23/2009
19.28.061 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https://fortress.wa.gov/lni/bbip/Print.aspx 07/24/2013