HomeMy WebLinkAboutPermit EL13-1114 - FOSTER GREENS APARTMENTS - LOW VOLTAGE
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.
EL13-1114
Foster Greens Apartments
13865 Interurban Ave S
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
12 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.
FOSTER GREENS APTS
13865 INTERURBAN AV S
EL13-1 114
City oiatukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-43 1-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
Parcel No.: 0003000001
Address: 13865 INTERURBAN AV S TUKW
Project Name: FOSTER GREENS APTS
ELECTRICAL PERMIT
Permit Number: EL13-1114
Issue Date: 11/05/2013
Permit Expires On: 05/04/2014
Owner:
Name: NORTHLAND FINANCIAL CO
Address: %CYNTHIA PIETERS , 3500 W 80TH ST 55431
Contact Person:
Name: JERRY BAYHA Phone: 425-239-6530
Address: 4014 134 ST NE , MARYSVILLE WA, 98271
Contractor:
Name: AUTOMATIC DOOR & GATE CO
Address: 621 SR 9 NE, PMB A19 , LAKE STEVENS WA 98258
Contractor License No: AUTOMDG995LK
Phone: 425-335-1916
Expiration Date: 06/12/2015
DESCRIPTION OF WORK:
INSTALL GATE OPERATOR AND LOW VOLTAGE KEYPAD
Value of Electrical: NRES: $4,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
Washington Cities Electrical Code:
$183.40
2011
Date: ` I — 5-1 3
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 authorized to sign and obtain this electrical permit.
Signature:
Print Name: etrv'1
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.
Date: /(/ )%3
doc: EL -7/13
EL13-1114 Printed: 11-05-2013
1111 411
PERMIT CONDITIONS
Permit No. EL 13-1114
**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.
Ioc: EL -7/13
EL13-1114 Printed: 11-05-2013
CITY OF TUK
Community Develop1PDepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Pet it No. 1 L4' 1 III
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
5+� 6r.A- $ MP+S
Site Address: 13Lti-6„ -.»1, &
Tenant Name:
King Co Assessor's Tax No.:
Suite Number: Floor:
PROPERTY OWNER
Name:
1 e y 1
Name:
Address:
, Qc� p �l �
�J ��
Tukwila Business License :.;
City:
., J e Stag
Address:
Phone:
Fax:
y25 739530
6
City:
kz
lj
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name:
1 e y 1
City: -t'e�u5 State: !AAA- Zip: 4/2r7-(3 g
Address:
tit9(9 I
/3L1-4-('1-ilia
Tukwila Business License :.;
City:
., J e Stag
Zip: q
Phone:
Fax:
y25 739530
6
Email:
pp n
IP try-, � et?,Av iv Cron a,0.v.0 a,a ,
New Tenant: ❑ Yes .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
pA ?daEv,e lip. p. ` da,_
Address: 621 Sa 1 Ng 'c < A—pct
City: -t'e�u5 State: !AAA- Zip: 4/2r7-(3 g
Phone:t,2 S -2,9-4c.30
3o Fax.
Contr Reg No.: A Exp Date:
IA v�O i. qqS�
Tukwila Business License :.;
wl
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
lpt .112
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Er No
Type of Use: tedek.rGOa
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Service Change
❑ Fire Alarm
Seattle City Light
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
bb
❑ Remodel
❑ Telecommunication
0 Tenant Improvement
❑ 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
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)
O 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: ^ ��� I.YYkof
Mailing Address: 2.77 5'12
H:\Applications\Forms-Applications On Line\20I3 Applcations\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
bh
Date:
Day Telephone: 4/2S 2 3 Q— 6530
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY PAID
$183.40
EL13-1114 Address: 13865 INTERURBAN AVE S Apn: 0003000001
$183.40
ELECTRICAL
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R50
000.322.101.00.00
$183.40
$183.40
$183.40
Date Paid: Tuesday, November 05, 2013
Paid By: AUTOMATIC DOOR & GATE CO
Pay Method: CHECK 8006
Printed: Thursday, November 07, 2013 3:06 PM 1 of 1
c
SYSTEMS
Parcel No.:
Address:
Suite No:
Applicant:
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.Tukwila WA .gov
0003000001
13865 INTERURBAN AV S TUKW
FOSTER GREENS APTS
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL13-1114
ISSUED
11/05/2013
11/05/2013
Receipt No.: R13-03056
Initials: WER
User ID: 1655
Payment Amount:
Payment Date:
Balance:
$183.40
11/05/2013 11:00 AM
$0.00
Payee:
AUTOMATIC DOOR & GATE COMPANY
TRANSACTION LIST:
Type Method
Descriptio
Amount
Payment Check
Authorization No.
8006
183.40
ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $183.40
183.40
d..- P - int_nR
Printed: 11-05-2013
INSPECTION NO.
INSPECTION RECORD
Retain a copy with. permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project: r*-- ( )
Type of Inspection:
VA't/
Address:
Date Called:
Special Instructions:
Date Wanted:
am
Requester:
v'/
Phone No:.
vc.
57 6,s_,
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
WeR-10AJ5
rfr,pe
Inspector:
Date:
REINSPECTION FEE REQUIkED. Prior to next inspection: fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION. RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
6300 Southcenter Blvd:, #100, Tukwila. WA 98188
Permit Inspection Request' Line (206) 431-2451
Project: m
Type of Inspection:
Amu -
1 D N-ot-5
Address:
1386 Will
Date Called:
- I4 4JE P rt i r- o .I Srit
Special Instructions:
Date Wanted:/tit
a.m
=�1
Requester:-
Phone No:
JApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
— %—(, J c(ke AteiS, ,JrT LL- t -k D
1 D N-ot-5
- 1-4.056 toc4cNlur5. 0,1 0m41)J 6w.hJi tThcS
— S TICc Z.EZkALE5 Sv pPo kruJ n1-0/ l2,"
- I4 4JE P rt i r- o .I Srit
p,,
- RC-TAf d5P c A-rl % Pi2.3 1 Dt /t"cad c5
In
spector: 6fAi
:j
fc
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
4/1/2014
•
City of Tukwila
Department of Community Development
JERRY BAYHA
4014 134 ST NE
MARYSVILLE, WA 98271
RE: Permit No. EL13-1114
FOSTER GREENS APTS
13865 INTERURBAN AV S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
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 5/11/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 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 5/11/2014, 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,
fer Marshall
it Technician
File No: EL13-1114
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople Pry er Friendly Page
•
Electrical Contractor
A business licensed by LEti 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
AUTOMATIC DOOR Et GATE CO
4253351916
621 Sr 9 Ne Pmb A19
Lake Stevens
WA
98258
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601588304
Active
AUTOMDG995LK
Electrical Contractor
6/12/2001
6/12/2015
Doors Et Gates Specialty
Unused
Electrical Administrator INFORMATION
License BAYHAJA874P2
Name BAYHA, JEROME A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BAYHA, JERRY
Agent
06/12/2001
Received Date
BAYHA, JEROME ALLAN
President
06/12/2001
Until
Released
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
2
6/12/2001
Until
Released
Bond
_
$4,000.00
6/18/2001
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
ESHA000504
9/22/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHRAL00573
2/3/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHRAL00574
2/3/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx 11/05/2013