HomeMy WebLinkAboutPermit EL13-1144 - ELECTRICAL ROOM - BUILDING 23 - TENANT IMPROVEMENT
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.
EL13-1144
Electrical Room – Building 23
871 Industry 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
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.
ELECTRICAL ROOM
BLDG 23
871 INDUSTRY DR
EL13-1 144
•
)Cityof Tukwila
Parcel No:
Address:
Project Name:
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2523049034 Permit Number:
871 INDUSTRY DR
ELECTRICAL ROOM - BLDG 23
Issue Date:
Permit Expires On:
EL13-1144
11/14/2013
5/13/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
CWWA TUKWILA 1 LLC
PO BOX A-3879 , CHICAGO, WA,
60690
JEFF COY
21817 88 PL S , KENT, WA, 98031
CJ ELECTRICAL SUPPLY & SVCS LL
21817 88TH PL S , KENT, WA, 98031
CJELEES966M7
Phone: (206) 393-7545
Phone: (425) 766-7677
Expiration Date: 10/23/2014
DESCRIPTION OF WORK:
INSTALL (1) 120 VOLT DUPLEX RECEPTACLE IN ELECTRICAL ROOM BLDG 23
Valuation of single family: $0.00
Valuation of mf/comm: $300.00
Type of Work: TENANT IMP
Fees Collected: $69.30
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Date: Ullq.‘j L \
• •
I hearby 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
development permit and agreto the conditions attached to this permit.
Signature:
Print Name:
Date: /1— l "l rL3
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
;Electrical Permit No
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**
King Co Assessor's Tax No.:
Site Address: 871 Industry Drive tukwila wa Bldg 23 Suite Number: n/a Floor: 1 St
Tenant Name: Electrical Room
PROPERTY :OWNER.
Name: Jeff Coy
Address: 21817 88th P1 S
Name: Kidder/Mathews
Phone: (206) 393-7545 Fax:
Email:
Address: 631 Strander Blvd # G
City: Tukwila State:
Wa
Zip: 98188
CONTACT PERSON — person receiving all project
communication '
Name: Jeff Coy
Address: 21817 88th P1 S
City: Kent State: Wa Zip: 98031
Phone: (206) 393-7545 Fax:
Email:
New Tenant: ❑ Yes ®.. No
ELECTRICAL. CONTRACTOR INFORMATION .
Company Name: CJ Electric
Address: 21817 88th pl S
City: Kent State: Wa Zip: 98031
Phone: (425) 452-7000 Fax:
Contr Reg No.: CJELEES966M7 Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 300
Scope of Work (please provide detailed information): Install 1 120 volt duplex receptacle in electrical room.
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use: commercial
Type of work:
❑ New 0 Addition ❑ Service Change 0 Remodel m Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H:\Applications\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
❑ 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
O 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:
Mailing Address: 21817 88 th pl S
Date: 11/13/2013
Day Telephone: (206) 393-7545
Kent Wa 98031
H:Wpplications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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City State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT
QUANTITY
PAID
PermitTRAK
$1,593.90
EL13-1140 Address: 679 STRANDER BLVD Apn: 0223300020
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1141 Address: 800 INDUSTRY DR Apn: 2523049015
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1142 Address: 819 INDUSTRY DR 1101 Apn: 2523049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1143 Address: 825 INDUSTRY DR Apn: 2423049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM 8000.322.101.00.00
$69.30
EL13-1144 Address: 871 INDUSTRY DR Apn: 2523049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1145 Address: 930 INDUSTRY DR Apn: 2523049015
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1146 Address: 881 INDUSTRY DR Apn: 2523049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1149 Address: 950 INDUSTRY DR Apn: 2523049015
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1150 Address: 925 INDUSTRY DR 1 Apn: 2523049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
$69.30
EL13-1151 Address: 970 INDUSTRY DR Apn: 2523049015
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM 8000.322.101.00.00
J
$69.30
Date Paid: Thursday, November 14, 2013
Paid By: CJ ELECTRICAL SUPPLY & SVCS LL
Pay Method: CHECK 1000
Printed: Thursday, November 14, 2013 2:27 PM 1 of 3
"I1
SY5IEM,
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTRAK
$1,593.90
EL13-1152 Address: 935 INDUSTRY DR 11
Apn: 2523049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1153 Address: 1008 INDUSTRY DR 108
Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1154 Address: 981 INDUSTRY DR B308
Apn: 2523049034
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1155 Address: 1110 INDUSTRY DR Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1156 Address: 1100 INDUSTRY DR Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1157 Address: 1150 INDUSTRY DR Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1158 Address: 1036 INDUSTRY DR 126
Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1159 Address: 1018 INDUSTRY DR 115
Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1161 Address: 1128 INDUSTRY DR Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1162 Address: 1164 INDUSTRY DR Apn: 2523049071
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
Date Paid: Thursday, November 14, 2013
Paid By: CJ ELECTRICAL SUPPLY & SVCS LL
Pay Method: CHECK 1000
Printed: Thursday, November 14, 2013 2:27 PM 2 of 3
Cash Register Receipt
City of Tukwila
DESCRIPTIONS .
ACCOUNT
QUANTITY PAID
$1,593.90
PermitTRAK
EL13-1163 Address: 1161 ANDOVER PARK W
Apn: 3523049097
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1164 Address: 1159 ANDOVER PARK W
Apn: 3523049098
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$69.30
EL13-1165 Address: 631 STRANDER BLVD
Apn: 0223300020
$69.30
ELECTRICAL
$69.30
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R108
R000.322.101.00.00
$69.30
$1,593.90
Date Paid: Thursday, November 14, 2013
Paid By: CJ ELECTRICAL SUPPLY & SVCS LL
Pay Method: CHECK 1000
Printed: Thursday, November 14, 2013 2:27 PM 3 of 3
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION L
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451 �A1
Project:a
,
Type of Inspection: ,
4/41...---
' tb t) 5r101
Address: lit
Date Called:
Special Instructions:
Date Wanted:
i Z 13
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
7
Inspector:
Date: 121/6
i 3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
643
PERMIT NO.
(206) 431-3670
Project: tI1
it 23 .Type
of Inspection:
Address:
ler 1 . I
ixiD05•NUT -
Date Called:
. .
Special Instructions:
. . •
.
Date Wanted:'
I ‘
24
n14.
Requester:
Phone No:
LJApproved per applicable codes,-
.
COMMENTS:
Corrections required prior to approval.
/Aft. ,A(714, 4 soska
A-41› eAgrAhr
Bk6400. 4441),IL E1.444121Quip.64),
Aor
Date:
REINSPECTION.FEE REQUIRED. Prior to next. inspection,:fee mUst be
paid at 000 Southcenter Blvd..-SUite 100. Call to schedule reinspection.
Contractors or Tradespeople Per 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
CJ ELECTRICAL SUPPLY Et SVCS LL
4254527000
21817 88Th PI S
Kent
WA
98031
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602327997
Active
CJELEES966M7
Electrical Contractor
7/27/2004
10/23/2014
General
Unused
Electrical Administrator INFORMATION
License COY*JJL876BJ
Name COY, JEFFERY L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMENNY, DWAYNE M
Partner/Member
07/27/2004
9/25/2008
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 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
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
ESHA000561
1/31/2012
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$4,000.00
ESHA000563
1/31/2012
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$4,000.00
EBRIC01406
11/14/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESWAT00303
5/2/2012
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$500.00
ESHA000556
1/31/2012
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$4,000.00
EBRIC01531
4/2/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
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