HomeMy WebLinkAboutPermit EL13-1148 - WASHINGTON AUDIOLOGY SERVICES - 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.
EL13-1148
Washington Audiology Services
635 Andover Park W
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.
WASHINGTON
AUDIOLOGY SERVICES
635 ANDOVER PK W
EL13-1 148
Parcel No:
Address:
Project Name:
•
City of Tukwila
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
2623049143 Permit Number:
635 ANDOVER PARK W Issue Date:
Permit Expires On:
WASHINGTON AUDIOLOGY SERVICES
EL13-1148
11/14/2013
5/13/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SOUTHCENTER CORPORATE SQUAR
150 CALIFORNIA ST, SAN FRANCISCO,
WA, 94111
IAN MACLEAN
635 ANDOVER PK W, SUITE 111,
TUKWILA, WA, 98188
RWA ELECTRIC INC
3505 NE 134TH , SEATTLE, WA, 98125
RWAELE1944M7
,
Phone: (206) 764-3330
Phone: (425) 870-5732
Expiration Date: 7/27/2014
DESCRIPTION OF WORK:
CONNECT BASE FEEDS TO OFICE FURNITURE
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: TENANT IMP
Fees Collected: $77.90
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:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
Permit Center Authorized Signature: UST c
2012
2012
2012
Date: it -12-1--13
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 agree to the condition attached to this permit.
Signa tu -. �� Date: /J/%.V� 3
Print Name: 'Ar�i'17
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 TUKT4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
— �
Electrical Permit No. C1_ \3
lig
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
rr King Co Assessor's Tax No.:
Site Address: l.R R ?a n of E Suite Number: 111 Floor:
Tenant Name: (,),p6.N t Al z 0 J.e tJ ‘ co\ c y New Tenant: Yes ❑ .. No
PROPERTY OWNER
Name:
1 R nl 11'1 4C Le ,A i �(
Address:
Name:
City:
State: Zip
Address:
4 Fax. 2A (.4. 7G ei `(7G b
76 `t' 3 33 0
Email:
/P -w1 6 _I.JA-S111A1L76AGAVOIn LvG S', Cie'?
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
1 R nl 11'1 4C Le ,A i �(
Address:
P J
3 5 t�03 ✓�,? �
City:
State: Zip
Phone:,,,c)
4 Fax. 2A (.4. 7G ei `(7G b
76 `t' 3 33 0
Email:
/P -w1 6 _I.JA-S111A1L76AGAVOIn LvG S', Cie'?
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
R..-) .P. E t_t CT12t C
Address:3�`o S /i !a l'� T S7
City: State: n Zip9S'Ls
Phone:Fax:
7,9 810. 73'1 aO(_§.. a(o
)VI/
Contr Reg No.: Exp Date:
t,JA ELF' 14q/A77 0
J
g//5--
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ S c o , o
Scope of Work (please provide detailed information): (' /i is LT g As R F r is t-
4� (z41Tv2r�
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ;ZENo
Type of Use: (") (Doi Mx-2CIANL
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel ttE Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
//ifj Puget Sound Energy ❑ Seattle City Light
H:\Applicatio is\Forms-Apphcattons On Lme12013 Apphcations\Elecmcal 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
❑ 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: 3 Sa'' n6 is I 471".5 7
-&--,1777__
Day Telephone:
Date: / / /
� L5' 87o 5-73 2,
LJ 4 X12 5
City
H:\Applications\Forms-Applications On Line \2013 Apphcations\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
$77.90
EL13-1148 Address: 635 ANDOVER PARK W Apn: 2623049143
$77.90
ELECTRICAL
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R100
R000.322.101.00.00
$77.90
$77.90
$77.90
Date Paid: Thursday, November 14, 2013
Paid By: KENT WILLING
Pay Method: CREDIT CARD 018928
Printed: Thursday, November 14, 2013 8:40 AM 1 of 1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: Wh/'f�J A I OW
Type of Inspection:ridAt...„
t
Address: '
4
Date Called:
Special Instructions:
N ,w
Date Wanted: 11
111
.
•
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
VI
1
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
E ,v t
Date: (`((q(13
Contractors or Tradespeople Peer Friendly Page
Electrical Contractor
A business licensed by LFI 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
RWA ELECTRIC INC
4258705732
3505 Ne 134Th
Seattle
WA
98125
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602608335
Active
RWAELEI944M7
Electrical Contractor
7/27/2006
7/27/2014
General
Unused
Electrical Administrator INFORMATION
License WILLIKF959DP
Name WILLING, KENT F
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
WILLING, KENT
Agent
07/27/2006
9/8/2008
WILLING, KENT F
President
07/27/2006
$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
7/24/2006
Until
Released
Bond
$4,000.00
7/27/2006
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
EJONV00767
9/8/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV00766
9/8/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EPAUC00341
2/11/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EPAUC00340
2/11/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONM01102
10/14/2013
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx 11/14/2013