HomeMy WebLinkAboutPermit EL14-0500 - DYNAMIC LANGUAGE - TENANT IMPROVEMENTThis 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.
EL14-0500
DYNAMIC LANGUAGE
nd
15215 52Avenue South
DIGITAL RECORDS (DR)EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDESTHE FOLLOWING REDACTED INFORMATION
Page #CodeExemptionBrief Explanatory DescriptionStatute/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
individuals’ privacy pursuant to 5 U.S.C. sec. 5 U.S.C.sec.
552(a), and are also exempt from disclosure 552(a); RCW
DR1Generally –5 U.S.C. sec.
under section 42.56.070(1) of the Washington 42.56.070(1)
552(a); RCW
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
account numbers, which are exempt from
13DR2Financial Information –
42.56.230(5)
disclosurepursuant to RCW 42.56.230(5),
RCW 42.56.230(45)
except when disclosure is expressly required by
or governed by other law.
Personal Information –
Redactions contain information used to prove
RCW
Driver’s License. –RCW
identity, age, residential address, social security
42.56.230 (7a
DR3
number or other personal information required to
42.56.230
& c)
apply for a driver’s license or identicard.
(7a & c)
Redacted content contains a communication
between client and attorney for the purpose of
obtaining or providing legal advice exempt from
RCW
Attorney-Client Privilege –disclosure pursuant to RCW 5.60.060(2)(a),
5.60.060(2)(a);
RCW 5.60.060(2)(a); RCW which protects attorney-client privileged
DR4
RCW
42.56.070(1)communications, and RCW 42.56.070(1), which
42.56.070(1)
protects, under the PRA, information exempt or
prohibited from disclosure under another statute.
DYNAMIC LANGUAGE
15215 52 AVE S
EL1 4-0500
Parcel No:
Address:
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
1157200017
15215 52ND AVE S
Project Name: DYNAMIC LANGUAGE
ELECTRICAL OTC PERMIT
Permit Number: EL14-0500
Issue Date: 5/29/2014
Permit Expires On: 11/25/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ANTEZANA INVESTMENTS LLC
15215 52ND AVE S , TUKWILA, WA,
98188
DOUG JARVIS
PO BOX 266 , HOBART, WA, 98025
D J ELECTRIC & CONSTRUCTION
P 0 BOX 266 , HOBART, WA, 98025
DJELECI027L9
Phone: (206) 396-2856
Phone: (425) 432-2513
Expiration Date: 6/29/2014
DESCRIPTION OF WORK:
WIRE TENANT IMPROVEMENT TO INCLKUDE NEW OFFICES AND CUBICLE CIRCUITS
SECOND FLOOR SUITE
Valuation of single family: $0.00
Valuation of mf/comm: $4,000.00
Type of Work: TENANT IMP
Fees Collected: $169.89
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International 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:
2012
2012
2012
Permit Center Authorized Signature:
Date: C
7-41
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 p'sume to give authority to violate or cancel the provisions of any other
state or local laws regulatin cons ru/tion or .he performance of work. I am authorized to sign and obtain this
development permit an r-co tions attached to this permit.
Signature:
Print Name:
Date:
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 TUK' A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. LI (A OSTio
Project No.
Date Application Accepted: b�j (// I (( Li
t
Date Application Expires:
(For office use onl))
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
Lc- -fr- 6 -s
King Co Assessor's Tax No.:
Site Address: / Z i �� '�� S� Suite Number:
Tenant Name: o��'� (L f^,*?-' "e (1,64C-
PROPERTY OWNER
Name:
-1�VGr/dif,l(GRlil/(()G--
Address:
/
City:
State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: -e)c)q r- CS
Address: 2 2ai
City: //g State:
p j rez
cirZip
4 7--
Phone. .<J��6'`')�--, Fax:
l
Email:
1(512-G00
Floor:
New Tenant: ❑ Yes .,.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: -'— L LL'` -1G C S%
Address: c74.52 • .
City: €/.61 , State,, Zip (f_o,
Phone: . ,p6 ry.
Contr R-23'Zl�xp Date: �� �p
l
Tukwila Business License No.;
� l�
L L
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): ' i4'4
r_r_98re-47 C
Ere
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ,IkNo
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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) $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
***EFFECTIVE JANUARY 1, 2014
EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
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 1 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 ORXLEC U4 AL,CO CTOR:
Signature:
Print Name: I/req
Mailing Address:
Eck
Day Telephone:
City
P
State Zip
H:\Applications\Forms-Applications 0n Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I
PAID
$169.89
EL14-0500 Address: 15215 52ND AVE S
Apn: 1157200017
$169.89
ELECTRICAL
$161.80
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$161.80
TECHNOLOGY FEE
$8.09
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2230
R000.322.900.04.00
0.00
$8.09
$169.89
Date Paid: Thursday, May 29, 2014
Paid By: D J ELECTRIC & CONSTRUCTION, I
Pay Method: CHECK 11767
Printed: Thursday, May 29, 2014 1:12 PM
1 of 1
SYSTEMS
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
61411-os--eo
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
Project: t.. • t 24/I JAct
Type of Inspection: �J
Address: 1 c2- /� /.
Date Called:
Special Instructions:
CkiA, - Pa -to(
Date Wanted:
4/101
a.t...
CTI-L,n,,,
Requester:
Phone No:
5itti 33O1j
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Cokple"A r‘
Inspector:
\I/44.)K
Date: d4Y/t4/
_ ` f
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
N
Inspector:
I
INSPECTION RECORD
Retain a copy with permit
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
(0145-co
Project: x .►t'Nl � l4JMil'
Type of Inspection:
- �i L
^
Address: / f a ,i
N
Date Called:
p--�
Special Instructions:
Ci-t- - lz. ok. Pattad\
Date Wanted:
f2 3a
`p:m?
Requester:
r
Phone No:
5-y7
3302,
❑ Approved per applicable codes.
lCorrections required prior to approval.
COMMENTS:
r'
1 . ` 0 5 W(n-� fii& �1in +t
—
eot[( CIoVA)f ( r'6Jt3/4 CSs 14 Le
— (F c ( fo I1 ?& er-A f,)' 1"14-f,4 c- c1'
aF sat(
ICI
)(Y/14K
Date: 6643 lici
' f
REINSPECTION FEE REQUIRED. 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
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: K
G 1G J �
Type of Inspection:lit
✓1,4
(�
Address: l5-1(
} 2 -
Date Called:
Special Instructions:
Date Wanted:
6/07
m
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
tijj)KICNMO5
y)
(I - I - - C6 ,144 eo v6 P4kS I
- U' 4 f ( a941
_
r
Inspector:
Date: /07 f
t
REINSPECTION FEE REQUIRED. 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
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
440C
A �e
Type of Inspection:
r Alt� l
Address: /5' 6
q I /`
Date Called:
Special Instructions:
Date Wanted:
//
t0/0/
a.m.
L r�
Requester:
' (
Phone No:
EjApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
- if t5Stnl6- K.o. 5t4z-5
- t1 tSSIFI' 80)K ecdeo
c-fLY suPPo&rp ca,J nrr3
- ol'&11 3o,te5
Inspector: jitiyx.4
Date: 04/01 fri
REINSPECTION FEE REQUIRED. Prior to next inspection, tee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
i
INSPECTION RECORD
Retain a copy with permit
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
tug-os6o
Project: A/ IC f A44 J
y
Type of Inspection r
j
Address: /5 t55.2_
t•
Date Called:
Special Instructions:
Date Wanted:%�
f
a.m
p.m.
Requester:
Phone No:
3,747 2.3,1
Approved per applicable codes. QCorrections required prior to approval.
COMMENTS:
/
. wis1.v rp✓t-(i
Inspector: '' 'ofe%/al
C
Date: D 5 30/ill
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
D J ELECTRIC & CONST INC
Page 1 of 3
4.4 Washington State department of
Labor & Industries
D J ELECTRIC & CONST INC
Owner or tradesperson
JARVIS, VIRGIL D
Principals
JARVIS, VIRGIL D
JARVIS, VIRGIL D, AGENT
Doing business as
D J ELECTRIC & CONST INC
WA UBI No.
601 872 945
PO BOX 266
HOBART, WA 98025
425-432-2513
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
DJELECI027L9
Effective — expiration
06/29/1998— 06/29/2014
Designated administrator
JARVIS, VIRGIL D
License type
Master Electrician
Bond
No bonds during the previous 6 year period.
Insurance
No insurance accounts during the previous 6 year period.
Savings
(in lieu of bond)
Savings account ID
License Violations
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
JARVIVD962O9
$4,000.00
Effective date
04/07/2000
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601872945&LIC=DJELECI027L9&SAW= 05/29/2014