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Home My WebLink AboutPermit EL14-0516 - 1183 BUILDING / VACANT - RESTROOM CIRCUITSThis 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. EL14-0516 VACANT 1183 Andover Park West 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 10DR2Financial 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 usedto 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. VACANT 1183 ANDOVER PARK W EL14-0516 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 3523049093 1183 ANDOVER PARK W Project Name: VACANT ELECTRICAL OTC PERMIT Permit Number: EL14-0516 Issue Date: 6/5/2014 Permit Expires On: 12/2/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: CWWA SOUTHCENTER 4 LLC PO BOX A-3879 C/0 EQUITY OFFICE MGMT LLC, CHICAGO, WA, 60690 JEFF COY 21817 88TH 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 NEW 20 AMP 120 VOLT CIRCUITS TO NEW RESTROOM. Valuation of single family: $0.00 Valuation of mf/comm: $2,000.00 Type of Work: TENANT IMP Fees Collected: $124.53 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA 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: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: Date: 2012 2012 2012 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 conditions attached to this permit. Signature: Date: V S 1 J Print Name: J Co' 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 TUKT A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 61. /L- 05/ Project No. Date Application Accepted: °/P(G 5.// C/ Date Application Expires: i a /05 /(7 (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 King Co Assessor's Tax No.: I/g_ 0 1c W 1 sr Site Address: Suite Number: Floor: Tenant Name: VACM J r PROPERTY OWNER }r Name: Kipper iN6 �` "A/5 ��L Address: co ) �T�, , fjt`1vSo City: ---fly_ 10 t L 8 State: Zip: CONTACT PERSON — person receiving all project communication Name: G C'--, Address:` 017 eV lL 5, 7J City: ��-.r State: Ziwey Phone9s,75/ 1 j Fax: Email: —1.---.F..ir ,C) &_ L C.Sy,., / vlip.tt _ New Tenant: ❑ YeX.:2, sNo ELECTRICAL CONTRACTOR INFORMATION Company Name:cS EL C em,p1,Gy 1- /L Address: 2.) Q/ 7 n571., f L s-. City: ( State: • Zip:9 // / Phone: 2(:;z Fax: 7 Contr Reg No. •cSQ `i (Air Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ -2Dea • C9t.2 Scope of Work (please provide detailed information): ( L i / '1" Ztrip j,Zw V o C.- T LL(2-Cv1 r '3 To l.L—"LO - Will service be altered? ❑ Yes Type of Use: Gnwunit.0 CL L_ Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Pro.e 7y erved b : Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? 0 Yes [ No ❑ Service Change ❑ Remodel Tenant Improvement ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service H: pplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx vised: July 2013 h Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $152.85 (including an attached garage) 0 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 0 Circuits added/altered without service change $54.60 (up to 5 circuits) 0 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 0 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 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-.QR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: st C-91 z/g/7 7/'PL. 5, Date: �"-- Day Telephone:2,a. -3 < - C 5 S /sr- City State Zip H:\Applications\Forms-Applications 0n Line\2014 Applications\alectrical Permit Application Revised 1-I-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL14-0516 Address: 1183 ANDOVER PARK W Apn: 3523049093 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2286 R000.322.900.04.00 0.00 $5.93 $12.4.53 Date Paid: Thursday, June 05, 2014 Paid By: CJ ELECTRICAL SUPPLY AND SERIV Pay Method: CHECK 8060 Printed: Thursday, June 05, 2014 11:07 AM 1 of 1 SYSTEMS 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 6141.145141 Project: V n�J'{'v Type of Inspection: irt Address: ( f b3 And Date Called: ff Special Instructions: PO Date Wanted: d. j, 4 /� IJ p.m. Requester: e5 Phone No: li` / 3 ` ./t5-7 Approved per applicable codes. t�J Corrections required prior to approval. COMMENTS: v - h/vitz,- Inspector: A Date: `.�6� � /j REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. cif/tbotleg\ ( 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: v / 7 Type of Inspection: f �4� N Address: i ( s 3 A(c Date Called: Special Instructions: 00` Date Wanted: 4A0 a.c e p.m. Requester: Phone No:•' .313 t S Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: n I (/ \ L/., 1) ` - - 0 I tJAW Ad) /YrQt t,• iD o'(L4 - Ka,/ c,ei IA/ tc6-t'f Inspector: Date: 06 /r 0 � � r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. bodJ-ri\ CJ ELECTRICAL SUPPLY & SVCS ' T Page 1 of 15 0 Washington State Department of Labor & ndustries CJ ELECTRICAL SUPPLY & SVCS LL Owner or tradesperson HUMENNY, DWAYNE M Principals HUMENNY, DWAYNE M, PARTNER/MEMBER Doing business as CJ ELECTRICAL SUPPLY & SVCS LL WA UBI No. 602 327 997 21817 88th PI S KENT, WA 98031 425-452-7000 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. CJELEES966M7 Effective — expiration 07/27/2004-10/23/2014 Designated administrator Coy, Jeffery L License type Electrical Administrator Bond No bonds during the previous 6 year period. Insurance No insurance accounts during the previous 6 year period. Savings Active. Meets current requirements. Active. Meets current requirements. License no. COY*JJL876BJ (in lieu of bond) $4,000.00 Received by L&I 07/27/2004 Savings account ID Effective date 05/26/2004 License Violations Infraction no. EJORP05427 Violation date Satisfied RCW/WAC 19.28.101 RCW https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602327997&LIC=CJELEES966M7&SAW= 06/05/2014