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Permit EL14-0668 - SHOWALTER MIDDLE SCHOOL - BRANCH CIRCUITS WITH OUTLET AND DATA BOXES
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. EL14-0668 SHOWALTER MIDDLE SCHOOL th 4628 South 144Street 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 14DR2Financial 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. SHOWALTER MIDDLE SCHOOL 4628 S 144 ST EL1 4-0668 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 1523049164 4628 S 144TH ST ELECTRICAL OTC PERMIT Project Name: SHOWALTER MIDDLE SCHOOL Permit Number: Issue Date: Permit Expires On: EL14-0668 7/16/2014 1/12/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TUKWILA SCHOOL DISTRICT 4640 S 144TH ST, TUKWILA, WA, 98168 MIKE COULON 4628 S 144 ST, TUKWILA, WA, 98188 NATION ELECTRIC 296 PORTER WAY #67 , MILTON, WA, 98354 NATIOE*862MN Phone: Phone: (206) 307-4772 Expiration Date: 7/15/2016 DESCRIPTION OF WORK: BALLFIELD PORTABLE #2: ADD (2) BRANCH CIRCUITS WITH 14 OUTLET BOXES AND (8) DATA BOXES (CAT 6). Valuation of single family: $0.00 Valuation of mf/comm: $2,200.00 Type of Work: TENANT IMP Fees Collected: $147.21 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: 0 l 1V)1 IL 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 cornsyuction or the performance of work. I am authorized to sign and obtain this development permit and ag{e"e t6 t s ed to this permit. ..,,, Signature: Date: 7 lic2 ALF Print Name: KEV Uri fZe/L 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: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB Type of Use: Type of work: ❑ New 0 Addition ❑ Low Voltage 0 Generator Property Served by: ❑ Puget Sound Energy CITY OF TUKR 9 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA. gov Electrical Permit No. Project No. ,,Lq- Date Application Accepted: V 1 l �1.t 119 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 Site Address: Tenant Name: King Co Assessor's Tax No.: l� 7-^'0 r 1 t(401 ', 99 Suite Number: Floor: 1 t 4 /% 1 L $ -,, ��,'. t7 I (1 C� New Tenant: ❑ Yes F.. No PROPERTY OWNER Name: TU 4i--W l tom, GjGi,—OD Ir DiZ-i`rPte- i Address: 4(o.243 s, i4` f LA e - City: cl-VA,V1 State:mik_ Zip9�' VO CONTACT PERSON — person receiving all project communication Name: M (v.,E.- Ge)t"( i—"�4 Address: City: State: Zip: Phone: 2 s-2Fax�55. Email: ELECTRICAL CONTRACTOR INFORMATION Company Name:INIA\To v Address: ',-- City: eSState: IJU4- Zi�:`0424 �J Phone: 2-0 . o7 772- ax: Contr Reg No.: N1N T 1 0 `. t36 F�Cp_Dale: .7 11y Tukwila Business License No.; 6%1�1,1 .- p n pi 4( [,) pA 01 (lu Valuation of Project (contractor's bid price): $ 2 1 Z+�F�='�' ( V 1.....1 < -r-) Scope of Work (please provide detailed information): t 1✓Z.)r) 1D(Z1- IJE 4- 2 i D IC JC,A Cc Izl i `^' 1 L+ Ott i L i ©,)c_, r 1 Will service be altered? ❑ Yes pi No Adding more than 50 amps? ❑ Yes � No 1 17 t/t C -rt /CAA% iOCCIAA 0 Service Change Rem(mei-- Tenant Improvement 0 Fire Alarm 0 Telecommunication ❑ Temporary Service 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 O 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 OR ELECTRICAIiC NJ RM?TOR: Signature: Print Name: Mailing Address: N 4 1 Date: rill & / j1'' Day Telephone: '%.oljP 4-7-rzz City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT ' T PermitTRAK QUANTITY PAID _ 4721 EL14 0668 - Address 4628 S 144TH STD 'r Apn 1523049164 °'"' r " M" a G" $14721 ELECTRICAL $140 20 ,- PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R2600 0.00 $7.01 $147.21 Date Paid: Wednesday, July 16, 2014 Paid By: WEED LLC, NATIONAL ELECTRIC Pay Method: CHECK 2003 Printed: Wednesday, July 16, 2014 12:40 PM 1 of 1 WSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Project: , g �Type Y�,u e Xi' \ L, of Inspection:3 1 r ct Address: � Q1 \ s� Date Called: q-\s-\►-A structions: Special Instructions: )-1 C�*`( `T - � ' Date Wanted: (; ` t , , "1 IA m. (P.m- Requester: / �-� Phone 1 7 )-~ V s Approved per applicable codes. IJCorrections required prior to approval. COMMENTS: Log kXT o4\15 � i iV F jctt€� (flf//%L fr Inspector: 1/4_074 disket Date: 0Q11(.111 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southicenter Blvd., Suite 100. Call to schedule reinspection. INSP$CTION NO. INSPECTION RECORD Retain a copy with permit ELI�{-06G$ 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: (51.0 !�- I �'�(� Type of inspection: FfdAddress: /�w?�(! -l�Lb �'l��ST• Date Called: / Special Instructions: Date Wanted: ��1- lP r., Requester: Phone No: ElApproved per applicable codes. giCorrections required prior to approval. COMMENTS: h PA(4.f1 5o41V a STILL K. -Q o t'. 1 )PM( (a - PLA/4.5 rt6) poi0 5) Date: 0 9411/1 05444k-- n REINSPECTI©N FEE REQUIRED. Prior to nex inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD f, ALLy Retain a copy with permit 1/11`1�0 A it 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: Type of Inspection: '?OC4Iirrk Address: II(N 5. /I (5; . Date Called: t Special Instructions: Date Wanted: T 2Z_ a.m P.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: j� �. `6.16 t4 4 0C, ri- axe, /j / /f/ - , / s � W s / Y 7 �/ / LA • `111d )( iv !J, t k„?• c 4 s$,001 - J N s.QPocZ- nc. To 4evi tX '.A.L(y-fr- - Loci(IN Z -0Jh od fic GodA)ecrok. t; l @Q L-(Lt t4-1 . R--(w( ob uE T t R61) A CC 0 F , +lJo--t L.J tfcC CAW Inspector: Date: f�Z� 7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 3( �, INSPECTION RECORD �" etain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 INSPECTION NO, 6-P-t-o6a PERMIT NO. Project: �r 1'6 k Type of Inspection: Fb Address: t 4ZS 5 _ /WY ST- Date Called: Special Instructions: Date Wanted: Gj22, a.� . Requester: Phone No: EiApproved per applicable codes. Ei Corrections required prior to approval. COMMENTS: - .i C rSri tCL 1 Gierf c ciJ trkri CA"- OW (gtrA-0ChFcCt)) 1d5'rf11et./ -T lo1J (WJCOL CaAVC..-' (otk ) Inspector: Date: 01 Z2- I'( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit fott-o(M 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: Ot-ia v4Mvi1 Type of Inspection: Io Jl H 1 Address: q Z ` ,'qq 5r J if l' Date Called: Special Instructions: Date Wanted: gia a.m' p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Nor ril-Dit tr;-/oAic? Inspector: t'wA/t9zs. Date: % 061, I 1 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 Eu�i -cW� Project: ArAk M, a(e Type of Inspection:. g U �V Address: eb 5 Ii-ii-i 4- Date Called: — Special Instructions Date Wanted: i 1 Z ; . a:m: Requester: Phone No: P O it Q r v+ (,{ 1514 Approved per applicable codes. X,gorrections required prior to approval. COMMENTS: i i �f j j /1. L. ) , ifittIL-.) adI `.t%(/11. ?f I ' `' FA, - -- -, G-Ini6- — ,APVi/E. .,c/J ,4 j( FPAofia• c. Cgs/ 4- MT-4- (441,4 /A) /11,1A/6., — s AdiA RA gy_.i- /Z/ 6 5 AY: Inspector, 17/ Date: � j� &fir REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NATION ELECTRIC Page 1 of 2 0 Washington State Department of Labor & industries NATION ELECTRIC Owner or tradesperson RUSSELL, KEVIN Principals RUSSELL, KEVIN, PARTNER/MEMBER Doing business as WA UBI No. 603 359 252 296 PORTER WAY #67 MILTON, WA 98354 206-307-4772 PIERCE County Business type Limited Liability Company Governing persons KEVIN JAMES RUSSELL License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. NATIOE*862MN Effective — expiration 07/15/2014— 07/15/2016 Designated administrator Ridgway, Jaime T License type Master Electrician Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I 07/15/2014 Savings account ID License Violations No license violations during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. RIDGWJT958J8 $4, 000.00 Effective date 07/15/2014 Workers' comp http s ://secure.lni. wa. gov/verify/Detail . aspx?UBI=603 3 5 925 2 &LI C=NATIOE * 8 62MN&SAW= 07/16/2014