HomeMy WebLinkAboutPermit EL15-0089 - SIMULAB - POWER TO GATESThis 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.
EL15-0089
SIMULAB
13001 48T" AVE S
RECORDSDIGITAL D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Coda Exemption, �
� � I3ri6f Explanatory 6escrlofion,
Sfatutte/Ruilo
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.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
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
10
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
Personal Information —
Redactions contain information used to prove
RCW
DR3
Driver's License. — RCW
identity, age, residential address, social security
42.56.230 (7a
42.56.230
number or other personal information required to
& c)
(7a & c)
apply for a driver's license or identicard.
Redacted content contains a communication
between client and attorney for the purpose of
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Attorney -Client Privilege —
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DR4
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which protects attorney -client privileged
RCW
42.56.070(1)
communications, and RCW 42.56.070(1), which
42.56.070(1)
protects, under the PRA, information exempt or
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1300148THAVE S
EL15-0089
Parcel No
Address:
ON 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.Rov
ELECTRICAL OTC PERMIT
0003000046 Permit Number: EL15-0089
1300148TH AVE S Issue Date: 1/29/2015
Permit Expires On: 7/28/2015
Project Name: SIMULAB
Owner:
Name: HEARTWOOD PROPERTIES L L C
Address: 9322 14TH AVE S , SEATTLE, WA,
98108
Contact Person:
Name:
BJORN NALUM
Address:
12912 BEVERLY PARK RD , MUKILTEO,
WA, 98275
Contractor:
Name:
ELECTRI-CITY INC
Address:
16212 BOTHELL HWY STE F PMB135 ,
MILL CREEK, WA, 98012
License No:
ELECTI*110BA
Lender:
Name:
Address:
,
DESCRIPTION OF WORK:
ADD POWER TO (2) GATES, 120 VOLT, 20 AMP
Valuation of single family: $0.00
Valuation of mf/comm: $1,200.00
Type of Work: REMODEL
Phone: (425) 672-6797
Phone: (425) 672-6797
Expiration Date: 1/1/2017
Fees Collected: $124.53
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
c / �
Permit Center Authorized Signature: _� Date: ( ~I
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:
Print Name: &dej__� N%RI.U01
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 TUKE A
•
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. J —00 a 3
Project No.
Date Application Accepted:
Date Application Expires:
use
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: f 3w `f8"
kof- S ,
T01<W%k0 ,
Suite Number:
Floor:
TenantName:GM,OWD
New Tenant:
..... Yes No
PROPERTY OWNER
Name: !S, ,,, L
Address:
City: State: Zip:
CONTACT PERSON - person receiving all project
communication
Name:
OQY0 Ptl_Qrv-\
Address:
City:AVW`(.LW State: of Zipign?5
Phonetu 6. � G -�4 }Fax:
Email: tloP_►J c� r=LECTQi-c-n-1 i n1C . co nj
ELECTRICAL CONTRACTOR INFORMATION
Company Name: G G.r� _Gt 1, y IA G
Address: 1 zp t 2 PoJa- Q A
City: M\.Lt State: Vjf. Zip45Z4S
Phone:4),s Fax: S �%Z la,;Q'4r
Contr Reg No.:F>t-az' *1io8o4 Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ r{, ,00
Scope of Work (please provide detailed information): AJU iy\x,,r. 2 G� � " V
Will service be altered?
❑ Yes
VNo
Adding more than 50 amps?
❑ Yes No
Type of Use: COMMCtc.►
trG
Type of work:
❑ New
Addition
❑ Service Change
❑ Remodel
❑ Tenant Improvement
❑ Low Voltage
❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑
Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page I 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)
PERMIT APPLICATION NOTES -
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***
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:
Signature:
Print Name:
Mailing Addre,,
VAd11--1
Date:
Day Telephone: eD(o qLTOT �
144 �'8
M0616 K04,-r
City State Zip
H:\Applicatiom\Forrrs-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
INSPECTION RECORD
Retain a copy with permit:
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
Permit Inspection Request Line (206) 438-9350 1
Project: S
LL4
Type of Inspection:
'L�
Address:
Date Called:
Tp—ecial instructions.
Date Wanted,
40
p.m.
P one -No:
pa�|at63OOSouthcentarBbd,Suite 1M0.Call toschedule nminspection.
INSPECTION RECORD
Retain a copy with permit' b'�-Iii
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd,, #100, Tukwila, WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project.
Type of Inspection,
Address:
Date Calle
3pecial Instructions7.
Date Wanted.
Requester. or, A-;]
IV
Appr*ved per applicable codes. MV Corrections required prior to approval.
VJ(g' I�AkeApf--r) Kf-�(&f j5J(f-4K(4K J
b LAF,
F� RI INSPECTION FEE REQUIREb. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
DESCRIPTIONS
PermitTRAK
ACCOUNTQUANTITY
PAID
$124.53
EL15-0089 Address: 1300148TH AVE S Apn: 0003000046
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
11000.322.101.00.00
0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE
TOTAL FEES PAID R4365
R000.322.900.04.00 0.00
$5.93
$124.53
Date Paid: Thursday, January 29, 2015
Paid By: ELECTRI-CITY INC
Pay Method: CHECK 040379
Printed: Thursday, January 29, 2015 12:00 PM 1 of 1
SYSTEMS
ELECTRI-CITY INC
Page l of 3
Washington State'Department of
Labor & Industries
ELECTRI-CITY INC
Owner or tradesperson
RICHARDSON, DIANA L
Principals
RICHARDSON, DIANA L
RICHARDSON, DAVID J
RICHARDSON, DIANA L, AGENT
Doing business as
ELECTRI-CITY INC
WA UBI No.
601 133 632
License
16212 BOTHELL HWY STE F PMB135
MILL CREEK, WA98012
425-672-6797
SNOHOMISH County
Business type
Corporation
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
...
Meets current requirements.
License specialties
GENERAL
License no.
ELECTI*110BA
Effective — expiration
01101 /1989— 01 /01 /2017
Designated administrator
MACDONALD, MALCOLMV A
License type
Master Electrician
Bond
...........b......o No nd accounts during the previous 6 year period.
Savings
(in lieu of bond)
Savings account ID
License Violations
.................. ......................................
Infraction no.
ESHA000552
Active.
Meets current requirements.
License no.
MACDOM*953DA
$4,000.00
Effective date
12/13/1990
Satisfied
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601133632&LIC=ELECTI* 110BA&SAW= 01/29/2015