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Permit EL15-0187 - STEEP HILL LAB - THERMOSTAT
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. EL15-0187 STEEP HILL LAB 720 INDUSTRY DR 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 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); DR4 RCW 5.60.060(2)(a); RCW 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 prohibited from disclosure under another statute. STEEP HILL LAB 720 INDUSTRY DR EL15-0187 Citv 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 Parcel No: 2523049008 Permit Number: EL15-0187 Address: 720 INDUSTRY DR Issue Date: 2/25/2015 Permit Expires On: 8/24/2015 Project Name: STEEP HILL LAB Owner: Name: BLUE DOG PROPERTIES TRUST Address: PO BOX 847 C/O THOMSON REUTERS PTS, CARLSBAD, WA, 92018 Contact Person: Name: INNA BUCKWALTER Phone: (206) 512-9647 Address: 1916 220TH ST SE STE M101, BOTHELL, WA, 98021 Contractor: Name: PACIFIC AIR CONTROL INC Phone: (206) 682-6393 Address: 1916 220TH ST SE APT #M101, BOTHELL, WA, 98011 License No: PACIFAC001DC Expiration Date: 3/3/2016 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL (1) NEW TEMPERATURE THERMOSTAT Valuation of single family: $0.00 Fees Collected: $72.77 Valuation of mf/comm: $350.00 Type of Work: LOW VOLTAGE 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: W Date: Gv- aS u 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 d agree to the conditions attached to this permit. Signature: Date: Z.s Print Name: IV 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 TUKH 4 Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. r-�— Olt7 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" SITE LOCATION King Co Assessor's Tax No.: 2 52 3OV-60OW S Site Address:72© Tenant N PROPERTY OWNER Name:/VCkVP 74r)dD11e e FXeczPf lie. TLL2 Address: p N M ap—g kQ LiS Sf 3o0 City: ` LA+L" State: � Zip: 9`3 CONTACT PERSON — person receiving all project communication Name: i iiQ Address: 151b Z2-D% S1 S£ S6 M (0 City: &+iq 2,1_.l_ State: WA Zip: ,980 `� Phone:206-92-%Ln Fax: Email: INNAS PACIf-iCAIfZCWTP-oL,co Suite Number: -720 New Tenant: Floor: Ist ❑..... Yes K.No ELECTRICAL CONTRACTOR INFORMATION Company Name: T>ac f—%C M4- C-4011-IP-DL Address: 191(o t 54 Y 22�p t M to/ City: i 1C*0—LL State: WA. Zip: y, Phone:.-Olo-,/_ Q2_63�7 Fax: Z� _3��iZZ7 Contr Reg No.: PAC f pACOOi x Exp Date: f uk Twila Business License No.; u S _ Q 999 ' �C Valuation of Project (contractor's bid price): $ 3 5-0 Scope of Work (please provide detailed information): .M P-,�2 /» ay&?c Will service be altered? Type of Use: ❑ Yes IN No Type of work: ❑ New Addition ❑ Service Change 101 Low Voltage ❑ Generator ❑ Fire Alarm Pro a 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: January 2014 bb Adding more than 50 amps? ❑ Yes No ❑ Remodel 4 Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel 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 PR ELECTRICAL CONTRACTOR: Signature: Date: Print Name: 1 NNA Vo uQUA Vf U' Day Telephone: Z0(�'-- l� z5 e__ 3 93 Mailing Address: 1 `� ! 2�T �'I ��� J ►� J 4Y M lot R © Hl e L-L1 VV A ,l A)02-, city state Zip H:1ApplicationsTorms-Applications On Linet2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS• QUANTITY PAID PermitTRAK $589.15 EL15-0187 Address: 720 INDUSTRY DR Apn: 2523049008 $72.77 ELECTRICAL $69.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $69.30 TECHNOLOGY FEE $3.47 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.47 M15-0020 Address: 720 INDUSTRY DR Apn: 2523049008 $389.62 MECHANICAL $374.63 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $267.20 PLAN CHECK FEE R000.322.102.00.00 0.00 $74.93 TECHNOLOGY FEE $14.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $14.99 PG15-0021 Address: 720 INDUSTRY DR Apn: 2523049008 $126.76 GAS $121.88 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $65.00 PLAN CHECK FEE R000.322.103.00.00 0.00 $24.38 TECHNOLOGY FEE $4.88 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.88 TOTAL FEES PAID..: $589.15 Date Paid: Wednesday, February 25, 2015 Paid By: PACIFIC AIR CONTROL INC Pay Method: CHECK 22722 Printed: Wednesday, February 25, 2015 2:11 PM 1 of 1�_�,, SYSTEMS INSPECTION RECORD Retain a copy with permit �K-01� INSPECTION N0. PERMIT 1.0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: - Address: Date Called: Special Instructions: Date Wanted: a. . p.m Jkl Requester: Phone No: 0 Approved per applicable codes. LI Corrections required prior to approval. u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 7/1/2015 INNA BUCKWALTER 1916 220TH ST SE STE M101 BOTHELL, WA 98021 RE: Permit No. EL15-0187 STEEP HILL LAB 720 INDUSTRY DRIVE Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 8/24/2015. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 8/24/2015, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, �. Bill Rambo Permit Technician File No: EL15-0187 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 PACIFIC AIR CONTROL INC Page 1 of 3 Home Inicio en Espanol Contact Safety Washington State Department of Labor & Industries PACIFIC AIR CONTROL INC Owner or tradesperson RUTTAN, GARY JAMES Principals RUTTAN, GARY JAMES, PRESIDENT RUTTAN, GARY, AGENT CHADWICK, BENJAMIN F JR (End: 04/19/2013) Doing business as PACIFIC AIR CONTROL INC Search L&IJA A-6lndcx Help My Secure L&I Claims & Insurance Workplace Rights Trades & Licensing 1916 220TH ST SE APT #M101 BOTHELL, WA98021 206-682-6393 SNOHOMISH County WA UBI No. Business type 601 298 907 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ............................................................. Meets current requirements. License specialties HVAC/RFRG License no. PACIFAC001 DC Effective — expiration 03/03/2000— 03/03/2016 Designated administrator Active. CHADWICR, BENJAMIN F JR Meets current requirements. License type License no. Electrical Administrator CHADWBFOOODC Bond ................ TRAVELERS CAS & SURETY CO $4,000.00 Bond account no. 104920241 Received by L&I Effective date 04/23/2007 04/06/2007 Expiration date Until Canceled Savings (in lieu of bond) $4,000.00 Savings account ID Effective date 02/29/2000 License Violations Infraction no. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601298907&LIC=PACIFACOOIDC&SAW= 02/25/2015