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Permit EL16-1178 - MINDFUL THERAPY - 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. EL16-1178 MINDFUL THERAPY 7100 FORT DENT WAY #220 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. MINDFULTHERAPY 7 100 FORT DENT WAY SUITE 220 EL16-1178 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 ELECTRICAL OTC PERMIT Parcel No: 2954900440 Permit Number: EL16-1178 Address: 7100 FORT DENT WAY 220 Issue Date: 1/12/2017 Permit Expires On: 7/11/2017 Project Name: MINDFULTHERAPY Owner: Name: JOHN C RADOVICH DEV CO Address: 2835 82ND AV SE #S-1, MERCER ISLAND, WA, 98040 Contact Person: 2015 Name: RICHARD SINNEMA Address: PO BOX 1268, CARNATION, WA, WA Cities Electrical Code: 98014 Contractor: 2015 Name: HEATTRANSFER CO Address: P 0 BOX 1268, CARNATION, WA, WA State Energy Code: 98014-1268 License No: HEATTC*009DA Lender: Name: Address: Phone: (425) 885-3247 Phone: (425) 885-3247 Expiration Date: 5/30/2018 DESCRIPTION OF WORK: RELOCATE THERMOSTAT AS REQUIRED FOR TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $100.00 Type of Work: LOW VOLTAGE Fees Collected: $68.25 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-4613: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: k. /A � V --XX Date: k 12 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: �G Print Name: Date: This permit shall become null and void if the work4s 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 TUKWILA Community Development Department ' Permit Center • 6300 Southcenter Blvd., Sante 100 1'ulnnila, WA 98188 http://-��tiatiNr.Tukwi l aW A. gm, Electrical Permit No. t w, b — tog Project No. Date Application Accepted: Date Application Expires: 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 "fax No.: 2954900440 Site Address 7100 Fort Dent Way Suite Number: 220 Floor: 2 Tenant Name: Mindful Therapy New Tenant: ❑ .....Yes ®..No PROPERTY OWNER Name: JOHN C RADOVICH DEV CO 4DO679 Address: 2835 82ND AV SE #S-1 City: Mercer Island State: WA Zip: 98040 CONTACT PERSON — person receiving all project communication Name: Richard Sinnema Address: P.O. Box 1268 City: Carnation State: WA zip: 98014 Phone: (425) 885-3247 Fax: (425) 333-6545 Email: heattransferl@aol.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Heattransfer Co. Address: P.O. Box 1268 City: Carnation State: WA Zip: 9801.4 Phone: (425) 885-3247 Fax: (425) 333-6545 Contr Reg No.: heattc*009da Exp Date: 05/30/2018 Tukwila Business License No.; 22128 Valuation of Project (contractor's bid price): $ 100 Scope of work (please provide detailed information): relocate thermostats as required for TI Will service be altered? ❑ Yes m No Type of Use: thermostats Type of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Proncrly Served by: Z Puget Sound Energy ❑ Seattle City Light N.\Applicauons\Forms-Applications On Linc\2014 Applications\Lleclrical Permit Application Revised 1-1-14.docx Revised Januar) 2014 bit Adding more than 50 amps? ❑ Yes 91 No ❑ Remodel m Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 MISCELLANEOUS FEES (no added/altered circuits) ❑ ❑ Service change with added/altered circuits ................. $81.90 Temporary service (generator) ................................... number of added circuits ....................... $11.55 ea ❑ Circuits added/altered without service change ........... $54.60 (excluding garage or outbuilding) (up to 5 circuits) ❑ ❑ Circuits added/altered without service change ........... $54.60 Number of concessions ......................... (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 Pennit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no pen -nit 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 T141S 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. S Print Name: Richard Sinnema Day Telephon Mailing Address: P.O. Box 1268, Carnation, WA 98014-1268 City H'\Applications\Forms-Applications On Line\2014 ApplicalionsUectrical Permit Application Revised 1-1-14_doce Revised-. Janumv_ 2014 bh )ate: � Y V (425)885-3247 State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $418.67 EL16-1178 Address: 7100 FORT DENT WAY 220 Apn: 2954900440 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.25 M16-0197 Address: 7100 FORT DENT WAY 220 Apn: 2954900440 $350.42 MECHANICAL $336.94 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 PERMIT FEE R000.322.100.00.00 0.00 $237.05 PLAN CHECK FEE R000.322.102.00.00 0.00 $67.39 TECHNOLOGY FEE $13.48 TECHNOLOGY FEE TOTAL R000.322.900.04.00 0.00 $13.48 Date Paid: Wednesday, December 28, 2016 Paid By: RICHARD SINNEMA Pay Method: CREDIT CARD 09240G Printed: Wednesday, December 28, 2016 7:43 AM 1 of 1 SYSTEMS / INSPECTION RECORDiJ,� Retain a copy with permit INSPECTION NO. PERMIT 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-935 Project: Ty of 1 s 4 tion` Approved per applicable codes. E Corrections required prior to approval. L nspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Address. Dzfte Called: l 7(0 5r f Special In ructions: „ �f Date Wanted:4� a. Requester:'� � ST -AI ss Phone No: 7 Approved per applicable codes. E Corrections required prior to approval. L nspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. HEATTRANSFER CO 410*4 Washington State Department of k,A Labor Industries HEATTRANSFER CO Owner or tradesperson Principals MCCLOSKEY, THOMAS MCCLOSKEY, GRACE MCCLOSKEY, THOMAS, AGENT Doing business as HEATTRANSFER CO WA UBI No. 600 353 103 License Hone Safety & Health Espanol Contact Claims & Insurance PO BOX 1268 CARNATION, WA 98014-1268 425-885-3247 KING County Business type Corporation Governing persons GRACE E MCCLOSKEY THOMAS G MCCLOSKEY; Page 1 of 2 Search L&I A-7.. Index Workplace Rights 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. HEATTC*009DA Effective — expiration 03/01/2000— 05/30/2018 Designated administrator MCCLOSKEY, THOMAS Active. Meets current requirements. License type License no. Help us improve https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600353103&LIC=HEATTC*009DA&SAW= 1/12/2017 HEATTRANSFER CO Electrical Administrator MCCLOT*003UA Bond No bond accounts during the previous 6 year period. .Savi....ng....s ............. (in lieu of bond) $4,000.00 Received by L&1 Effective date 02/24/2000 Release date Impaired date N/A N/A Savings account ID License Violations ........................................................ No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 425,977-00 ..............I.................. Doing business as HEATTRANSFER CO Estimated workers reported Quarter 3 of Year 2016 "11 to 20 Workers" L&I account representative TO / KRISTI LINN (360)902-4620 - Email: LINB235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Page 2 of 2 Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600353103&LIC=HEATTC*009DA&SAW= 1/12/2017