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HomeMy WebLinkAboutPermit EL17-0355 - SHAGLANI - LOT 1 TEMPORARY POWER POLEThis 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. EL17-0355 SHAGLANI LOT 1 2914 S 135TH ST RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Pae # Code Exem floe , Bdef x lanat6 Descd floe', statute/Rulle 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. SHAGLANI -LOT 1 2914 S 135 ST ELI 7-0355 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 2914 S 135TH ST Project Name: SHAGLANI - LOT 1 ELECTRICAL OTC PERMIT Permit Number: EL17-0355 Issue Date: Permit Expires On: 5/11/2017 11/7/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TUKWILA CITY OF 6200 SOUTHCENTER BLVD , TUKWILA, WA, 98188 JOHN CASHEN PO BOX 2118 , LYNNWOOD, WA, 98036 ACT -ON -ELECTRIC PO BOX 2118, LYNNWOOD, WA, 98036 ACTEL**311LE Phone: (206) 786-3946 Phone: (206) 786-3946 Expiration Date: 12/31/2017 DESCRIPTION OF WORK: TEMP POWER POLE Valuation of single family: $200.00 Valuation of mf/comm: $0.00 Type of Work: TEMP SERVICE Fees Collected: $69.62 Electrical Service Provided by: Water District: Sewer District: Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Date: 2014 2014 2014 2015 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 •r the performance of work. I am authorized to sign and obtain this development per it . d :gre- o ' e •nations attached to this permit. Signature: Print Name: Gam& Q /LS <f Date: /l 0 y �7 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 TUKV A Community Developm.at Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.aov Electrical Permit No. 1 c Project No. Date Application Accepted: 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 King Co Assessor's Tax No.: Suite umber: Site Address: ` 6'( S Floor: Tenant Name: 1 /F R/. SHA 4 4fV ( — W I 1 New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: 4014_ ,,.- G7 Name: Zip: 9F0 1,-53-4Phon Address: r < 0 t gC9 k Address: ¢ City: State: Zip: CONTACT PERSON — person receiving all project communication Name: 4014_ ,,.- G7 City: AyiYXi�49d0 Stateft Zip: 9F0 1,-53-4Phon Address: r < 0 t gC9 k ( ¢ City: A //v 260 D, State: ea-k ZipF0 26, Phone L 7.y,, 3, x: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: A e/ any f orecg Address: e 0 ` pox . l f p City: AyiYXi�49d0 Stateft Zip: 9F0 1,-53-4Phon o r 7ey,.4 � / 41f6ax: Contr Reg Noxt�l/ ch* LExp Date: cZ Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 0 0 Scope of Work (please provide detailed information): 7-1Z"7 ?3oR/J'JGI.?/C D� PO 4. Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator . ❑ Fire Alarm '❑ Telecommunication Temporary Service Property Served by: O Puget Sound Energy gy ❑ Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx - - Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea O Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 11J Temporary service (residential) $66.30 ❑ ` Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea 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 ► S RIC T OR: Signature: -gyp Print Name: ry e /'�/ ' P l/Zi, v Mailing Address: c r f✓ 0.c 2 d W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: lanuary 2017 bh Day Telephone: Date: 1) /7, 7'( 7 2116 . 7�� 79 V6. State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $69.62 EL17-0355 Address: Apn: $69.62 ELECTRICAL $66.30 PERMIT FEE MISCELLANEOUS R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.32 TOTAL FEES PAID BY RECEIPT: R11466 $69.62 Date Paid: Thursday, May 11, 2017 Paid By: ACT ON ELECTRIC Pay Method: CHECK 20218 Printed: Thursday, May 11, 2017 10:16 AM 1 of 1 SYSTEMS P64 —035 -C E MIT NO. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Typ n ection: Address:l4 y� - � r sem, Date Called: --- Special Instructio s: Date Wanted: (9 a.in . Requester: / Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Wortc"J„. 5 r tNe Inspector: Date: o / vi 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 INSPECTION NO. INSPECTION RECORD d Retain a copy with permit lamtI-03PMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project:y��t ICY I Lori rT r Ty -n ectic mid i . Address: Mill ,1/45 /3 Sr Date Called: — ejuo$3 ill TO 66, k'Qiv-r i / Ther Special Instructions: tij -iP Date Wanted: a.m p.m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: r- /,I6Th'D Aff P\Se ViO? Pie/ Ski — ejuo$3 ill TO 66, k'Qiv-r i / Ther oc (5t er KAiro --. 6Qzo4P Rop Kceotei6P Inspector: 'La Date: Date: REINSPECTION FEE REQUIREa. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ACT -ON -ELECTRIC Home Espanol Contact Safety & Health Claims & Insurance Oak Washington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My L&I Workplace Rights Trades & Licensing ACT -ON -ELECTRIC Owner or tradesperson Principals CASHEN, JOHN E JR, OWNER Doing business as ACT -ON -ELECTRIC WA UBI No. 319 011 211 PO BOX 2118 LYNNWOOD, WA 98036 206.786-3946 SNOHOMISH County Business type Individual License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. ACTEL"311 LE Effective — expiration 06/05/1969-12/31/2017 Designated administrator CASHEN, JOHN F JR License type Master Electrician Bond No bond accounts during the previous 6 year period. Savings ...................... (in lieu of bond) Received by L&I 08/22/2012 Release date N/A Savings account ID Savings history License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. CASHEJF972DS $4,000.00 Effective date 08/22/2012 Impaired date N/A 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 357,762-00 Doing business as Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=319011211&LIC=ACTEL**311LE&SAW= 5/11/2017 ACT -ON -ELECTRIC ACT ON ELECTRIC Estimated workers reported Quarter 4 of Year 2016 "1 to 3 Workers" L&I account representative T1 / TYRONE COLEMAN (360)902-4807 - Email: COTI235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. 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