HomeMy WebLinkAboutPermit EL17-0580 - CIRCUSTRIX - FEEDER PANELS AND TRANSFORMERThis 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.
EL17-0580
CIRCUSTRIX
455 ANDOVER PARK E
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
11
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.
CIRCUSTRIX
455 ANDOVER PARK E
ELI 7-0580
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
ELECTRICAL OTC PERMIT
0223400060 Permit Number:
455 ANDOVER PARK E Issue Date:
Permit Expires On:
Project Name: CIRCUSTRIX
EL17-0580
7/28/2017
1/24/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
445 BUILDING LLC
121 LAKESIDE AVE #B100 , SEATTLE,
WA, 98122
JOHN CASHEN
PO BOX 2118 , LYNNWOOD, WA,
98036
ACT -ON -ELECTRIC
PO BOX 2118 , LYNNWOOD, WA,
98036
ACTEL**311LE
!11
Phone: (206) 786-3946
Phone: (206) 786-3946
Expiration Date: 12/31/2017
DESCRIPTION OF WORK:
RELOCATE 3 FEEDER PANELS AND TRANSFORMER BEFORE REMOVAL OF WALL.
Valuation of single family: $0.00
Valuation of mf/comm: $60,000.00
Type of Work: TENANT IMP
Fees Collected: $1,186.85
Electrical Service Provided by: PLI_GEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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:
2014
2014
2014
2015
b4(4'— Date: 1'2�' ri
_ r J
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 reg .ting constructi•n or the performance of work. I am authorized to sign and obtain this
development pepm : . agr e th - co ditions attached to this permit.
Signature: J
Print Name: D 4- ^�
La�s,W�.d
Date:
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 TUKA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. ✓ 111',04q0
Project No.
Date Application Accepted: 1 ' 1-t 11
Date Application Expires: 1.1-0. IP%
(For once 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.:
Site Address: '7/S 5 A wonage f)J
Suite Number:
Floor:
Tenant Name: rhy,j i G el re eu $ / ,eA y� �6L,�tu1C Pit?Z New Tenant: jg Yes E.. No
PROPERTY OWNER
Company Name: A re 7— O/v ��4 iic ,e' c,
Name: 46)4 /,v C iiia-jJ
Name:
Phone
G 7ii..4557,ax: ti�S 7 3 ,i•
" v!
Address:p , , /3 D X g, I0 p
Address:
City: / c Aiiii 14....000 State: 4/4
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: A re 7— O/v ��4 iic ,e' c,
Name: 46)4 /,v C iiia-jJ
City:zyiv..A/ 14-0 d' State: It./4 Zip: 96p2"
Phone
G 7ii..4557,ax: ti�S 7 3 ,i•
" v!
Address:p , , /3 D X g, I0 p
Tukwila Business License No.;
City: / c Aiiii 14....000 State: 4/4
Zip:9
77
3G
Phone: f%
7F4 39 Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A re 7— O/v ��4 iic ,e' c,
Address: F. v. ROS 2 / op
City:zyiv..A/ 14-0 d' State: It./4 Zip: 96p2"
Phone
G 7ii..4557,ax: ti�S 7 3 ,i•
" v!
Contr Reg NQ.;,T fL,14x 3r f LEx,RDate: lbw 2 e.
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ D C2D
Scope of Work (please provide detailed information):
(t'iz L 0 et--� �z 3 %'moi) ar? P52, AA/7,- xA. ofP/71
q(five ( , '- ® 47,t Lc__
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel
0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
0 Puget Sound Energy 0 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
„t; ' . RESIDENTIAL
:-; .
NEW RESIDENTIAL SERVICE
❑ New single`fainily dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
0,11 -ow voltage systems
(alarin, 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)
❑ 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
❑ 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
Signature:
Print Name:
Mailing Address:
RACTOR:
�a (4/,-e- �ik5H1,-'
�t a� ?O»- rlci'”
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
bh
Date: cl UL l 7
Day Telephone: 20 Z ??4 3 'C
`V* (c 0o) mitS'f�
/ City State
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I
ACCOUNT
QUANTITY
PAID
$1,360.10
EL17-0579 Address: 2914 S 135TH ST Apn: 7346600124
$173.25
ELECTRICAL
$165.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$165.00
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$8.25
EL17-0580 Address: 455 ANDOVER PARK E
Apn: 0223400060
$1,186.85
ELECTRICAL
$1,130.33
PERMIT FEE MULTI-FAM/COMM
1
R000.322.101.00.00
0.00
$1,130.33
TECHNOLOGY FEE
$56.52
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12008
R000.322.900.04.00
0.00
$56.52
. $1,360.10
Date Paid: Friday, July 28, 2017
Paid By: ACT -ON -ELECTRIC
Pay Method: CHECK 20336
Printed: Friday, July 28, 2017 8:04 AM 1 of 1
CRIVSYSTEMS
INSPECTION RECORD 617-05119�J Retain a copy with permit
INSPECTION N0. PEIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
(/Project: if
t ick/5P2-tic
Type of inspection: iv
L�,
/( kt.- \
Address: u
Date Called:
Special Instructions:
�/� Q��
�� ' �
Date Wanted: a:m
Requester:
Phone No: °��
f�4, 3Y7 jg13
Approved per applicable codes. L, Corrections required prior to approval.
COMMENTS:
Oi
Inspector:
Date: (0/3
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 5TO
Retain a copy with permit O"4
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
1Zr✓cJ)1.i
Type of Inspection:
gfKiiii�
Address: q3--nT ^
Date Called:
Special Instr tions:
Date Wanted:
i�m,,
�y
Requester:
Re q
Phone No:
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
J
Date:
P/2-0 i
7
REINSPECT! FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 S uthcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
I
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P 1
6/1,-0q0
MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: •
) t
Type •, 'vaspection:
0 I, 4
1
*,,l AL_
Address: qq -
o t
Date Called:
Special Instructions:
/,� eC J5TQ-
(%j /"
Date Wanted:
0 /6,
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
./J-ot READI
gtou./ hrTeiL Affkokikiv or
016-14A11 tu/K-0(0.1
Inspector:
) t
Date:/I
c ;i Dry
REINSPECTION FEE REQUIRED. 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
0 Washington State Department of
Labor & Industries
Search L&I
Page 1 of 2
SEARCH -
A -Z Index Help My LK]
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 contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
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.
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
CaII L&I account representative for
account status.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=319011211&LIC=ACTEL**311LE&SAW= 7/28/2017