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HomeMy WebLinkAboutPermit EL17-0642 - CULLIGAN WATER COMPANY - TEMPORARY SOURCE HOOK-UPThis 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. EL17-0642 CULLIGAN WATER COMPANY 18404 CASCADE AVE S #100 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. CULLIGAN WATER COMPANY 18404 CASCADE AVE S SUITE 100 ELI 7-0642 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 7888900010 Permit Number: EL17-0642 18404 CASCADE AVE S 100 Project Name: CULLIGAN WATYER COMPANY Issue Date: 8/21/2017 Permit Expires On: 2/17/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: CPF KENT VALLEY LLC 100 WILSHIRE BLVD #700 , SANTA MONICA, WA, 90401 DAWN LANZ Phone: (253) 872-5553 SEA TAC ELECTRIC INC Phone: (253) 872-5553 7056 S 220TH ST , KENT, WA, 98032- 1910 SEATAEI077RW Expiration Date: 12/17/2017 7056 S 220TH ST, KENT, WA, 98032 1!/ DESCRIPTION OF WORK: HOOK UP 240 VOLT TEMP SOURCE FOR EQUIPMENT Valuation of single family: $0.00 Valuation of mf/comm: $1,400.00 Type of Work: TENANT IMP Fees Collected: $130.83 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-466: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: L_1 Date: 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 d s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating 7.nstruction or the performance of work. I am authorized to sign and obtain this development permit and a:; to the conditions attached t. his permit. Signature: /t Print Name: (�iL ,/ Date:./0.--/-) 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 296-466 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 Coumtranlly Development Department Permit Center 6300 Southcenler Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. ! . 04919-. 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 Site Address: 1 84O easWe Ar6 So Tenant Name: Cat II VULtl,l"' Co King Co Assessor's Tax No.: Suite Number / W Floor: New Tenant: Yes ..No PROPERTY OWNER Name: Address: (IUTh . as aJo v City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Dawn ' lyrNU' z. Address: 7OL51 justii City: Wit_, SSttaXtejp( DN, Y VV072 Phone:'1 (07 i t✓I/': 41/2 Email: /t,pn, to v.ya ded[UI./WrV1 ELECTRICAL CONTRACTOR INFORMATION Company Name: �j,4 -j ij °co �(/t2C.� - Address: "7O'5 th _I,lU GSSttatte:'i/l/AF. City: V n,/16 42,, .7% Zip-%, ✓�'" Phone: I --j 7 Fax: t?v '72 41 t i Contr Reg No.5e/ Ej d 1 * 1.ijExp Date: v. '51 , 177 Tukwila Business License No.; 0 9 61 4.354 Valuation of Project (contractor's bid price): $ V40 Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Type of Use: Type of work; ❑ New 0 Addition 0 Service Change 0 Remodel ❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication Property Served by: Puget Sound Energy 0 Seattle City Light W:\Pemait CenlcW pptications-Handouts\Permit Applications\PDF'stElmrical Permit Application Recited l-I.17,docx Revised: January 2017 bh Adding more than 50 amps? ❑ Yes No Tenant Improvement Temporary Service 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 ❑ 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 $$5.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 OT more circuits) $7.65 ea ❑ Meter/Mast repair $69,62 ❑ Low voltage systems $6105 (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 ❑ Manut ictured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator tniek S 11.02 ea ***EFFECTIVE JANUARY 1, 2414 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 B ( HE LAWS OP THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. L N Signature' Print Name: Mailing Address: City Wttrem k CenteMpplicadoealkndautAPerttit ApplieotianAPNVelectrical Pert Application Revisal t-t-t7.docx Reviled: loamy 2017 >a Telephone: Date: V2 ? State 9376S 2. Zip Page 2of2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY I PAID $130.83 EL17-0642 Address: 18404 CASCADE AVE S 100 Apn: 7888900010 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12176 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Monday, August 21, 2017 Paid By: YANCY SCHNELL Pay Method: CREDIT CARD 052492 Printed: Monday, August 21, 2017 10:09 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit Ot 7-o&f2 PIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:ft r t//7 Type of Inspection: Address: l 't 19 L C � SCA Date Called: Date Wanted: g� a.m Special Instructions Requester: �� Phone Noz 32 r7 77 Approved per applicable codes. COMMENTS: Corrections required prior to approval. Inspector: Date:to /Z3 / 7 REINSPECT! Of 1 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. J INSPECTION NO. INSPECTION RECORD z 4 Retain a copy with permit Clti PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Reque>t Line (206) 438-9350 (206) 431-3670 Project: - Type of Inspection: r -6A, leji Address: jq /t rscAp6 Date Called: Special Iructions: ��v Date Wanted:li �� m i Requester: A Phone No: I7 7 7 DApproved per applicable codes. 1J Corrections required prior to approval. COMMENTS: - ARA ?r& Ib L bier L cyto A( epriA- PA -46, 5c0 -61)4(,e Insp(664116(\ector: Date: off', -0 7 REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection. SEA TAC ELECTRIC INC Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of , Labor & Industries Search L&I Page 1 of 4 A A -Z index Help My L&I Workplace Rights Trades & Licensing SEA TAC ELECTRIC INC Owner or tradesperson Principals HARGREAVES, TOM, PRESIDENT JORDAN, TOM, VICE PRESIDENT BEAN, ERIC, SECRETARY BEAN, ERIC, TREASURER HARGREAVES, TOM, AGENT HARGREAVES, KATHERINE, SECRETARY (End: 12/10/2008) BURKS, ROY, VICE PRESIDENT (End: 12/15/1995) Doing business as SEA TAC ELECTRIC INC WA UBI No. 601 510 212 7056 S 220TH ST KENT, WA 98032 253-872-5553 KING County Business type Corporation Governing persons KATHERINE M HARGREAVES THOMAS R HARGREAVES; TOM JORDAN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. SEATAEI077RW Effective — expiration 12/16/1993-12/17/2017 Designated administrator ........._...__.. Jordan, Thomas License type Master Electrician Bond DEVELOPERS SURETY & INDEM CO Bond account no. 798649C Active. Meets current requirements. Active. Meets current requirements. License no. JORDAT*914LR $4,000.00 Received by L&I Effective date 12/03/2008 12/16/2008 Help us improve https://seeure.lni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 8/21/2017 SEA TAC ELECTRIC INC Expiration date Until Canceled Savings ..................... (in lieu of bond) $4,000.00 Received by L&I Effective date 12/16/1993 Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. ECHAP01667 Issue date 11/03/2014 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. EWHA000205 Issue date 04/23/2014 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Satisfied .................. RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied ........................ RCWNVAC 19.28.101 RCW Violation amount $1,250.00 Infraction no. ELY0D00293 Satisfied ............. Issue date RCW/WAC 12/24/2013 19.28.101 RCW Violation city Violation amount KENT $2,000.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EROBA00797 Issue date 07/24/2012 Violation city KENT Type of violation Satisfied .................. RCW/WAC 19.28.101 RCW Violation amount $1,000.00 1 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 8/21/2017