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Home My WebLink AboutPermit EL17-0766 - TEMPURPEDIC - CONDUITThis 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. EL17-0766 TEMPURPEDIC 17195 SOUTHCENTER PKWY 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 9 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. TEMPURPEDIC 17195 SOUTHCENTER PKWY ELI 7-0766 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 2623049071 Permit Number: 17195 SOUTHCENTER PKWY Issue Date: Permit Expires On: Project Name: TERMPURPEDIC EL17-0766 10/4/2017 4/2/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KTM GROUP LLC 2810 EASTLAKE AVE E , SEATTLE, TX, 98102 SHADRACH WHITNEY 10755 SANDHILL RD , DALLAS, TX, 75238 TRIG ELECTRIC SERVICE INC 1121 RAINIER AV S , SEATTLE, WA, 98144 TRIGESI054RI Phone: (214) 343-9400 Phone: (206) 328-0555 Expiration Date: 12/21/2017 DESCRIPTION OF WORK: CONDUIT ONLY PERMIT FOR EL17-0765 Valuation of single family: $0.00 Valuation of mf/comm: $100.00 Type of Work: TENANT IMP Fees Collected: $71.71 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 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: V I 1 —1 l 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. Print Name: Dat/C9*_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 TUKA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov (13 Electrical Permit No. C. 7 op 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 nn King Co Assessor's Tax No.: Site Address: ti%gcj (�/ a, 4t_ KAP' 1.14_)4Suite Number: Floor: New Tenant:.... Yes ❑.. No Tenant Name: /4 ntJe" ?edit_ PROPERTY OWNER Nam / 1 %_ 1i Name � r0 it) � t t , 4L1/1/ IC t�.s Address: _,6 l3G, City: State: Zip: CONTACT PERSON — person receiving all project communication Nam / 1 %_ 1i ,e,O zt,LM L. i eLi Address: ,0 7 y %� , r `n SSttaat�Pl•11��C Zip: City: 044 r _,6 l3G, .3 5 pa Fax: Photle;, v 7 Email:` ELECTRICAL CONTRACTOR INFORMATION Company Nam---. _ 7'L_S@VUIL4 cd—j4,r Address//a/ g h 5 City`' 4-t 474_ g iiyv Pho b Cj _Iczen lb ,5.2g D ss Contr Reg y52/4. Esfzo /,ate: /2/2.1/17 Tukwila Business License No.; .09,$.25 i 3 Valuation of Project (contractor's bid price): $ l Scope of Work (please provide detailed information): tr.—, � J 1 - Del /L. Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ 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 ❑ 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) ❑ 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 OR ELECTRICAL CONTRACTOR: Signature: Print Name: , %//, �s Mailing Address: /79/ AfZu. 4.e S Sectik_LA) AL- gYiI�L/ City State Zip Date: /42 C Day Telephone 2O 327 DSS ' W:Wermit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $1,095.47 EL17-0765 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071 $1,023.76 Credit Card Fee $29.82 Credit Card Fee R000.369.908.00.00 0.00 $29.82 ELECTRICAL $955.71 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $764.57 PLAN CHECK FEE R000.345.832.00.00 0.00 $191.14 TECHNOLOGY FEE $38.23 TECHNOLOGY FEE R000.322.900.04.00 0.00 $38.23 EL17-0766 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071 $71.71 Credit Card Fee $2.09 Credit Card Fee R000.369.908.00.00 0.00 $2.09 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12479 R000.322.900.04.00 0.00 $3.32 $1,095.47 Date Paid: Wednesday, October 04, 2017 Paid By: JEFFREY MULLINS Pay Method: CREDIT CARD H29723 Printed: Wednesday, October 04, 2017 10:01 AM 1 of 1 CRWYSTEMS INSPECTION RECORD CD7--0/86 INSPECTION NO. Retain a copy with permit 7PMIT N . / CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: kede—Per-bie Type of Inspection: Aiki.-- Address: i 7/5 ' -- PT Date Called: Special Instructions: Date Wanted: a.i' Requester: tt Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: '(�J. e / ��L.d t " i, Inspector: fr 1LY Date 12-137/7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. TRIG ELECTRIC SERVICE INC c }-tome Espanol Contact Search L&I A -Z Index lielp My L&1 Page 1 of 2 SEARCH fi Safety & Health Claims & Insurance Workplace Rights Trades & Licensing 0 Washington State Department of Labor & Industries TRIG ELECTRIC SERVICE INC Owner or tradesperson Principals ERTEL, LANCE F MULLINS, JEFF D, PRESIDENT MULLINS, JEFF D, AGENT Doing business as TRIG ELECTRIC SERVICE INC WA UBI No. 600 464 732 1121 RAINIER AVE S SEATTLE, WA 98144 206-328-0555 KING County Business type 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 GENERAL License no. TRIGESI054R1 Effective — expiration 12/21/1995-12/21/2017 Designated administrator MULLINS, JEFFREY D License type Master Electrician Bond ........._. No bond accounts during the previous 6 year period. Savings ...._........ (in lieu of bond) Received by L&I Release date N/A Savings account ID License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. MULLIJD961 MF $4,000.00 Effective date 12/20/1995 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. This company has multiple workers' comp accounts. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600464732&LIC=TRIGESI054R1 &SAW= 10/4/2017 TRIG ELECTRIC SERVICE INC Active .accounts ............................................ L&I Account ID 640,741-00 ................................ Doing business as TRIG ELECTRIC SERVICE INC Estimated workers reported Quarter 2 of Year 2017 "7 to 10 Workers" L&I account contact T4 / NIKKI BUTLER (360)902-4918 - Email: BUTQ235@Ini.wa.gov Track this contractor 0 Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor ..... Strikes .................................... _........... No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 (S Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600464732&LIC=TRIGESI054R1 &SAW= 10/4/2017