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HomeMy WebLinkAboutPermit EL17-0931 - STARBUCKS #9319 - OVEN RECPTACLEThis 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. EL17-0931 STARBUCKS 13038 INTERURBAN AVE S 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. STARBUCKS #9319 13038 INTERURBAN AVE S BLDG ELI 7-0931 Parcel No: Address: Project Name: 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 0003000110 Permit Number: EL17-0931 13038 INTERURBAN AVE S BLDG Issue Date: 11/20/2017 Permit Expires On: 5/19/2018 STARBUCKS #9319 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: INTERURBAN 13038 LLC 1201 PACIFIC AVE #1400 C/O KIDDER MATHEWS, TACOMA, WA, 98402 EDWIN DOMINGUEZ Phone: (360) 270-3530 7056 S 220TH ST , KENT, WA, 98032 SEA TAC ELECTRIC INC (ELECTRICAL) Phone: (253) 872-5553 7056 5 220TH ST , KENT, WA, 98032- 1910 SEATAEI077RW Expiration Date: 12/17/2017 111 DESCRIPTION OF WORK: INSTALL ONE 208V 30A RECEPTACLE TO ACCOMMODATE OVEN Valuation of single family: $0.00 Valuation of mf/comm: $650.00 Type of Work: TENANT IMP Fees Collected: $90.69 Electrical Service Provided by: SEATTLE CITY LIGHT 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: Date: 2014 2014 2014 2015 Ilea) 1 0 rTh 0 1 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 a:ree to the conditions attached to this permit. Signature: Print Name: Date: //•yrs, / 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 TUKW1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov raN Electrical Permit No. 6711M1 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: 13038 Interurban Ave. Tenant Name: Starbucks #9319 PROPERTY OWNER Name: Edwin Dominguez Name: Starbucks City: Kent State: WA Zip: 98032 Address: 13038 Interurban Ave Email: edwin.dominguez@seatacelectric.com City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Edwin Dominguez Address: 7056 S. 220th Street City: Kent State: WA Zip: 98032 Phone: (360) 270-3530 Fax: (253) 872-4112 Email: edwin.dominguez@seatacelectric.com King Co Assessor's Tax No.: 601510212 Suite Number: Floor: New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Seatac Electric Inc Address: 7056 S 220th St City: Kent State: WA Zip: 98032 Phone: (253) 872-5553 Fax: (253) 872-4112 Contr Reg No.: seataei077RW Exp Date: 12/17/2017 Tukwila Business License No.; BUS0994354 Valuation of Project (contractor's bid price): $ 650 Scope of Work (please provide detailed information): Install one 208V 30A receptacle to accommodate oven. Will service be altered? ❑ Yes [7I No Adding more than 50 amps? ❑ Yes EJ No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W:\Pennit Cerate? Applications-Handaris\Petmit Applications\PDFs\Electtical Petmit Application Revised 1-1-17.docz Revised: January 2017 bb 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: Date: 11/20/2017 Print Name: Eric Short Day Telephone: (206) 406-7571 Mailing Address: 7056 S 220th Street Kent WA 98032 City W:\Permit Center \Appl ns4landam\Permit Applications \PDFs\Electrical Permit Application Revised 1.1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 • Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK 1 ACCOUNT QUANTITY PAID $90.69 EL17-0931 Address: 13038 INTERURBAN AVE S BLDG Apn: 0003000110 $90.69 Credit Card Fee $2.64 Credit Card Fee R000.369.908.00.00 0.00 $2.64 ELECTRICAL $83.86 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $83.86 TECHNOLOGY FEE $4.19 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12831 R000.322.900.04.00 0.00 $4.19 $90.69 Date Paid: Monday, November 20, 2017 Paid By: SEA TAC ELECTRIC INC (ELECTRIC Pay Method: CREDIT CARD 001796 Printed: Monday, November 20, 2017 1:14 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit � -013 INSPECTION NO. PE 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:Type i ' 'Cr....._S of Inspection: 4kt--- Address:Date /3 3 ' ijr1107 Called: Special Instructions: Date Wanted: 17t, L p.m. Requester: JJJJJJ Phone No: 3 00 2- ' 353 i!4J Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: Date: t.1 7-7f REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SEA TAC ELECTRIC INC Washington State Department of Labor & Industries Home Espanol Contact: Safety & Health Claims & Insurance Search L&I Page 1 of 3 A -Z Index Help My I &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://secure.lni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 11/20/2017 SEA TAC ELECTRIC INC Page 2 of 3 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. Satisfied .........__.......... RCW/WAC 19.28.101 RCW Violation amount $250.00 Infraction no. EWHA000205 Satisfied ...................... Issue date RCW/WAC 04/23/2014 19.28.101 RCW Violation city Violation amount KENT $1,250.00 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. ELYOD00293 Issue date 12/24/2013 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. Infraction no. EROBA00797 Issue date 07/24/2012 Violation city KENT Type of violation Satisfied .......................... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $1,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601510212&LIC=SEATAEI077RW&SAW= 11/20/2017 SEA TAC ELECTRIC INC ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. 0 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 536,103-01 ............................... Doing business as SEA TAC ELECTRIC INC Estimated workers reported Quarter 3 of Year 2017 "Greater than 100 Workers" L&I account contact T1 / DESTINY ADAMS (360)902-4873 - Email: ADAF235@Ini.wa.gov 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 Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 03/24/2014 Inspection no. 316973916 Location 1225 W Bakerview Rd Bellingham, WA 98226 Inspection results date 06/14/2013 Inspection no. 316803055 Location 1900 SE Sedgwick RD Port Orchard, WA 98366 No violations Violations Page 3 of 3 © Washington State Dept. of Labor & Industries. 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