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HomeMy WebLinkAboutPermit EL18-0071 - CHEVRON STATION - DISCONNECT EXISTING 6 GAS DISPENSERS AND EXTEND WIRING INTO NEW 6 DISPENSERS. ADD AIWECThis 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. EL18-0071 CHEVRON STATION 16200 WEST VALLEY HWY THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemptio (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION defExplanatory Description S a u el ule DR1 Personal Information — Social Security Numbers Generally — 5 U.S.C. sec. 552(a); RCW 42.56.070(1) The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security numbers are redacted to protect those individuals' privacy pursuant to 5 U.S.C. sec. 552(a), and are also exempt from disclosure under section 42.56.070(1) of the Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. 5 U.S.C. sec. 552(a); RCW 42.56.070(1) 9 DR2 Personal Information — Financial Information — RCW 42.56.230(4 5) Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit expiration dates, or bank or other financial account numbers, which are exempt from disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. RCW 42.56.230(5) DR3 Personal Information — Driver's License. — RCW 42.56.230 (7a & c) Redactions contain information used to prove identity, age, residential address, social security number or other personal information required to apply for a driver's license or identicard. RCW 42.56.230 (7a & c) DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW 42.56.070(1) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. RCW 5.60.060(2)(a); RCW 42.56.070(1) CHEVRON STATION 16200 WEST VALLEY HWY ELI 8-0071 Parcel No: Address: City of Tukwila a Deportment 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 0005800038 Permit Number: EL18-0071 16200 WEST VALLEY HWY Project Name: CHEVRON STATION Issue Date: 1/19/2018 Permit Expires On: 7/18/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SOUTHCENTER GAS STATION LLC 98007 ERNESTTMOMPS0N Phone: (360) 850-8646 6792OLD MILITARY RDNE, BREMERTON, WA98311 PT SERVICES LLC Phone: (360) 850-8646 6793OLD MILITARY KDNE, BREMERTON, WA98311 PTSERSL937O7 Expiration Date: 9/27/2019 1 DESCRIPTION OF WORK DISCONNECT EXISTING 6 GAS DISPENSERS AND EXTEND WIRING INTO NEW 6 DISPENSERS. ADD ALLNEC REQUIRED EQUIPMENT FOR DISPENSERS TO MEET CURRENT CODES Valuation of single family: $0.0 Valuation of mf/comm: $8,010.00 Type of Work: TENANT IMP Fees Collected: $27213 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 Resider,tial Code Edition: International Mechariical Code Edition: Uniform Plumbing Code Edition: lnternational Fuel Gas Code: Permit Center AuthorizeSignature: 2015 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-468: WA State Energy Code: Date: 2017 2017 2017 2015 \ 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 •r tperformance of work. I am authorized to sign and obtain this development permit and,�gree to ; �/di f• s attached to this permit. Signature: Print Name: 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 and the Washington Cities Electrical Code. 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 ( 1 CITY OF TUKW . A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. ?LI o O07( 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: /(v 2- 4D LI() VCt S�� Tenant Name: --7627(e- )45;1'7. ' IA vL PROPERTY OWNER Name: 6a « j liC/(f, - Address: o / /; f v /2 /9,ot/ /62 City: �tdzi/V )lam State: State: %//t4 Zip: q r/ 8 CONTACT PERSON — person receiving all project communication Name: PQ Company Name: Address: //02©© of }t/ Address: / -7q efi (/ City: r State: /44/.,c -r 1 /1 Zi Phone: l;c5.--:_:77,,....3 = S7%'yG 26—'1613-71 45 Email: �CAs �h f� 7b 0 Vats. r 00 •CD'l King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes A. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Y'v fees Z. L C— J 1 Address: / -7q efi (/ i f I1; ? e / t5 /`� City: State: Zip:� Phone:34•P- 95P- ////4 Conti- EN 5 $3 7 07 Exp Date: 9/Z /'r Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Sa Scope of Work (pl-ase provide detailed information): "P(j (_ 9h v). PG • Will service be altered? ❑ Yes, No Adding more than 50 amps? ❑ Yes k No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change Remodel 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Tenant Improvement Puget Sound Energy 0 Seattle City Light W:\Permit Center\Appliations-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-20I7.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $155.91 (including an attached garage) O Garages, pools, spas and outbuildings $83.54 ea O Low voltage systems (alarm, furnace thermostat) $61,05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $83.54 (no added/altered circuits) O Service change with added/altered circuits $83.54 number of added circuits $12.00 ea O 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 O Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $66.30 0 Temporary service (generator) $82.52 0 Manufactured/mobile home service $87.98 (excluding garage or outbuilding) 0 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. [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 ECTRIC f C RACTOR: Signature: Print Name: Mailing Address: Date: Day Telephone: &L5-0 6-792 (5)?; Alffa7 pZip City State WAPermit Center‘Applications-Handouts1Permit Application:Word \Electrical Permit Application Revised l-1-2017.docx Revised: January 20[7 bh Page 2 of 2 f� Cash Register Receip City of Tukwila f �l DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $272.13 EL18-0071 Address: 16200 WEST VALLEY HWY Apn: 0005800038 $272.13 ELECTRICAL $259.17 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $259.17 TECHNOLOGY FEE $12.96 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13488 R000.322.900.04.00 0.00 $12.96 $272.13 Date Paid: Friday, January 19, 2018 Paid By: PT SERVICES LLC Pay Method: CHECK 5017 Printed: Friday, January 19, 2018 2:38 PM 1 of 1 P'li SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 Project: / G `ISA Type of Inspection: Address(:. /60t I)Date Called: Special Instructions: Date Wanted:744.'1 a.m. .m. Requester: Phone No: 0Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: 6cd„16-, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PT SERVICES LLC Washington State Department of Labor & Industries floyne Espanol. Contact Safety & Health Claims & Insurance Page 1 of 2 Search L&I A -Z ndx Help i1y 1S:1 Workplace Rights Trades & Licensing PT SERVICES LLC Owner or tradesperson THOMPSON, ERNEST PATRICK Principals THOMPSON, ERNEST PATRICK, PARTNER/MEMBER THOMPSON, ERNEST P, AGENT WA UBI No 604 172 314 6792 OLD MILITARY RD NE BREMERTON, WA 98311 360-850-8646 KITSAP County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. PTSERSL837O7 Effective — expiration 09/27/2017— 09/27/2019 Designated administrator Thompson, Ernest Patrick Active. Meets current requirements. Active. Meets current requirements. License type License no. Master Electrician THOMPEP886DU Bond. No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I 09/27/2017 Release date N/A Savings account ID License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 09/26/2017 Impaired date N/A Workers' comp No active workerscomp accounts during the previous 6 year period. Public Works Strikes and Debarments Help us improve https://securedni.wa.gov/verify/Detail.aspx?UBI=604172314&LIC=PTSERSL8370784SAW= 1/19/2018 PT SERVICES LLC Verify the contractor is eligible to perform work Contractor Strikes N16sfrikea have been issued against this contractor. Contractors not allowed to bid. No debarments have been issued against this contractor. blic works projects. / Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://securelni.wa.gov/verify/Detail.aspx?UBI=604172314&LIC=PTSERSL83707& SAW= 1/19/2018