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Permit EL18-0551 - SOUTHCENTER PROFESSIONAL PLAZA - DISCONNECT/RECONNECT CONTROL SYSTEM FOR COOLING TOWER REPLACEMENT
This 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. EL18-0551 SOUTHCENTER PROFESSIONAL PLAZA 411 STRANDER BLVD 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) 11 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) SOUTHCENTER PROFESSIONAL PLAZA 411 STRANDER BLVD BLDG ELI 8-0551 Parcel No: Address: Project Name: 0 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 0223200052 411 STRANDER BLVD BLDG SOUTHCENTER PROFESSIONAL PLAZA Permit Number: Issue Date: Permit Expires On: EL18-0551 11/14/2018 5/13/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: MEDICAL CENTERS CO LLC 411 STRANDER BLVD STE 108, TUKWILA, WA, 98188 RICHARD SINNEMA PO BOX 1268 , CARNATION, WA, 98014 HEATTRANSFER CO P O BOX 1268 , CARNATION, WA, 98014-1268 HEATTC*009DA Phone: (425) 885-3247 Phone: (425) 885-3247 Expiration Date: 5/30/2020 DESCRIPTION OF WORK: DISCONNECT AND RECONNECT OF LOW VOLTAGE CONTROL SYSTEM FOR COOLING TOWER REPLACEMENT PROJECT Valuation of single family: $0.00 Valuation of mf/comm: $100.00 Type of Work: LOW VOLTAGE Fees Collected: $71.71 Electrical Service Provided by: PUGET 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: Date: 2017 2017 2017 2015 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:<<��Lz Print Name: 4� V1 / J Oci Date: / (//9/(, This permit shall become null and void if the work is not commenced within 180 days forthe 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 CITY OF TUKWILA Community Development Department Permit Center 6300 Sotuhcenter Blvd., Suite 100 Tukwila, WA 98188 http:i/www.1'ukwilaWA.gov Permit No. V' 0 0 Project No. {,, Date Application Accepted: .P 14" Date Application Expires: ' , v t 1% D (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: 411 Strander Blvd Tenant Name: Wltul'19 tg- SD C,Atj' lir `! King Co Assessor's Tax No.: 0223200052 ht Suite Number: Roof Floor: New Tenant: ❑ Yes PROPERTY OWNER Name: MEDICAL CENTERS CO LLC Address: 411 STRANDER BLVD STE 108 ('ity: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication °N'ii": Richard Sinnema Address: P.O. Box 1268 Address: P.O. Box 1268 Phone: (425) 885-3247 Fax: (425) 333-6545 Cit. :Carnation State: WA Zip: 98014 Phone: (425) 885-3247 Fax: (425) 333-6545 Email: heattransfer1@aol.com Roof 0 ELECTRICAL CONTRACTOR INFORMATION Company Name: Heattransfer Co. Address: P.O. Box 1268 City:Carnation State: WA Zip' 98014 Phone: (425) 885-3247 Fax: (425) 333-6545 Contr Reg No.: HEATTC*009D Lxp Date: Tukwila Business License No.: 22128 Valuation of Project (contractor's hid price): $ 100 Scope of Work (please provide detailed information): Disconnect and reconnect of low -voltage control system for cooling tower replacement project. Will service he altered? ❑ Yes No Adding more than 50 amps? El Yes 6ZI No Te pe of 1 Ise: I vpe of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served hv: 2 Puget Sound Energy ❑ Seattle City Light 4knmt CenMrAppl,cations-Handouts,Permit Applications\PDF's\Electrical Permit Application Reclsed I-1-17.docx Rev u:ed J.muar 2,117 1,11 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5t 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. fhe Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing andjustitiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE IJNDFR ['LNA .TY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWLECTRICAL CONTRACTOR: Signature Print N; f ne: Richard Sinnema Day Telephone: (425) 885-3247 Mailing Address:P•O. Box 1268 Carnation WA 98014-1268 Date: 06/12/2018 City W' `Pei mit l'enter.Applications-Hundouts\Permit Applucalions\PDF's\Electrical Peril Application Revised I-1-17.docx Itc� „d lwman 2017 State Zip Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 06/14/2018 07:43:55 AM CREDIT CARD SALE VISA CARD NUMBER: **********4353 K TRAN AMOUNT: $961.38 APPROVAL CD: 63489D RECORD #: 000 CLERK ID: Rachelle X (CARDHOLDER'S SIGNATURE) I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 6/14/2018 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 06/14/2018 07:43:55 AM CREDIT CARD SALE VISA CARD NUMBER: TRAN AMOUNT: APPROVAL CD: RECORD #: CLERK ID: **********4353 $961.38 63489D 000 Rachelle Thank you! Customer Copy K .1111.0. Page 2 of 2 https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 6/14/2018 Ot t d' Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY I PAID $961.38 EL18-0551 Address: 411 STRANDER BLVD BLDG Apn: 0223200052 $71.71 Credit Card Fee $2.09 Credit Card Fee R000.369.908.00.00 I 0.00 $2.09 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $3.32 M18-0078 Address: 411 STRANDER BLVD BLDG Apn: 0223200052 $889.67 Credit Card Fee $25.91 Credit Card Fee R000.369.908.00.00 0.00 $25.91 MECHANICAL $830.54 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $631.28 PLAN CHECK FEE R000.322.102.00.00 0.00 $166.11 TECHNOLOGY FEE $33.22 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14718 R000.322.900.04.00 0.00 $33.22 $961.38 Date Paid: Thursday, June 14, 2018 Paid By: RICHARD SINNEMA Pay Method: CREDIT CARD 63489D Printed: Thursday, June 14, 2018 7:44 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit el/a INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project:r E. Itkik sc.__ Kiitt Type of Inspection: h....--,1 Address: // crp1.11)6(\ Date Called: Special In ructions: / /_vCO01,441\ 77) do\ Date Wanted: . . Requester: - Phone No: liz-c2ii 6Litto AApproved per applicable codes. El Corrections required prior to approval. COMMENTS: 6t/ Inspector: Date: REINSPECTIONFEE REQUIRED. Prior to next inspectior fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 11/14/2018 0 Washington State Department of Labor & Industries HEATTRANSFER CO 0 Search L&I HEATTRANSFER CO Owner or tradesperson Principals MCCLOSKEY, THOMAS, PRESIDENT McCloskey, Grace, VICE PRESIDENT MCCLOSKEY, THOMAS, AGENT Doing business as HEATTRANSFER CO WA UBI No. 600 353 103 PO BOX 1268 34405 NE 16th Street CARNATION, WA 98014-1268 425-885-3247 KING County Business type Corporation Governing persons GRACE E MCCLOSKEY THOMAS G MCCLOSKEY; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. .................... ........................._.... Meets current requirements. License specialties HVAC/RFRG License no. HEATTC*009DA Effective — expiration 03/01/2000— 05/30/2020 Designated administrator MCCLOSKEY, THOMAS License type Electrical Administrator 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 Infraction no. EROJE01183 Issue date Active. Meets current requirements. License no. MCCLOT*003UA $4,000.00 Effective date 02/24/2000 Impaired date N/A Satisfied ................ ....... RCW/WAC ve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600353103&LIC=HEATTC*009DA&SAW= 1/2 11/14/2018 09/08/2017 Violation city CARNATION Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. HEATTRANSFER CO 19.28.271 RCW Violation amount 5250.00 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 425,977-00 Doing business as HEATTRANSFER CO Estimated workers reported Quarter 3 of Year 2018 "11 to 20 Workers" L&I account contact TO /JULIE SUR (360)902-4715 - Email: SURJ235©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 No inspections during the previous 6 year period. asbin, lon 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=600353103&LIC=HEATTC*009DA&SAW= 2/2