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HomeMy WebLinkAboutPermit EL18-1018 - SOUTHCENTER PROFESSIONAL CENTER - DISCONNECT AND RECONNECT ROOF COOLING TOWERThis 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. EL18-1018 SOUTHCENTER PROFESSIONAL CENTER 411 STRANDER BLVD THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description StatutelRule Personal Information — 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 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 — RCW 42.56.230(4 5) 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. 42.56.230(5) Personal Information — Driver's License. RCW Redactions contain information used to prove RCW DR3 — identity, age, residential address, social security 42.56.230 (7a 42.56.230 (7a & c) number or other personal information required to apply for a driver's license or identicard. & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged 5.60.060(2)(a); RCW 42.56.070(1) communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. 42.56.070(1) 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. EL18-1018 SOUTHCENTER PROFESSIONAL CENTER 411 STRANDER BLVD THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief Explanatory Description StatutelRule Personal Information — 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 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 — RCW 42.56.230(4 5) 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. 42.56.230(5) Personal Information — Driver's License. RCW Redactions contain information used to prove RCW DR3 — identity, age, residential address, social security 42.56.230 (7a 42.56.230 (7a & c) number or other personal information required to apply for a driver's license or identicard. & c) Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW DR4 Attorney -Client Privilege — RCW 5.60.060(2)(a); RCW disclosure pursuant to RCW 5.60.060(2)(a), which protects attorney-client privileged 5.60.060(2)(a); RCW 42.56.070(1) communications, and RCW 42.56.070(1), which protects, under the PRA, information exempt or prohibited from disclosure under another statute. 42.56.070(1) SOUTHCENTER PROFESINAL CENTER 411 STRANDER BLVD BLDG ELI8-1018 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.Rov ELECTRICAL OTC PERMIT 0223200052 Permit Number: 411 STRANDER BLVD BLDG SOUTHCENTER PROFESSINAL CENTER Issue Date: Permit Expires On: EL18-1018 11/29/2018 5/28/2019 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 JAMEY MASSEY 8703 191ST PL SW , EDMONDS, WA, 98026 SCHNEIDER ELECTRIC INC 2305 N 178TH ST, SHORELINE, WA, 98133-5147 SCHNEEI014LC Phone: (206) 854-5978 Phone: (206) 440-0203 Expiration Date: DESCRIPTION OF WORK: DISCONNECT AND RECONNECT ROOF COOLING TOWER. Valuation of single family: $0.00 Valuation of mf/comm: $1,800.00 Type of Work: REMODEL Fees Collected: $130.83 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: 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 developme permit and a: ree to the conditions attached to this perm Signature: Print Name: S 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 CITY OF TUKICA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. €L) Project No. Date Application Accepted: I 1- 21 Date Application Expires: Z 8 (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: 91( SA-{6.Ail- BI4 1111 S+ra4kVt,/ King Co Assessor's Tax No.: Suite Number: ROOC- Floor: Tenant Name: New Tenant: Yes D..No PROPERTY OWNER Na ' AiN&J Address: V -)Q 1 1 I 5". L c L0 Name: Phonect _Li 3 _ q( 0 Fax: ;06 _ lio, 062y City: EA, twar\Ars State: w ik Address: Phone: A _cgs -ti _ sl -y Fax: City: State: Zip: CONTACT PERSON - person receiving all project communication Na ' AiN&J Address: V -)Q 1 1 I 5". L c L0 Address: s„,-) 1 , is-- pi, 50 Phonect _Li 3 _ q( 0 Fax: ;06 _ lio, 062y City: EA, twar\Ars State: w ik Zip: qq0).6 Phone: A _cgs -ti _ sl -y Fax: Email: OV\ pcss Ey z -, 1 \ I ELECTRICAL CONTRACTOR INFORMATION Company Name: ScAx , Address: V -)Q 1 1 I 5". L c L0 City: State: k5 State: WA Zip: civox Phonect _Li 3 _ q( 0 Fax: ;06 _ lio, 062y Contr Reg No.: vl oil Lc Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ (J ) Scope of Work (please provide detailed information): n e. L.+ 4- Re_ ci e POO "f- Ce0 4.12J Will service be altered? EI Yes No Adding more than 50 amps? ED Yes No Type of Use: Type of work: 0 New 0 Addition 0 Service Change /Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Pro ertserved b : Puget Sound Energy 0 Seattle City Light W:kPermit Center \Applications -Handouts \Permit Applications \PDF% \Electrical Permit Application Revised 1-1-17.docs Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm) $155.91 $83.54 ea $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 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. 1 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: Mailing Address: F-)0 $915 c -Lo Date: Day Telephone: ;74)b'VS J S T3' W:Permit CenterlApplications-Handouts Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $130.83 EL18-1018 Address: 411 STRANDER BLVD BLDG Apn: 0223200052 $130.83 Credit Card Fee $3.81 Credit Card Fee I R000.369.908.00.00 I 0.00 I $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15932 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Thursday, November 29, 2018 Paid By: JAMEY MASSEY Pay Method: CREDIT CARD 029668 Printed: Thursday, November 29, 2018 12:02 PM 1 of 1 SYSTEMS e CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 11/29/2018 12:02:23 PM CREDIT CARD SALE VISA CARD NUMBER: **********0958 K TRAN AMOUNT: $130.83 APPROVAL CD: 029668 RECORD #: 000 CLERK ID: jazzel 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=printTr... 11/29/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 11/29/2018 12:02:23 PM CREDIT CARD SALE VISA CARD NUMBER: **********0958 K TRAN AMOUNT: $130.83 APPROVAL CD: 029668 RECORD #: 000 CLERK ID: jazzel Thank you! Customer Copy https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTr... 11/29/2018 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6/03-1pg PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: c.... erk Type of Inspection: Type Address: L. C42AN/ thC Date Called: Special Instructions: Date Wanted: p.rn. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. OMMENTS: inspector: Date: 24)/(g I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SCHNEIDER ELECTRIC INC c 11ow c Espanol Contact Safety & Health Claims & Insurance 41) Washington State Department of Labor & Industries Search L&I :12/,:lndeA Help Page 1 of 2 1%rly L&1 Workplace Rights Trades & Licensing SCHNEIDER ELECTRIC INC Owner or tradesperson Principals SCHNEIDER, JOSEF SCHNEIDER, JOSEF, AGENT Doing business as SCHNEIDER ELECTRIC INC WA UBI No. 601 953 858 8703 191st PI SW EDMONDS, WA 98026 206-440-0206 SNOHOMISH 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. SCHNEEI014LC Effective — expiration 06/03/1999— 07/24/2019 Designated administrator SCHNEIDER, JOSEF J License type Master Electrician Bond COLONIAL AM CAS & SURETY OF MD Bond account no. LPM4054407 Active. Meets current requirements. License no. SCHNEJJ950JO $4,000.00 Received by L&I Effective date 08/23/2001 06/24/2001 Expiration date Until Canceled Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 05/27/1999 Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. Help us improve httos://secure.lni.wa.gov/verify/Detail.aspx?UBI=601953858&LIC=SCHNEEI014LC&SAW= 11/29/2018 SCHNEIDER ELECTRIC INC EDUNY00259 Issue date 01/04/2013 Violation city SHORELINE Type of violation 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. Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L8,I Account ID 973,473-00 Doing business as SCHNEIDER ELECTRIC INC Estimated workers reported Quarter 3 of Year 2018 "4 to 6 Workels" L&I account contact T3 / KAYLENE MONIER (360)902-6627 • Email: BRKB235@lni.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. Page 2 of 2 ©Washington State Dept. of Labor & Industries, Use of this site is subject to the laws of the state of Washington. 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