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Home My WebLink AboutPermit EL18-1051 - CLUB SAPPHIRE - INSTALL ZONE DAMPER WITH CONTROL CARD, ACTUATOR AND DUCT & WALL TEMPERATURE SENSORSThis 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. EL18-1051 CLUB SAPPHIRE 14220 INTERURBAN AVE S #150 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 9 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. EL18-1051 CLUB SAPPHIRE 14220 INTERURBAN AVE S #150 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 9 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) CLUB SAPPHIRE 14220 INTERURBAN AVE S 150 ELI 8-1051 Parcel No: Address: City of Tukwila of -_,___'Community Development 6300 Southcenter BoulevardSuite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206~438-9350 Web site: http://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT 3365901881 Permit Number: EL18'1051 14220 INTERURBAN AVE S 150 Issue Date: 1/2/2019 Permit Expires On: 7/1/2019 Project Name: CLUB SAPPHIRE Owner: Name: Address: SHELBY COMPANY LLC-FWC 1015 3RD AVE #900 INTEGRATED REAL ESTATE SVCS, SEATTLE, WA, 98104 Contact Person: Name: DANIEL KIM Address: 313ZN[133RDST.SEATTLE, WA, 98125 Contractor: Name: PSR -HVAC & MECHANICAL SERVICES Address: POBOX 27V73'SEATTLE, WA, 98165 License No: PSRHVMS924.IT Lender: Name: Address: Phone: (206) 367-2500 Phone: (206) 367-2500 Expiration Date: 4/30/2020 DESCRIPTION OF WORK: INSTALL (1) NEW ZONE DAMPER WHICH INCLUDES: (1) CONTROL CARD, (1) ACTUATOR, (1) DUCTTEMPERATURE SENSOR, (1) WALL TEMPERATURE SENSOR. Valuation of single family: $0.00 Valuation of mf/comm: $1,000.00 Type of Work: LOW VOLTAGE Fees Collected: $106.49 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Buitding Code Edition: lnternatiorial Residential Code Edition: lnternational Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 20152015 2015 2015 National Electrical Code: WA Cities EIectrica Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Sigriature: Date: 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 agree to the conditions attached to this permit. Signature. / Print Na e: �/u✓lle_, K , Date: I /2. /19 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. 1 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: 14220 Interurban Ave S Tenant Name: Club Sapphire PROPERTY OWNER Name: Daniel Kim Name: Shelby Company LLC Phone: (206) 367-2500 Fax: (206) 368-6856 Address: Tukwila Business License No.; BUS -0993498 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Daniel Kim Address: 3132 NE 133rd St CitY: Seattle State: WA Zip: 98125 Phone: (206) 367-2500 Fax: (206) 368-6856 Email: daniel.kim@psrmechanical.com King Co Assessor's Tax No,: 3365901881 Suite Number: 150 Floor: 1 New Tenant: Vij Yes 0 ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: PSR Mechanical Address: 3132 NE 133rd St City: Seattle State: WA Zip: 98125 Phone: (206) 367-2500 Fax: (206) 368-6856 Contr Reg No.: PSRHVMS924JT Exp Date: 04/30/2020 Tukwila Business License No.; BUS -0993498 Valuation of Project (contractor's bid price): $ 1,000 Scope of Work (please provide detailed information): Install (1) new zone damper which includes: (1) control card, (1) actuator, (1) duct temperature sensor, (1) wall temperature sensor Will service be altered? Yes No Adding more than 50 amps? 0 Yes EJ No Type of Use: Type of work: 0 New 0 Addition El Service Change EJ Remodel C] Tenant Improvement Low Voltage 0 Generator CI Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 121 Puget Sound Energy 0 Seattle City Light WAPermit CenterkApplications-HandoutsTemnt Applications1PDFMElectrical Permit Application Revised 1-1-17.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 E 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 O 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. 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 10 APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signa Date: 12/07/2018 Print Name: i anie im Day Telephone: (206) 367-2500 Mailing Address: 3132 NE 133rd St, Seattle, WA 98125 City State W:\Permit Center \Applications-Handouts\Permit Applications\PDF's\Electrical Permit Application Revised 1.1-17.docx Revised: January 2017 bh Zip Page 2 of 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: c5 Type of Inspection: FV/11A1- Address: mizz/ MU CirS Date Called: Special Instructions: l rAt j If Vi(fi N4/ Date Wanted: !J y1/ R Requester: Phone No: � 510 17(0t Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: 04 14( - Inspector: Date: 03/0 1� REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PSR -HVAC & MECHANICAL S VICES Horne Safety & Health Washington State Department of Labor & Industries Espanol Contact Claims & Insurance Page 1 of 3 {earch L&I A -Z Index Workplace Rights PSR -HVAC & MECHANICAL SERVICES Owner or tradesperson Principals Austin, Matthew W, PRESIDENT CT CORPORATION SYSTEM, AGENT HOGERTY, REAGEN P, VICE PRESIDENT (End: 04/23/2012) O'MALLEY, JAMES J, SECRETARY (End: 04/23/2012) MILLER, ROBERT J JR, PRESIDENT (End: 12/30/2014) HINTON, BRIAN WILLIS, CHIEF FINANCIAL OFFICER (End: 12/30/2014) Doing business as PSR -HVAC & MECHANICAL SERVICES WA UB! No. 602 811 195 Parent company PUGET SOUND REFRIGERATION INC PO BOX 27073 SEATTLE, WA 98165 206-367-2500 KING County Business type Corporation Governing persons INC MSHC MATTHEW AUSTIN; NEIL BAVINS; SRUN KHOU; CRAIG STEINKE; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602811195&LIC=PSRHVMS922NJ&SAW= 1/2/2019 PSR -HVAC & MECHANICAL SERVICES 'sok License specialties MAINTENANCE HVAC/RFRG License no. PSRHVMS922NJ Effective — expiration 04/21/2008— 04/21/2020 Designated administrator Jackson, William R License type Electrical Administrator International Fidelity Ins Co Bond account no. PSRHSVMS922NJ Bond Active. Meets current requirements. Active. Meets current requirements. License no. JACKSWR897OW $4,000.00 Received by L&I Effective date 04/09/2014 03/26/2014 Expiration date Until Canceled Savings (in lieu of bond) Received by L&I 04/21/2008 Release date N/A Savings account ID License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 04/15/2008 Impaired date N/A Page 2 of 3 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 152,899-00 Doing business as PSR MECHANICAL Estimated workers reported Quarter 3 of Year 2018 "51 to 75 Workers" L8,1 account contact T1 / TYRONE COLEMAN (360)9024807 - Email: COTI235@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. Help us improve https://secureini.wa.gov/verify/Detail.aspx?UBI=602811195&LIC=PSRHVMS922NJ&SAW= 1/2/2019 PSR -HVAC & MECHANICAL S ICES Contractors not allowed to bid No debarments have been issued against this contractor. Page 3 of 3 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 08/06/2018 Inspection no. 317949390 Location 5413 Meridian Ave N Seattle, WA 98103 No violations 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=602811195&LIC=PSREVMS922NJ&SAW= 1/2/2019