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HomeMy WebLinkAboutPermit EL19-0136 - EMPTY SPACE - REPLACE BASEBOARD HEATERSThis 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. EL19-0136 EMPTY SPACE 6275 S 143RD PL THE ABOVE MENTIONED Page # DIGITAL Code RECORDS PERMIT FILE INCLUDES Exemption (DR) EXEMPTION LOG THE FOLLOWING REDACTED INFORMATION Brief E> lanatory Description Statute/Rule 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) EMPTY SPACE 6275 S 143 PIL ELI 9-0136 Parcel No: Address: ��^�xx ^�� Tukwila °~U~� v�o vU�nxm�Uxa Departmentof Community Development 6300 SovthcenterBoulevard, Suite #1VO Tukwila 'VVashinQton9O1gx Phone:�06'4]1'367O Inspection Request Line: 2U6'438'935O Web site: http://www.TukwilaWA.jZov ELECTRICAL OTC PERMIT 3365901865 Permit Number: ELI.9-0136 6275 Sl43RDPL Project Name; EMPTY SPACE Issue Date: 2/13/2019 Permit Expires On: 8/12/2019 Owner: Name: Contact Person: Name: KxXGELLANCREEK PARTNERS ZG32NE184THPLC/O SNOW STAN' LAKE FOREST PARK, WA, 98155 ALEX POBOX 7]ll52'TDKVVU\WA, 98188 Contractor: Name: OELECTRICAL SUPPLY & SV[SLL Address: 2l8l788TMPL5'KENl,WA, 9003l License No: OELEES966Kx7 Lender: Name: ''' Phone: (253)230'4788 Phone: (425)766-7677 Expiration Date: I0/24/7020 DESCRIPTION OF WORK: REPLACE 3 BASE BOARD HEATERS Valuation ufsingle family: $0.00 Valuation ofmf/comm: $2,175.00 Type ufWork: TENANT IMP Fees Collected: $154.65 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TVKVV|L4 Sewer District: TUKWILA Current Codes adopted bythe City ofTukwila: 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: vv4CZ96-468: Code: 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 presurneto give authority toviolate orcancel the provisions ofany other state orlocal laws regulating construction ortheperfonnanceofwnrk. |amauthorized tosign and obtain this development permit and agree tothe conditions attached tothis permit. Signature: _ .Print Name: -J OR-5 st. ec Date: ���/.r`/ I 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 shal I be posted or otherwise made readily accessible to the Electrical Inspector meach work site. 3: Approved plans 5hall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4/ All electrical work shall beinaccordance with NFPA7O NEC, and requirements for electrical installations, Chapter Z96-46BVVACand 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,uranapproval of, any violation of the provisions of the electrical code or other, ordinances of the jurisdiction. Permits nrrelated documentation that presumes *zgrant 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)438-935V 2100 ELECTRICAL FINAL 7003 ROUGH'|NELE[TR|[AL 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. et 11 (313(3i Project No, Date Application Accepted: 1 — 1 Date Application Expires: (For o .ce use 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 King Co Assessor's Tax No.: Site Address: ifeW 5 /1'.51.(1 pc_ (Ar-45 itck GO ft Suite Number: Floor: Tenant Name: New Tenant: PROPERTY OWNER Name: Address: it, 1 ..ifronde ( a et City: 6.,,,,,,,,,,(,, State: Ivo Zip: CONTACT PERSON — person receiving all project communication Name: A4 Address: 10 g 7.1//54 City: 1.4.4 Isi t (LA State: 10.-nk Zip 9t ag Phone)33 .0256, v 81- Fax: Email: fl Yes ..No ELECTRICAL CONTRACTOR JNFORMATION Company Name: c 1.- Address./7 City: 444 State: (jot Zipi go 31 Phone,. 9‘‘...26.7.7 Fax: Contr Reg No.:c...- e tee.,, 2 ‘6Aftcp Date:/401//z0, Tukwila Business License No.; /3016 Valuation of Project (contractor's bid price): $ 479/ 75 Scope of Work (please provide detailed information): /ZJ /AM . grASe xibrs) Ctiajer5 ey Will service be altered? 0 Yes EZ1 No Adding more than 50 amps? 0 Yes Lia No Type of Use: Type of work: 1:1 New 0 Addition El Service Change 0 Remodel Ir Tenant Improvement 1:1 Low Voltage i:i Generator El FireAlarm 0 Telecommunication EI Temporary Service Property Served by: E Puget Sound Energy 0 Seattle City Light WAPermit CerrtenApplications-HandontsTarmit Applicata= \ PDFaTlectrical Permit Application Revised I-17-19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $ 180.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings S 120.00 ea 0 Low voltage systems (alarm) $60.00 ea MISCELLANEOUS FEES RESIDENTIAL REMODEL AND SERVICE CHANGES MCTLTI-FAMILY AND COMMER Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service S100.00 ❑ Service change or alteration S120.00 (excluding garage or outbuilding) (no added/altered circuits) ❑ Carnivals $100.00 El Service change with added/altered circuits S 100.00 Number of concessions .......................... $11.00 ea number of added circuits $10.00 ea Each ride and generator truck $11.00 ea ❑ Circuits added/altered without service change..,$60.00 (up to 5 circuits) ❑ Circuits added/altered without service change.... $60.00 (6 or more circuits)..... ...... ...... ..... $10.00 ea ❑ Meter/mast repair $80.00 ❑ Low voltage systems $60.00 (alarm, furnace thermostat) * * *EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature:-��p�99 �� Datee: 2 /(Z "% P Print Name: G ' ` Day Telephone: 7/0 4/4i0 '$ 3.0 6 Mailing Address: Z/ l �% �` � KC ` Ai* l S-©3 City State Zip W:Wermit CeaterlApphcation-HandouaWumit Applications \PDFs\Eleehicat Permit Application Revieed 1-17-19.doca Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 65 EL19-0136 Address: 6275 S 143RD PL Apn: 3365901865 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908,00.00 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16853 R000,322.900.04.00 0.00 $7.15 $154.65 Date Paid: Wednesday, February 13, 2019 Paid By: DWAYNE HUMMERY Pay Method: CREDIT CARD 713165 Printed: Wednesday, February 13, 2019 3:57 PM 1 of 1 ;41 SYSTEMS CO TUKWILA ETR4KIT 6200 SOUT*[ENTER 8LVD TUxwIL«, WA 98188 296'433'I870 CITY OF TUKwzLA 0817340000802374464500 Date: 02/I3/2819 03:50:39 PM CREDIT CARD SALE VISA CARD NUMBER: *********5688 K TRAN AMOUNT: $154.65 APPROVAL CD: 713105 RECORD #: 000 [Lcnx ID: 1azzel X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT Thank you! Merchant Copy CO TUKWILA ETRAKIT 6200 SnuT*[EwTsn oLvo TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 02/13/2019 83:56:3e pw CREDIT CARD SALE VISA CARD NUMBER: **********5688 K TRAN AMOUNT: $154.*5 APPROVAL CD: 713165 RECORD #: 808 CLERK ID: jazzeI Thank youl Customer Copy INSPECTION NO. INSPECTION RECORD Retain a copy with permit RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type Addre : 7 Date C, led: special lnstru»ions: Date Wanted: ey 7 t . • Requester: Phone No: 0 Approved per applicable codes. COMMENTS: ns pecto REINSPECT Corrections required prior to approval. e: FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspecuon. home l;spaf of Contact Safety & Health Claims & Insurance Washington State Department of CI:4 Labor & industries 1 Search L :I !-Z Index help My L&I Workplace Rights Trades & Licensing CJ ELECTRICAL SUPPLY & SVCS LL Owner or tradesperson Principals HUMENNY, DWAYNE M, PARTNER/MEMBER Doing business as CJ ELECTRICAL SUPPLY & SVCS LL WA UBI No. 602 327 997 21817 88th PI S KENT, WA 98031 425-452-7000 KING County Business type Limited Liability Company 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. CJELEES966M7 Effective — expiration 07/27/2004— 10/24/2020 Designated administrator Slape, Joey D License type Electrical Administrator Active. Meets current requirements. License no. SLAPEJD836DB Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) $4,000.00 Received by L&I Effective date 07/27/2004 05/26/2004 Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. EJ0NV04484 Satisfied, Issue date RCW/WAC 09/05/2018 19.28.271 RCW Violation city Violation amount KENT $500.00 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. Help us improve Infraction no. EREYK00724 Issue date 04/07/2016 Violation city KENT 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. Employed trainee Juan Rodriguez to.perform electrical work during the lapse in his trainee certificate. Infraction no. EREYK00726 Issue date 04/07/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Trainee Juan Rodriguez not properly supervised as shown on company time sheets during time frame. Infraction no. EREYK00723 Issue date 04/07/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Inaccurate Affidavits for Juan Rodriguez dated 1/1/2013- 12/31/2014, 1/1/2013-2/280014, and 7128/2014-5/15/2015. Infraction no. EREYK00725 Issue date 04/07/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW, Trainee Juan Rodriguez not properly supervised as shown on company time sheets during time frame. Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Help us improve Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workerscomp premium. Account is current. L&I Account ID 066,859-00 Doing business as CJ ELECTRICAL SUPPLY AND SVC Estimated workers reported Quarter 4 of Year 2018 "4 to 6 Workers" L&I account contact T4 1 MICHELE GARRETT (360)902-4875 - Email: GAMI235©Ini.wa.gov 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. 1.10•11.01.1011.1.1.1.1011.1011.1.10.1.1111111011111•11110•10W Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 12/05/2018 No violations Inspection no. 317951913 Location 21817 88th PI S Kent, WA 98031-2471 Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve