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Home My WebLink AboutPermit EL19-0275 - ZEE MEDICAL - RETROFIT 8' STRIPS AND ADD HIGH BAYThis 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. EL19-0275 ZEE MEDICAL 378 UPLAND DR 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) ZEE MEDICAL 378 UPLAND DR ELI 9-0275 Parcel No: Address: �~^�xx °~� Tukwila "~�~ ��n oK�x��w�n�� Department mfCommunity Development G30USwuthcenterBoulevard, Suite #10O Tukwila, Washington BO108 Phmne,306'431'367V Inspection Request Line: 2O6'43D'g350 Web site: http;YwwvvJukvvi|aVVA.mou ELECTRICAL OTC PERMIT 8835100110 378UPLAND DK Issue Date: Permit Expires On: Project Name: ZEE MEDICAL Permit Number: ELl9'OZ75 4/2/2Ol9 9/29/2019 Owner: Name' Address: Contact Person: Name: K|RTUKVV|LAOSO LLC/K|K4OD POBOX SUZO333NEW HYD[PARK RD JOEYSLAPE Address: Z1817O8PL5'KENT,WA, 98O32 Contractor: Name: O ELECTRICAL SUPPLY & B/[S ILL Address: Zl8l788THPLS'KENT,WA, 98031 License No: OELEE5966M7 Lender: Name: Address: ''' Phone: (719)440-8006 Expiration Date: 10/24/2020 DESCRIPTION OF WORK: RETROFIT EXISTING 8'STRIPS. INSTALL 1 NEW HIGH BAY, FINAL INSPECTION ONLY EXPIRED PERMIT EL16-0387. Valuation ofsingle family: $0l0 Valuation ofmf/comm: $1,200.00 Type cfWork: TENANT IMP Fees Collected: $151.41 Electrical Service Provided by: Water District: Sewer District: Current Codes adopted bythe City «dTukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: ZOlS 2015 2015 2015 2015 National Electrical Code: YVACities Electrical Code: VVA[Z9646B: Code: /44416 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 Print Name: J 3 S(c•?' Date: 3/ 2-/( 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 TUKW LA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http ://www T ukwi la WA. go v Electrical Permit No. 9-- 0) 7S Project No. Date Application Accepted: Date ApplicationEvires: (For office use onlp 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: g7f5 icko. Dr Tenant Name: Z-A$ CAS L King Co Assessor's Tax No.: Kq5 Suite Number: New Tenant: PROPERTY OWNER Name: z... to /indica A Address-g /E(- v kni pc City: 1-- 1 14 V A S ate- Zip-98-M CONTACT PERSON — person receiving all project communication Name: --....j a Vi Address: p 81 -7 8.-s I.-(4 ?t, .4 City: - dwe: Zip: 9yi W Phone: .7( i) of 0,v6-0 I, Fax: Email: vyteiP C--$1 i Akti & 4.601 LA l. 0 ft5 , Cni14 Floor: Yes LJNo ELECTRICAL CONTRACTOROR ON Company Name: c a— giectocea .. 4 7 4 le.5 Address: z. fa (--)i -341 L 9e5 City: Keect State: tAi Zip: /6/ 6g PhoneHd 3 ) /.../ 2, zpop Fax: Conn. Reg Not rejees,c16001—rxp Date,O/t//0 Tukwila Business License No. Z 0 995 Valuation of Project (contractor's bid price): $ goo Scope of Work (please provide detailed information): p 0:)(0/Ini Aief,si kL e(g, ci Act pivi I Will service be altered? Type of Use: Yes 1:23 No 12c OAS reck 00 Adding more than 50 amps? EJ Yes No Type of work: El New • 0 Addition o Low Voltage 0 Generator Property Served by: 0 Puget Sound Energy 0 Seattle City Light El Service Change 0 Fire Alarm 0 Remodel 0 Telecommunication 0 Tenant Improvement 0 Temporary Service W: Permit Center \ Applications-Hamiouts \ Permit Applications \ PDFIEledrical Permit Application Revised 1-17-19.docc Page 1 of 2 fru\ RESIDENTIAL NEW RESIDENTIAL SERVICE o New single family dwellings $180.00 (including an attached garage) 0 Garages, pools, spas and outbuildings $120.00 ea Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES El Service change or alteration $120.00 (no added/altered circuits) o Service change with added/altered circuits $100.00 number of added circuits . .$ 10.00 ea O Circuits added/altered without service change $60.00 (up to 5 circuits) o Circuits added/altered without service change 560.00 (6 or more circuits) $10.00 ea o Meter/mast repair $80.00 o Low voltage systems $60.00 (alarm, furnace thermostat) MULTI-FANDIY AND COMMERCIAL Fees are based on the valuation of the electrical c,outract MISCELLANEOUS FEES o Temporary service (residential) $60.00 CI Temporary service (generator) $90.00 o Manufactured/mobile home service $100.00 (excluding garage or outbuilding) CI Carnivals $100.00 Number of concessions ............... $11.00 ea Each ride and generator truck $11.00 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 ex -tension 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: Print Name: Mailing Address: / 617 Date: Day Telephone: •A - '31-0 6 Keit City State Zip WAPermit CenteMpplicalions-HandouteTermit PDFROwtrical Permit Application Re %wed 1-17 -19.do. Page 2 of 2 Cash Register Rece City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $1,059,87 EL19-0275 Address: 378 UPLAND DR Apn: 8835100110 $151.41 Credit Card Fee $4.41 Credit Card Fee R000.369.908.00.00 0.00 $4.41 ELECTRICAL $140.00 PERMIT FEE MULTI-FAM/COMM R000.322.101,00.00 0.00 $140.00 TECHNOLOGY FEE $7.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.00 EL19-0276 Address: 14060 INTERURBAN AVE S Apn: 3365901055 $151.41 Credit Card Fee $4.41 Credit Card Fee R000.369.908.00.00 0.00 $4.41 ELECTRICAL $140.00 PERMIT FEE MULTI-FAWCOMM R000.322.101.00.00 0.00 $140.00 TECHNOLOGY FEE $7.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.00 EL19-0277 Address: 14060 INTERURBAN AVE S Apn: 3365901055 1.41 Credit Card Fee $4.41 Credit Card Fee R000.369.908.00.00 0.00 $4,41 ELECTRICAL $140,00 PERMIT FEE MULTI-FAWCOMM R000.322.101.00.00 0.00 $140.00 TECHNOLOGY FEE $7,00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.00 EL19-0278 Address: 1165 ANDOVER PARK W Apn: 3523049097 1 $151.41 Credit Card Fee $4.41 Credit Card Fee R000369.908.00.00 0.00 $4.41 ELECTRICAL $140.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00,00 0.00 $140.00 TECHNOLOGY FEE $7.00 TECHNOLOGY FEE R000.322.900.04.00 0,00 $7.00 EL19-0279 Address: 11020 E MARINAAY 5 Apn: 0323049167 $151.41 Credit Card Fee $4.41 Credit Card Fee R000.369.908.00.00 0.00 $4.41 ELECTRICAL $140.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.00 Date Paid: Tuesday, April 02, 2019 Paid By: DWAYNE HUMMENY Pay Method: CREDIT CARD 112033 A mril 11-11 0 0•// A NA rtf 7 irl2PIA1 Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $1,059.87 EL19-0279 Address: 11020 E MARGINAL WAY 5 Apn: 0323049167 $151.41 TECHNOLOGY FEE $7.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.00 EL19-0280 Address: 745 ANDOVER PARK E Apn: 2623049115 $151.41 Credit Card Fee $4.41 Credit Card Fee R000.369.908.00.00 0.00 $4.41 ELECTRICAL $140.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.00 TECHNOLOGY FEE $7.00 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.00 EL19-0281 Address: 375 CORPORATE DR S 100 Apn: 2623049142 $151.41 Credit Card Fee $4.41 Credit Card Fee R000.369.908.00,00 0,00 $4.41 ELECTRICAL $140.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.00 TECHNOLOGY FEE $7.00 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17303 R000.322.900.04.00 0.00 $7.00 $1,05987 Date Paid: Tuesday, April 02, 2019 Paid By: DWAYNE HUMMENY Pay Method: CREDIT CARD 112033 Printed: Tuesday, April 02, 2019 9:33 AM 2 of 2 C t) CO CITY OF 0KWILx 0017340000802374464500 Date: 04/02/2019 VISA CARD NUMBER: TnAm AMOUNT: APPROVAL [D: RECORD #: CLERK ID: X 09:33:11 AM CREDIT CARD SALE *******+*+5688 K $z'0sy.D7 112033 000 jazzel {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE O\Kn ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO, PE T NO. CITY OF TUKWILA BUILDING DIVISION 6304 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431 Project: Zee' Type of n p on: Address: 3 n Date Called: special Instructions: 1 • bate Wanted: . . Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. OMMENTS: Inspector: 1---1 REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. • ? Search L&I th% Safety & Health Claims & Insurance Washington State Department of / Labor & Industries A-Zli Help My VVorkplace 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 Slope, Joey D License type Electrical Administrator Bond Active. Meets current requirements. License no. SLAPEJD836DB No bond accounts during the previous 6 year period. § ... lngs (in lieu of bond) 84,000.00 Received by L&I Effective date 07/2712004 0542612004 Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. EJONV04484 Issue date 09/05/2018 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. Satisfied RCWNVAC 19.28.271 RCW Violation amount 5500.00 Help us improve /4111/4, k,r1 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 111/2013- 12/31/2014, 1/1/2013-2/28/2014, and 7/28/2014-5/15/2015. Infraction no. EREYK00725 Issue date 04107/2016 Violation city KENT Type of violation ELECTRICAL CITATION Description Failing to provide proper superpision 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 5250.00 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 5250.00 Fieip us improve