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Home My WebLink AboutPermit EL19-0278 - KOTIS DESIGN - ADD LED HIGH BAY FIXTURES, RUN NEW BRANCH CIRCUIT TO FEED RECEPTACLESThis 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. EL19-0278 KOTIS DESIGN 1165 ANDOVER PARK W 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) KOTIS DESIGN 1165 ANDOVER PARK W ELI 9-0278 �� 7 C� _ _ m 77�~^�x« °~� �~xo�"°"^U V x~�~� uxv Tukwila �eo�/t��entof�mr�nm| G�OO�outhcen�er�ou|eva Tukwi|a,VVashinDton9O1� ,~ v�"""'�o�'un�-�n�n Parcel No: Address: �eo�/t��entmf�mr�nmun/hxDe t G�OO�outhcen�er�ou|evand,Su�e#1On Tukwi|a,VVashinDton9O1�W Phune�2U6'4�1-��7O Inspection Request Line: 206'438'9350 Web site: http://www,TukwilaWA.gov 3523049097 llG5ANDOV[RPARK VV Project Name: KOT|SDE8GN ELECTRICAL OTC PERMIT Permit Number: EL19'0278 Issue Date: 4/2/2019 Permit Expires On: 9/29/2019 Owner: Name: ICON OWNER POOL 1 WEST LLC Address: 2NRIVERSIDE STEZ350,CH|[AG[\ WA, 60606 Contact Person: Name' Address: Contractor: Address: License No: Lender: Name: Address: 2181788PLS,KENT WA, 98032 OELECTRICAL SUPPLY & SV[SLL 218I788THPLS'K[NT'WA, 98O31 OELEES966K47 Phone: A35766-7677 Expiration Date: 10/24/2020 DESCRIPTION OFWORK: INSTALL 16 LED HIGH BAY FIXTURES, RUN NEW BRANCH CIRCUIT TO FEED RECEPTS. REPLACING EXPIRED PERMIT ELl5-049IFOR FINAL, Valuation ofsingle family: $0I0 Valuation ofmhtomm: $9\000.00 Type ofWork: TENANT IMP Fees Collected: $151�41 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TUKVV|LA Sewer District: TUKVV|LA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: as Code: Permit Center Authorized Signature: National Electrical Code: VVACities Electrical Code: VVACl9646B: VVAState Energy Code: 05 21 05 21 2017 2017 2017 2015 � Dae:~' |hearbycertify that I have read and examined this permit and know the same to be true and correct, All provisions oflaw and ordinances governing this work will becomplied with, whether specified herein ornot. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state orlocal laws regulating construction orthe performance ofwork. |amauthorized tosign and obtain this development permit and agree tothe conditions attached to this permit. Signature: Date: This permit shall become null and void if the work isnot commenced within l8Odays for the date ofissuance, orif the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: l: 'ELECTRICAL PERMIT [OND|T|ONS*** 2: Acopy ofthe electrical work permit shall beposted nrotherwise made readily accessible tuthe Electrical Inspector aLeach work site. 3: Approved plans shall be maintained atthe construction site and shall bereadily available tothe Electrical Inspector, 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter I96-4GBN0A[and the Washington Cities Electrical Code. G: 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 ofthe provisions of the electrical code orother ordinances ofthe jurisdiction. Permits orrelated documentation that presumes togrant this authority are therefore not valid. 7: Any change inthe scope nfwork described bythe electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be PERx4|TINSPECTIONS REQUIRED Permit Inspection Line: (306)438'935O 2100 ELECTRICAL FINAL 7003 ROUGH'|NELE[TR|[4L 7002 SERVICE CITY OF TUKWq4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httplAvvay.TukwilaWA.gov ElectricalPermit No. — 0)-7 Project No. Date Application Accepted: Date Application Expires: (For office use onlv) 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: //e5 RG.C. t..3 Suite Number: Tenant Name: JofiS '-)e..St_e PROPERTY OWNER Name: Address: ,/6 6 kv do 0. r 74te 0 citY' Tcxg-td b. State: W4 Zip: ets t CONTACT PERSON — person receiving all project communication Name: — (0.2t Address9/5 i City: voe A s t . ziplglbs Phone: .7 i 4,A) 012-1%Wax: Email: —3 peAR,C.---S it CI 14 ik. (\SO 1 IAA' Mik5 1 C OP` Floor: New Tenant: E3 Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: al- ek,, ,,,,,,/ /de, ,,„ Address: 711,77 sa L ? L $ . Zip:-1 8g ce City: (<61 State:h. , it17-- I- //Y Phone: #05) it5z Imo Fax: Contr Reg Noteie e...6 ct 601v ‘,..Txp Date -A" /zi/40 Tukwila Business License No.;gas oc95-im Valuation of Project (contractor's bid price): $ 9'000 (.2- Scope of Work (please provide detailed information): fet, /a/ 11 to'b J f- ti-t( (, rcf.ttf P2e.) g-ece, Ile Pa( I 9 FxircI t?e rfile] iiNor-tell POr Will service be altered? p Yes 50 No Adding more than 50 amps? Ei Yes El No Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel VI Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 1:1 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light NW:Tamil Center Applications -Handouts \ Permit Applications‘PDFsElectrical Permit Application Revised lJ 7-19.elocnt Page 1 of 2 44, RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $180.00 (including an attached garage) o Garages, pools, spas and outbuildings. .$120.00 ea Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $120.00 (no added/altered circuits) 0 Service change with added/altered circuits $100.00 number of added circuits $10.00 ea El Circuits added/altered without service change....„ (up to 5 circuits) • Circuits added/altered without service change $60.00 (6 or more circuits) $1000 ea 0 Meter/mast repair $80.00 0 Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $60.00 O Temporary service (generator) $90.00 O Manufactured/mobile home service $100.00 (excluding garage or outbuilding) El 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 - En 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 empire 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: Print Name: JOCJ CVZ Mailing Address: gmfl j4 L L Day Telephone: Keit/4 City Date: f/f/Of 'PO tir4-'-660 C w4- ciS112‘ State Zip NV: \Permit CenttarkApplicationa-HancloutaTernat Applicationa \PDFVElectricalPermit Application Revised 1-17 -19.clocz Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT QUANTITY PAID $1,059,87 EL19-0275 Address: 378 UPLAND DR Apn: 883510011.0 .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-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 EL19-0277 Address 14060 INTERURBAN AVE S Apn : 65901055 $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 EL19-0278 Address: 1165 ANDOVER PARK W Apn: 3523049097 $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 EL19-0279 Address:11020 E MARGINAL WAY S 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 rt A 1/110 CN.') A NA 1 01.11411 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $1,059.87 EL19-0279 Address: 11020 E MARGINAL WAY S 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 $1,059.87 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 0 CO CITY OF TUKWIL4 0017340000802374464500 Date: 04/02/2019 09:]]:11 xm CREDIT CARD SALE VISA CARD NUMBER: ****+*****5088 K TRAN AMOUNT: $1'059.87 APPROVAL [o: 112033 RECORD #: 000 CLERK ID: 1azzrl X (CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING 0THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. P R6 IIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request tine (206) 438-9350 Project: MO Type of Inspection: Address: I I (0 Date Called: . Special Instructions: 4-- K-J10 ( Date Wanted: .rn Requester: Phone No: 777 aApproved per applicable codes. Corrections required prior to approval. COMMENTS• A � REINSPECTIC N FEE REQUIRE©. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. !alio Fspanol Contact Search L&I - A elf Safety & Health Claims & Insurance Ck Washington State Department of 'Labor & Industries Index Help lv 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 Bond Active. Meets current requirements. License no. SLAPEJD836DB 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. 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 ROW/WAG 19.28.271 RCW Violation amount $500.00 Help us improve Infraction no. EREYK00724 Issue date 04107/2016 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 04107/2016 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- 12/3112014, 1/1/2013-2/28/2014, and 7/28/2014-5/15/2015. Satisfled RCW/WAC 19.28.271 RCW Violation amount $250.00 Satisfied R CVV/WAC 19.28.161 RCW Violation amount 5250.00 Satisfied RCW/WAC 19.28.161(6) RCW Violation amount $250.00 Infraction no. EREYK00725 Satisfied Issue date RCW/WAC 04/07/2016 19.28.161 RCW Violation city Violation amount $250.00 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. Help us improve orkers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. 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 / MICHELE GARRETT (360)9024875 - Email: GAM1235@lni.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. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 12/0512018 Inspection no, 317951913 Location 21817 88th PI S Kent, WA 98031-2471 No violations • Washtitylon St o Dept of Labor &todutttrios. Use of this itiole is subtoct to thti Iiims of the stati. of tioloshinittoit Help us improve