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HomeMy WebLinkAboutPermit EL19-0538 - KFC #331 - REPLACE FIRE ALARM CONTROL PANEL DUE TO FAILUREThis 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. EL19-0538 KFC 15036 TUKWILA INTL BLVD 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) KFC #331 15036 TUKWILA INTL BLVD 0041000525 EXPIRED s/ar /a' EL19-0538 Parcel No: Address: 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 0041000525 Permit Number: 15036 TUKWILA INTL BLVD Project Name: KFC #331 Issue Date: Permit Expires On: EL19-0538 6/27/2019 12/24/2019 Owner: Name: Address: MCNAMARA FLORINE 5245 BELL CT, CHINO, WA, 91710 Contact Person: Name: LAURA KINNE Address: 2111 S 90TH ST , TACOMA, WA, 98444 Contractor: Name: EVERGREEN FIRE ALARMS LLC Address: 3215 S 12 ST, TACOMA, WA, 98405 License No: EVERGFA0000LG Lender: Name: Address: Phone: (253) 627-3794 Phone: (253) 627-3794 Expiration Date: 6/8/2020 DESCRIPTION OF WORK: REPLACE EXISTING FIRE ALARM CONTROL PANEL DUE TO FAILURE. Valuation of single family: $0.00 Valuation of mf/comm: $4,000.00 Type of Work: LOW VOLTAGE Fees Collected: $178.48 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signatu ket0AL()i) Date: 7-(C/ 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: V 4, Gf,Q� i/VW L/v Print Name: NiG©�c2 II A/iv' Date: 62/9-r1 /2Df q 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 NEPA 70 - NEC, and requirements for electrical installations, Chapter 296-468 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 TUKTCA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. - 053< Project No. Date Application Accepted: CO -- 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 King Co Assessor's Tax No.: 0041000525 Site Address: 15036 International Blvd. Tukwila WA 98188 Suite Number: Tenant Name: KFC #331 PROPERTY OWNER Name: Laura Kinne- or Service Dept. Address: 2111 South 90th St. Name: Harman Tukwila Phone: 253-627-3794 Fax: Email: service@evergreenfire.com Address: 3010 96th St S. Contr Reg No.: Exp Date: City: Tukwila State: WA Zip:98499 CONTACT PERSON — person receiving all project communication Name: Laura Kinne- or Service Dept. Address: 2111 South 90th St. City: Tacoma State: WA Zip: 98444 Phone: 253-627-3794 Fax: Email: service@evergreenfire.com New Tenant: Floor: Yes PNo ELECTRICAL CONTRACTOR INFORMATION Company Name: cgre,en F 1 ro cilarmG,Iif, Address: 2111 Gout+) claw) stregi. City: Ta COM q State: WA% Zip: qa,4,14 Phone: Q.. . (0 2r7 . yiq4 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; 002 oto 11.7 Valuation of Project (contractor's bid price): $ 4000 00 Scope of Work (please provide detailed information): Replace existing Fire Alarm Control Panel du P to failure Will service be altered? Yes [2:1 No Adding more than 50 amps? E3 Yes al No Type of Use: low voltage fire alarm Type of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement EJ( Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light W Vermit CenteMpplications-Handouts \ Permit Applications \PDFAEleetrical Permit Application Revised 1-17-19.clocx RESIDENTIAL NEW RESIDENTIAL SERVICE LJ New single family dwellings $180.00 (including an attached garage) O Garages, pools, spas and outbuildings ............. $120.00 ea O Low voltage systems .... ............. . .......... ..... „ $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O 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 $60.00 (6 or more circuits) $10.00 ea O Meter/mast repair $80.00 O Low voltage systems $60.00 (alarm, fumace thermostat) MULTI -FAMILY AND COMMERCIAL Fecs are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $60.00 0 Temporary service (generatOr)...................... ..... $90.00 0 Manufactured/mobile home service $100.00 (excluding garage or outbuilding) O 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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Lal.14 Print Name: Laura Kinne Mailing Address: 2111 S 90th St WAPermit Cenier‘Applications-Handouts \Permit Applicatia ctrical Permit Application Revised 1-17-19.docx Date: 6/25/19 Day Telephone: 253-627-3794 Tacoma WA 98444 City State Zip Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $178.48 EL19-0538 Address: 15036 TUKWILA INTL BLVD Apn: 0041000525 $178.48 Credit Card Fee $5.20 Credit Card Fee R000.369.908.00.00 0.00 $5.20 ELECTRICAL $165.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $165.03 TECHNOLOGY FEE $8.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18011 R000.322.900.04.00 0.00 $8.25 $178.48 Date Paid: Thursday, June 27, 2019 Paid By: EVERGREEN FIRE ALARMS LLC Pay Method: CREDIT CARD 09551G Printed: Thursday, June 27, 2019 11:19 AM 1 of 1 Y E c 0 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 286'433'1870 CITY OF TUKWILA 0017340000802374464500 Date: 06/27/2019 VISA CARD NUMBER: TRAN AMOUNT: APPROVAL CD: RECORD #: CLERK ID: X 11:19:15 AM CREDIT CARD SALE **********8038 K $178.48 09551G 000 kandace {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 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE'MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 ProJecy (, 3 J f Type of Ir cJytion r.FJ—/ l � rwIMW Address:! Z. Date Cal d: Special Instructions: Date Wanted: t} a.m. p.m. Requester: L.-C'� �7 .. Phone No: �� ' '�i► Approved per applicable codes. Corrections required prior to approval. COMMENTS: L.-C'� �7 .. ,�.'� �� ' '�i► C'�#� rl�. Pt -i REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 11/1/2019 City of Tukwila Department of Community Development LAURA KINNE 2111 S 90TH ST TACOMA, WA 98444 RE: Permit No. EL19-0538 KFC #331 15036 TUKWILA INTERNATIONAL BLVD Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/24/2019. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/24/2019, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL19-0538 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 110#11e KSpanfil Cental Safety & Health Washington State Department of / Labor & Industries Claims & Insurance [Search L&I Workplace Rights Trades & Licensing EVERGREEN FIRE ALARMS LLC Owner or tradesperson Principals BURGESS, JOHN, PARTNER/MEMBER FORSLIN, JONN JR, PARTNER/MEMBER GARRIGUS, FOREST, OWNER (End: 04/25/2004) PADDOCK, TROY, OWNER (End: 06/03/2014) Doing business as EVERGREEN FIRE ALARMS LLC WA UBI No. 602 036 117 2111 South 90th St TACOMA, WA 98444 253-627-3794 PIERCE County Business lype Limited Liability Company Goveming persons JOHN WAYNE BURGESS JONN EVERETT FORSLIN; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent. Check their eligible programs and occupations. License Verify the contractors active registration license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY HVAC/RFRG License no. EVERGFA000LG Effective — expiration 06108/2000— 06/08/2020 Designated administrator KEITH, JOHNNY C License type Master Electrician Bond No bond accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I Release date N/A Savings account ID License Violations No license violations during the previous 6 year period. Active, Meets current requirements. License no, KEITHJC977JP 04,000.00 Effective date 06/08/2000 impaired date N/A Workers' comp Individuals identified as 'Governing Person(s)" on the Business License Application to the State of Washington as received by Labor & Indir,tries, These include sole proprietors. partners, corporate officers, or LLC members. 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