HomeMy WebLinkAboutPermit EL19-0654 - JCR DEVELPOMENT - ADD RECEPTACLEThis 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.
EL19-0654
JCR DEVELOPMENT
16400 SOUTHCENTER PKWY
THE ABOVE MENTIONED
Page #
DIGITAL
Code
RECORDS
PERMIT FILE INCLUDES
Exemption
(DR) EXEMPTION LOG
THE FOLLOWING REDACTED INFORMATION
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The Privacy Act of 1974 evinces Congress'
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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
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expiration dates, or bank or other financial
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or governed by other law.
42.56.230(5)
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protects, under the PRA, information exempt or
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42.56.070(1)
JCR DEVELOPMENT
16400 SOUTHCENTER PKWY
BLDG
ELI 9-0654
Parcel No:
Address:
City of Tukwila
a
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.gov
ELECTRICAL OTC PERMIT
2623049021 Permit Number: EL19-0654
16400 SOUTHCENTER PKWY BLDG
Project Name: JCR DEVELPOMENT
Issue Date: 8/14/2019
Permit Expires On: 2/10/2820
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
RADOVICH PROPERTIES LLC
283582NDAVE 5[5TESl'MERCER
ISLAND, WA, 98040
T8AV|5OUA[K[N8USM Phone: O06 748-2094
7056S2ZOTH5T,KENT, WA, 98032
SEA TAC ELECTRIC INC (ELECTRICAL) Phone: (253) 872-5553
7056 S 22OTH5T,KENT, WA, 98032-
1910
5sxTx[|O77KVv Expiration Date: 12/17/2019
'^'
DESCRIPTION OF WORK:
INSTALL ONE NEW RECEPTACLE 20AMP 120V.
Valuation of srigle family: $U.OU
VaIuaton of mf/comm: $1'200.00
Type of Work: TENANT IMP
Fees Collected: $130.83
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Buliding Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signatu
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-4613:
2017WA State Energy Code:
2017
2017
2015
Date R
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 +ermit and agree to the conditions attached to this permit.
Signatur
Print Name: (4,4,0,44o --
Date: (Li
a0-
Date:Q—(LI`/ 1
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
0
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.
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
SOL(- FV -t-)4
King Co Assessor's Tax No.:
Site Address: 1 U1t400 60144 Pit -1,1 11-1A Suite Number:
IA. (n.
Tenant Name: TC,V2-.. ne...AnArApv•-U+ New Tenant:
PROPERTY OWNER
Name:
5
Address: —Tose- s 22 o' or .
Name:
Phone:os---3 _ 710 , 0 q ax:
Emai I :7;w is 0(4604 0,4,44 tn. (#.,‘
Tukwila Business License No.; NAs _ D II ii 3 s-
Address:
( (
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
5
Address: —Tose- s 22 o' or .
City: tt..4„, A_ State: id W._ Zip: ti gos 0.
Phone:os---3 _ 710 , 0 q ax:
Emai I :7;w is 0(4604 0,4,44 tn. (#.,‘
Floor:
.....Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
1 tt-
Address: ---) _
City: State:- Ibior, State:1 - Zip: 14031_
Phone: -3 .... e)-7.1... _c_sus:3
Contr Reg No.:6 ..E., k 0 -- 7_ pt.: Date: 12 _ 1_3. ...1 /
Tukwila Business License No.; NAs _ D II ii 3 s-
Valuation of Project (contractor's bid price): $ , 2-00
,
Scope of Work (please provide detailed information): 41
'70 14- i21.) V
he,) r- 4— edr,
Will service be altered? D Yes
Cr,
Type of Use:
Adding more than 50 amps? 0 Yes No
Addition 0 Service Change 0 Remodel Pi—Tenant Improvement
w Voltage Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
ed b
uget Sound Energy 0 Seattle City Light
WAPermit Center\ Applications-Handoms \Permit Applications PDFAElectrical Permit Application Reviser! -17-194,m
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $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, 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)
D 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 NER OR ELECTRICAL CONTRACTOR:
Signatur
Print Name:
Mailing Address:
Date:
Day
Day Telephone: 1-4L - 0 Q
City
WAPermit CenteeiApplications-HandoutsWermit Applications \PDFAElectrical Pemit Application Revised 1L7-19.clocit
LAN- q(60 39\
State
Zip
Page 2 of 2
Receipt Number
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTRAK
$130.83
EL19-0654 Address: 16400 SOUTHCENTER PKWY BLDG Apn: 2623049021
$130.83
Credit Card Fee
$3.
Credit Card Fee
R000.369.908,00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000. 22.101.00,00
0.00
$120,97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
R000.322,900.04,00
0,00
$6.05
TOTAL FEES PAID BY RECEIPT: R18331
$130.83
Date Paid: Wednesday, August 14, 2019
Paid By: TRAVIS QUACKENBUSH
Pay Method: CREDIT CARD 077790
Printed: Wednesday, August 14, 2019 8:45 AM 1 of 1
YSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 08/14/2019 08:44:47 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********7349 K
TRAN AMOUNT: $130.83
APPROVAL CD: 077790
RECORD #: 000
CLERK ID: kandace
X
{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 NO.
INSPECTION RECORD
Retain a copy with permit
PE MIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206)_ 431-367
Permit Inspection Request Line (206) 438-9350
Project: i1/47—
J
of Inspection:
Address:
Date Called:
Special lnstru tions:
Date Wanted: y a.m.
p.m.
Requester:
Phone No: 5---:3 7yo2.-D7Y
proved per applicable codes.
Corrections required prior to approval.
Inspector:
Date:
REINSPECTION EE REQUIRED. Prior to next inspection. tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Washington State Department of
k
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SEA TAC ELECTRIC INC
Owner or tradesperson
Principals
HARGREAVES, TOM, PRESIDENT
JORDAN, TOM, VICE PRESIDENT
BEAN, ERIC, SECRETARY
BEAN, ERIC, TREASURER
HARGREAVES, TOM, AGENT
HARGREAVES, KATHERINE, SECRETARY
(End: 12/10/2008)
BURKS, ROY, VICE PRESIDENT
(End: 12/15/1995)
Doing business as
SEA TAC ELECTRIC INC
VVA UBI No,
601 510 212
7056 S 220TH ST
KENT, WA 98032
253-872-5553
KING County
Business type
Corporation
Governing persons
KATHERINE
M
HARGREAVES
THOMAS R HARGREAVES;
TOM JORDAN;
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 contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active,
Meets current requirements.
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993— 12/17/2019
Designated administrator
Jordan, Thomas
Active.
Meets current requirements.
License type License no.
Master Electrician JORDAT*914LR
Help us improve
Bond
DEVELOPERS SLRE
Bond account no.
798649C
4
Received by L&I
12/03/2008
Savings
(in lieu of bond)
Received by L&I
Release date
N/A
Savings account ID
TF
License Violations
Infraction no.
ECHAP01667
Issue date
11/03/2014
Violation city
KENT
Type of violation
ELECTRICAL Cr, \TION
Description
Failing to reques an inspection within 3
business days a..er completion of the
installation or 1 t asiness day after energizing,
whichever occur . first as referenced in WAC
296-46B-901.
it
n
a
e
INDEM CO $4,000.00
Infraction no.
EW HAO00205
Issue date
04/23/2014
Violation city
KENT
it
nr
al
e
to
Type of violation
ELECTRICAL CI
Description
Failing to get an
electrical/telecoi
post a provision
to beginning the
installation or al'
296-46B-901.
Infraction no.
ELY0D00293
Issue date
12/24/2013
Violation city
KENT
Type of violation
ELECTRICAL CI'
Description
Failing to get an
electrical/telecoi
post a provision
to beginning the
installation or at
296-46B-901.
\TION
ispection or obtain an
.runications work permit or
electrical work permit prior
lectrical/telecommunication
ration as referenced in WAC
\TION
ispection or obtain an
runications work permit or
electrical work permit prior
Iectrical/telecommunication
ration as referenced in WAC
Effective date
12/16/2008
Expiration date
Until Canceled
$4,000.00
Effective date
12/16/1993
Impaired date
N/A
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$1,250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
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