HomeMy WebLinkAboutPermit EL09-0344 - O'HAIR RESIDENCEThis 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.
EL09 -0344
O'Hair Residence
3708 South 138th Street
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
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
9
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
O'HAIR RESIDENCE
3708 S 138 s'r
ELO9-0344
Parcel No.:
Address:
Suite No:
CityC. Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.ci.tukwila.wa.us
8864000885
3708 S 138 ST TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0344
Issue Date: 06/02/2009
Permit Expires On: 11/29/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
O'HAIR RESIDENCE
3708 S 138 ST , SEATTLE WA
O'HAIR ARDYCE J
3708 S 138TH , SEATTLE WA
Contact Person:
Name: LEE PALMORE
Address: 13204 101ST LANE NE , KIRKLAND WA
Contractor:
Name: PALMORE ELECTRIC
Address: 26505 NE UNION HILL RD , REDMOND WA
Contractor License No: PALMOE *931DE
Phone:
Phone: 206 697 -5940
Phone: 206 697 -5940
Expiration Date: 03/05/2011
DESCRIPTION OF WORK:
REPLACE S STYPE FUSEBOX WITH 125 A SERVICE
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$78.00
2005
Date: 10-10`)
I hereby certify that I have read andlexar ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wit whether specified herein or not.
The granting of this p - rnt do
construction or the . erf d rmanc
Signature:
Print Name:
not pre me to give authority to violate or cancel the provisions of any other state or local laws regulating
f work. I am authorized to sign and obtain this electrical permit.
_QQ
to
Date: CY Z ' C/
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/07
EL09 -0344
Printed: 06 -02 -2009
Parcel No.:
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
8864000885
3708 S 138 ST TUKW
O'HAIR RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0344
ISSUED
06/02/2009
06/02/2009
1: ** *ELECTRICAL * **
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.
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.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit do of presume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or th performance of work.
Signature:
Print Name:
Date:
doc: Cond -Elec
EL09 -0344 Printed: 06 -02 -2009
• 0
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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:
Tenant Name:
Property Owners Name: 0,t C 1 Q (,c ( r
Mailin g Address: /.1 U 1
:S 8' ,ST u(Kviii,...A
King Co Assessor's Tax No.: l p(i 400 $C
Suite Number: Floor:
New Tenant: ❑ Yes jg..No
City
(A i tf4
State
Zip
7
CONTACT' PERSON -'Who do we contact when your permit is ready44 be issued: •
Name: f.O_Q Pt(butbre
Day Tall h
Mailing Address: I3CP1 10(._ /`/ J I� jf. Qt /
City
Fax Number:
E -Mail Address:
ELECTRICAL CONI'
Company Name: el I I x,11 ✓ ./td/li _ • 1
Mailing Address: #414 . , / '�a n� i .�/r•/I��lrI 0--J
�� City rte
Contact Person: t (11 1449 1.k_._ Day Telephone: le �ij ` 107
�� , ,
E -Mail Address: E � i �7j'�l /,II �/'��/liAt�r ', r % !f Fax Number: 1/2 � -37(e qqe
Contractor Registration Number: Expiration Date: ®3 zoo/ I
CTOR INFORMATION
ba 3
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
trfi Atsdel
Will service be altered? Yes / ❑ No Adding more than 50 amps? ❑ Yes No
1
Type of Use: r t a_ I
Type of work:
❑ New ❑ Addition 1Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H \Applications'Forms- Applications On Line11 -2009 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
Service change or alteration $78 -00
(no added/altered circuits)
❑ Service change with added /altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) S75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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 1 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: Date:
Print Name: Day Telephone:
Mailing Address:
Zip
IDate Application Accepted:
City
State
Date Application Expires r`
Staff Initials:
H:''Applicauons \Forms - Applications On LaneU -2009 - Electrical Permit Application doc
bh
Page 2 of 2
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /wwu'.ci.tukwila.wa.us
Parcel No.: 8864000885
Address: 3708 S 138 ST TUKW
Suite No:
Applicant: O'HAIR RESIDENCE
RECEIPT
Permit Number: EL09 -0344
Status: PENDING
Applied Date: 06/02/2009
Issue Date:
Receipt No.: R09 -00820
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $78.00
Payment Date: 06/02/2009 10:42 AM
Balance: $0.00
PALMORE ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
78.00
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 78.00
Total: $78.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 06 -02 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
itP MIT NO.
CITY OF TUKWILA BUILDING DIVISION fz
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: D' r � ��� .
Type of Inspection: zoo
Address: 33dg
Date Called:
Special Instructions:
Date Wanted:
O� °C
a.m:
p.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
DK rtd4,v
Inspector:
6(744 Date: 09/ O� v 7 w q
El $60.00 REINSPECTION FEE REO IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
Page 1 of 1
Electrical Contractor
A business licensed by L8J to contract electrical work within the scope of its specialty.
Electrical Contractors must maintain a surety bond or assignment of savings account.
They also must have a designated Electrical Administrator or Master Electrician who is a
member of the firm or a full -time supervisory employee.
Business and Licensing Information
Name PALMORE ELECTRIC UBI No. 602700299
Phone 2066975940 Status ACTIVE
Address 26505 NE UNION HILL RD License No. PALMOE*931DE
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City REDMOND Effective Date 3/5/2007
State WA Expiration Date 3/5/2011
Zip 98053 Suspend Date
County KING Specialty 1 GENERAL
Business Type Individual Specialty 2 UNUSED
Parent Company
ADMINISTRATOR INFORMATION
License PALMOML939C8
Name PALMORE, MELVIN L
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
PALMORE JR, MELVIN LEE
03/05/2007
Assignment of Savings Information
Savings
Assignment of
Savings Account
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
1
03/05/2007
Until
Released
Bond
$4,000.003/5/2007
https: // fortress .wa.gov /lni /bbip /Detail.aspx
06/02/2009