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Home My WebLink AboutPermit EL09-0576 - CARLSON 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 -0576 Carlson Residence 3818 South 116th 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 10 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. CARLSON RESIDENCE 3818 S 116 ST ELO9-0576 Cityligf 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 Parcel No.: 0733000205 Address: 3818 S 116 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0576 Issue Date: 09/11/2009 Permit Expires On: 03/10/2010 Tenant: Name: CARLSON RESIDENCE Address: 3818 S 116 ST , TUKWILA WA Owner: Name: CARLSON ANNA M Phone: Address: 23058 JOAQUIN RIDGE DR , MURRIETTA CA Contact Person: Name: DAVE POSTLETHWAITE Phone: 253 852 -4886 Address: 27916 108 AVE SE , KENT WA Contractor: Name: D T E ELECTRICAL CONTRACTOR Phone: 253 852 -4886 Address: 27916 108 AVE SE , KENT WA Contractor License No: DTEELC *0370W Expiration Date: 09/16/2011 DESCRIPTION OF WORK: 200 AMP SERVICE UPGRADE AND REPLACEMENT OF (3) CIRCUITS Value of Electrical: NRES: $2,800.00 Fees Collected: $111.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied a it 4-6t-n Date: c.)1 (1 ci ned this permit and know the same to be true and correct. All provisions of law and ordinances , 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 electrical permit. Signature: �� Date: 4 -(/ Print Name: � v14 f i ,iu4 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 E L09 -0576 Printed: 09 -11 -2009 Parcel No.: 0733000205 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: hup://www.ci.tukwila.wa.us 3818S116STTUKW CARLSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0576 ISSUED 09/11/2009 09/11/2009 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 WAG. 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 does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: Date: ! "' / / -Oj doc: Cond -Elec EL09 -0576 Printed: 09 -11 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. Project No. (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.: Site Address: 3 a %' s 15 S� Suite Number: Floor: Tenant Name: - New Tenant: ❑ Yes ❑ ..No Property Owners Name: 5, S a, Mailing Address: 017-A00 -�aS City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: a, ve �O s T/.P Tt r.t/ 44.741- Mailing Address: 'L 7 ti/ 6 / SC E -Mail Address: Day Telephone: 1-5 3 - 6-S2 ' ` /,575r w 19— ice .3 v City State Zip Fax Number: 2 5 3 -852 ELECTRICAL CONTRACTOR INFORMATION Company Name : -/2r T �'� Mailing Address: 2? / O kJ' �i- !ti _ y a 3 a City State Zip Contact Person: Vet r2 /'c .6 1-414t4...** l Day Telephone: - ,5--„,9 E S Z Y SJ$6 E -Mail Address: Fax Number: Contractor Registration Number: /97-5-- 11. L XG U3 7 0 Cam/ Expiration Date: Valuation of Project (contractor's bid price): $ 2 r- Scope of Work (please provide detailed information): UO 4-,s2eo ,fie rvt cc - A -r / '- e 3 c. ir - Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ®, Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy pr Seattle City Light H :WpplicationsWonns= Appltcalians On I.ine11- 2009 = Electncsl Permit Application doc bh 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) Servicehange with added/altered circuits $78.00 number of added circuits $1 1.00 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) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: ---�� Print Name ,(s ., cJ tf�e f �i wv r Day Telephone: .- 5 3 —$'12 --(18-2'.4 Mailing Address: 2 7 / 6 l !?8-1"1/4(...e.„ .S1 1x-e t- 14- rf 8-03 Date: 9-y/ - 0 Date Application Accepted: O'kr It I k21 City State Zip Date Application Expires: HAApph canons\Forms- Apphcanons On Line \I -2009 - Electncel Perm Appli canon doc bh Staff Initials: 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://www.ci.tukwila.wa.us Parcel No.: 0733000205 Address: 3818 S 116 ST TUKW Suite No: Applicant: CARLSON RESIDENCE RECEIPT Permit Number: EL09 -0576 Status: PENDING Applied Date: 09/11/2009 Issue Date: Receipt No.: R09 -01425 Payment Amount: $111.00 Initials: JEM Payment Date: 09/11/2009 09:21 AM User ID: 1165 Balance: $0.00 Payee: DTE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1969 111.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 111.00 Total: $111.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 09 -11 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (to,. 0576 M�IT NO. f' (206)431 -3670 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: A x(,504 Kes . Type of Inspection: ,x/04 Address: 3431 S. 11657: Date Called: ---- Special Instructions: Date Wanted: („ c},( arrieri Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. t' COMMENTS: CokOciloAi5 ha9E • 1;7 &Aiti Date: 61, 40 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit 604- p5ic PE MIT NO. CITY OF TUKWILA BUILDING DIVISION'' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project:/i _ „ z)0 J kz,,, `' Type of Inspection: 2/ Address: 3gI .5- /QC, sr. Date Called: Special Instructions: Date Wanted: DO n Requester: Phone No: ,(L ElApproved per applicable codes. Corrections required prior to approval. /-- COMMENTS: -- (tlQoJ4D1A EI.f.akQDt CodDJGipk ?a U► talrTyvJ ,�FEE9'oF tAhJG-a ji‘j IDate: 01/17 /07 ❑ $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: Untitled Page r Page 1 of 1 Electrical Contractor A business licensed by LEtI 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company D T E ELECTRICAL CONTRACTOR 2538524886 27916 108TH AVE SE KENT WA 98030 KING Individual UBI No. 601815840 Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 ACTIVE DTEELC *037OW ELECTRICAL CONTRACTOR 9/16/1997 9/16/2011 GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License POSTLD *972P8 Name POSTLETHWAITE, DAVID Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date POSTLETHWAITE, DAVID OWNER 01/01/1980 Received Date Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 09/15/1997 Until Released Bond $4,000.00 https: // fortress .wa.gov /lnilbbip /Detail.aspx 09/11/2009