HomeMy WebLinkAboutPermit EL08-1100 - REHABITAT NORTHWEST - LOT 6This 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.
EL08 -1100
Rehabitat Northwest
4606 South 139th 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
8
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.
REHABITAT NORTHWEST
4606 S 139 ST
CANCELLED OS -11 -08
ELO8-1 100
CRAW 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.: 3229200091
Address: 4606 S 139 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1100
Issue Date: 08/08/2008
Permit Expires On: 02/04/2009
Tenant:
Name: REHABITAT NORTHWEST LOT 6
Address: 4606 S 139 ST , TUKWILA WA
Owner:
Name: REHABITAT NORTHWEST INC Phone:
Address: 3601 WEST MARGINAL WAY S , SEATTLE WA
Contact Person:
Name: VINCE ROSCELLI Phone: 253 - 312 -0825
Address: 11925 43 ST CT E , EDGEWOOD WA
Contractor:
Name: EDGEWOOD ELECTRIC INC Phone:
Address: 11925 43 ST CT E , EDGEWOOD WA
Contractor License No: EDGEWEI950CW Expiration Date: 02/16/2009
DESCRIPTION OF WORK:
WIRING FOR NEW 2800 SFR
Value of Electrical: $9,500.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE C1TY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$140.00
2005
Date: 0 9 -00
I hereby 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 pe t does n• resume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the ce ��• rk. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: Off.(//
Date:
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
EL08 -1100 Printed: 08-08 -2008
Parcel No.: 3229200091
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
4606 S 139 ST TUKW
REHABITAT NORTHWEST LOT 6
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1100
ISSUED
08/08/2008
08/08/2008
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 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:
ocP p�sce l/,
Date: , /V0k
doc: Cond -Elec
EL08 -1100 Printed: 08 -08 -2008
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa. us
Electrical Permit No. CLO $- \ t Q o
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: `7& 06 1391-1, .SJree r fc � .,i,lu Suite Number:
Tenant Name: p I
Property Owners Name: ge. ulAlj I. it, `I-
Mailing Address: 36, 6/ CA) MO v.91 h c4 / LJa/ 5 IA) 3-6,A //4. W 4- 98 /Q
City State Zip
3z3, 53.o - 00g 1
New Tenant:
Floor:
❑ Yes ❑ .. No
CONTACT PERSON - Who do we contact when your permit is ready to: be issued
Name: L/ it cr
POS(C1 /'.
Mailing Address: ��9z 93..J sfree f ✓T" r
E -Mail Address: U. RoSLea -r & (01-60.2_1-- Ne/-
Day Telephone: 25-"3- ?) 2- - O ZS
EcQyeW l/f/d- 9„1-37e
try State Zip
Fax Number: 2 ' 9S 7 -
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Fvc e wool red r,L
1/92c y3 Nj Sk Cr r
s'" 37z
City State e 9z) Zip
Contact Person: I,,/i4L � 3
t P. Day Telephone: Z S
p / 2 — OR2-5—
E -Mail Address: (/, K C stE Lt 1 & C 't4 4$1 _ vteP Fax Number: 2 5- 3 - S 7- $O /Sr
Contractor Registration Number: E D6 E hJ E 19 t O Lw Expiration Date: 2 //G
Valuation of Project (contractor's bid price): $ Q C G °. Uv
Scope of Work (please provide detailed information): Zg(20 y?eA) (du-(
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use: eesi ewC.a
Type of work:
New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:VApplications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
lDate Application Accepted:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits...... .. .. . $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ 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 ELE ; CAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
/Qc4/ &scC //i
//92C y,3e^t S'f'✓ee-fd
Day Telephone:
Er-4 C4iati
ay
Date:
gfro
2 r3- 9 f-7 -- 5-013
141, r 372
State Zip
Date Application Expires:
Staff Initials:
H .'Applicacone.Forms- Applications On Linea -2007 - Electrical Permit Application doe
bh
Page 2 of 2
t
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Department of Community Development
August 19, 2008
Vince Roscelli
Edgewood Electric Inc.
11925 43 St Ct E
Edgewood WA 98372
RE: Request for Refund
Electrical Permit No. EL08 -1100
Rehabitat Northwest — 4606 S 139 St
Dear Mr. Roscelli,
Jim Haggerton, Mayor
Jack Pace, Director
This letter is in response to your written request for the refund of electrical permit EL08 -1100.
The Building Official has reviewed your written request for refund and made his determination.
Enclosed is a check in the amount of $112.00, which is 80% of the permit fee.
Sincerely,
arshall
Permit'Hchnician
File: Permit No. EL08 -1100
Encl
P:\Pemtit Center\Refunds\EL08 -1100 Pemnit Refund.doc
jem
Page 1 of 1
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
CITY OF TUKWILA, WA 98188 -2544
ACCOUNTS PAYABLE CHECK
NO.
INHOlce NUMBER
DATE
P.O. NUMBER
DESCRIPTION .. _
• AMOUNT
081808317
08/12/2008
112.00
EL -08 -1100 REFUND PERMIT
112.00
PAY
TO THE
ORDER
OF
PLEASE DETACH BEFORE DEPOSITING
THE FACE.'OF THIS.DO,CUMENT HAS A C.OLORED BACKGROUND NOTjA WHIT ;E BACKGRO,UNO F ,
CITY OF TUKWILA
6200 Southcenter Boulevard
Tukwila WA 98188 -2544
One Hundred Twelve Dollars and No Cents
EDGEWOOD ELECTRIC INC
11925 43RD ST CT E
EDGEWOOD, WA 98372
PAYABLE THROUGH
U.S. BANK
151 Andover Park East
Tulavtla. WA 98188
19-10
1250
?bz-
a 6(0.1
THE BACK ,OF THIS DOCUMEN T.HAS'QN 'ARTIFICIAL °:WATERMARK= .HO,�D AT;;A.N:ANG'GE.TO VIEW,
'+ • ti
City of Tukwila
Permit Center
Memo
August 12, 2008
To: Laurie Andersonp
From: Brenda Holt \ \i\N .
Re: EL08 -1100
Please refund $112.00 which equals 80% of the permit fees paid for the above reference
permits. The contractor has requested to cancel this permit. Please make the check out to
the following and I will forward it to them:
Edgewood electric Inc
11925 — 43`d Street Court E
Edgewood, WA 98372
Xc: File No. EL08 -1100
H:\Documents\Letters\EL08-1100 - refund memo.doc
bh
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
RECEIPT
Parcel No.: 3229200091 Permit Number: EL08 -1100
Address: 4606 S 139 ST TUKW Status: PENDING
Suite No: Applied Date: 08/08/2008
Applicant: REHABITAT NORTHWEST LOT 6 Issue Date:
Receipt No.: R08 -02877
Payment Amount: $140.00
Initials: WER Payment Date: 08/08/2008 10:32 AM
User ID: 1655 Balance: $0.00
Payee: EDGEWOOD ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1647 140.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 140.00
Total: $140.00
7353 3F/03 ?"719 TOTAL 140,c-)0
EDGEWOOD
i ELECTRIC
IN C O R P O RATE D
11925 43`dSTCTE,
Phone: (253) 987 -5013
www.edgewoodelectric.biz
License # EDGEWEI950CW
August 10, 2008
Edgewood, WA 98372
FAX: (253) 987 -5015
CITY OF TUKWILA
Community Development Department
Permit Center
Attn.: Bill
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Dear Sir,
CITYROFTUKWILA
AU(, 1 1 ZOU8
PERMIT CENTER
This letter is to request a refund for the following electrical permit:
Permit #: EL 08 - 1100
Permit Address: 4606 S 139th St, Tukwila)
Permit Purchaser: Edgewood Electric, Inc.
The address for said permit is incorrect and it will not be used.
Please cancel the permit and send refund to
Edgewood Electric, Inc.
11925 43rd ST CT E
Edgewood, WA 98372
Please call me if you have any questions.
Sincerely,
t)),„,,fi
Vince Roscelli
General Manager
Edgewood Electric, Inc.
rrkwr rve.
Untitled Page
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Page 1 of 2
Electrical Contractor
A business licensed by LEI 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.
EDGEWOOD ELECTRIC INC
Business and Licensing Information
Name EDGEWOOD ELECTRIC
INC
Phone 2539875013
Address 11925 43RD ST CT E
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
EDGEWOOD
WA
98372
PIERCE
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
602471300
ACTIVE
EDGEWEI950CW
ELECTRICAL
CONTRACTOR
2/16/2005
2/16/2009
ROSCED *971 MM
RESIDENTIAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License ROSCED*971MM
Name ROSCELLI, DAVID
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
PEARSON, LEONARD
AGENT
02/16/2005
PEARSON, LEONARD
PRESIDENT
02/16/2005
https: // fortress .wa.gov /lni/bbip/Detail. aspx ?License= EDGEWEI950C W
08/08/2008