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Home My WebLink AboutPermit EL08-1299 - LINDEKY 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. EL08 -1299 Lindeky Residence 1371834 1h Avenue South 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. LINDEKY RESIDENCE 13718 34 AV S ELO8-1299 Cityllf 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.: 8864000550 Address: 13718 34 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -1299 Issue Date: 10/01/2008 Permit Expires On: 03/30/2009 Tenant: Name: LINDEKY RESIDENCE Address: 13718 34 AV S , TUKWILA WA Owner: Name: CHANDLER ANNAMAE Phone: Address: 13718 34TH AVE S , SEATTLE WA Contact Person: Name: STEVE KEITHLY Phone: 206 - 818 -2739 Address: 827 S DIRECTOR ST , SEATTLE WA Contractor: Name: KEITHLY ELECTRIC CO Phone: 26 723 -3418 Address: 827 S DIRECTOR ST , SEATTLE WA Contractor License No: KEITHEC101BJ Expiration Date: 01/11/2010 DESCRIPTION OF WORK: INSTALL NEW 200 AMP SERVICE Value of Electrical: $2,500.00 Fees Collected: $75.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Lt.2-10Z Date: 0 1 � V 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf orl - authorized to sign and obtain this electrical permit. Signature: Date: a Print Name: 1Z- y C_ Ou-a �v G 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 -1299 Printed: 10 -01 -2008 Parcel No.: 8864000550 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 1371834AVSTUKW LINDEKY RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1299 ISSUED 10/01/2008 10/01/2008 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: I/( Q � , : /t) ` cL Date: /0 _ j 0 doc: Cond -Elec EL08 -1299 Printed: 10 -01 -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. 1-08- 1 .19q 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 Site Address: 13 7 I V 3 I rla RV 5 Tenant Name: TTM LT N D E KY Property Owners Name: Mailing Address: King Co Assessor's Tax No.: g$ to L 00 - OS-0 Suite Number: Floor: New Tenant: ❑ Yes ❑..No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Sr/5b', 14/MI/ Day Telephone: oliog Pa 73 9 Mailing Address: City State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: KF1 THL- G-Lt rR /C 60 Soli 5, D T ht (7D& S T 51/97721 1414- Vial '/ City State Q Zip Silt Contact Person: .sl Kf /77/1'/ Day Telephone: �G 8�J 7)/ E -Mail Address: Q Fax Number: Contractor Registration Number: /i / THEG lt 18 Jr Expiration Date: Valuation of Project (contractor's bid price): $ d6 Q 0,00 Scope of Work (please provide detailed information): /11/5 TM /Uf u/ ?'O" /91Y/ S'E/Q&1 Will service be altered? Yes ❑ No Adding more than 50 amps? El Yes Type of Use: 11 E S )PtpinSQL Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy Seattle City Light Io "Service Change ❑ Fire Alarm H' Applications Forms-Applications On Line 4-2007 - Electrical Permit Application.doc hh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ca ❑ 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 thc 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 thc 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 5T4i't ��L /%t`Ii %•' Mailing Address: Y47 5..DIR�cTdrz 5T Date: 9-30-4 Day Telephone: )9t POP ,A7)9 5t / TT2L City w,9 gJioJ State Zip Date Application Accepted: Date Application Expires: Staff Initials: 11: Applications Forms- Applications On Line 4 -2007 - Electncal Permit Application doc bh Page 2 of 2 INSPECTION RECORD Retain a copy with permit 6W48I -1277 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION le- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: ��b E v eL 1 -("t1 L r Type of Inspection: /O0 /Q3 Address:! l ^(! ]g ,� ti S - Date Called: (Date: lO /01/4" Special Instructions: Date Wanted: o/o 6.m'. F. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: DK. Inspector. -("t1 L r 1 /Q3 ti (Date: lO /01/4" ri $60.00 REINSPECTION FEE REdUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 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.: 8864000550 Address: 13718 34 AV S TUKW Suite No: Applicant: LINDEKY RESIDENCE RECEIPT Permit Number: EL08 -1299 Status: PENDING Applied Date: 10/01/2008 Issue Date: Receipt No.: R08 -03406 Payment Amount: $75.00 Initials: WER Payment Date: 10/01/2008 10:05 AM User ID: 1655 Balance: $0.00 Payee: KEITHLY ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11088 75.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 75.00 Total: $75.00 doc: Receiot -06 Printed: 10 -01 -2008 Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by Lftl 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 KEITHLY ELECTRIC CO UBI No. 601218771 Phone 2067233418 Status ACTIVE Address 827 S DIRECTOR ST License No. KEITHEC101 BJ Suite /Apt. License Type ELECTRICAL CONTRACTOR City SEATTLE Effective Date 1/11/1990 State WA Expiration Date 1/11/2010 Zip 98108 Suspend Date County KING Previous License KEITHEC339R9 Business Type CORPORATION Next License Parent Company Associated License KEITHDM963DZ Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License KEITHDM963DZ Name KEITHLY, DANIEL M Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date KEITHLY, DANIEL Impaired Date 01/01/1980 Received Date KEITHLY, ROBERT 01/10/1990 Until Released Bond $4,000.00 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= KEITHEC 101 BJ 10/01/2008