HomeMy WebLinkAboutPermit EL10-0401 - STETSON 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.
EL10 -0401
Stetson Residence
15278 Sunwood Boulevard #C -32
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.
STETSON RESIDENCE
15278 SUNWOOD BL
C -32
EL1O-0401
Parcel No.:
Address:
Suite No:
City okukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.ci.tukwila.wa.us
15278 SUNWOOD BL TUKW
ELECTRICAL PERMIT
Permit Number: EL10 -0401
Issue Date: 06/01/2010
Permit Expires On: 11/28/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
STETSON RESIDENCE
15278 SUNWOOD BL C -32 , TUKWILA WA
DWAYNE SCRAPER
11410 NE 124 3229 , KIRKLAND WA
DELTA ELECTRIC SERVICES INC
PO BOX 3395 , RENTON WA
Contractor License No: DELTAES957J1
Phone:
Phone: 425 - 766 -2374
Phone: 206 - 683 -1426
Expiration Date: 04/21/2011
DESCRIPTION OF WORK:
ALTERATION OF 2 HEAT CIRCUITS REPLACED NON - WORKING HEAT COILS WITH FAN FORCED
HEATERS
Value of Electrical:
Type of Fire Protection:
NRES: $0.00
RES: $0.00
UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$54.60
National Electrical Code Edition: 2008
Date:
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 th performance o ork. I am authorized to sign and obtain this electrical permit. ,l
Signature: , / Date: '/'o/
Print Name:
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
ELI 0-0401 Printed: 06 -01 -2010
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
15278 SUNWOOD BL TUKW
STETSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0401
ISSUED
06/01/2010
06/01/2010
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:
iui
Date: 6- / •-v V
doc: Cond -Elec
EL10 -0401
Printed: 06 -01 -2010
CITY OF TUKWIL•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /tivww. ci. tkwila. 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 **
j �,fKing`Co Assessor's Tax No.: n
Site Address: / 5 a-) 2' . Ltinl�odi Odd Se,�diJI ( g, Suite Number: Floor: ei
Tenant Name: Q f p -1 C� IV New Tenant: [� Yes ❑ ..No
Property Owners Name: R pyA��" d N ,)„ )
V r v " ..r
Mailing Address: VVVV
City
State
Zip
CONTACT PERSON—Who do we contact when your permit is ready to be issued
Name: 1 Day Telephone: A a 5 " ,% 6 p
Alr kin/P.01 q4 413a341
City State Zip
E -Mail Address: Fax Number:
Mailing Address: /l a / O E r e °;
ELECTRICAL CONTRACTOR`INFORMATION
Company Name: l E l ctr ir,, 11-.2,29 Se t O i c.)0.S p► �[�
Mailing Address: 1 1I 1 tJ 11).E. i21 Kitt-kJ' (t.f ' 1A. J, `�O o3,;
..��11 City r State 0_ g - Zip [J
Contact Person: V_J, % /1 J , C/veTl M Day Telephone: zi ,p� �l -7 a01, > J 7 i
E -Mail Address: %" _ Fax Number:
Contractor Registration Number: 0e) 1+4 ES,Sc) 5 -Ai 1 Expiration Date: 3 --3 1 -201 i
®
Valuation of Project (contractor's bid price): fILI CIL) ® e
Scope of Work (pleas provide detailed information): A/464r c.J on i -E' .2, f V 6 d ir6P1/1
Y A31ace
non X10 i ,� c o r �s F�,y, r ra°..c—
Will service be altered? ❑ Yes No
Type of Use: -e.A.A.
Type of work: V
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps?
❑ Yes y No
❑ Remodel Tenant Improvement
❑ Telecommunication
❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:. • _ liF� .1 J Day Telephone: (e (D C13 it
Mailing Address: A W _ - IN. Ci i 3if
Zip
Date: to - I, - 7,0 la
City
State
Date Application Accepted:
Date Application Expires:
Staff Initials:
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: hap://www.ci.tulcwila.wa.us
Parcel No.:
Address: 15278 SUNWOOD BL TUKW
Suite No:
Applicant: STETSON RESIDENCE
RECEIPT
Permit Number: EL10 -0401
Status: PENDING
Applied Date: 06/01/2010
Issue Date:
Receipt No.: R10 -00962
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $54.60
Payment Date: 06/01/2010 11:42 AM
Balance: $0.00
DWAYNE SCRAPER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 034149
ACCOUNT ITEM LIST:
Description
54.60
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 54.60
Total: $54.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -01 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
duo -oho f
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Project: / 50/%1 ke5.
Type of Inspection:
./004
Address, 87w(1,�- ilidoo &
VV
Date Called:
Special Instructions:
Date Wanted:
Gj D3
ap.. m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
Date: 003/10
0 $60.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
Contractors or Tradespeople Per Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
Delta Electric Services Inc
2066831426
Po Box 3395
Renton
Wa
98056
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602482163
Active
DELTAES957J1
Electrical Contractor
4/21/2005
4/21/2011
General
Unused
MASTER ELECTRICIAN INFORMATION
License JOHNSC`973RJ
Name Johnson, Chris
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Rice, Cory T
Agent
04/21/2005
Bond Amount
Pepper, Fredrick W
President
04/21/2005
41060879
Rice, Cory T
Secretary
04/21/2005
nformation
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
PLATTE RIVER INS CO
41060879
04/20/2006
Until Cancelled
11/19/2007
$4,000.0004/17/2006
1
ACCREDITED SURETY
Et CAS CO
10037672
04/20/2005
Until Cancelled
04/20/2006
$4,000.00
04/21/2005
Assignment of Savings Information
Savings
1
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
10/5/2007
Until
Released
Bond
$4,000.00
10/8/2007
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/01/2010