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Home My WebLink AboutPermit EL11-0116 - FEUERBORN 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. EL11 -0116 Feuerborn Residence 4870 South 152nd 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 12 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. FEUERB ORN RESIDENCE 4870 S 152 ST EL1 1 -0116 Parcel No.: Address: Tenant Name: City ef Tukwila 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: / /wwwci.tukwila.wa.us 0042000420 4870 S 152 ST TUKW FEUERBORN RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0116 Issue Date: 02/14/2011 Permit Expires On: 08/13/2011 Owner: Name: Address: Contact Person: Name: Address: FEUERBORN GARY FEUERBORN CINDY , 21220 SE PETROVITSKY RD 98038 NANCY TEW 2207 INTER AV, SUITE D , PUYALLUP WA 98372 Contractor: Name: ELITE ELECTRIC INC Address: 2207 INTER AV, SUITE D , PUYALLUP WA 98372 Contractor License No: ELITEEI0550F Phone: 253- 770 -9371 Phone: 253 - 770 -9371 Expiration Date: 09/06/2011 DESCRIPTION OF WORK: ELELCTRICAL FOR NEW SINGLE FAMILY RESIDENCE AND ATTACHED GARAGE WITH 200 AMP SERVICE Value of Electrical Work: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: Permit Center Authorized Signature: Fees Collected: $152.85 National Electrical Code Edition: 2008 LO;Si 'R,1„ Date: .> Y 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 performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: c-0v 1 Date: Z– 14- \\ 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 -9/09 EL11 -0116 Printed: 02 -14 -2011 • • PERMIT CONDITIONS Permit No. EL11-0116 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11-0116 Printed: 02 -14 -2011 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://wwwci.tukwila.wa.us Electrical Permit No. EL ` ti 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 r4870 . , / 52 J D Site Address: 15/al .51-sr /491.t. S Tenant Name: Property Owners Name: 6'4,21- FeLer &r/7 , Mailing Address: 2/2220 .56 A 4 �G V /Sk/ King Co Assessor's Tax No.:007 of00 -04/,20 Suite Number: _ _ Floor: New Tenant: ❑ Yes ❑ ..No o7o e VaJky 980 ' e City Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: /vO/1Cr' %C ) Day Telephone: 0753 770-93 7/ Mailing Address: aa07 /r1 kr , 1e /1 d SelJyct// /,O/� g637.Z. .. // LF 'City State Zip E -Mail Address: / QnCt, Q e// /- edecir/cc/,1 jUa-, CD// Fax Number: 2$3 -770 9,373 ELECTRICAL CONTRACTOR INFORMATION Company Name: 6::///0 //lc Mailing Address: Z ZO7 ,Ln/ror/e. Ave #O )uyt / /d, WA 98372 City State Contact Person: N/ /d 2✓G1 T&4" / Day Telephone: .Z 3 -770 93 7/ E -Mail Address: A/0/10y� e // .elec 'r /L rnt;WU. Cduft Fax Number: 753- 770 95'7? Contractor Registration Number: k {- 'LT661065 (DV- Zip Expiration Date: Valuation of Project (contractor's bid price): $ 7630. 00 Scope of Work (please provide detailed information): .S /I? ' ie r 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 ❑ Seattle City Light H:\Applications \Forms- Applications On lane \2010 Applications \7 -2010 - Electrical Permit Applicalion.doc bh Page 1 of 2 4 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 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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: ( /fan e y "Feud Mailing Address: .Z 207 ZnvT9, f4ue L Date: 2-I—•o // Day Telephone: 53 -7 7O 93 7 / Pu a.11 ■vJIA 9 83-1 LiPity State Zip Date Application Accepted: Date Application Expires: Staff Initials: H :\Applications \Fomu - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicalion.doc bh Page 2 of 2 • City of Tukwila 0 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.: 0042000420 Address: 4870 S 152 ST TUKW Suite No: Applicant: FEUERBORN RESIDENCE RECEIPT Permit Number: EL11 -0116 Status: PENDING Applied Date: 02/14/2011 Issue Date: Receipt No.: R11 -00278 Initials: WER User ID: 1655 Payment Amount: $152.85 Payment Date: 02/14/2011 09:57 AM Balance: $0.00 Payee: ELITE ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18250 152.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 152.85 Total: $152.85 doc: Receiot -06 Printed: 02 -14 -2011 N INSPECTION RECORD Retain a copy with permit INSPECTION NO. ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: (A 60ki Q ES • J� Type of Inspection: /U Address: Lino S- /52,57-. Date Called: Special Instructions: Date Wanted: Zr m. p.m. Requester: Phone No: V4 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: fJfr4tc‘ Date: 05-/_. S 11 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 5 r i ,.,,,,. 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -367 et.ijoi,. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: 6 bog4 g(-5 Type of Inspection: ;?2.... . Address: 111111 it S - X52 Date Called: Special Instructions: Date Wanted: �b z m. p.5, Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Akik1 4106 .4-t(iV ce Inspector: Date: a11/ 7 J11 n REINSPECTIO N EE REQUIRED. Prior to next inspectiorf. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 611-olitir PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 61)(04(6 j a Type of Inspection: 70 Address: o S•/SZ5f- Date Called: Special Instructions: Date Wanted: 3 Z p.m. Requester: Phone No: ❑ Approved per applicable codes. COMMENTS: jia,Corrections required prior to approval. (1166\ 146T aSPrc.TL�j /n8iorw 2 64.00/lc 11I&fyJJ Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 0.3/23h/ INSPECTION NO. INSPECTION RECORD r7 � �•D116 Retain a copy with permit I PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -367 • 1e-- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: re,146,4 / . ('S Type of Inspection: 7o3 Address: Imo ✓ • 17 <f / Date Called: Special Instructions: Date Wanted: 3 23 p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. irk COMMENTS: J 1 Rouw IA) cotiaeere Inspector: Date: 004/ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page Electrical Contractor A business licensed by L &I 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 ELITE ELECTRIC INC 2537709371 2207 Inter Ave Ste D Puyallup WA 98372 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601035762 Active ELITEEI0550F Electrical Contractor 9/6/1995 9/6/2011 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ELITEEI132M8 ELITE ELECTRIC INC Electrical Contractor Residential Unused 7/28/1987 7/28/1997 Archived Master Electrician INFORMATION License CROCCB'975P0 Name CROCCO, BRAD Status Active Business Owner Information Name Role Effective Date Expiration Date CROCCO, BRADLEY 01/01/1980 CROCCO, JUDITH 01/01/1980 CROCCO, JUDITH Agent 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 TRAVELERS CAS & SURETY CO 081S103351209 07/16/2000 Until Cancelled $4,000.00 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 7/2/2003 Until Released Bond $4,000.00 7/3/2003 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 02/14/2011 ELITEZELECTRIC 2207 INTER AVE STE D ' PUYALLUP WA 98372': • Detach And Display Certificate