HomeMy WebLinkAboutPermit EL11-0216 - EDGEWOOD APARTMENTS - UNIT 20This 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 -0216
Edgewood Apartments — Unit 20
3730 South 148th 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.
EDGEWOOD APARTMENTS
UNIT 20
3730 S 148 ST
EL1 1 -0216
Parcel No.:
Address:
Tenant Name:
City* 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: / /www.ci.tukwila.wa.us
ELECTRICAL PERMIT
0040000900
3730 S 148 ST TUKW
EDGEWOOD APARTMENTS - UNIT 20
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0216
03/15/2011
09/11/2011
Owner:
Name:
Address:
EDGEWOOD APARTMENTS LLC
830 168TH PL SE , BELLEVUE WA 98008
Contact Person:
Name: CHRIS JOHNSON Phone: 425- 766 -1699
Address: 11410 NE 124 ST, SUITE 229 , KIRKLAND WA 98034
Contractor:
Name: DELTA ELECTRIC SERVICES INC
Address: PO BOX 3395 , RENTON WA 98056
Contractor License No: DELTAES957J1
Phone: 206 - 683 -1426
Expiration Date: 04/21/2011
DESCRIPTION OF WORK:
INSTALL NEW METER SOCKET FOR APARTMENT 20. CITY LIGHT DAMAGED EXISTING METER
SOCKET FOR APARTMENT 20. INTERCEPTED APARTMENT FEEDER AT APARTMENT BREAKER AND
FED THROUGH NEW METER SOCKET INSTALLED NEXT TO METER STACK, THEN FED BACK TO
APARTMENT FEEDER AND SPLICED.
Value of Electrical Work: NRES: $1,426.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$115.50
National Electrical Code Edition: 2008
L3,QL
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 do - s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the erfo
of this permit.
Signature:
Print Name:
e of wor authorized to sign and obtain this electrical permit and agree to the conditions on the back
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 -9/09
EL1 1-0216
Printed: 03 -15 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0216
* *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 -0216 Printed: 03 -15 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. wa. us
Electrical Permit No. g• Li 1 l (p
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: 3730 S. 148th Street
King Co Assessor's Tax No.: 0014000— oc
Suite Number: 20 Floor: main
Tenant Name:
Edgewood Apartments
Property Owners Name: Edgewood Apartments
Mailing Address: 3730 S. 148th Street
New Tenant: ❑ Yes ❑ .. No
Tulwila
WA 98168
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Chris Johnson
Mailing Address: 11410 NE 124th Street #229,
E -Mail Address: chris @voltboy.com
Day Telephone: (425) 766 -1699
Kirkland
WA 98034
City State
Fax Number: (425) 650 -6747
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Chris Johnson
Mailing Address: 11410 NE 124th Street
Contact Person:
Chris Johnson
Kirkland
WA 98034
E -Mail Address: chris @vottboy.com
Contractor Registration Number: DELTAES957J1
City State
Day Telephone: (425) 766 -1699
Fax Number: (425) 650 -6747
Expiration Date: 04/21 /2011
Zip
Valuation of Project (contractor's bid price): $ 1,426
Scope of Work (please provide detailed information): Install new meter socket for apartment 20. City light damaged
existing meter socket for apt 20. Intercepted apartment feeder at apt breaker and fed through new meter socket
installed next to meter stack, then fed back to apartment feeder and spliced.
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® No
Type of Use: Multi- family (apartment complex)
Type of work:
O New ❑ Addition
❑
Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
® Seattle City Light
❑ Service Change
❑ Fire Alarm
I {.4\ppheationc Forms- Appiicntions On Line t2010 Applicotinnst7 -2010 - Elechical Permit .Applicntion.doc
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Page 1 of 2
❑ 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 l2ENIOIEL 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 $1 1.55 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
m Meterimast 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 ca
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.
I HEREBY CERTIFY TIIAT 1 IIAVE READ ANI) EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR TI-IIS PERMIT.
BUILDING OWNER 0 `may E TRICAI 'ONTRACI'OR:
Signature:
Print Name: k r iS aoG vl SO ►--,
Mailing Address: 11410 NE 124th St #229
Date: 03/14/2011
Day Telephone: (425) 766 -1699
Kirkland
City
State
98034
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H :Applications \Forms-Applications ()it Line12010 ApplicNimtai"r- -2010 - Fleetneal permit Application.doc
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Page 2of2
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.: 0040000900 Permit Number: EL11 -0216
Address: 3730 S 148 ST TUKW Status: PENDING
Suite No: Applied Date: 03/15/2011
Applicant: EDGEWOOD APARTMENTS - UNIT 20 Issue Date:
Receipt No.: R11 -00495
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $115.50
Payment Date: 03/15/2011 01:07 PM
Balance: $0.00
CHRIS JOHNSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 050656
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt -06 Printed: 03 -15 -2011
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Projects _3
Type of Inspection: a �
704 L(
Address:
730 5- I`/151 _
Date Called:
Special Instructions:
Date Wanted:
/
a.m. p.m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
r
Corrections required prior to approval.
eoleotliab nrkPF
.1
CALki,
Inspector: Date: ®� ✓ I
i -1 I
n REINSPECTION FEE REQUIRED: Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD..
•
Retain a copy with permit
INSPECTION NO. PERMIT NO.
61"1-0214
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: ( �f U 1 4-
Type of Inspection:
Nett.'` MSt 612 lb 2-50 .12-2
v
Address :7
Date Called:
Special Instructions:
Date Wanted:
go
p. m.
' .
Requester:
Phone No:
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: r
C. gbl t ,.hi I 611-019 K.0 QJ tqlt, ?t7
Nett.'` MSt 612 lb 2-50 .12-2
Date: Q? Of
REINSPECTION FEE REQUIRE ' . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
Contractors or Tradespeople Prr 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
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
Agent
04/21/2005
Bond Amount
PEPPER, FREDRICK W
President
04/21/2005
41060879
RICE, CORY T
Secretary
04/21/2005
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
2
PLATTE RIVER INS CO
41060879
04/20/2006
Until Cancelled
11/19/2007
$4,000.0004/17/2006
1
ACCREDITED SURETY
& CAS CO
10037672
04/20/2005
Until Cancelled
04/20/2006
$4,000.0004/21
/2005
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
1
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 03/15/2011