HomeMy WebLinkAboutPermit EL11-0708 - EASTWOOD 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 -0708
Eastwood Residence
15104 Sunwood Boulevard
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.
EASTWOOD
RESIDENCE
15104 SUNWOOD BL
EL1 1 -0708
City oifukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 8141401580
Address: 15104 SUNWOOD BL TUKW
Project Name: EASTWOOD RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0708
Issue Date: 08/01/2011
Permit Expires On: 01/28/2012
Owner:
Name: EASTWOOD RAY& LINDA BROYLES
Address: 15104 SUNWOOD BLVD , TUKWILA WA
Contact Person:
Name: ALANNAH JESSEN Phone: 866 688 -8632
Address: 2020 124 AV NE , BELLEVUE WA
Contractor:
Name: OUTTODAY SERVICES
Address: 2020 124 AV NE , BELLEVUE WA
Contractor License No: OUTFOS *910JL
Phone: 425 885 -7985
Expiration Date: 04/13/2013
DESCRIPTION OF WORK:
REPLACE PANEL
Value of Electrical: NRES: $0.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by:
Permit Center Authorized Signature:
$81.90
2008
Date: 661A DI L I
I hereby certify that I have read and : x. ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complies with, whether specified herein or not.
The granting o ermit does not pres s. e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction -- performance of work. I am authorized to sign and obtain this electrical permit. Qom% /
Signature: Date: U/ / / /
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 -4/10
EL11 -0708 Printed: 08 -01 -2011
PERMIT CONDITIONS
Permit No. EL11 -0708
* *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 -4/10
EL11 -0708 Printed: 08 -01 -2011
From:OutToday 4258691071
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Au LAN - ?5 \ -0 LD3
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 **
07/28/2011 09:09
#399 P.001/002
tree use a
Site Address: 15104 sunwood blvd
Tenant Name:
Ray Eastwood
Property Owners Name: Ray Eastwood
King Co Assessor's Tax No.:
Suite Number: 12— Floor:
New Tenant: ❑ Yes ..No
Mailing Address: 15104 sunwood blvd
Tukwilla
City
WA
State
98188
Zip
co
contact when`
termit is rencly to 1 e isi:u
Name: Alannah Jessen
Mailing Address: 2020 124th ave ne
E -Mail Address: customerservice @outtoday.om
Day Telephone:
Bellevue
Company Namc: OutToday Services
City
1.866.688.8632
WA
State
Fax Number: 425.869.1071
98005
Zip
Mailing Address: 2020 124th ave ne
Contact Person: Alannah
E -Mail Address: customerservice @outtoday.om
Contractor Registration Number: OUTTOS'9101 L
Bellevue WA 98005
city State Zip
Day Telephone: 1.866.688.8632
Fax Number: 425869 071
Expiration Date: 17,1 I
Valuation of Project (contractor's bid price): $ 5,000
Scope of Work (please provide detailed information): Replace Panel
Will service be altered? ❑ Yes
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ No Adding more than 50 amps? ❑ Yes 0 No
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H 1Applications\Fotms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application doe
nn
Page 1 oft
RECEIVED 07- 28 -'11 09:10 FROM- 4258691071
TO- publicworks /dcd P001/002
From:OutToday 4258691071
•
07/28/2011 09:09
•
#399 P.002/002
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm. furnace thermostat)
$152.85
$81.90 ca
$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 arc based an 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
1C t Itkt.I�ON NL
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 13Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER Oli ELECTRICAL CONTRACTOR: ■ s rt
Signature:i
Date: / t �/ II
Print Nam 114•701A,
Day Telephone: 1.866.688.8632
Mailing Address: 2020 124th ave ne C103 Bellevue WA 98005
City State Zip
IDate Application Accepted:
0140 ■
Date Application Expires:
H;WpplicarionsWorms- Applications nn L.ine\2010 Applications17 "2010. Electrical Permit Application.duc
bh
Page 2 of 2
RECEIVED 07- 28 -'11 09:10 FROM- 4258691071
Staff Initials:
TO- publicworks /dcd P002/002
• 1
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.TukwilaWA.gov
Parcel No.: 8141401580
Address: 15104 SUNWOOD BL TUKW
Suite No:
Applicant: EASTWOOD RESIDENCE
RECEIPT
Permit Number: EL11 -0708
Status: APPROVED
Applied Date: 08/01/2011
Issue Date:
Receipt No.: R11 -01641
Payment Amount: $81.90
Initials: JEM Payment Date: 08/01/2011 11:25 AM
User ID: 1165 Balance: $0.00
Payee: RODNEY JESSEN, OUTTODAY SERVICES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 490363
ACCOUNT ITEM LIST:
Description
81.90
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 81.90
Total: $81.90
doc: Receiot -06 Printed: 08 -01 -2011
INSP- TION NO.
INSPECTION RECORD
Retain a copy with permit
-v,
PERMIT NO. ,
Pr-
CITY OF TUKWILA BUILDING DIVISION ""
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 rl
Permit Inspection Request Line (206) 431 -2451
Project:
As-7A
w J /v7713
Type of Inspection:
,a? /IN)
Address:
Date Called:
Special Instructions:
Date Wanted:
R' ,2- %/
a.m.
p.m.
Requester:
Phone No:
I Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
S2.t ke - AA/ez,
Inspector:
Date:
REINSP ION FEE REQUIRED. Prior to next inspection, fee must be
paid at 300 Southcenter Blvd., Suite 100. Call to schedule reinspection. •
•
Contractors or Tradespeople Peer 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
OUTTODAY SERVICES
4258857985
2020 124Th Ave Ne
Ste C -103
Bellevue
WA
98005
King
Limited Liability Company
PROFIT THREE LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602825336
Active
OUTTOS'910JL
Electrical Contractor
4/13/2009
4/13/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ELECTS'922KK
ELECTRO
SERVE
Electrical
Contractor
General
Unused
5/12/2008
5/12/2010
Expired
Master Electrician INFORMATION
License JESSERE970LQ
Name JESSEN, RODNEY E
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JESSEN, RODNEY E
Partner /Member
04/13/2009
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Page 1 of 1
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
4/9/2009
Until
Released
Bond
$4,000.00
4/13/2009
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 08/01/2011