HomeMy WebLinkAboutPermit EL11-0787 - KIMBALL 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 -0787
Kimball Residence
16219 51St 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.
KIMBALL RESIDENCE
16219 51 AV S
EL1 1 -0787
City oi.fukwila •
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.: 5379800341
Address: 16219 51 AV S TUKW
Project Name: KIMBALL RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0787
Issue Date: 08/22/2011
Permit Expires On: 02/18/2012
Owner:
Name: KIMBALL IAN
Address: 16219 51ST AVE S , TUKWILA WA
Contact Person:
Name: MIKE PISHUE
Address: 10847 EAST MARGINAL WY S , SEATTLE WA
Contractor:
Name: AUTOMATED EQUIPMENT CO
Address: 10847 E MARGINAL WY S , SEATTLE WA
Contractor License No: AUTOMEC993OR
Phone: 206 - 786 -0408
Phone: 206 767 -9080
Expiration Date: 09/19/2011
DESCRIPTION OF WORK:
LOW VOLTAGE GATE AUTOMATION
Value of Electrical:
NRES: $0.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$59.85
2008
Date: 6-2)-1(
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 perform ce of rk. I am authorized to sign and obtain this electrical permit.
Signature: Date: 3 2 2 - ( /
Print Name: 1Vii
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
EL1 1-0787 Printed: 08 -22 -2011
PERMIT CONDITIONS
Permit No. EL11 -0787
* *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 -0787 Printed: 08 -22 -2011
CITY OF TUKWII
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA. gov
Electrical Permit No. -LL ``--
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:
/'a/9 L 7'
Tenant Name:
,�... •�-, 6.9-11'
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Property Owners Name:
Mailing Address:
Floor:
❑ Yes .. No
City
W 4 ?c7!
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: W‘ � ` (Stet — -�
Mailing Address: Iacei& Z `. _t� -�� L_2'j $
E -Mail Address: i1/I /4-Q. Q,-g e'.9 -T S. Go wf
Day Telephone: 7 go (=, 7 3 (o O 'fO'
S-eA4_ w 4 S 43/61
City State Zip
Fax Number: 207 7 lo? To 7 )
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (?- 4■t*.41:4-e-•0 t U Cc,
Mailing Address: 1 D 1 1. d►ti c Goy S
Contact Person: p14tkP
E -Mail Address: YID /c-Pe /4-e
Contractor Registration Number: ✓ . i s -t e.e 9 9 3o,2
. S-e- I.c.J ✓f'. T / 4'
City State Zip
Day Telephone: 24:7 C 7 Eto 6 o (reo7
Fax Number: 'le)? 767 107 ?
Expiration Date: 9 -/ 9 - / /
Valuation of Project (contractor's bid price): $ .r000
Scope of Work (please provide detailed information): �-• �• Q� -�-�� C d• ''^
Will service be altered? ❑ Yes E-No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel . ❑ Tenant Improvement
R-Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
g(
•
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.
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: 14y%/ PLS.
Mailing Address: lc.2crl 5r7 41411-6 /N,94.- wY Si
Day Telephone:
Date:rZZ — l/
City
A State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications Worms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 2 of 2
1"--
N ILA w City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 5379800341
Address: 16219 51 AV S TUKW
Suite No:
Applicant: KIMBALL RESIDENCE
RECEIPT
•
Permit Number: EL11 -0787
Status: PENDING
Applied Date: 08/22/2011
Issue Date:
Receipt No.: R11 -01826
Initials:
User ID:
WER
1655
Payment Amount: $59.85
Payment Date: 08/22/2011 02:35 PM
Balance: $0.00
Payee: MIKE PISHUE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 80598S
ACCOUNT ITEM LIST:
Description
59.85
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 59.85
Total: $59.85
doc: Receiot -06 Printed: 08 -22 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
C
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: &
, J/h -
Type of Inspection:
Address:/ 2-
t 5 I l
Date Called:
Special Instructions:
Date Wanted:.
Requester:
Phone No:
Approved per applicable codes.
FOMMENTS:
DCorrections required prior to approval.
Inspector:
• 'Date: or
REINSPECTION FEE REQUIRED. Prior to next inspection.. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh: .
Contractors or Tradespeople Printer 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
AUTOMATED EQUIPMENT CO
2067679080
10847 E Marginal Way S
Seattle
WA
98168
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601111142
Active
AUTOMEC993OR
Electrical Contractor
9/19/2001
9/19/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
AUTOMEC016QRAUTOMATED
EQUIPMENT CO
Electrical
Contractor
Limited
Energy
Unused
11/19/1999
11/19/2001
Archived
AUTOMEC101LA
AUTOMATED
EQUIPMENT CO
Electrical
Contractor
General
Unused
6/1/1990
6/1/2000
Archived
Electrical Administrator INFORMATION
License FORESG•994NJ
Name FORESTER, GREG
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
RSE CORP
Agent
09/19/2001
Received Date
ALHADEFF, JERRY
President
09/19/2001
Until
Released
ALHADEFF, JUDITH
Secretary
09/19/2001
6/28/2011
PISHUE, MIKE
Secretary
05/13/2002
DIAMOND, JOSEPH
Treasurer
09/19/2001
TRANG, SEAN
Vice President
05/13/2002
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
SAFECO INS CO OF
AMERICA
5832533
06/01/1996
Until Cancelled
$4,000.00
09/19/2001
Assignment of Savings Information
Savings
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date
Amount
Received Date
2
6/21/2011
Until
Released
Bond
$4,000.00
6/28/2011
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
08/22/2011