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HomeMy WebLinkAboutPermit EL12-0494 - RAINBOW TRAILER HAVEN - SPACE 40This 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. EL12 -0494 Rainbow Trailer Haven 3714 South 152nd Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington 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 Personal Information — numbers, electronic check numbers, credit expiration 12 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. RAINBOW TRAJLER HAVEN SPACE 40 3714 S 152 ST EL1 2-0494 City o�I'ukwila 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 ELECTRICAL PERMIT Parcel No.: 0041000660 Address: 3714 S 152 ST TUKW Project Name: RAINBOW TRAILER HAVEN - SPACE 40 Permit Number: EL12 -0494 Issue Date: 05/29/2012 Permit Expires On: 11/25/2012 Owner: Name: VIP 3614 LLC Address: PO BOX 28 , KIRKLAND WA Contact Person: Name: DON WYLLYS Address: 19817 61 AV SE , SNOHOMISH WA Contractor: Name: PRONG ELECTRIC LLC Address: 1901 ABERDEEN AV SE , RENTON WA Contractor License No: PRONGEL938PJ Phone: 206 947 -6146 Phone: 425 793 -5559 Expiration Date: 10/11/2013 DESCRIPTION OF WORK: SPACE 40: REWIRE APARTMENT (12 CIRCUITS ADDED /ALTERED WITHOUT SERVICE CHANGE) Value of Electrical: NRES: $0.00 RES: $3,200.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: $100.50 2008 I hereby certify that I have read and a ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied it whether specified herein or not. The granting of this permit does no resume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th erformance Bork. I am authorized to sign and obtain this electrical permit. Signature: ��CL Date: Print Name: ( Y tf / Y O vNy 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 EL12 -0494 Printed: 05 -29 -2012 • 1110 PERMIT CONDITIONS Permit No. EL 12 -0494 * *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 EL12 -0494 Printed: 05 -29 -2012 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No. LI' n L '°#1 j t4 Project No. /� Date Application Accepted: 0G h01\ I �^ Date Application Expires: (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: Tenant Name: 3714 South 152nd Street Rainbow Trailer Haven King Co Assessor's Tax No.: uo-cUo Suite Number: #40 Floor: New Tenant: ❑ Yes m ..No PROPERTY OWNER Name: Don Wyllys Name: Rainbow Trailer Haven City: Snohomish State: WA Zip: 98188 Address: 3714 South 152nd Street #40 Email: City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Don Wyllys Address: 19817 61st Ave SE City: Snohomish State: WA Zip: 98188 Phone: (206) 947 -6146 Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: PRONG ELECTRIC LLC Address: 1901 Aberdeen Ave SE City: Renton State: WA Zip: 98055 Phone: (425) 793 -5559 Fax: (425) 793 -3998 Contr Reg No.: PRONGEL938PJ Exp Date: 10/11/2013 Tukwila Business License No.: * sl 37/ o 9 I Valuation of Project (contractor's bid price): $ 3,200 Scope of Work (please provide detailed information): Rewire apartment Will service be altered? ❑ Yes I1 No Adding more than 50 amps? ❑ Yes Q No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 21 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ▪ Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bit Page 1 of 2 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) 2. $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 ELECT' / AL CONTRACTOR: Signature: Print Name: Gary Prong Mailing Address: 1901 Aberdeen Ave SE Date: 05/29/2012 Day Telephone: (206) 913 -9093 Renton WA 98055 City H:\ Applications \Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9 -1 l.docx Revised: August 2011 bh State Zip Page 2 of 2 • 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 RECEIPT Parcel No.: 0041000660 Permit Number: EL12 -0494 Address: 3714 S 152 ST TUKW Status: APPROVED Suite No: Applied Date: 05/29/2012 Applicant: RAINBOW TRAILER HAVEN - SPACE 40 Issue Date: Receipt No.: R12 -01708 Initials: JEM User ID: 1165 Payment Amount: $98.70 Payment Date: 05/29/2012 10:17 AM Balance: $0.00 Payee: GARY S PRONG TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01752D ACCOUNT ITEM LIST: Description 98.70 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 98.70 Total: $98.70 doc: Receiot -06 Printed: 05 -29 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO` I CITY O F TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project° , IT' Tyje of Inspection: Address. t Date Called: Special Instructions: PO 6I Date Wanted: . �y O2 m. p'i� Requester: Phone No: nApproved per applicable codes. Corrections required prior to approval. 7 COMMENTS: (�IMo.lj rocc>f l% 1:4/ Inspector: a Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6-a-oPtlif PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: ,vj Type of Inspection: 00 {4 /6 r it.t.(y M ov r-5 Add ress 7, 5 , -� J�� l•,-- Date Called: Special Instructions: 2_ t Date Wanted:. 7 /50 P m. Requester: Phone No: Approved per applicable codes. jCorrections required prior to approval. ' ' COMMENTS: r ' j'tis•' echo —c- 10IV 5 tio4D6 4k c t 0 J6 ' oil Ste.tAc.f {4 /6 r it.t.(y M ov r-5 4( /4%/6 A4C) i*/46Atati,5 r �• Date:07 f , ( L I ( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: "'/ i i d (6 z INSPECTION NO. INSPECTION*RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Projec>fk Igo ( tP Type of Inspection: - i to 4(-c-- s `"-Z) gt r P lLtStsrA r Address: 3 1i • ; w/ 5-2_ 5� Date Called: -rfL t % I oc4(44v 41 (it- r�=- —t Special Instructionsr: Zflq Date Wanted:. 7/46 m. !m7 Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: (4) R. Pr ; , ... ,8e- us"J vicAert us ( s i Po4r PO A) Th- QE'S 5 - i to 4(-c-- s `"-Z) gt r P lLtStsrA r - PA•1C-t sc.A -->iLt IAN BE it-c,i lk-E - / MC, c M1)0 dor FJpJc,rriodrA/0105 TjW. 'e'v selOa1C - -rfL t % I oc4(44v 41 (it- r�=- —t Inspector: Date: v 14 C,2,- REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6,12-00f 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 ` oft Project: A.11\1/3 es +� ) l,0 Type of Inspection: 7yoo3 // Address: Date Called: Special Instructions: ' 141111 Date Wanted:. / D --- a m Requester: Phone No: gi Approved per applicable codes. Corrections required prior to approval. l COMMENTS: 0 K it= ?R,ox/rOt r r oQ �L T'��E T� "\ r Inspector: Date: 5./1 Z ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: Contractors or Tradespeople P, ;rater Friendly Page • Electrical Contractor A business licensed by L8I 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 PRONG ELECTRIC LLC 4257935559 1901 Aberdeen Ave Se Renton WA 98055 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602759871 Active PRONGEL938PJ Electrical Contractor 10/11/2007 10/11/2013 General Unused Electrical Administrator INFORMATION License PRONGGS937NT Name PRONG, GARY 5 Status Active Business Owner Information Name Role Effective Date Expiration Date PRONG, GARY Partner /Member 10/11/2007 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 1 9/20/2007 Until Released Bond $4,000.00 10/11/2007 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 05/29/2012