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
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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:
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4(
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�• Date:07 f , ( L
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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
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Type of Inspection:
- i to 4(-c-- s `"-Z) gt r P lLtStsrA r
Address: 3 1i • ;
w/ 5-2_ 5�
Date Called:
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Special Instructionsr:
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Date Wanted:.
7/46
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Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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vicAert us ( s i Po4r PO A) Th- QE'S 5
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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
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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