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HomeMy WebLinkAboutPermit EL12-1113 - WILHELM 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. EL12 -1113 Wilhelm Residence 4026 South 119th 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 10 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. WILHELM RESIDENCE 4026 S 119 ST EL12-1 113 City olgrukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.Tukw ila WA .gov Parcel No.: 7340600068 Address: 4026 S 119 ST TIIKW Project Name: WILHELM RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -1113 Issue Date: 11/28/2012 Permit Expires On: 05/27/2013 Owner: Name: WILHELM DION +TINA Address: 4026 S 119TH ST , TUKWILA WA 98168 Contact Person: Name: DAN JAMES Phone: 253 874 -5450 Address: 33410 30 AV SW , FEDERAL WAY WA, 98023 Contractor: Name: D & A ELECTRIC LLC Address: 33410 30 AV SW , FEDERAL WAY WA 98023 Contractor License No: DELEC *E897D5 Phone: 253 - 740 -9491 Expiration Date: 04/05/2013 DESCRIPTION OF WORK: REPAIR METER AND MAST (TREE BRANCH FELL ACROSS) Value of Electrical: NRES: $0.00 RES: $300.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $68.25 2008 4 V V7 (/\.e' ll Date: / l I hereby certify that I have read and e . amin d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, hether specified herein or not. The granting of this permit • _ - s -not • esume to give authority to violate or cancel the provisions of any other state or local laws regulating horized to sign and obtain this electrical permit. cot o _ • erfo ' ance of Signature. Print Name: Date: / / 1 Z 9/ a 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. doe: EL -4/10 EL12 -1113 Printed: 11 -28 -2012 PERMIT CONDITIONS Permit No. EL 12 -1113 * *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 -1113 Printed: 11 -28 -2012 CITY OF TUKWIIA Community Developmet4IPpartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Peo. Project No. Date Application Accepted: "1� V t Z Date Application Expires: (For office use only) 10 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: 4026 S //9 1-1/4 sf Tenant Name: Cm2+'\ $ Mw (31t,. o I 14.,"6.4.") King King Co Assessor's Tax No.: D4/ 0— alt" Suite Number: Floor: New Tenant: ❑ Yes PROPERTY OWNER Name: `� R") Address: 3 ,-3c( lc) 3 cY"" P-u - City: rte& D +i State: lov p.4. Zip: (44 U 2._ Name: e o Email: 0-t c& ,— S c DNA - 6. (e ci'k-a ve W t t t t^-, 0 Address: do z 6 ,s /, » f 4 st. City: 7- v, � w I' a State: . Zip: CONTACT PERSON - person receiving all project communication Name: `� R") Address: 3 ,-3c( lc) 3 cY"" P-u - City: rte& D +i State: lov p.4. Zip: (44 U 2._ Phone: 25'-3_ 87q 5'y sFC x: Email: 0-t c& ,— S c DNA - 6. (e ci'k-a ve ELECTRICAL CONTRACTOR INFORMATION Company Name: D .. 4 CT ecIe ,'c- Address: 3c �,(A „ -, n s-,./ J �(?3(f� City: r� G a>J State: i,fm, Zip: q8j p / Phone: 2,5-3_ 81-?((. VV J L (s0 Contr Reg No.:Di gc. g g et7 xDate: 4'- Z Li - ia I� Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Retutoe 171 %/lt-e heak'c C. Cc I 1 /k t44. ms`s Will service be altered? ❑ Yes " No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 51 Seattle City Light H:\Applications\Forms- Applications On Line \2011 Applications\Elecuical Permit Application Revised 8- 9- 11.docx Revised: August 2011 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 _ _ RICAL CONTRACTOR: Signatur Print Name A) Mailing Address: 7c « 371-1-‘ A/-4 Date: / Z U ° / Z; Day Telephone: e:'3 7-/ 5-475 d ¢2( �% L-v� r Cl City H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 State Zip 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 RECEIPT Parcel No.: 7340600068 Permit Number: EL12 -1113 Address: 4026 S 119 ST TUKW Status: , APPROVED Suite No: Applied Date: 11/28/2012 Applicant: WILHELM RESIDENCE Issue Date: Receipt No.: R12 -03203 Payment Amount: $68.25 Initials: JEM Payment Date: 11/28/2012 11:21 AM User ID: 1165 Balance: $0.00 Payee: DANIEL C JAMES, D &A ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 03137Z ACCOUNT ITEM LIST: Description 68.25 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 68.25 Total: $68.25 rinr.• Rarzint -OR Printari• 11- 7R -7f112 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (La- 1113 PERMIT Na CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: iNJ f V Ir.o Ke5 • Type of Inspection: 2-j Address: Date Called: Special Instructions: t Date Wanted: . Wft a. m p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: GOAWtor'i ►4/14>se Inspector: Date: d31 zit 2 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 INSPECTION RECORD ZrI Retain a copy with permit 642-1113 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (R^ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project:rr. (AilUA't`L Type of Inspection: /d0 ,'''' Address: �) i _ Date Called: Special Instructions: `` W (At 111 f bgt cr'c 1 (4/4-111 Date Wanted:. ? / L.- a.m p.m. Requester: Foe., f-9, \ht C, PUk`:r Phone No: jJApproved per applicable codes. Corrections required prior to approval. !8 .0 COMMENTS: ,'''' Ab Ae Iti, 41 : 3V a - 41 . 4014Y 441) P& J ‚t Acct() 1 Pot t /4rS o 5RtAX k6 X19.. Foe., f-9, \ht C, PUk`:r Inspector: Date: DZ (� ZJ 5 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Primer Friendly Page • Electrical Contractor A business licensed by Ltd 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 D a A ELECTRIC LLC 2537409491 33410 30Th Ave Sw Federal Way WA 98023 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603093175 Active DELEC'E897D5 Electrical Contractor 4/5/2011 4/5/2013 General Unused Electrical Administrator INFORMATION License JAMESDC892BL Name JAMES, DANIEL CHARLES Status Active Business Owner Information Name Role Effective Date Expiration Date JAMES, DANIEL C Partner /Member 03/25/2011 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 3/25/2011 Until Released Bond $4,000.00 3/25/2011 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 Infractions /Citations Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 11/28/2012