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