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HomeMy WebLinkAboutPermit EL12-1177 - TOSHIZUMI 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 -1177 Toshizumi Residence 15255 Sunwood Boulevard 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 9 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. TOSHIZUMI RESIDENCE 15255 SUNWOOD BL UNIT A -32 EL12-1 177 City a*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 Parcel No.: 8141400150 Address: 15255 SIINWOOD BL TIIKW Project Name: TOSHIZIIMI RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -1177 Issue Date: 12/21/2012 Permit Expires On: 06/19/2013 Owner: Name: YOSHIZIIMI ROSE H Address: 15255 SUNWOOD BLVD #A32 , TUKWILA WA 98188 Contact Person: Name: ADAM SANGDER Address: PO BOX 1095 , WOODINVILLW WA, 98072 Contractor: Name: HILL ELECTRIC CORPORATION Address: PO BOX 1095 , WOODINVILLE WA 98072 -1095 Contractor License No: HILLEC *045B9 Phone: 425 - 485 -4321 Phone: 425 485 -4321 Expiration Date: 01/29/2014 DESCRIPTION OF WORK: REPLACE OLD CEILING HEAT WITH NEW WALL HEATER, RELOCATE RECEPTACLE TO LEFT OF HEATER IN MASTER BEDROOM. LIVING ROOM AND DINING ROOM REPLACE OLD CEILING HEAT WITH NEW WALL HEATER Value of Electrical: NRES: $0.00 RES: $895.00 Type of Fire Protection: UNKNOWN Electrical service provided by: Permit Center Authorized Signature: Fees Collected: $54.60 National Electrical Code Edition: 2008 Date: — —I `'( 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 pres - to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the ppe ormance of vypr; authorized to sign and obtain this electrical permit. Signature: Print Name: Date: !off /c2.17020/� 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 -1177 Printed: 12 -21 -2012 PERMIT CONDITIONS • Permit No. EL 12 -1177 * *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 TO - 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 -1177 Printed: 12 -21 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://vvww.TukwilaWA.gov Electrical Permit No. EL\ )- -' 017 Project No. Date Application Accepted: 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: 15A),5 Su flu -2006 ` 12:' V Ct Tenant Name: R C z Yo 5/111-LA f111. PROPERTY OWNER Name: RCse- to< N'1 Zt 1 rrl t Address: 15),,c-.5 Sun awov4 uN,,L., p,c3a- d City:--t—K0 � `l ct1 State: wik Zip: -1 g l g ca CONTACT PERSON — person receiving all project communication Name: f�d0''tl `.(1t 4Q,f `1C) Address: �(:::) iOx \cqF3 Address,: I.Ox 10`1 Phone: as -y - L\3a -1 Fax: i.- 5-k_-1 ...Li a-O City: 1 nliro : 11e -. State: V `l \ - Ip_ Zip: GgZ "\►' Phone: Fax: Email: King Co Assessor's Tax No.: A Suite Number: !'C 3 Z Floor: New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: R;1\ 1ec��;---c_ Co , 0 ck. Address: �(:::) iOx \cqF3 City: '— wocG\l\J,,ItZ State: W k ZipR\ f1 Phone: as -y - L\3a -1 Fax: i.- 5-k_-1 ...Li a-O Contr Reg No.: C,,01 (ogt,k zas Exp Date: y a.9 jZol ki /(0(0 Tukwila Business License No.:.8U .� 099 9 Valuation of Project (contractor's bid price): $ O , 00 Scope of Work (please provide detailed information): Re CACR 01 C=e:Ai n VW.cct- w .h ■race -:.; 03,4 1fle ctte_ f r a \ 4a \. - ('Q Will service be altered? ❑ Yes , 'No Adding more than 50 amps? ❑ Yes ,, No Type of Use: 4eS \ dle nk 1 G Type of work: ❑ New ❑ Addition ❑ Service Change )g ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: XPuget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9.11.docx Revised: August 2011 bh Page 1 oft 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) PERMIT APPLICATION ,NOTES 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 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 ELECTRICAL CONTRACTOR: Signature: eg/ Print Name:C�� Mailing Address:O SE \C-c\ H:\Applications\Forms- Applications On Line \201I Applications'Electrical Permit Application Revised 8-9.1 I.docx Revised: August 2011 bh Date: \ a —12_ Day Telephone: oCCV\i\ _-- City State Zip Page 2 of 2 • 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 Parcel No.: 8141400150 Address: 15255 SUNWOOD BL TUKW Suite No: Applicant: TOSHIZUMI RESIDENCE RECEIPT Permit Number: EL12 -1177 Status: PENDING Applied Date: 12/21/2012 Issue Date: Receipt No.: R12 -03361 Payment Amount: $54.60 Initials: WER Payment Date: 12/21/2012 08:21 AM User ID: 1655 Balance: $0.00 Payee: HILL ELECTRIC CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 21220 54.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 54.60 Total: $54.60 Harr RPrpint_OR Printprt• 17- 71 -7f112 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 -3670 Permit Inspection Request Line (206) 431 -2451 at 7- 171 Project:.' st4i 7....0111 4....s. Type of Inspection: 2 00 Address: ( $j 5i ` a Date Called: Special Instructions: Date Wanted:. / Z/23 p'm. Requester: ■ Phone No: Ej Corrections required prior to approval. tg Approved per applicable codes. COMMENTS: Inspector: 1 Date: /��� r ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Printer Friendly Page Electrical Contractor A business licensed by Lftl 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 HILL ELECTRIC CORPORATION 4254854321 Po Box 1095 Woodinville WA 980721095 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601684223 Active HILLEC *045B9 Electrical Contractor 1/29/1996 1/29/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HILLE * *137BAHILL ELECTRIC Electrical Contractor General Unused 1/1/1987 1/1/1997 Archived Master Electrician INFORMATION License HILL *RD964KG Name HILL, ROGER D Status Active Business Owner Information Name Role Effective Date Expiration Date HILL, CHERI L Violation Amount 01/01/1980 10/8/2010 HILL, CHERI L Agent 01/01/1980 $250.00 HILL, ROGER D President 01/01/1980 ELECTRICAL CITATION Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 1/25/1996 Until Released Bond $4,000.00 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 Infraction / Citation Date RCW Code Type Status Violation Amount ESHA000414 10/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000413 10/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01861 6/17/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 12/21/2012