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