HomeMy WebLinkAboutPermit EL13-0015 - PAPENFUSS RESIDENCE - LOW VOLTAGE
This 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.
EL13-0015
Papenfuss Residence
3742 S 160 St
DIGITAL RECORDS (DR) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Code Exemption Brief Explanatory Description Statute/Rule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals’ social security
Personal Information –
numbers are redacted to protect those
Social Security Numbers 5 U.S.C. sec.
individuals’ privacy pursuant to 5 U.S.C. sec.
DR1 Generally – 5 U.S.C. sec. 552(a); RCW
552(a), and are also exempt from disclosure
under section 42.56.070(1) of the Washington
552(a); RCW 42.56.070(1)
State Public Records Act, which exempts under
42.56.070(1)
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
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Personal Information –
expiration dates, or bank or other financial
RCW
9 DR2 Financial Information –
account numbers, which are exempt from
42.56.230(5)
disclosure pursuant to RCW 42.56.230(5)
RCW 42.56.230(4 5)
,
except when disclosure is expressly required by
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PAPENFUSS RESIDENCE
3742 S 160 ST
EL13-OO15
City oftukwila •
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.: 8108600622
Address: 3742 S 160 ST TUKW
Project Name: PAPENFUSS RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0015
Issue Date: 01/07/2013
Permit Expires On: 07/06/2013
Owner:
Name: PAPENFUSS DAVID R+TERRI A
Address: 3742 S 160TH ST , SEATTLE WA 98188
Contact Person:
Name: KIM MITCHELL
Address: PO BOX 7087 , COVINGTON WA, 98042
Contractor:
Name: PROVIDENT ELECTRIC INC
Address: PO BOX 59284 , RENTON WA 98058
Contractor License No: PROVIEI103C2
Phone: 253 631-7750
Phone: 253 631-7750
Expiration Date: 02/22/2014
DESCRIPTION OF WORK:
INSTALL HOMEOWNER PROVIDED SURGE PROTECTOR IN EXISTING HOME
Value of Electrical: NRES: $0.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compli
exams
• with,
$54.60
2008
thl Date: o N I l 3
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr . • e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
'WlCdet-td.-
/Gare✓- A-. AiLact,be
Date:
/-7-/-3
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
EL13-0015 Printed: 01-07-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0015
**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
EL13-0015 Printed: 01-07-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila. W.4 98188
http://www.T0kWilaWA•QOV
Electrical Permit No. e -Q � O c
Project No. pp��
Date Application Accepted: V ryry�� V1 2
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
C King Co Assessor's Tax No.:
Site Address: 371 �kGC " �1 Suite Number: Floor:
p
Tenant Name: )0r a Gross New Tenant: Yes ❑..No
PROPERTY OWNER
Name: iY'✓\ tey� . ►IV l A,u dt\
Address: PQ 75:61( —7015 7
Name:14- 4 An
UG V—G _, r r`
Phone: Z5.s ..631'77. : 7,51..6u,7766(
Email:KtsvvvedprzVi kiele c e ic,. nek
Address: 3 -pit s 16044A
-i•
City:—r'Ukc'llla. State:
Zip:4Bmn
CONTACT PERSON — person receiving all project
communication
Name: iY'✓\ tey� . ►IV l A,u dt\
Address: PQ 75:61( —7015 7
City: Coy` t— State Zip:MOC�/d'(
Phone: Z5.s ..631'77. : 7,51..6u,7766(
Email:KtsvvvedprzVi kiele c e ic,. nek
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ?ro & £tic ? 4t
Y
Address: resox 7y 7
B
city: Covfr) .ort State:()) Zip:G)86l{Z
Phone: Z.53 63t'77ax: z53-631-7754.1 775
Conti- Reg No.: vleveact Exp Date: 12i1 tort
Tukwila Business License No.:099/4 Z /I
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information):
se*h1),%rt ina e.ackcu.,r (3.(6\149c, ric.,, ere#e c 'ar
ir1 CACI Si'i ✓te hog .
Will service be altered?, SYes No
Type of Use: r.1,4c, CileCi4.11 '
Adding more than 50 amps? ❑ Yes
Type of work:
❑ New Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\Applications\Forms-Applications On Line\2011 Applications \Electrical Permit Application Resised $-9-11 docs
Resised- August 2011
bh
❑ Remodel
❑ Telecommunication
O Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $152.85
(including an attached garage)
❑ Garages. pools. spas and outbuildings $81.90 ea
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $81.90
(no added/altered circuits)
O Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
16 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
O Temporary service (residential) $63.00
O Temporary service (generator) $78.75
O Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Ylion.
Mailing Addressed &du 7057
H \Applications\Fortrs-Applications On Line\2011 Applications \Electrical Permit Application Revised 8-9-11 docs
Revised* August 2011
bi,
Dater JAN 6 Z 2013
Day Telephone: Z53- G 3t'7l?5
Cov reov) 9.1VAL
Cite State Zip
Paoe 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.: 8108600622
Address: 3742 S 160 ST TUKW
Suite No:
Applicant: PAPENFUSS RESIDENCE
RECEIPT
Permit Number: EL13-0015
Status: PENDING
Applied Date: 01/07/2013
Issue Date:
Receipt No.: R13-00057
Payment Amount: $54.60
Initials: JEM Payment Date: 01/07/2013 11:22 AM
User ID: 1165 Balance: $0.00
Payee: PROVIDENT ELECTRIC INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2739 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
crinro,. nl_m2)n1z
INSPECTION RECORD
Retain a copy with permit
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
0A5 -1)01-c
Project:'
FV55
(3 .
Type of Inspection:
Address: '
Date Called:
Special Instructions:_
-
Date Wanted:.
0/.
2-/
G,,,b
p.m.
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS: ie:\
1. ' r
Inspector:
Date:
�l 3
ides
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 Printer Friendly Page
4110
•
Electrical Contractor
A business licensed by Lai 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
PROVIDENT ELECTRIC INC
2536317750
Po Box 7087
Covington
WA
98042
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601217805
Active
PROVIEI103C2
Electrical Contractor
2/22/1990
2/22/2014
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PROVIE*133P7
PROVIDENT
ELECTRIC
Electrical
Contractor
General
Unused
10/27/1987
10/27/1991
Archived
PROVIE'159MC
PROVIDENT
ELECTRIC
Electrical
Contractor
Residential
Unused
7/3/1985
5/31/1989
Archived
Master Electrician INFORMATION
License OLSONA*971 OW
Name OLSON, ALAN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
REGEIMBAL MCDONALD PLLC
Agent
02/01/2012
OLSON, ALAN W
President
02/22/1990
SHEWCHUK, ALLAN S
Secretary
02/22/1990
SHEWCHUK, BEJAMIN M
Treasurer
02/01/2012
OLSON, JUDITH E
Vice President
02/22/1990
SHEWCHUK, ELIZABETH A
01/01/1980
02/07/2012
MICHAEL REGEIMBAL INC
Agent
01/01/1980
02/01/2012
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
Savings
Page 1 of 2
Assignment of Savings Account Number
Effective Date
Release Date
Assignment Type
Impaired Date Amount
Received Date
1
2/16/1990
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
httns://fortress.wa.eov/lni/bbin/Print.asnx 01/07/2013