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Home My WebLink AboutPermit EL13-0112 - COWAN RESIDENCE - REMODEL 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. EL13-0112 Cowan Residence rd 16612 53 Ave S 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 card numbers, electronic check numbers, credit Personal Information – expiration dates, or bank or other financial RCW 10 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 or governed by other law. COWAN RESIDENCE 16612 53 AV S EL13-0112 City ogrukwila 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.: 8858800045 Address: 16612 53 AV S TIIKW Project Name: COWAN RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0112 Issue Date: 01/31/2013 Permit Expires On: 07/30/2013 Owner: Name: MCCULLUM STEWART M+JEMIMA J Address: 16612 53RD AVE S , TUKVVILA 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: INSTALLING A GARBAGE DISPOSAL, ADDING (4) OUTLETS IN THE GARAGE, ADDING (2) SHOWER CANS, SWITCH .AND GFI PROTECTION, ADDING SECOND EXTERIOR LIGHTS OFF OF EXISTING BY THE GARAGE AND ENTRY, ADDING BAR LIGHT IN MASTER BATHROOM, ADDING ARC SHIELD AT EXISTING KITCHEN OUTKETS. Value of Electrical: NRES: $0.00 RES: $1,297.50 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th performance of wor}q.I am authorized to sign and obtain this electrical permit. Signature: Print Name: °\fol.u(C °le ff i 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. Date: ( 3 ( ` C doc: EL -4/10 EL13-0112 Printed: 01-31-2013 • PERMIT CONDITIONS • Permit No. EL13-0112 **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 EL13-0112 Printed: 01-31-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter. B/vd.. Suite 100 Tukwila. IJI-I 98/88 http:l'‘v \v.TukwilaWA.aov Electrical Permit No. LA -3— V j [2, Project No. Date Application Accepted: Date Application Expires: (For office use only,) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to he accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION 5,34 ? ¢ King Co Assessor's Tax No.: Site Address: 11oc0 Z. 4ME- `, Suite Number: Tenant Name: PROPERTY OWNER Name:ii‘M' 1 lI l. 1' �1'd"�/V1L/ Name: Cr• /' ,"w0 -el State: / A Zip:97Ve City:coV. .fon Address:l oot N gleet &t ern , t /�/� �a (00. Z58 State:0A Cite: Puya«uP Zip:9 7 CONTACT PERSON — person receiving all project communication Name:ii‘M' 1 lI l. 1' �1'd"�/V1L/ Address:en ?old 7aa," State: / A Zip:97Ve City:coV. .fon Phone:L zt . 775o Fax Qdd/_ n.775zi Email: KICCC�llJ1DrOVAAIZIL(eAr/Cj.At* /v�W New Tenant: Floor: ❑ Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Flaw &u L �lk, �re �` ' ro d1C rie Address: as7J377 city:covi State: /, Zip: 47134y Phone:_ Cost „775oFax: 7.6 - 631.7 75'I Contr Reg No.LotziTao5 Ey Diiviou Tukwila Business License No.: / us_ bgf9t.layy Valuation of Project (contractor's hid price): S 1,C9-7 6 50 Scope of Work (please provide detailed information): .n6.bsak+,r1b a. ' b JC 8 sr rad egti ng okle-stn 4Ndra�0. skazc L( 5, iC , 6. -ng r rrt'P prof -cellar) di►o`o�i nSt-Gana C.?c oclsr'n5 Y - eA\ Y-yi al,9(Dt^g5ar -tblAr to ma,Sfr�' IGfC. sk -ta jk vcc t,r6"to 0tN-Uc,t5 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ .Addition ❑ I..ow Voltage ❑ Generator Propem Served by: Si Puget Sound Energy ❑ Service Change ❑ Fire Alarm ❑ Seattle City Light H: Apphc. n ons Forret-Apphwuoro On Lrnc Z;,1 I Eleancal Permit Apphwoon Re,ised .Y v-1 docs Revised August 21111 bh N. Remodel ❑ Telecommunication 81 No intf. ivFs afro or", 61494nCA ❑ Tenant Improvement ❑ Temporary Service Page 1 of RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings ... $152.85 (including an attached garage) ❑ Garages. pools. spas and outbuildings 581.90 ea ❑ Low voltage systems (alarm, furnace thermostat) . . ...... $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration S81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits 511.55 ea Circuits added/altered without service change $54.60 (up to 5 circuits) fCircuits added/altered without service change S54.60 (6 or more circuits) S7.65 ea ❑ Meter/mast repair 568.25 ❑ Low voltage systems $59.85 (alarm. furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. \IISCELL.ANEOL S FEES ❑ Temporary service (residential) . .. $6=.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 N+ithin 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 justiciable cause demonstrated. I HEREBY CERTIFY THAT 1 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 O\V\ER OR ELECTRICAL CONTRACTOR: Signature: / C, .°7 %'^ M/ Print Name: (% i14�0 ( *CILIA Mailing Address:Po IND% 7087 Date: 1/ 29/13 Day Telephone: Z53-631- / 7 50 (.6A clgoz4z. Cin' H. Applications Forms -Applications On Linc 2011 Applications Electrical P.m.! AppLwtion Reused S -`r -I I docs Revised August 2011 61) State Zip Page 2 of 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.: 8858800045 Address: 16612 53 AV S TUKW Suite No: Applicant: COWAN RESIDENCE RECEIPT Permit Number: EL13-0112 Status: PENDING Applied Date: 01/31/2013 Issue Date: Receipt No.: R13-00660 Payment Amount: $54.60 Initials: WER Payment Date: 01/31/2013 09:16 AM User ID: 1655 Balance: $0.00 Payee: PROVIDENT ELECTRIC INC (PHONE) TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 111351 ACCOUNT ITEM LIST: Description 54.60 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 54.60 Total: $54.60 a,...• oe e;. ti na Printed: 01-31-2013 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6)3- 00,1 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 vz- (206) 431-3670 1, Project: i 1_jAil K(s Type of Inspection: zlo sl , Address:1 ual i MU Date Called: Special Instructions: Date Wanted:. 2 . a4n. Requester: Phone No: elApproved per applicable codes. Corrections required prior to approval. I COMMENTS: 0 Y Inspector: Date: I 3 REINSPECTION FEE REQUIR D. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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 Project: if tAIN! Ko, , Type of Inspection: Address: I UP 1 I 33 tri. Date Called: ,,..„-. Special. Instructions: Date Wanted:. 210.g (p/ ii. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: 0A-nilektat) �>2 Inspector: `lri _ t • Date: oLo (13 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 *ter Friendly Page • Electrical Contractor A business licensed by L8I 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'971OW 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 Page 1 of 2 Savings 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.i?ov/lni/bbin/Print.aspx 01/31/2013