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HomeMy WebLinkAboutPermit EL13-0134 - DR NGUYEN - 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. EL13-0134 Dr Nguyen rd 15425 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 11 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. DR NGUYEN 15425 53 AV S EL13-0134 City oPI'ukwila • 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.: 1157200033 Address: 15425 53 AV S TUKW Project Name: DR NGUYEN ELECTRICAL PERMIT Permit Number: EL13-0134 Issue Date: 02/06/2013 Permit Expires On: 08/05/2013 Owner: Name: R& N REAL ESTATE L L C Address: 15425 53RD AVE S , TUKVVILA WA 98188 Contact Person: Name: TROY EDWARDS Address: 2308 S L ST , TACOMA WA, 98405 Contractor: Name: TROY'S ELECTRIC Address: 2306 L ST , TACOMA WA 98405 Contractor License No: TROYSE*935JC Phone: 253-241-8707 Phone: 253-241-8707 Expiration Date: 04/12/2013 DESCRIPTION OF WORK: POWER REAPPLIED TO SIGN Value of Electrical: NRES: $2,500.00 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: Date: $136.50 2008 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 oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ance of work. I am authorized to sign and obtain this electrical permit. Date: �ib -- Signature: Print Name: 912.17 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 EL13-0134 Printed: 02-06-2013 • PERMIT CONDITIONS • Permit No. EL 13-0134 **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 EL13-0134 Printed: 02-06-2013 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. LL-) �— 0 13 1 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: Tenant Name: D,„ King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: 7-6-1,...0 Name: , Q QrJ a` FD + U' � Address: r S— � Z— s 3 r`� 1.765ax: City:l r/J�� State, Zipj,i CONTACT PERSON — person receiving all project communication Name: 7-6-1,...0 Address: •Z-3cs-3 �� .'e L ‘' S± City: -.0—v5—, State: 0--k_Zip:���1 Phone:— „2...* 1.765ax: Email: 2oiZ." Tukwila Business License No.; ELECTRICAL CONTRACTOR INFORMATION Name. Company r--- �N'� c6 4.1, —cc I U Address: 1 City: 1-24c:3, Cbz State: � Zip:L4 db, Phone2 ; 27/( es,.. -7c, ax: Contr Reg No.: Exp Date: 1.0:.'-'5' c 2oiZ." Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Z) c» . Scope of Work (please provide detailed information): pfezol -fp Will service be altered? ❑ Yes Type of Use: �No Adding more than 50 amps? ❑ Yes �No Type of work: ❑ New ❑ Addition ❑ Low Voltage D Generator Property Served by: ❑ Puget Sound Energy �JJ ❑ Service Change ❑ Fire Alarm Seattle City Light H:\Appltcauons\Forms-Applications On Lme\2011 Apphcations\Electncal Permit Application Revised 8-9-11 docx Revised: August 2011 bh Remodel 0 ❑ Tenant Improvement Telecommunication ❑ Temporary Service Page I of 2 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 $1 1.55 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 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 Oljt'JLECTRICAL CONTRACTOR: Signature: Print Name: / E�Lv/I('cS Mailing Address: Z � lr-, Day Telephone: City H \Applications\Forms-Applications On Line\2_011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh Date: Z. — - ?.-`) 3 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.: ' 1157200033 Address: 15425 53 AV S TUKW Suite No: Applicant: DR NGUYEN RECEIPT Permit Number: EL13-0134 Status: PENDING Applied Date: 02/06/2013 Issue Date: Receipt No.: R13-00745 Payment Amount: $136.50 Initials: WER Payment Date: 02/06/2013 01:51 PM User ID: 1655 Balance: $0.00 Payee: TROY'S ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 rinn• P pint -fl Credit Card RecWt .1 i Finance Department 1 Date Time: 02/06/2013 14:11:PM CARD NBR: **** **** **** 7976 AMOUNT: $203.50 AUTH#: 071117 PAYFILE/CUST: 1303703-1/5 SIGN: **************CUSTOMER COPY************* 2 ITEM(S): TOTAL: $203.50 MasterCard PAID $203.50 www.tukwilawa.gov 206-433-1835':' INSPECTION RECORD Retain a copy with permit t5 -w3. 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: h �s • fv Ijii Da... Type of Inspection: /CO Address: / . f z 5.._ 5-3 Date Called: Special Instructions: Date Wanted:. iiiL a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: LCflo6 rwl)E n Inspector: , "`J,q fak Date: 03h 21, r-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit: :PERMIT NO. CITY OF TUKWILA BUILDING :DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 '1 ' Project: A lJ �l�f I �_ Type of Inspection: . � Address:1.4125— 01J /, tl Date Called: Special Instructions: Date Wanted:. / a. Requester: Phone No: Approved per applicable codes. pCorrections required prior to approval. COMMENTS: DIScx)''I(a Rod i60s( PSC I��I��, -- LAJML, tiAaJ D hAih.E.5 "Irk t�C. t Pmt M J r A,Jb •-•1R&l(tk t idmi r._ Inspector: n REINSPECTION FEE REQUIR •D. Prior to next inspection, fee must .: be.. paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit eU3-0i3K PERMIT NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 r12. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:Div t, �� �� ) v1 i!j Type of Inspection: DD7 .2.-f(x)i Address:u0 Date Called: Special Instructions: Date Wanted:. a nt... 7 Requester: Phone No: ElApproved per applicable codes. viCorrections required prior to approval. 11" COMMENTS: 1001 I 7A, 6).Y,. lb 609.1e AIN1 r Dr.J14 210o - 2'&€Cfo4 - 13oXes Rt aJI 'v �5 I6ii `is6 '�t ( £9 G• Zo NOT \ir�& -' I�Lv� etvAi4.4.1.)AI t aJt 4- a Af(!,- Inspector: Date: 6 Z/ 7 , ) 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 Pester Friendly Page • Electrical Contractor A business licensed by LEI 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 TROY'S ELECTRIC 2532418707 2308 S "L" St Tacoma WA 98405 Pierce Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602712157 Active TROYSE*935JC Electrical Contractor 4/3/2007 4/12/2013 Residential Unused Electrical Administrator INFORMATION License EDWART'937B3 Name EDWARDS, TROY A Status Active Business Owner Information Name Role Effective Date Expiration Date EDWARDS, TROY A Owner 04/03/2007 12-2-05929-8 InterPlead: No Bond Information Page 1 of.1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Travelers Cas and Surety Co of America 105788770 05/23/2012 Until Cancelled $4,000.00 05/24/2012 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 4/2/2007 5/18/2012 Bond 5/18/2012 $4,000.00 4/3/2007 Insurance Information No records found for the previous 6 year period Summons/Complaint Information Cause County Complaint Judgment Status Payment Paid By 12-2-05929-8 InterPlead: No 19.28.101 RCW Date: Amount: Date: 03/21/2012 Amount: $988.29 Closed/Satisfied Date: 05/18/2012 Amount: $988.29 Savings Account 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 EMABQ03645 9/26/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03647 9/26/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03644 9/26/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbin/Print.asnx 02/06/2013