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
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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