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Home My WebLink AboutPermit EL13-0344 - WILSON RESIDENCE - SERVICE CHANGE 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. EL13-0344 Wilson Residence 16203 45 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 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 or governed by other law. WILSON RESIDENCE 16203 45 AV S EL1 3-0344 City ofiI'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.: 9314900150 Address: 16203 45 AV S TIIKW Project Name: WILSON RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0344 Issue Date: 04/11/2013 Permit Expires On: 10/08/2013 Owner: Name: WILSON LYLE A+NANCY A Address: 16203 45TH AVE S , TUKWILA WA 98188 Contact Person: Name: DEBBY KROLL Address: PO BOX 39745 , LAKEWOOD WA, 98496 Contractor: Name: OLD TIME ELECTRIC INC Address: PO BOX 39745 , LAKEWOOD WA 98496 Contractor License No: OLDTIEI021LB Phone: 253 677-3621 Phone: 253 848-3195 Expiration Date: 06/02/2014 DESCRIPTION OF WORK: SERVICE UPGRADE Value of Electrical: NRES: $0.00 Fees Collected: $81.90 RES: $1,792.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied National Electrical Code Edition: 2008 Date: d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or thefrformance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: c13`\ Date: q ‘ 1 \ 1 \;� 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 EL13-0344 Printed: 04-11-2013 • • PERMIT CONDITIONS Permit No. EL13-0344 **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 EL13-0344 Printed: 04-11-2013 •' CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: og 13 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 King Co Assessor's Tax No.:,, V Old Site Address: 1(P 0103 454‘. Art_ S Tenant Name: Lit Sova PROPERTY OWNER Name: p y \w U Name: 4.c._1.0•A5or City: Laket.oOGe State: Lopt Zip: catici i Address: 16ap3 ,w Av`c 5 Email: d-e.,6b,..\@ 0u4iO4tc(cc ic.. f.Ow. City: kw;to State: wk. Zip: c ztt ,U CONTACT PERSON — person receiving all project communication Name: p y \w U Address: pc $ 3S-14 5 - City: Laket.oOGe State: Lopt Zip: catici i Phone: 49S3 b 77 310)-1 Fax: d53 13ttg 3g- GAS Email: d-e.,6b,..\@ 0u4iO4tc(cc ic.. f.Ow. Suite Number: Floor: New Tenant: ❑ Yes g ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: 6 (d T: AA,e ftec .14..c.1 [ 1 Address: ftgox3cki 4 5 City: wooA State: /LA. Zip: ` tt`t4 Phone: cab -3 .64 g 3l1 S Fax: cps3 S cig 3a(e.1 Contr Reg No.: OLD -rt. E = oat Ltxp Date: ‘121 i'{ t/ Tukwila Business License No.: mc"--r-t-t01 Zoo, , 13 Valuation of Project (contractor's bid price): $ I l 19(9— Oa Scope of Work (please provide detailed information): Su-v+c_t_ Upqcur11-4-- Will service be altered? jEt Yes ❑ No Adding more than 50 amps? ❑ Yes ®, No Type of Use: Type of work: ❑ New ❑ Addition ig Service Change 0 Remodel ❑ Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: ® Puget Sound Energy 0 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 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 $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) 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 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: Mailing Address: ,P.16 3coLtc Date: 4- I I- 1 Day Telephone: /9S 3 (01-? 3 (o a l Doi (tet CIIN`Zie H:\Applications\For ms -Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9.11.docx Revised: August 2011 bh 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.: 9314900150 Address: 16203 45 AV S TUKW Suite No: Applicant: WILSON RESIDENCE RECEIPT Permit Number: EL13-0344 Status: PENDING Applied Date: 04/11/2013 Issue Date: Receipt No.: R13-01289 Initials: JEM User ID: 1165 Payment Amount: $81.90 Payment Date: 04/11/2013 11:43 AM Balance: $0.00 Payee: DEBBY L BROLL, OLD TIME ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 735949 ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 PrinfPd• n4-11-9011 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 . . � d��0tl kie5 Type of Inspection: �t/✓Project: Address: no0) y5._ �' Date Called: Special Instructiofis. Date Wanted:. Requester: Phone No: � fApproved per applicable codes. ElCorrections required, prior to approval. COMMENTS: -00 (_/off - s InsFJAkc pector: Date: I ❑ REINSPECTION FEE REQUIRED. Prior to next inspection.:.fee.must be- ; paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.. Contractors or Tradespeople Pinter Friendly Page e Electrical Contractor A business licensed by L&I 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 OLD TIME ELECTRIC INC 2538483195 Po Box 39745 Lakewood WA 98496 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601526458 Active OLDTIEI021 LB Electrical Contractor 6/2/1998 6/2/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status OLDTIHE063K3 OLD TIME HEATING Ft ELECT INC Electrical Contractor General Unused 5/23/1994 5/23/1998 Archived Master Electrician INFORMATION License KROLLMW952LT Name KROLL, MARK W Status Active Business Owner Information Name Role Effective Date Expiration Date PETERSON, CARL Agent 05/07/2012 Bond Amount KROLL, MARK W President 01/01/1980 9805802 KROLL, DEBBY Secretary 01/01/1980 KROLL, DEBBY Treasurer 05/07/2012 CBIC 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 3 Lexon Ins Co 9805802 05/13/2011 Until Cancelled $4,000.0005/04/2011 2 CBIC SD1431 05/13/2001 Until Cancelled 05/13/2011 $4,000.0005/09/2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 6/2/1998 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 No records found for the previous 6 year period httns://fortress.wa.gov/lni/bbin/Print.asnx 04/11/2013