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Home My WebLink AboutPermit EL13-0810 - CARY LANG CONSTRUCTION - LOT 5 - TEMPORARY POWER 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. EL13-0810 Cary Lang Construction – Lot 5 nd 14761 62 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. CARY LANG CONSTRUCTION LOT 5 14761 62 AV S EL13-0810 City okukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 3597000082 Address: 14761 62 AV S TUKW Project Name: CARY LANG CONSTRUCTION - LOT 5 Permit Number: EL13-0810 Issue Date: 08/26/2013 Permit Expires On: 02/22/2014 Owner: Name: TUKWILA HEIGHTS LLC Address: 19541 183RD WAY SE , RENTON WA 98058 Contact Person: Name: CYNDI CAMBIA Phone: 253-631-7750 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 Expiration Date: 02/22/2014 DESCRIPTION OF WORK: INSTALL 60 AMP TEMPORARY POWER POLE Value of Electrical: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY 1 Permit Center Authorized Signature: Fees Collected: $65.00 Washington Cities Electrical Code: 2011 Date: 9-&--- L 3 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 the performance of work. I am authorized to sign and obtain this electrical permit. Signatur-: 01,4 ,♦ 14 AM Date: 1:7- 2L "✓ Print Name: Milsyriao 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 -7/13 EL13-0810 Printed: 08-26-2013 PERMIT CONDITIONS Permit No. EL13-0810 **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 -7/13 EL13-0810 Printed: 08-26-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 1 L\ — 0 51 0 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: 14761 62ND AVE S - LOT 5 Tenant Name: C &YV' l a,h9 rtYKA n,rr aNk PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: CYNDI CAMBIA Address: PO BOX 7087 City: COVINGTON Address: PO BOX 7087 Phone: (253) 631-7750 Fax: (253) 631-7754 Contr Reg No.: City: COVINGTON State: WA Zip: 98042 Phone: (253) 631-7750 Fax: (253) 631-7754 Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: PROVIDENT ELECTRIC INC Address: PO BOX 7087 City: COVINGTON State: WA Zip: 98042 Phone: (253) 631-7750 Fax: (253) 631-7754 Contr Reg No.: Exp Date: Tukwila Business License No.; BUS -0994034 Valuation of Project (contractor's bid price): $ 210 Scope of Work (please provide detailed information): 60AMP TEMPORARY POWER POLE Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: TEMP POWER Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: 21 Puget Sound Energy ❑ Seattle City Light H \Applications\Forms-Applications On Lme\2013 Applications\Electrical Permit Application Revised 7-I-13.docx Praised: July 2013 bh Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE El New single family dwellings (including an attached garage) El Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm. furnace thermostat) $152.85 $81.90 ea $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES El 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) $65.00 ❑ Temporary service (generator) $80.90 El Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: CYNDI CAMBIA Date: 08/26/2013 Day Telephone: (253) 631-7750 Mailing Address: PO BOX 7087 - COVINGTON, WA 98042 City State Zip H \Applications\Forms-Applications On Line\2013 Applications \Electrical Permit Application Re, ised 7-I-13.docx Re, ised: July 2013 bh Page 2 of 2 • • wqs 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 RECEIPT Parcel No.: 3597000082 Permit Number: EL13-0810 Address: 14761 62 AV S TUKW Status: PENDING Suite No: Applied Date: 08/26/2013 Applicant: CARY LANG CONSTRUCTION - LOT 5 Issue Date: Receipt No.: R13-02476 Payment Amount: $65.00 Initials: WER Payment Date: 08/26/2013 04:05 PM User ID: 1655 Balance: $0.00 Payee: PROVIDENT ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2923 65.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 65.00 Total: $65.00 rinr• Rarainf-nR Printed: 08-26-2013 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 645_00 :fAT �, Ak- Geri' Type of InsPection7 voz_ b_f UV ,Project Address: f l l c 1 6Z Date Called: Special Instructions: Date Wanted: 00 • (..,.;) Requester: Phone No: Approved per applicable codes. t�J Corrections required prior to approval. COMMENTS: 569.ii(cf REINSPECTION FEE REQUIREb. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. lC Contractors or Tradespeople Poer Friendly Page 4 Electrical Contractor A business licensed by LEtI 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 https://fortress.wa.gov/lni/bbip/Print.aspx 08/26/2013