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Permit EL17-0298 - RAU RESIDENCE - TEMPORARY UNDERGROUND SERVICE
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. EL17-0298 RAU RESIDENCE 12215 50TH AVE S RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Pae # Code Exem floe , Bdef x lanat6 Descd floe', statute/Rulle 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 individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under 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) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) 7a & c apply for a driver's license or identicard. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney -Client Privilege — disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); DR4 RCW 5.60.060(2)(a); RCW which protects attorney-client privileged RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. RAU RESIDENCE 12215 50T" AVE S EL1 7-0298 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 0179001745 Permit Number: 12215 50TH AVE S RAU RESIDENCE Issue Date: Permit Expires On: EL17-0298 4/20/2017 10/17/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: STILLWATER CONSULTING GROUP 19655 1ST AVE STE #203 , NORMANDY PARK, WA, 98148 JOHN FARROW 19655 FIRST AVE S, NORMANDY PARK, WA, 98166 ELITE ELECTRIC INC 2207 INTER AVE, SUITE D , PUYALLUP, WA, 98372 ELITEEI0550F Phone: (206) 679-5173 Phone: (253) 770-9371 Expiration Date: 9/6/2017 DESCRIPTION OF WORK: TEMPORARY UNDERGROUND SERVICE Valuation of single family: $475.00 Valuation of mf/comm: $0.00 Type of Work: TEMP SERVICE Fees Collected: $69.62 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Lo,a1„ Date: _`-10-11 I hearby 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 development permit end agree to the conditions attached to this permit. Signature: Date: Lik2Q1 17 Print Name: W J `( M' Fv LLQ 2 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-466 WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. —L-1-1 — 0019 g 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 King CoAssessor's Tax No.: 017 quo -0 Site Address: 1224 V !lMp 'tAXuct 7 0 Suite Number: Floor: _ Ana) Name: 'L1 PROPERTY OWNER Name: ,/' /� I\ �li i'l..lc ar j ,� ,,,„,„ Address: t Phone: C 7 ( Fax: '77Q, /J .J City ` &tate: ( j� Zip9 � ] � (( li`� �(� lk' LW ,ji?..,1SkirSCity: lllState: iW / Zip:(w 64 CONTACT PERSON — person receiving all project communication Name: k / 9 (/pV"`v"" tri 1 row '1 bt17"9�iLt,/,-1Address: \e Phone: C 7 ( Fax: '77Q, /J .J City ` &tate: ( j� Zip9 � ] � (( li`� �(� lk' Phone:�r'�_,_/ _ j Fax: ln�C(7� Email:v,,,' nf 11 '\utUkvnbo• lJ(..t' I 1 New Tenant: ❑ Yes ❑ ..No ELECTRICAL CONTRACTORt EINFORMATION Company Name: eAddress: 2 itis In,jp Cityiti State: /d Zip:01127 toil Phone: C 7 ( Fax: '77Q, /J .J Contr Reg No.::1 f� m� ate: R/ i ii W ..,f \Tukwila Business License No.; Bus 1 Valuation of Project (contractor's bid price): $ /J . VC) Scope of Work (please provide detailed information): U Sevvi L) Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: I< New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication v Temporary Service Property Served by: �Cr ❑ Puget Sound Energy • Seattle City Light 'V:\Permit center\Applications-Handouts\Permit Applications\pDF's\Electrical Permit Application Revised 1-1-17 docx Revised: January 2017 br Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) O Garages, pools, spas and outbuildings $83.54 ea O Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT MILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR EL TRICAL CONT ' CT 1 R: Signature: Print Name: ©( �2Day Telephone: 2s3---))0-937 Mailing Address: 220 bili ' : Jt.b . ?tAig4 W 98 /1 ty State Zip Date: w:\Permit Center\Applicatiems-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17 docx Revised: January 2017 hh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $69.62 EL17-0298 Address: 12215 50TH AVE S Apn: 0179001745 $69.62 ELECTRICAL $66.30 PERMIT FEE MISCELLANEOUS R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11318 R000.322.900.04.00 0.00 $3.32 $69.62 Date Paid: Thursday, April 20, 2017 Paid By: ELITE ELECTRIC INC Pay Method: CHECK 9381 Printed: Thursday, April 20, 2017 10:47 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PEMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 f Project: g4.0 {V ° To ns etie: RAI._ Address: ✓ ate Called: Special Instructions: I P. W"111(1 Date Wanted: y m. 1 III p.m. Requester: Phone No: ....i.._3 770 9371 Approved per applicable codes. Corrections required prior to approval. OMMENTS: L ,a(--4,0cE 4644-1. Date: ` p 27t /17 REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must b paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: ELITE ELECTRIC INC Horne Espanol Contact Safety & Health Claims & Insurance IIWashington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My I &I Workplace Rights Trades & Licensing ELITE ELECTRIC INC Owner or tradesperson Principals CROCCO, BRADLEY CROCCO, JUDITH CROCCO, JUDITH, AGENT Doing business as ELITE ELECTRIC INC WA UBI No. 601 035 762 2207 INTER AVE STE D PUYALLUP, WA 98372 253-770-9371 PIERCE County Business type Corporation Governing persons BRADLEY CROCCO JUDITH T CROCCO; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. ELITEEI055OF Effective — expiration 09/06/1995— 09/06/2017 Desi nated administrator CROCCO, BRAD License type Master Electrician Bond ......... TRAVELERS CAS & SURETY CO Bond account no. 081S103351209 Active. Meets current requirements. Active. Meets current requirements. License no. CROCCB*975P0 $4,000.00 Effective date 07/16/2000 Expiration date Until Canceled Savings .................. (in lieu of bond) $4,000.00 Received by L&I Effective date 07/03/2003 07/02/2003 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601035762&LIC=ELITEEI055OF&SAW= 4/20/2017 ELITE ELECTRIC INC Release date Impaired date N/A N/A Savings account ID License Violations Infraction no. EWHMB00311 Issue date 07/30/2015 Violation city PUYALLUP Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 519,880-00 Doing business as ELITE ELECTRIC INC Estimated workers reported Quarter 4 of Year 2016 "7 to 10 Workers" L&I account representative T4 / JULIE SUR (360)902-4825 - Emaiil: SURJ235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. lase of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601035762&LIC=ELITEEI0550F&SAW= 4/20/2017