HomeMy WebLinkAboutPermit EL17-0393 - PETERS RESIDENCE - SINGLE FAMILY RESIDENCEThis 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.
EL17-0393
PETERS 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
15
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.
PETERS RESIDENCE
12215 50T" AVE S
ELI 7-0393
Parcel No:
Address:
Project Name:
City of Tukwila
_24
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 Issue Date:
Permit Expires On:
PETERS RESIDENCE
EL17-0393
5/24/2017
11/20/2017
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
I/1
Phone: (206) 679-5173
Phone: (253) 770-9371
Expiration Date: 9/6/2017
DESCRIPTION OF WORK:
NEW SINGLE FAMILY RESIDENCE
Valuation of single family: $8,873.00
Valuation of mf/comm: $0.00
Type of Work: NEW
Fees Collected: $163.71
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:
idth Date:±5Nb
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 and agree to the conditions attached to this permit.
Signature:1(@r
Print Name: P V10
Date: ,0407
7
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 296-46B 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.Tukwi IaWA. gov
Electrical Permit No.
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 Co Assessor's Tax No.: 0179001745
Site Address: 12215 50th Ave. S. Tukwila, WA 98178 Suite Number:
Floor:
Tenant Name: ' ''at6c-Get/St4ting4(49)- N' *4 $idet1C& New Tenant: ❑ Yes ❑..N
PROPERTY OWNER
Name: John Farrow
Name: Stillwater Consulting Corp.
Address: 19655 1st Ave. S.
Address: 19655 1st Ave. S.
City: Normandy Park State: WA
Cin': Normandy Park State: WA
Zip: 98166
CONTACT PERSON — person receiving all project
communication
Name: John Farrow
Address: 2207 Inter Ave. Ste. D
Address: 19655 1st Ave. S.
Phone: (253) 770-9371 Fax: (253) 770-9373
City: Normandy Park State: WA
Zip: 98166
Phone: (206) 679-5173 Fax:
Email: johnf@stillwaternw.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Elite Electric Inc.
Address: 2207 Inter Ave. Ste. D
City: Puyallup State: WA Zip: 98372
Phone: (253) 770-9371 Fax: (253) 770-9373
Contr Reg No.: ELITEEI055OF Exp Date: 09/06/2017
Tukwila Business License No.; BUS -0996061
Valuation of Project (contractor's bid price): $ 8,873
Scope of Work (please provide detailed information): New Single Family Residence
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W:APerrnit Center\Applications-Handouls\Pcnnit ApplicationsWDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ 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
❑ 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)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY I, 2014.EACH
PERMIT WILL 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 ELECTRICAL CONTRACTOR:
Mailing Address: -7:-2-07
W:\Pcrmit Ccntcr\Applications-llandouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
bh
Day Telephone:
LOP -
State
9 Z
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PerrnitTRAK
ACCOUNT
QUANTITY
PAID
$163.71
EL17-0393 Address: 12215 50TH AVE S
Apn: 0179001745
$163.71
ELECTRICAL
$155.91
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$155.91
TECHNOLOGY FEE
$7.80
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11557
R000.322.900.04.00
0.00
$7.80
$163.71
Date Paid: Wednesday, May 24, 2017
Paid By: ELITE ELECTRIC INC
Pay Method: CHECK 19643
Printed: Wednesday, May 24, 2017 11:09 AM 1 of 1
CRW YSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3
Permit Inspection Request Line (206) 438-9350
Project: ge5
Type of Inspection: qtM
Address:
roc Co- ALI
Date Called:
Special Instructions:
(ZO
Date Wanted:!
rid
6411>:P'T
Requester:
X.a.Jt5,
,
Phone No:
770 r;:7C
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
D
Inspector: -""./
r
Date: Ott 0 6 I1E
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Z
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
i -x313
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 0
Permit Inspection Request Line (206) 438-9350
Project:'
lCi 'R,5S
.
Type of Inspection: ! til
J (,1
Address:
,c_70
�'
Date Called:
Special Instructions:
51-13
Date Wanted:
6/07
.
.�.
Requester:
&AP
Phone No:
770
9371
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Abe
--.1r46.)"ft5
Inspector: Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:fi
'
Type of 1 spection:
DQ(.10 iA)
Address:
6 d
Date Calle
Special Instructions:
Date Wanted:�� a.in.
P•
Requester:
Phone No: X.3 770 9,57/
ipApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
.. � gOtAi* (4
6-fre,cocia o•/
C50k.J i �GON D vU`'o cj
Inspector:
Date:
04,4*
17
REINSPECTIO J FEE REQUIRED: Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Allan Ekberg, Mayor
Department of Community Development - Jack Pace, Director
November 21, 2017
Brandi Hall
2207 Inter Ave, Ste D
Puyallup, WA 98372
RE: Request for Extension #1
Permit Number EL17-0393
Dear Ms. Hall,
This letter is in response to your written request for an extension to Permit EL17-0393. The Building
Official, Jerry Hight, has reviewed your letter and considered your request to extend the above
referenced permit. It has been determined that the City of Tukwila Building Division will be granting an
extension to the permit through June 6, 2018.
If you should have any questions, please contact our office at (206) 431-3670.
Sincerely,
Rachelle Ripley
Permit Technician
File: Permit No. EL17-0393
Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov
Rachelle Ripley
From:
Sent:
To:
Subject:
Brandi Hall <Office@eliteelectricincwa.com>
Monday, November 20, 2017 8:28 AM
Rachelle Ripley
Permit Extension Permit #EL17-0393
Hi Rachelle,
I would like to request a permit extension for permit # EL17-0393 for the Peters Residence. The customer is still waiting
on Seattle City Light for their permanent power so the project has stalled and I believe that the permit may expire on
12/6/17.
Thank you and have a great holiday.
Brandi Hall
Office Manager
Elite Electric Inc.
2207 Inter Ave. Ste. D
Puyallup, WA 98372
253-770-9371 Phone
253-770-9373 fax
Request for Extension #
I Ii
Current Expiration Date:
Extension Request:
Approved for
i rd days
Denied (provide explanation)
l
Signature/Initials
1
RECEIVED
CITY OF TUKWIL
NOV 2 U 2+1/
PERMIT CFN .:
11/2/2017
City of Tukwila
Department of Community Development
JOHN FARROW
19655 FIRST AVE S
NORMANDY PARK, WA 98166
RE: Permit No. EL 17-0393
PETERS RESIDENCE
12215 50TH AVE S
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/6/2017.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/6/2017, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL17-0393
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
ELITE ELECTRIC INC
Washington State Department of
Labor & industries
Horne Espanol Contact
Safety & Health
Claims & Insurance
Page 1 of 3
Search L&I
A -Z Index
Workplace Rights
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;
Verify the contractor's 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
Designated administrator
CROCCO, BRAD
License type
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=60103 5762&LIC=ELITEEI05 5OF&SAW= 5/24/2017
ELITE ELECTRIC INC Page 2 of 3
Master Electrician CROCCB*975P0
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
0815103351209
$4,000.00
Effective date
07/16/2000
Expiration date
Until Canceled
Savings •
(in lieu of bob d) $4,000.00
Received by ;,&I Effective date
07/03/2003 07/02/2003
Release date' Impaired date
N/A N/A
Savings account ID
,
License Violations
Infraction no.
EWHMB003I 1
Issue date
07/30/2015
Violation city.:,.
PUYALLUP
Type of violation
ELECTRICA CITATION
Description
Failing to ot.;ain or post an
electrical/te ;Icommunications work permit
prior to beg:-ining the
electrical/tei :communication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effect -ie after 12/30/2008 see WAC 296-
46B-901.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
IWorkers' 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 1 of Y, ar 2017 "4 to 6 Workers"
L&I account representative
T4 / JULIE SU t (360)902-4825 - Email: SURJ235@Ini.wa.gov
WorkplE:;e safety and health
IcIp us im rove
https://secure.lni: ,va.gov/verify/Detail.aspx?UBI=601035762&LIC=ELITEEI055OF&SAW= 5/24/2017
ELITE ELECTRIC INC Page 3 of 3
Check for any past safety and healti dations found on jobsites this business was . ,ponsible for.
CO Washington State Dept, of Labor & Industries. Use 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=ELITEEI055OF&SAW= 5/24/2017