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HomeMy WebLinkAboutPermit EL17-0617 - WAGONER RESIDENCE - CIRCUIT FOR HEATERSThis 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. EL17-0617 WAGONER RESIDENCE 1623849TH PL S RECORDSDIGITAL D-) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Coda Exemption, � � � I3ri6f Explanatory 6escrlofion, Sfatutte/Ruilo 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 11 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. WAGONER RESIDENCE 16238 49T" PL S EL1 7-0617 Parcel No: Address: 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 5379800362 Permit Number: EL17-0617 16238 49TH PL S Project Name: WAGONER RESIDENCE Issue Date: 8/11/2017 Permit Expires On: 2/7/2018 Owner: Name: Address: WAGONER LESLIE N 16238 49TH AVE 5 , TUKWILA, WA, 98188 Contact Person: Name: LESLIE WAGONER Phone: (206) 300-6968 Address: 16238 49 AVE S , TUKWILA, WA, 98188 Phone: (253) 848-3195 Expiration Date: 6/2/2018 Contractor: Name: OLD TIME ELECTRIC INC Address: PO BOX 39745 , LAKEWOOD, WA, 98496 License No: OLDTIEI021LB Lender: Name: Address: DESCRIPTION OF WORK: INSTALL 1 CIRCUIT FOR HEATERS Valuation of single family: $1,657.00 Valuation of mf/comm: $0.00 Type of Work: REMODEL Fees Collected: $60.22 Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGHLINE Sewer District: VALLEY VIEW 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: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Jtu 2014 2014 2014 2015 Date: 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: Print Name: Date: 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.TukwilaWA. goy Electrical Permit No. LI 7 ©(P ( 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: 16238 49th Ave S Tenant Name: Leslie Wagoner King Co Assessor's Tax No.: Suite Number: Floor: PROPERTY OWNER Name: Leslie Wagoner Name: Leslie Wagoner Address: Address: 16238 49th Ave S City: State: City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Leslie Wagoner Address: PO Box 39745 Address: Phone: (253) 848-3195 Fax: City: State: Zip: Phone: (206) 300-6968 Fax: Email: lesliewag@comcast.net New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Old Time Electric, Inc Address: PO Box 39745 City: Lakewood State: WA Zip: 98496 Phone: (253) 848-3195 Fax: Contr Reg No.: OLDTIEI021 LB Exp Date: 06/02/2018 Tukwila Business License No.; BUS -0994297 Valuation of Project (contractor's bid price): $ 1,657 Scope of Work (please provide detailed information): Install (1) circuit for heaters Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel m Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alann 0 Telecommunication 0 Temporary Service ® No Adding more than 50 amps? ❑ Yes ❑ No Property Served by: 0 Puget Sound Energy 0 Seattle City Light W:\Permit Center \Application-Handouts\Penmit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ 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 $8221 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea ***EFFECTIVE JANUARY 1, 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: Signature: �` ` :1, Debby Kroll Print Name: Date: — J \ — 17 Day Telephone: (253) 677-3621 Mailing Address: PO Box 39745 Lakewood WA 98496 city State Zip W:\Pennit Center \ Applications -Handouts \Permit Applications \PDFs\Electrical Permit Application Revised t-1-17.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $60.22 EL17-0617 Address: 16238 49TH PLS Apn: 5379800362 $60.22 Credit Card Fee $1.75 Credit Card Fee B000.369.908.00.00 0.00 $1.75 ELECTRICAL $55.69 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $55.69 TECHNOLOGY FEE $2.78 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12100 R000.322.900.04.00 0.00 $2.78 $60.22 Date Paid: Friday, August 11, 2017 Paid By: DEBBY KROLL Pay Method: CREDIT CARD 91105G Printed: Friday, August 11, 2017 8:00 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 476/17PIT NO_ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: _ Jn e �``Date Type of Inspection: AfAddress: Date: 0 NPO 1 Called: Special Instructions: T C.ca `, ( ct.r. FDP\ A-L=t1-610 Date Wanted: $tar a. pm, Requester: hone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: JT teet �NJ Date: 0 3 i [ l7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit -06f P MI O. 1 R TN CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: r ]ka A` � Type of Inspection: 61;ia.- Address: fii3y „/I, p` (� Date Called: Special Instructions: (, / �'j IW 4 Date Wanted: ate„ .Ti. gill Requester: Lrif L-/ f Phone No: 24 (p SO d 6762 2 EIApproved per applicable codes. Corrections required prior to approval. COMMENTS: � rro\ 3 - Inspector: f1 U L; % Jel\ Date: O t REINSPECTION FEE REQUIRE . Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. OLD TIME ELECTRIC INC c) Home Espanol Contact Search L&I Page 1 of 2 A-7, Index Help My 1.8z1 Safety & Health Claims & Insurance Workplace Rights Trades & Licensing Washington State Department of Labor & Industries OLD TIME ELECTRIC INC Owner or tradesperson Principals KROLL, MARK W, PRESIDENT KROLL, DEBBY, SECRETARY Kroll, Debby, TREASURER Peterson, Carl, AGENT Doing business as OLD TIME ELECTRIC INC WA UBI No. 601 526 458 PO BOX 39745 LAKEWOOD, WA 98496 253-848-3195 PIERCE County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. OLDTIEI021LB Effective — expiration 06/02/1998— 06/02/2018 Designated administrator ....._............. KROLL, MARK W Active. Meets current requirements. Active. Meets current requirements. License type License no. Master Electrician KROLLMW952LT Bond Wesco Insurance Co Bond account no. 46WB061149 $4,000.00 Received by L&I Effective date 03/19/2015 03/19/2015 Expiration date Until Canceled Lexon Ins Co Bond account no. 9805802 Received by L&I 05/04/2011 $4,000.00 Effective date 05/13/2011 Expiration date Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601526458&LIC=OLDTIEI021 LB&SAW= 8/11/2017 OLD TIME ELECTRIC INC Savings (in lieu of bond) Received by L&I Release date N/A Savings account ID License Violations ..............._......................._........ No license violations during the previous 6 year period. Until Canceled $4,000.00 Effective date 06/02/1998 Impaired date N/A 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 868,350-00 ........... .................. Doing business as OLD TIME ELECTRIC INC Estimated workers reported Quarter 2 of Year 2017 "1 to 3 Workers" L&I account contact T1 / IDA HAYNES (360)902-5635 - Email: HAYN235@Ini.wa.gov Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ................._.........._......................... No strikes have been issued against this contractor. Contractors not allowed to bid ........................._................................................................. No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 2 of 2 ©Washington State Dept. or 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=601526458&LIC=OLDTIEI021 LB&SAW= 8/11/2017