HomeMy WebLinkAboutPermit EL17-0758 - STILLWATER CONSULTING GROUP - TEMPORARY POWERThis 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.
EL17-0758
STILLWATER CONSULTING GROUP
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
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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.
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expiration dates, or bank or other financial
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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
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identity, age, residential address, social security
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& c)
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communications, and RCW 42.56.070(1), which
42.56.070(1)
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STILLWATER
CONSULTING GROUP
12215 50 AVE S
ELI 7-0758
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
0179001745
12215 50TH AVE S
ELECTRICAL OTC PERMIT
Project Name: STILLWATER CONSULTING GROUP
Permit Number: EL17-0758
Issue Date: 10/3/2017
Permit Expires On: 4/1/2018
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
BRAD CROCCO
2207 INTER AVE - SUITE D , PUYALLUP,
WA, 98372
ELITE ELECTRIC INC
2207 INTER AVE, SUITE D , PUYALLUP,
WA, 98372
ELITEEI0550F
I II
Phone: (253) 770-9371
Phone: (253) 770-9371
Expiration Date: 9/6/2019
DESCRIPTION OF WORK:
TEMPORARY POWER
Valuation of single family: $540.00
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:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Ld1tk-1(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: AQ 3— ( 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.TukwilaWA.gov
Electrical Permit. No. 1 ti
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**
E
OCATION
Site Address: 12215 50th Ave. S. Tukwila, WA 98178
King Co Assessor's Tax No.: 017900-1745
Suite Number: Floor:
Tenant Name: Stillwater Consulting Group
PROPERTY OWNER
Name: Brad Crocco
Name: Stilwater Consulting Group
City: Puyallup State: WA Zip: 98372
Address: 19655 1st Ave. S.
Email: office@eliteelectricincwa.com
City: Normandy Park State: WA
zip: 98166
CONTACT PERSON — person receiving all project
communication
Name: Brad Crocco
Address: 2207 Inter Ave. Ste. D
City: Puyallup State: WA Zip: 98372
Phone: (253) 770-9371 Fax: (253) 770-9373
Email: office@eliteelectricincwa.com
New Tenant: ❑ Yes
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: 09/06/2019
Tukwila Business License No.; BUS -0996061
Valuation of Project (contractor's bid price): $ 540
Scope of Work (please provide detailed information): Temporary Power
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change 0 Remodel 0 Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy I Seattle City Light
W:\Permit Ccnter\Applications-Handouts\Pcnnit Applications\PDF's\Electrical Permit Application Rcvised 1-1-17.docx
Rcvised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
$155.91 Fees are based on the valuation of the electrical contract.
$83.54 ea
$61.05 ea MISCELLANEOUS FEES
e, Temporary service (residential) $66.30
Temporary service (generator) $82.52
O Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
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)
❑ Carnivals $82.21
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:
Date:
Day Telephone:
Mailing Address:
City
W:\Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised I-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$69.62
EL17-0758 Address: 12215 SOTH AVE S
Apn: 0179001745
$69.62
ELECTRICAL
$66.30
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12464
R000.322.900.04.00
0.00
4f
$3.32
$69.62
Date Paid: Tuesday, October 03, 2017
Paid By: ELITE ELECTRIC INC
Pay Method: CHECK 9384
Printed: Tuesday, October 03, 2017 8:44 AM 1 of 1
SYSTEMS
INSPECTION RECORD 6/17IT
����Retain a copy with permitINSPECTION N0. PE NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431.367
Project: /{ -r
Typ o .slpete:
, Af t
Address:
112.4c
Date Called:
Special Instructions:
/ ?` f) vV L9am--
�
Date Wanted:(Pa:,:i
O J
Requester:
dJ
lt/JSJ
Phone No:
25„3
770 937,1
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
(-616--VIshrt
Date:
folOsii7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ELITE ELECTRIC INC
Home Espafiol Contact
Safety & Health Claims & Insurance
to. Washington State Department of
Labor & Industries
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A -Z Irrttex Help My L,&t
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 contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
.............................................................
Meets current requirements.
License specialties
GENERAL
License no.
ELITEEI0550F
Effective — expiration
09/06/1995— 09/06/2019
Designated administrator
............................
CROCCO, BRAD
License type
Master Electrician
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
081S103351209
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
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ELITE ELECTRIC INC
Release date
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.
Impaired date
N/A `--
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
519,880-00
.................................
Doing business as
ELITE ELECTRIC INC
Estimated workers reported
Quarter 2 of Year 2017 "4 to 6 Workers"
L&I account contact
T2 / MATT PEDERSEN (360)902-5476 - Email: PEDM235@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
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