HomeMy WebLinkAboutPermit EL17-0822 - NIMMO RESIDENCE - HEATING CIRCUITSThis 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.
EL17-0822
NIMMO RESIDENCE
15165 SUNWOOD BLVD #CC12
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
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expiration dates, or bank or other financial
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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.
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Redactions contain information used to prove
RCW
DR3
Driver's License. — RCW
identity, age, residential address, social security
42.56.230 (7a
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number or other personal information required to
& c)
7a & c
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42.56.070(1)
communications, and RCW 42.56.070(1), which
42.56.070(1)
protects, under the PRA, information exempt or
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NIMMO RESIDENCE
15165 SUNWOOD
BLVD CC12
ELI 7-0822
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
8141401120 Permit Number:
15165 SUNWOOD BLVD CC12 Issue Date:
Permit Expires On:
Project Name: NIMMO RESIDENCE
EL17-0822
10/17/2017
4/15/2018
Owner:
Name:
Address:
NIMMO CHRISTOPHER
15165 SUNWOOD BLVD #CC -12 ,
TUKWILA, WA, 98188
Contact Person:
Name: ISABELLA KESTNER
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
2620 38 AVE W , SESATTLE, WA, 98199
QUEEN ANNE ELECTRIC LLC
2620 38TH AVE W , SEATTLE, WA,
98199
QUEENAE914LK
Phone: (206) 782-3200
Phone: (206) 782-3200
Expiration Date: 6/8/2019
DESCRIPTION OF WORK:
ALTERING (2) HEATING CIRCUITS (240V)
Valuation of single family: $450.00
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $60.22
Electrical Service Provided by:
Water District:
Sewer District:
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:
Date:
2014
2014
2014
2015
10 -(7-17
n
\
�r
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 co •at'ons attached to this permit.
Signature: 1 ,,
Print Name: (. -t,t 9\9 -----
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 TURLA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hap://www.TukwilaWA. eov
Electrical Permit No. L 0,2,2,
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
j ( `King Co Assessor's Tax No.:
Site Address 5t (p S S O Y1.' o(8 Bk U CJS Suite Number:
Floor:
Tenant ame: C n {`t5 A{) Ph2a( N tYnv>•t O - CC (2 New Tenant: ❑ Yes ❑.. No
PR ER
OWNER •'
Address: 21.0Z0 3bt'-
Nam :
Phone: ZED Co Z 310 Fax
Email:
cheer) anne etec lc F) \no-iwyo.,l ,
Addres •�
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: i coi0e4 G\ lrE-ec. ,.e—,r
Address: 21.0Z0 3bt'-
City: 3 _e_o__ State: + _ Zip: ci �t en
v"r 1
Phone: ZED Co Z 310 Fax
Email:
cheer) anne etec lc F) \no-iwyo.,l ,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: QU-e-QXI /style ne ,fit c �^l G
c�l�
Address: 262D 38" ( , 1/\J
City: sQom _ State:w fr Zip: I,gl el,
Phone: 2 , 3Z0o Fax:
Conti Reg No.: Exp Date:
Tukwila Business License No.; 00 0 b84G)
Valuation of Project (contractor's bid price): $ 4 51-3
Scope of Work (please provide detailed information):
A \\-e- kN of 2 1•,.eGA-I n. C t rcv CO'
Will service be altered? ❑ Yes ASI.No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel I Tenant Improvement
O Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
❑ Puget Sound Energy Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Pae 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
14 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
o Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
o Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR E RICAL CONTRACTOR:
Signature: � Date: (0/01/7-
Print
U/0/r7-
Print Name:
(L te_JGL, (cis J
Mailing Address: 2 (c 2. O 3$N
Day Telephone:
W:\Permit Center\Applications-Handouts\Perrnit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT
PermtTRAK
QUANTITY
PAID
$60.22
EL17-0822 Address: 15165 SUNWOOD BLVD CC12 Apn: 8141401120
$60.22
Credit Card Fee
$1.75
Credit Card Fee R000.369.908.00.00
0.00
$1.75
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00 I
0.00
I $55.69
TECHNOLOGY FEE "'
$2.78
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R12591
0.00
$2.78
$60.22
Date Paid: Tuesday, October 17, 2017
Paid By: ISABELLA KESTNER
Pay Method: CREDIT CARD 06791G
Printed: Tuesday, October 17, 2017 3:32 PM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: /� (
lr (� l \R '"
Type of Inspection:
�/ n fI
/ Lry
Date:
Address:1�� G�c S
cIALJO
Date Called:
Special Instructi94,s:
PLO) e C'I 20'
A- i -z::
2Gk{-rN-T
Date Wanted:
(
(17 P•
mr.
•
Requester: :
Phone No:
9,0 ,
71z-32-60
Approved per applicable codes. LJ Corrections required prior to approval.
OMMENTS:
Inspector
7(
-INN , A
Date:
(t
(1 1L7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
QUEEN ANNE ELECTRIC LLC
1 -tome Espanol Contact
Safety & Health Claims & Insurance
kill) Washington State Department of
Labor & Industries
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Workplace Rights Trades & Licensing
QUEEN ANNE ELECTRIC LLC
Owner or tradesperson
Principals
Geary, Justin, PARTNER/MEMBER
Lindsay, Hunan, PARTNER/MEMBER
Doing business as
QUEEN ANNE ELECTRIC LLC
WA UBI No.
602 462 469
2620 38th Ave W
SEATTLE, WA 98199
206-782-3200
KING County
Business type
Limited Liability Company
Governing persons
JUSTIN
GEARY
HUNAN LINDSAY;
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.
QUEENAE914LK
Effective — expiration
06/08/2009— 06/08/2019
Designated administrator
..................
Geary, Justin T
License type
Electrical Administrator
Active.
Meets current requirements.
License no.
GEARYJT910KF
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond) $4,000.00
Received by L&I Effective date
02/03/2005 02/01/2005
Release date Impaired date
N/A N/A
Savings account ID
License Violations
Infraction no.
EJONV02989
Issue date
05/14/2013
Satisfied
.....................
RCW/WAC
19.28.101 RCW
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QUEEN ANNE ELECTRIC LLC
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
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
116,992-00
.................................
Doing business as
QUEEN ANNE ELECTRIC LLC
Estimated workers reported
Quarter 2 of Year 2017 "7 to 10 Workers"
L&I account contact
T3 / STEPHANIE HENDERSON (360)902-5598 - Email: HSTE235@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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