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HomeMy WebLinkAboutPermit EL10-0170 - POLSON RESIDENCEPOLSON RESIDENCE 14837 38 AV S EL1O-0170 Cityltf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 9572500030 Address: 14837 38 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0170 Issue Date: 03/08/2010 Permit Expires On: 09/04/2010 Tenant: Name: POLSON RESIDENCE Address: 14837 38 ST , TUKWILA WA Owner: Name: ONCHI YOSHIKO Phone: Address: 14304 SE 164TH ST , RENTON WA Contact Person: Name: DEBBIE BUNTING Phone: 425- 562 -1771 Address: 13359 NE 16 ST , BELLEVUE WA Contractor: Name: LANDER ELECTRIC SERVICE LLC Phone: 425 - 562 -1771 Address: 13359 NE 16 ST , BELLEVUE WA Contractor License No: LANDEES991BC Expiration Date: 01/03/2011 DESCRIPTION OF WORK: REPLACE 200 AMP MOBILE HOME METER PAK Value of Electrical: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $81.90 National Electrical Code Edition: 2008 Date: 3 -10 I hereby 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 erformance of work. I am authorized to sign and obtain this electrical permit. Signature! Date: ,5' ' Print Name" This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL10 -0170 Printed: 03 -08 -2010 Parcel No.: Address: Suite No: Tenant: • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 9572500030 14837 38 AV S TUKW POLSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0170 ISSUED 03/08/2010 03/08/2010 1: ** *ELECTRICAL * ** 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature. /�f v Print Name: Date: •1/ • doc: Cond -Elec ELI 0-0170 Printed: 03 -08 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httu://www.ci.tukwila.wa.us Electrical Permit No. Project No. 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 / 4 -7 36t1 Site Address: Tenant Name: 14/-g31 3e)�Pe s Property Owners Name:-. Mailing Address: King Co Assessor's Tax No.: q 57 " 0030 Suite Number: Floor: New Tenant: ❑ Yes ❑..No �cimz QS aCrOVe.-- City State Zip CONTACT PERSON- Who do we contact when your permit is ready to be issued Name: D2-661 Q &A / 1 (nG� Day Telephone: 40-5 — Z1 2-. 1 7 Z 1 Mailing Address: / 3359 r f /to l ' s L 6.e %e-G_Q_ ui0 - cireAYC /�� / �n City State Zip j� E -Mail Address: d b 1 � �e.Ie Jc-. C ' Fax Number: -`� -�cpc L ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: (336-Q t Contact Person: 1- 66te.._ 'JCvt-14/ 1-1 ) E -Mail Address: J l3a0 98zx City State Zip Day Telephone: Ji016- 1J� Fax Number: 2(77! Contractor Registration Number: (_ANJD c3Ct i 6c.- Expiration Date: 1— Icy —lI Valuation of Project (contractor's bid price): $ / 0 0 0 f ����yy�� / Scope of Work (please provide detailed information): PQ. Q/� 0G2 PI-In y. MOS/ L hOevt.Q. Will service be altered? "Yes `/ Adding more than 50 amps? j❑ Yes No Type of Use: ( (, -Prin A Type of work: ❑ New ❑ Addition Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ piget Sound Energy IB Seattle City Light II: \Applications \Forms- Applicmions On LineW2007 - Electrical permit Applicationdoc hh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea ESIDENTIAL REMODEL AND SERVICE CHANGES Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added /altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, fumace thermostat) PERMIT APPLICATION NOTES MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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 he requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY TIIAT 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: DOOR I Mailing Address: '6-) rJ Print Name: J P I te_ ` t-ri I IDate Application Accepted: Date: 3' -1 v Day Telephone: �S p�- ( 77 de w c c City State Zip Date Application Expires: j Staff Initials: IIaApplicationsWonns- Applications On Line14 -2007 - Electrical Permit Applicationdoc bh Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 9572500030 Address: 14837 38 AV S TUKW Suite No: Applicant: POLSON RESIDENCE RECEIPT Permit Number: EL10 -0170 Status: PENDING Applied Date: 03/08/2010 Issue Date: Receipt No.: R10 -00394 Payment Amount: $81.90 Initials: WER Payment Date: 03/08/2010 01:29 PM User ID: 1655 Balance: $0.00 Payee: LANDER ELECTRIC SERVICE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3520 81.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 PAYMENT RECEVED doc: Receipt -06 Printed: 03 -08 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION INSPECTION -RECORD Retain a copy with permit 6. 0- 0(70 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 1�l Project: I Type of Inspection: r7, pO Address: r + • 37 N _ / Y/J• Date Called: Special Instructions. Afritc-f\ Date Wanted: ilif 6.m„ p.m. Requester: Phone No: MApproved per applicable codes. Corrections required prior to approval. COMMENTS: ru\M1, ("/4, 0 $60.00 REINS ECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: 03/1/10 Receipt No.: Date: Contractors or Tradespeople Peter Friendly Page • 1 Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. , Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Lander Electric Service Llc 4255621771 13359 Ne 16Th St Bellevue Wa 98005 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602087340 Active LANDEES991BC Electrical Contractor 1/3/2001 1/3/2011 General Unused MASTER ELECTRICIAN INFORMATION License JESSEJE970MA Name Jessen, James E Status Active Business Owner Information Name Role Effective Date Expiration Date Wkg Inc Agent 01/01/1980 7/5/2007 Jessen, Jeffrey Partner /Member 01/01/1980 $1,000.00 Jessen, James Partner /Member 01/01/1980 ELECTRICAL CITATION Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY & INDMNTY CO 854089C 01/03/2001 Until Cancelled $4,000.00 01/22/2003 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EVATE00270 7/5/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 E46348 6/6/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESTRL00524 3/6/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 ESTRL00523 3/6/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 03/08/2010