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Home My WebLink AboutPermit EL12-0866 - FULTZ RESIDENCEFULTZ RESIDENCE 12522 50 PL S EL1 2-0866 City ofitukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0179002635 Address: 12522 50 PL S TUKW Project Name: FULTZ RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0866 09/14/2012 03/13/2013 Owner: Name: FULTZ PATRICK +LAUREL Address: 12522 50TH PL S , TUKWILA WA 98178 Contact Person: Name: STEVE ANDERSON Address: 2726 S ASH , TACOMA WA, 98409 Contractor: Name: B B ELECTRIC Address: 2721 S ASH ST , TACOMA WA 98409 Contractor License No: BBELEBE950P 1 Phone: 253 573 -1373 Phone: 253 - 573 -1373 Expiration Date: 10/22/2013 DESCRIPTION OF WORK: INSTALL NEW PANEL (NO NEW CIRCUITS) AND ADD 24 -HOUR TIMER WITH DISCONNECT Value of Electrical: NRES: $0.00 RES: $3,500.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: $81.90 National Electrical Code Edition: 2008 Date: xarn ned this permit and know the same to be true and correct. All provisions of law and ordinances with whether specified herein or not. The granting of this permit does not pr construction or tl ( performance of work Signature: Print Name: S�- e to give authority to violate or cancel the provisions of any other state or local laws regulating -am authorized to sign and obtain this electrical permit. Date: 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 -4/10 EL12 -0866 Printed: 09 -14 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0866 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL12 -0866 Printed: 09 -14 -2012 CITY OF TUKWII Community Development <partment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov 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 Address: 1 - , 64 Tenant Name: Address: } City: - 1�1Cvw State: Zip: Phone: Fax: Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No Company Name: Address: 1 City:. l\ C v , TA. State: W , Zip: (-)3 ticy/ Phone: Fax: �. 35��, 3» X53 S "),3 /6>/ Contr Reg No.: - Ex Date: g ,� (� Sc;, p /6/0,,,, 3 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope ork (please rovide detailed informati if:r4 01- ): Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes EiNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light 1-I: \ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 Ldocx Revised: August 2011 bh Page 1 of 2 Name: (.1 L. - Address: City: State: Zip: Address: } City: - 1�1Cvw State: Zip: Phone: Fax: Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No Company Name: Address: 1 City:. l\ C v , TA. State: W , Zip: (-)3 ticy/ Phone: Fax: �. 35��, 3» X53 S "),3 /6>/ Contr Reg No.: - Ex Date: g ,� (� Sc;, p /6/0,,,, 3 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope ork (please rovide detailed informati if:r4 01- ): Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes EiNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light 1-I: \ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 Ldocx Revised: August 2011 bh 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) $152.85 $81.90 ea $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES t,c Service change or alteration $81.90 (no added /altered circuits) Service change with added /altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added /altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured /mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 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: Print Name: 31e x A lei `0-- 5 sJ-- Mailing Address: � Date: 7 l /-1.--- Day Telephone: 5- .3 ' C3 ) ti) j ,Q)-- L),/q H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised: August 2011 bh City State Zip Page 2 of 2 CitAbf 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. tukw ila. wa. us SET RECEIPT RECEIPT NO: R12 -02611 Initials: JEM Payment Date: 09/14/2012 User ID: 1670 Total Payment: 136.50 Payee: BB ELECTRIC SET ID: 0914 SET NAME: B B ELECTRIC SET TRANSACTIONS: Set Member Amount EL12 -0865 54.60 EL12 -0866 81.90 TOTAL: „SA-AO TRANSACTION LIST: Type Method Description Amount Payment Check 12797 136.50 TOTAL: 136.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 136.50 TOTAL: 136.50 INSPECTION NO. INSPECTION,RECORD Retain a copy with permit Zr- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 , '¢.. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: /.. Z_ 3 Type of Inspection: 2 OO Address: 1 2512 �� p Date Called: ..._ Special Instructions: Date Wanted:. h i-f p.m. Requester: I Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ‘■7;71A64A)1M\ Date: II it( REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t - (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 ' 0,17-06(0 Project: iti U Type of Inspection: 2( a ? Address: 2„ c; a " Sa L.. J P , Pt.-5 Date Called: Special Instructions: „ ( t • Pn (� tdc Date Wanted:. �w. ( 9 % a.m. p.m. Requester: Phone No: Approved per applicable codes. pCorrections required prior to approval. COMMENTS: fi6toJ5 edft,it c413 kpf. / / /7--.-, 5:64/11 CE 6)44g.CX tom., Dret4 61IZoJ4 j Lxi 56-1 ,iif�c, u-a 4'm Date: ' 2„- REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: INSPECTION NO. INSPECTION RECORD Retain a copy with permit g4 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 to (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 t =" Project: V��,_ kr,.. • Type of Inspection: / _ d� L. l0O Address: 1402_ it.. Date Called: i Special Instructions: Date Wanted:. 1 2_6 rd'm. �P ►c Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: —' ..E.i.. -17.) 47 ul Aci-Cfs, Jtr*' " of g 01._bts'1W(4. CA1111 - to $.13 7- .grg. Lid .Si- itcf 6-1 ;Firs (t 4 gook') - 21030(4)(?) sob/az LrCt +1T 2C-aul't( A Inspector: Date: 0? z,i REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Printer Friendly Page 0 Electrical Contractor A business licensed by LEI 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 B B ELECTRIC 2535731373 2721 S Ash St Tacoma WA 98409 Pierce Limited Liability Company Parent Company S J A ELECTRIC LLC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602541064 Active BBELEBE950P1 Electrical Contractor 10/21/2005 10/22/2013 General Unused Electrical Administrator INFORMATION License ANDERS'954PE Name ANDERSON, STEVE Status Active Business Owner Information Name Role Effective Date Expiration Date ANDERSON, STEVE J Agent 10/21/2005 4/16/2012 ANDERSON, STEVE Partner /Member 10/21/2005 $250.00 ANDERSON, KIM Partner /Member 10/21/2005 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 AMERICAN STATES INSURANCE CO 6383316 10/21/2005 Until Cancelled $4,000.00 10/21/2005 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 Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EPOR000310 4/16/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EMUTR00191 10/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ELEIS00286 3/17/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01065 10/12/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 09/14/2012