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Permit EL13-0529 - GEORGE RESIDENCE - SERVICE CHANGE
GEORGE RESIDENCE 3501 S 137 ST EL1 3-0529 City ATukwila 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.: 8864000745 Address: 3501 S 137 ST TUKW Project Name: GEORGE RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0529 Issue Date: 05/31/2013 Permit Expires On: 11/27/2013 Owner: Name: RACE ROBERT Address: C/O SUSAN M HEMMER , 30234 27TH AVE S 98003 Contact Person: Name: RICK NESTOR Phone: 425-432-1747 Address: 23220 MAPLE VALLEY HY #205 , MAPLE VALLEY WA, 98038 Contractor: Name: WILDERNESS ELECTRIC INC Phone: 425-432-1747 Address: 23220 MAPLE VALLEY HY SE, #205 , MAPLE VALLEY WA 98038 Contractor License No: WILDEEI147M4 Expiration Date: 07/24/2014 DESCRIPTION OF WORK: SERWCE CHANGE: RPLACE EXISTING OVERHEAD SERVICE WITH NEW 200 AMP OH SERVICE WITH 3R PANEL - REFEED (5) BRANCH CIRCUITS IN EXISTING FUSE PANEL Value of Electrical: NRES: $0.00 RES: $2,550.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $81.90 2008 Date: 0543 / l �3 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 o epi orman of ork. I am authorized to sign and obtain this electrical permit. Signature: Date: 3 j Print Name: C.it.� A 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 EL13-0529 Printed: 05-31-2013 PERMIT CONDITIONS Permit No. EL13-0529 **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 TO - 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 EL13-0529 Printed: 05-31-2013 CITY OF TU ILS �. Connnrauitt' Development Depart,unt Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. -E--L/ 3-652( Project No. Date Application Accepted: Date Application Expires: (For ollce use onl 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: 3 5 1 3 ©u1/4A-44 1 3 45l King Co Assessor's Tax No.: Suite Number: Floor: Tenant Name: -lb NI PROPERTY OWNER Name: A`_ Name: "Tie 0 Y AN i p 00 Phone: 115—'i3Z— Li ax. 'f2ts =1132- 3 t cly�1 "G Address:l O oto 1 `mi- `-�`,c�wt, o W S_1, City:l], aovilie j /1,,,, W State: 0K Zip:7/0`' CONTACT PERSON — person receiving all project communication Name: A`_ Address: A3 2-2,0 Vh Aek, vpate i } t s 4,9105 City:AN, 0 State 1 Zip': Phone: 115—'i3Z— Li ax. 'f2ts =1132- 3 t cly�1 "G Email: (' ) G tom. a9 l ...) 1 LaexNc SS-ekC,TP_LC.., co" New Tenant: ❑ Yes ..'No ELECTRICAL CONTRACTOR INFORMATION Company Name: W i � diek e,ss Ekac-riz-44. 14k, Address: 3 2_2. a nit *.leAA,L - C City:,n1 1, V State: W p: g� Ni(' Phone: Fax: bac-143-17k7 '1151131-3144 Contr Reg No.: w 1 1,p� �t,1,,� p pate: 7/( Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 42. S So tTA-X Scope of Work (please provide detailed information): 1a� �- �e-� �,�- �i� e->4;s-re�u ©M- se2.� (4-t+ 20oA P- P em Pe. ee0 5 l Nc rum,t-s e KL Cf Will service be altered? ad Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition 4 Service Change ❑ Low Voltage 0 Generator 0 Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light 1-1:1Applic atuntaFonns..ApplicattonsOnLtne,2011 AppacattotuElectricalPermit Application Revised 8-9-11.docx Revised: A iun 2011 bb ❑ Remodel O Telecommunication O Tenant Improvement O Temporary. Service RESIDENTL&L NEW RESIDENTIAL SERVICE ❑ New single family dwellings ...................................$152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings ........................$81.90 ea ❑ Low voltage systems (alarm; furnace thermostat) ................................ $59.85 ea RESIDENTL\L REMODEL AND SERVICE CHANGES Service change or alteration ......................................$81.90 (no added/altered circuits) Xr 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 559.85 (alann, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MLiCELLANEOIIS 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 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 — 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 THATI 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 ELF CTRICAL CONTRACTOR: Signature: Print Name: tc ts—r-of-__ Mailing Address: 2.- 2-0 Y t'AP t% up,tky 1 iS 4p?G Q City Date: S H ( 3 Day Telephone: 3 Z- (% '1' ,,/ U� W qD 38s State Zip HAppiicationi;Fomn.Appticattans On Ltne;2011 AppltcattonsEtectrtcel Permit Application Revised 8-9-11.docx Revised: Ausun 2011 bh 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.TukwilaWA.gov )arcel No.: 8864000745 kddress: 3501 S 137 ST TUKW iuite No: 1pplicant: GEORGE RESIDENCE RECEIPT Permit Number: EL13-0529 Status: PENDING Applied Date: 05/31/2013 Issue Date: teceipt No.: R13-01767 Payment Amount: $81.90 nitials: TLS Payment Date: 05/31/2013 12:49 PM Jser ID: 1670 Balance:. $0.00 payee: WILDERNESS ELECTRIC INC PRANSACTION LIST: Type Method Descriptio Amount Payment Check 18398 81.90 Authorization No. ICCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 cri YCI {-1 cn m 743 to 0 ` 1-- a � U. 0 r:. -0 r., LA 0 to t•J 0 z, 1,0 ru tr a a. PJ 111483d O I a13313 18$ 6ZSO2t13 c• lac: Receipt -06 Printed: 05-31-2013 INSPECTION NO. CITY OF TUKWILA BUILDING D 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit 3'''bgl PERMIT NO. (VISION (206) 431-3670 Project: 66064( O Type of Inspection: ...7 4/00 Address: [—®/{% Date Called: Special Instructions: r Date Wanted:. (a rr t(l 0, p.m. Requester: ' Phone No: X Approved per applicable codes. Corrections required prior to approval. COMMENTS: /4 f yr 6,4744katiod ,1* -. :. / ) / v v"" �V(Cx t oMFJkt r., Inspector: I, L ,r f_ ijek REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: n/ 5 / 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 1 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R- (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 66641( ,If b Type of Inspection: Address: 3 7 Date Called: Instructions: t Date Wanted:. /�v 4iSpecial f a.m; } Requester: Phone No: 0 Approved per applicable codes. Corrections required prior tb;T:approval. 1�f COMMENTS: 64° iIj Ko. 5 7Z 3e ko„) ° !lid/411.?od !� PV>5 sr Inspector: /,� ofdAtic Date: o6 fo,t. ' 3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer Friendly Page • 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 WILDERNESS ELECTRIC INC 4254321747 23220 Maple Valley Hwy Se 205 Maple Valley WA 980380250 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601937946 Active WILDEEI147M4 Electrical Contractor 7/24/1986 7/24/2014 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status WILDEE*234QT WILDERNESS ELECTRIC Electrical Contractor General Unused 11/30/1977 12/31/1986 Archived Master Electrician INFORMATION License NESTORB971BP Name NESTOR, RICKEY Status Active Business Owner Information Name Role Effective Date Expiration Date NESTOR, RICK Agent 01/01/1980 Bond Amount NESTOR, RICK President 01/01/1980 2064793 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 4 FEDERATED MUTUAL INS CO 2064793 11/29/2009 Until Cancelled $4,000.00 11/16/2009 3 COLONIAL AM CAS & SURETY OF MD LPM4055022 11/29/2001 Until Cancelled $4,000.00 11 /28/2001 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 No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 05/31/2013