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Home My WebLink AboutPermit EL13-0785 - JACOBSEN RESIDENCE - SERVICE CHANGEJACOBSEN RESIDENCE 12235 44 AV S ELi 3-0785 City of 9ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 • Phone: 206-431-3670 Fax: 206-431-3665 Web site: htip://www.TukwilaWA.gov Parcel No.: 0179000390 Address: 12235 44 AV S TUKW Project Name: JACOBSEN RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0785 Issue Date: 08/20/2013 Permit Expires On: 02/16/2014 Owner: Name: JACOBSEN CHRIS F & VIRGINIA Address: 12235 44TH AVE S , TUKWILA WA 98178 Contact Person: Name: Address: Contractor: Name: STEPHEN BURRIS Phone: 253 722-6513 14917 82 AV NE , GIG HARBOR WA, 98329 PlAke4AC eCTP-U, LIC Phone: /63 -111-(613 Address: Contractor License No: 6 vi v4,1 03130L- • Expiration Date: '04'(17I ft,� DESCRIPTION OF WORK: 200 AMP SERVICE CHANGE Value of Electrical: NRES: $0.00 RES: $1,500.00 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 The granting of this pe construction or the per, Signature: Print Name: does not pre e of work. Fees Collected: $81.90 Washington Cities Electrical Code: 2011 Date: 0?) 3 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. 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. /;ot-ft, S Date: -13 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 -7/13 EL13-0785 Printed: 08-20-2013 • i PERMIT CONDITIONS Permit No. EL13-0785 **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 -7/13 EL13-0785 Printed: 08-20-2013 CITY OF TUKWIIj Community Developmentepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Per,No. j (j; be Project No. Q Date Application Accepted: c D[7/17 4'3 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 C/C/ / /� / King Co Assessor's Tax No.: O (DO—D510 Site Address: /Z 2 g S eg / ` t % -4 Kw t /, Suite Number: Floor: Tenant Name: GAX-1 S ,T,9 -[o b�c-i PROPERTY/OWNER Company Name: ,? / S c_ t2 , L / Name: el�.R-t f, ✓/q-��✓Sx'7 S Address: / 2235- >'q(4 , 5 Address: / ct 5( 7 gZ j /7,,_ City: 7:41.4. /� State: , . d r lM,� Zip: CONTACT PERSON - person receiving all project communication Company Name: ,? / S c_ t2 , L Name: �. ' �" �� 0„/t74, ( %{ S Phone:t 5-3 ?22 GS? 5 Fax: Address: / ct 5( 7 gZ j /7,,_ �� City: 0i7 l_%�� State: £ Zip: 32 Phone:2 S, 3 72 z CSI 3 Fax: Email: &v114-15 riz c. /i -,c_ e /4710.4.4,1, G0ti.. New Tenant: ❑ Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: ,? / S c_ t2 , L Address:/L/q/7 g2,, � / I // .c w City: /1 /� 4 State: 4. Zip:,37( Phone:t 5-3 ?22 GS? 5 Fax: Contr Reg No.:,hp..l EL?2 30L Exp Date: 3/'// 7 l Tukwila Business License No.; „ c - 0 (9 2c1 r" Q N 1,61 ols 7A2 g Valuation of Project (contractor's bid price): $ /15 0, Scope of Work (please provide detailed information): `zoo .q,�p �.e_/.L" cry G41 -As"." -e-__ Will service be altered? [/ Yes ❑ No Adding more than 50 amps? ❑ Yes [l]/No Type of Use: P-5 e�� /-14- Type of work: ❑ New 0 Addition (/ Service Change 0 Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy i Seattle City Light H:\Applications\Forms-Applications On Line\2013 Applcations\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL 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 RESIDENTIAL REMODEL AND SERVICE CHANGES 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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 Signature: Print Name: ECTRICAL CONTRACTOR: Mailing Address: / yq/ 7 v 2d% /CV H:Wpplications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: � 2 -/3 D//an�y Telephone: ' ZS3 72 Z Co 5 f 3 rI City State Zip Page 2 of 2 4 • CCity 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.e,ov Parcel No.: 0179000390 Address: 12235 44 AV S TUKW Suite No: Applicant: JACOBSEN RESIDENCE RECEIPT Permit Number: EL13-0785 Status: PENDING Applied Date: 08/20/2013 Issue Date: Receipt No.: R13-02398 Initials: User ID: JEM 1165 Payment Amount: $81.90 Payment Date: 08/20/2013 12:29 PM Balance: $0.00 Payee: STEPHEN M BURRIS, BURRIS ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. H51151 ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 Printed. 08-20-2013 INSPECTION NO. 6300 Sou INSPECTION RECORD Retain a copy with permit6,45,67yr PERMIT NO. CITY OF TUKWILA BUILDING DIVISION thcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 le - Permit Inspection Request Line (206) 431-2451 Project: 564 0i> Type of Inspection Address: !) 5- -! il ' 11 Date Called: Special Instructions: ' Date Wanted: a p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: ifc,vvoNic hptaii6 — S-(440 ck Inspector: firkg.641J6k REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 00.45 1. '3 IINSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL (206) 431-3670 Permit Inspection Request Line (206) 431-2451 OA a7Yr Project. 656. gf5 itas ' Type of Inspection: a 00/ Address: /ZZ3c�'1/1/` Date Called: Special Instructions: -- Date Wanted: )1/2-4 Requester: Phone No: . ApprdVed per applicable codes. Corrections required prior to approval. COMMENTS: ‘6 P 6:45 Par,uaA~c& 144,, Insp /�61.4/ REINSPECTION FEE REQUIRE . Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ector: Date: 0;i3/11,3 2 Contractors or Tradespeople Print,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 BURRIS ELECTRIC LLC 2537226513 14917 82Nd Ave Nw Gig Harbor WA 98329 Pierce Limited Liability Company UBI No. . Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602768466 Active BURRIEL923DL Electrical Contractor 3/13/2008 3/16/2014 General Unused Electrical Administrator INFORMATION License BURRIS'931 PZ Name BURRIS, STEPHEN Status Active Business Owner Information Name Role Effective Date Expiration Date BURRIS, STEPHEN Agent 03/13/2008 Bond Amount BURRIS, STEPHEN Partner/Member 03/13/2008 105507067 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 3 TRAVELERS CAS & SURETY CO 105507067 11/07/2010 Until Cancelled 19.28.161 RCW ELECTRICAL CITATION $4,000.0011 /08/2010 2 OHIO CAS INS CO 5072733 03/11/2010 Until Cancelled 11/07/2010 ENESM00308 $4,000.0003/11/2010 19.28.101 RCW 1 AMERICAN CONTRACTORS INDEM CO 100044251 03/12/2008 Until Cancelled 03/12/2010 ELECTRICAL CITATION $4,000.0003/13/2008 $250.00 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 EHOSJ00392 9/4/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EHOSJ00395 9/4/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EHOSJ00398 9/4/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 ENESM00308 6/14/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOSJ00401 9/4/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 08/20/2013