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Home My WebLink AboutPermit EL17-0786 - JOHNSON RESIDENCE - SERVICE REPLACEMENTJOHNSON RESIDENCE 12835 37 AVE S ELI 7-0786 Parcel No: Address: Project Name: 1e•� 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 7359600056 12835 37TH AVE S JOHNSON RESIDENCE ELECTRICAL OTC PERMIT Permit Number: EL17-0786 Issue Date: 10/9/2017 Permit Expires On: 4/7/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHSON LOWELL+GLENNA 12835 37TH AVE S , TUKWILA, WA, 98168 GEORGE LEE BENNETTJR 13411 423RD AVE SE , NORTH BED, WA, 98045 BROOKSIDE ELECTRIC LLC 13411 423RD AVE SE , NORTH BEND, WA, 98045 BROOKEL869NN !/I Phone: (425) 891-2552 Phone: (425) 891-2552 Expiration Date: 8/16/2018 DESCRIPTION OF WORK: REPLACEMENT OF ELECTRIC SERVICE TO RESIDENCE Valuation of single family: $2,579.00 Valuation of mf/comm: $0.00 Type of Work: SERV CHNG Fees Collected: $165.64 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: fgaytt 1'1149 Date: 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 p, rmit and agree to the conditions attached to this permit. Signature: Print Name: GC 0C 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov eft. Electrical Permit No. C/ 0146(e 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 King Co Assessor's Tax No.: Site Address: `t ? 5 ` r) s L Suite Number: Tenant Name: PROPERTY OWNER Name: ,v3tx\p� Address: \L.\\'j n v\.‘111._S_ City: Stater Zip:C v Name: La\t. 2A O 11 `r v, Address: e� ` �� 1\�.\\n5. f\ \` City Cfi\CWO�\Oo State: 0. Zip: c\%\(0 CONTACT PERSON — person receiving all project communication Name: ,v3tx\p� Address: \L.\\'j n v\.‘111._S_ City: Stater Zip:C v Phone: k 1,:\\ `� \\\ a' ss- Fax: Email: 5 1 \" W e cl\ . No\ New Tenant: Floor: ❑ Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: \-34,\\ :Ksr1K Q— sC City:\�� State:\;ZiipV.\-5 Vv 1 Phon : (\ zsV Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ �S 7 1 ' M Scope of Work (please provide detailed information):N\ GNU Will service be altered? Yes ❑ No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ AdditionService Change 0 Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy J Seattle City Light W:\Permit Center\Appfirdtions-HandoutsWennit Applications P`DF%\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 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 ❑ 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 xi 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 ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 ELECTRICAL CONTRACTOR: Signature: (n� Print Name:_ 1.,QQ, Mailing Address: \#\\ , ��D fL 2\1 -50 - W:\Pernit Center\Applications-Handoula\Permit Applications\PDFs\Electrical Permit Application Revised 1-I-17.docx Revised: January 2017 bh Day Telephone: ate: 1 IVbA , • c Z11 15 Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT ( QUANTITY PAID $165.64 EL17-0786 Address: 12835 37TH AVE S Apn: 7359600056 $165.64 Credit Card Fee $4.82 Credit Card Fee R000.369.908.00.00 0.00 $4.82 ELECTRICAL $153.16 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $153.16 TECHNOLOGY FEE $7.66 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12518 R000.322.900.04.00 0.00 $7.66 $165.64 Date Paid: Monday, October 09, 2017 Paid By: GEORGE LEE BENNETTJR Pay Method: CREDIT CARD 002112 Printed: Monday, October 09, 2017 10:21 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit i 7-01h INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206).431-36 Permit Inspection Request Line (206) 438-9350 Project: 0/14d-50 '' ..II - l l b rinfj El Corrections required prior to approval. Address: /243c37 Date Called: Special Instructions: / Date Wanted:r /oh 2— p.m. Requester: Phone No�,,,/ / 23_5.2, Approved per applicable codes. El Corrections required prior to approval. COMMENTS: f 1 51-'1<v' Cr' ,, r' Inspector: Date: /0 7 REINSPECTION PEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. BROOKSIDE ELECTRIC LLC th.) Washington State Department of Labor & Industries 1-Iome Espanol Contact Safety & Health Claims & Insurance A A -Z Index Help yL&[ Workplace Rights Trades & Licensing BROOKSIDE ELECTRIC LLC Owner or tradesperson Principals BROOKSIDE ELECTRIC LLC, PARTNER/MEMBER BENNETT, GEORGE L, MANAGER Doing business as BROOKSIDE ELECTRIC LLC WA UBI No. 603 426 049 13411 423RD AVE SE NORTH BEND, WA 98045 425-891-2552 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. BROOKEL869NN Effective — expiration 08/15/2014— 08/16/2018 Designad ated ministrator BENNETT, GEORGE LEE JR License type Electrical Administrator Bond ............ American Contractors Indem CO Bond account no. 100254957 Received by L&I 08/15/2014 Savings No savings accounts during the previous 6 year period. License Violations ................................................. No license violations during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. BENNEJG968OZ $4,000.00 Effective date 08/15/2014 Expiration date Until Canceled 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 Account is current. 326,779-01 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603426049&LIC=BROOKEL869NN&SAW= 10/9/2017 BROOKSIDE ELECTRIC LLC Doing business as BROOKSIDE ELECTRIC LLC Estimated workers reported Quarter 2 of Year 2017 "0" Workers L&1 account contact T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov 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 CO Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603426049&LIC=BROOKEL869NN&SAW= 10/9/2017