HomeMy WebLinkAboutPermit EL07-040 - SYMONDS RESIDENCESYMONDS RESIDENCE
12250 42 AV S
ELO 7-040
Parcel No.: 0179000090
Address: 12250 42 AV S TUKW
Suite No:
Tenant:
Name: SYMONDS RESIDENCE
Address: 12250 42 AV S , TUKWILA WA
City-of Tukwila
Owner:
Name: SYMONDS KELLE S Phone:
Address: 12250 42ND AV S , TUKWJLA WA 98168
Contact Person:
Name: BRIAN FLACK Phone: 206 369 -8282
Address: 5423 34 SW , SEATTLE WA
Contractor:
Name: SUN BRIGHT ELECTRIC
Address: 5423 34 AV SW , SEATTLE WA
Contractor License No: SUNBRBE939DW
DESCRIPTION OF WORK:
MOVE METER TO NEW LOCATION AND CONNECT NEW CIRCUITS TO NEW ADDITION TO HOUSE
Value of Electrical: $0.00
Type of Fire Protection: National Electrical Code Edition: 2005
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
Print Name:
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
ELECTRICAL PERMIT
Ak.A45
Fees Collected:
Permit Number: EL07 -040
Issue Date: 04/19/2007
Permit Expires On: 10/16/2007
Phone: 206 369 -8282
Expiration Date: 03/16/2009
$115.00
Date: O r t I D
permit and know the same to be true and correct. All provisions of law and ordinances
er 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 pe�ce of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: V /7-o 7
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 EL07 -040 Printed: 04 -19 -2007
Parcel No.: 0179000090
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Print Name:
doc: Cond - Elec
12250 42 AV S TUKW
SYMONDS RESIDENCE
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -040
ISSUED
04/19/2007
04/19/2007
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: " '� �^— �`" — Date: 7 '/ l! r2
EL07 -040 Printed: 04 -19 -2007
CITY OF TUKWILA
Community Developmeitepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site Address: 12. LI >.
Tenant Name: k.e (( $ u E S „i oNd 1
Property Owners Name: SA-0.4-
Mailing Address: 122 5 .
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name: 54-A-42.- q- &,1e -.
Mailing Address:
City
Fax Number:
E -Mail Address:
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 **
ELECTRICAL CONTRACTOR INFORMATION
Company Name: S ,J (34-.11,4 £ t eel. e
Mailing Address: Py't- 3 39 sw
Contact Person: #84(41 ICAT -Ck
E -Mail Address: eri e lade- 0 (nC.9-sr. /r
Contractor Registration Number: S C) i i 6 / 1 6g 93 9 pW
Valuation of Project (contractor's bid price): $ ). O 00
Scope of Work (please provide detailed information): MO tit /frt'. e" / ive cj 1 oc t cat/ „ ( "live
NEB cert. Art./ ,¢Do, 70, re Ale/ ,
Will service be altered? Yes ❑ No
geS t
Type of Use:
Type of work:
❑ New la Addition
O Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
(r Seattle City Light
H:1Appliations\Forms- Applications On Line 4 -2107 - Electrical Permit Application.doc
'r Service Change
❑ Fire Alarm
King Co Assessor's Tax No.: d (11 O - o
Suite Number:
City
New Tenant:
Floor:
❑ ...
Lt."4
State
Day Telephone:
L(�
S
City
Day Telephone:
Fax Number:
Expiration Date:
State
❑ ..No
Zip
Zip
State Zip
2-o& - 367 8'z-8 2.
206 733 -Mw
3 -/6 -o9
Adding more than 50 amps? ❑ Yes No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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
RESIDENTIAL REMODEL AND SERVICE CHANGES
XL Service change or alteration $75.00
(no added/altered circuits)
CFI- Service flange with added/altered circuits $75.00
1 � 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, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Q
Print Name: hie /4 CA
Mailing Address: Sy'L 3 3 irr" s '
H:\Applications\Forms- Applications On Lineal -2007 - Electrical Permit Application.doc
MULL)AMILY 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 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.
Date: 1 /f-4 7
Day Telephone: 2 - 369 -12IV
1„,./t.49- Qrig
City State
Zip
Date Application Accepted:
ott
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 0179000090
Address: 12250 42 AV S TUKW
Suite No:
Applicant: SYMONDS RESIDENCE
Receipt No.: R07 -00617
Initials: JEM Payment Date: 04/19/2007 03:10 PM
User ID: 1165 Balance: $0.00
Payee: SUN BRIGHT ELECTRIC LLC
Payment Cash 115.00
TRANSACTION LIST:
Type Method Description Amount
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - RES
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
RECEIPT
Account Code Current Pmts
000.322.101.00.0 115.00
Total: $ 115.00
Permit Number: EL07 - 040
Status: PENDING
Applied Date: 04/19/2007
Issue Date:
Payment Amount: $115.00
7275 04/19 9716 TOTAL 115.00
doc: Receiot -06 Printed: 04 -19 -2007
Project:
Type of Inspection
�"
/2 s: ` tit A)
Date Called:
Specia Instructions:
Date Wanted:
,//
2—
p.m.
Requester:
Phone No:
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6- 7 -ey0
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
MMENTS:
"'proved per applicable codes. 0 Corrections required prior to approval.
ins ( /L•lr 47--rxxii 'Date: /Z � b
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
Itz)
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Type o Inspection: 70-03
Date Wanted:
P.m-
.1 1 1 3=111M11111111
Address:
2 2 S - y,2 0�,6,5
Special Instructions:
Date Called:
Requester:
Phone No:
l ;I'Apr proved per applicable codes.
COMMENTS:
Corrections required prior to approval. (`
4 F4 yL7 0 -roan) Ae6wiitr 11 ,4
n/CGv AFB /t4 i W flt3 eae#73,aece 77761 i
sr)ci(c Azrz t
' LG / n�1�6 I Dat e: � , G
171
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
!Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
COMMENTS:
— I's ,E L ) 64M1 c
/M A` /1--
1-O FloU
O.< -- sk tee.
CO o �
PE' • IT •
(2.6)431 -3670
Proec
P ?t) iv L S
M st;, ` / /
Special Instructions:
Type f) /ctiory!
700 Z
Date Called:
Date Wanted: / (a.m)
p.m.
Requester:
Phone No:
pproved per applicable codes. fJ Corrections required prior to approval.
h e7/a- /Y ��' `�V//N(O# IDT7VO
17 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
10 -08 -2007
BRIAN FLACK
5423 34 SW
SEATTLE WA 98126
RE: Permit No. EL07 -040
12250 42 AV S TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206-431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writine and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 11/05/2007 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall
Permit Technician
xc: Permit File No. ELO7 -040
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
h ?nn Cn11thrOntpr Rnst1Pvaril Suitt *inn • T» kwila. Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
SUNBRBE939DW
Licensee Name
SUN BRIGHT ELECTRIC LLC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602673065
Ind. Ins. Account Id
12560700
Business Type
LIMITED LIABILITY COMPANY
Address 1
5423 34TH AVE SW
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98126
Phone
2063698282
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
3/16/2007
Expiration Date
3/16/2009
Suspend Date
Separation Date
Parent Company
Previous License
SUNBRBE947C2
Next License
Associated License
FLACKB *974Q5
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
FLACK, BRIAN F
AGENT
03/16/2007
FLACK, BRIAN
FRANCIS
PARTNER/MEMBER
03/16/2007
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
%wee 'tow
Washington State Department of Labor and Industries
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.
Electrical Administrator Information
License
Name
Status
FLACKB *974Q5
FLACK, BRIAN
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SUNBRBE939DW 04/19/2007