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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