HomeMy WebLinkAboutPermit EL07-160 - JOSEPH RESIDENCEJOSEPH RESIDENCE
14414 46 AV S
ELO7-1 60
Parcel No.: 0040000482
Address: 14414 46 AV S TUKW
Suite No:
Tenant:
Name: JOSEPH RESIDENCE
Address: 14414 46 AV S , TUKWILA WA
Permit Center Authorized Signature:
doc: EL -4/07
Cityf Tukwila
Owner:
Name: JOSEPH JOHN +MARGARET Phone:
Address: 14414 46TH AVE S , TUKWILA WA
Contact Person:
Name: ERIC BORGMAN Phone: 425 - 210 -7808
Address: 10325 323 AV SE , SULTAN WA
Contractor:
Name: MAX RESIDENTIAL ELECTRIC Phone: 253 875 -1130
Address: 20111 75 AV CT E , SPANAWAY WA
Contractor License No: MAXRERE963P5 Expiration Date: 10/25/2008
DESCRIPTION OF WORK:
SERVICE CHANGE WITH 4 CIRCUITS ADDED /ALTERED.
Electrical Service provided by: SEATTLE CITY LIGHT
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
Permit Number: EL07 -160
Issue Date: 05/30/2007
Permit Expires On: 12/16/2007
Value of Electrical: $0.00 Fees Collected: $115.00
Type of Fire Protection: NONE National Electrical Code Edition: 2005
Date: 1S `l1
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied • 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 e performance of work. I am authorized to sign and obtain this electrical permit.
Date: lk-C7 '- ?- ,
Signature: qq
Print Name: / V t H Pie/P
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.
EL07 -160 Printed: 08 -20 -2007
Parcel No.: 0040000482
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
1441446AVSTUKW
Contractor License No: BORGMEI961M2
DESCRIPTION OF WORK:
SERVICE CHANGE WITH 4 CIRCUITS ADDED /ALTERED.
Value of Electrical: $0.00
Type of Fire Protection: NONE
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signa
I hereby certify that I have read an
governing this work will be compli
Signature:
Print Name:
doc: EL -4/07
Cit 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
JOSEPH RESIDENCE
14414 46 AV S , TUKWILA WA
JOSEPH JOHN +MARGARET
14414 46TH AVE S , TUKWILA WA
ERIC BORGMAN
10325 323 AV SE , SULTAN WA
BORGMAN ELECTRIC INC
10325 323 AV SE , SULTAN WA
The granting of this permit does not presume
construction or the perfo ce
ELECTRICAL PERMIT
EL07 -160
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425- 210 -7808
Phone: 425 - 210 -7808
Expiration Date: 07/25/2008
MI
EL07 -160
05/30/2007
11/26/2007
Fees Collected: $115.00
National Electrical Code Edition: 2005
Date:
this permit and know the same to be true and correct. All provisions of law and ordinances
they specified herein or not.
to give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit.
Date:
This permit shall become null and voi• ' 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.
Printed: 05-30 -2007
Parcel No.: 0040000482
Address: 14414 46 AV S TUKW
Suite No:
Tenant: JOSEPH RESIDENCE
1: ** *ELECTRICAL * **
doc: Cond -Elec
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: EL07 -160
Status: ISSUED
Applied Date: 05/30/2007
Issue Date: 05/30/2007
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.
Date:
EL07 -160 Printed: 05-30 -2007
Name:
Mailing Address: 1
E -Mail Address: I/
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
ELECTRICAL CONTRACTOR INFORMATION
Company Name: "C •
Mailing Address: 0
Contact Person: L
Property Served by:
❑ Puget Sound Energy c•
❑ Seattle City Light i
HA Applications On line41-2007 - Electrical Perntit Appliation.doc
M
Valuation of Project (contractor's bid price): $ _ IF'
Scope of Work (please provide detailed information): (X(' - l
City
('1 C
5
Electrical Permit
Project No.
ice 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 **
// � 7 f� King Co Assessor's Tax No.:
Site Address: NI y ! t %. ( � kie Suite Number: Floor:
Tenant Name: eva \� - !v\Q...\ I �t( �� New Tenant: i-Yes ❑ ..No
�t U
Property Owners Name: ��1 1
Da Telephone:
Adding more than 50 amps?
Mailing Address: /bV-5 3� — i
7 fr,2
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to he Issued
� L Ct Fax Number: .5 l�� l ate
W �ele-C � c- E1i G' J 7
/ l � � Fax Nu mber:
city
Day Telephone: (� )�ja / � a
E -Mail Address: pi � D V`"`Q- _ —
' C / �
Contractor Registration Number: .0 L12 - Expiration Da te: �i i1
2 t'�e (c)\/'e koc/
Yes ❑ No
Will service be altered? Yes ❑ No
Type of Use:
Tope of work:
❑ New A ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Page 1 of 2
v
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings 5140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings 575.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) 555.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration 575.00
(no added/altered circuits)
❑ Service change with added/altered circuits 575.00
number of added circuits 510.00 ea
❑ Circuits added/altered without service change 550.00
(up to 5 circuits)
❑ Circuits added/altered without service change 550.00
(6 or more circuits) 57.00 ea
❑ Meter /mast repair 565.00
❑ Low voltage systems 555.00
(alarm, furnace thermostat)
Fees are based on the valuation oldie electrical contract.
❑ Temporary service (residential) 558.00
❑ Temporary service (generator) 575.00
❑ Manufactured/mobile home service 580.00
(excluding garage or outbuilding)
❑ Carnivals 575.00
. Number/of concessions 510.00 ea
PERMIT APPLICATION NOTE
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 CO OR:
■
Signature
Print Name:
Mailing Address:
State
Date Application Accepted: 5. f 1
H: Wpplications\Forms- Applications On line\4 -2007 - Electrical Permit Application.doc
bh
Date '(7
Day Telephone:
City
MULTI- FAMILY AND COMMERCIAL
MISCELLANEOUS FEES
Staff Initials:
Zip
Date Application Expires: 1/ 30 , o'7
Page2of2
Parcel No.: 0040000482
Address: 14414 46 AV S TUKW
Suite No:
Applicant: JOSEPH RESIDENCE
Receipt No.: R07 -00971
Initials: JEM
User ID: 1165
Payee: BORGMAN ELECRTRIC, INC.
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
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 115.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - RES
Account Code Current Pmts
000.322.101.00.0 115.00
Total: $115.00
Permit Number: EL07 -160
Status: APPROVED
Applied Date: 05/30/2007
Issue Date:
Payment Amount: $115.00
Payment Date: 05/30/2007 02:41 PM
Balance: $0.00
8705 05/30 9716 TOTAL 115.00
doc: Receipt -06 Printed: 05-30 -2007
Project: ,
.70347)/ ( 'ES
Type of Inspection:
.../
Address:
iy�/y y6 4ve
Called:
Special Instructions:
Date Wanted: G /�
r
a.
p�
Requester:
Phone No:
INS ECTION'RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
fri.ojco
PE
IT NO.
(206)431 -3670
OMMENTS:
roved per applicable codes. Corrections required prior to approval.
Ins p / GL /
Dat o
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
IDate:
COMMENTS:
ri / — •S—RI//C
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3 01(- /17)All - /ti/ --hAAGL.
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,.gr/ /e MA Y& c_o p /Z To ec
sS /4/47RF/liollnet
izi.:4n /4- y fi
Project: n - S f
40t0,11 f �
Type of I Ie � tion: / av3
/
Address:
I yel lW ' y67�✓G S
Date CalIed
---'
Special Instructions:
Date Wanted: ` � /i
`a.rty
p.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. i tEl Corrections required prior to approval.
I L P /04 IDa7M/0-7
EJ $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
fio 7-/6 0
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AUG 2 0 2007
License Information
License
MAXRERE963P5
Licensee Name
MAX RESIDENTIAL ELECTRIC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602440292
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
20111 75TH AVE CT E
Address 2
City
SPANAWAY
County
PIERCE
State
WA
Zip
98387
Phone
2538751134
Status
ACTIVE
Specialty 1
RESIDENTIAL
Specialty 2
UNUSED
Effective Date
10/25/2004
Expiration Date
10/25/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SAYENV *955DZ
Business Owner Information
Name
Role
Effective Date
Expiration Date
SAYENKO, VADIM
OWNER
10/25/2004
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
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.
Master Electrician Information
License
Name
Status
SAYENV*955DZ
SAYENKO, VADIM
ACTIVE
Bond Information
I Bond I Bond
https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= MAXRERE963P5 08/20/2007
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
BORGMAN, ERIC A
AGENT
07/22/2004
BORGMAN, ERIC A
PRESIDENT
07/22/2004
BORGMAN, BREW
Look Up a Contractor, Electric;gn or Plumber License Detail Page 1 of 2
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.
License information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
BORGMEI961 M2
BORGMAN ELECTRIC INC
ELECTRICAL CONTRACTOR
602382906
CORPORATION
10325 323RD AVE SE
SULTAN
SNOHOMISH
WA
98294
4252107808
ACTIVE
RESIDENTIAL
UNUSED
7/22/2004
7/25/2008
BORGME*962DH
Electrical Administrator Information
License
Name
Status
BORGME•962DH
BORGMAN, ERIC
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= BORGMEI961M2 05/30/2007