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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 z I) /4 -- fiof,1cj - mi —Hod V 3 01(- /17)All - /ti/ --hAAGL. ---' _. GOr , - 7-7041 ? G/)A,9( /, -G1,6 -P/' t —' /SpL /+77- N`l/Tr •G ,?Uss — f/? l/ /hG ( ;tJ / ,2Tmic yr rr2ouiliS / ?U. ,.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 PERMIT A ; Mari it t e-v P7-0 ie.- 6 14.-vil ii- 0 11441 leto .4f.t,s- 41.1-6 ify t-t-z v.,. e- Of<Avit t:;w jg--1 V Wt. ete(A-/LiAa frtity3 A-eL. te-rAvxi.d e 6tot,,t, .oto Iv itt" Lfrt Soi-epIN 44 I ce tte . h•-■ 4-C1C kz-GC, t 44-- 4 9 er • REceitmr, Ti 144_ 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