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HomeMy WebLinkAboutPermit EL07-349 - DEGRATE RESIDENCESAY jg jggj DNUISEDT tE1LLVUDELG Signa Print Name: Parcel No.: 0323049086 Address: Suite No: The granting of this constructio doc: EL -4/07 10321 51 AV S TUKW Tenant: Name: DEGRATE RESIDENCE Address: 10321 51 AV S , TUKWILA WA Owner: Name: DEGRATE MORRIS F Address: 10321 51ST AVE S , SEATTLE WA Contact Person: Name: ERIC HOOVER Address: 10228 29 ST E , EDGEWOOD WA Contractor: Name: NORTHWEST ELECTRICAL & SER INC Address: 10228 29 ST E , EDGEWOOD WA Contractor License No: NORTHES015CK DESCRIPTION OF WORK: 125 .AMP PANEL REPLACEMENT Value of Electrical: $1,200.00 Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby 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. 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating ce of work. I am authorized to sign and obtain this electrical permit. Cityf Tukwila ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 800 - 820 -2190 Phone: 253 - 445 -7029 Expiration Date: 02/12/2009 EL07 -349 07/31/2007 01/27/2008 Fees Collected: $75.00 National Electrical Code Edition: 2005 Date: - ( -67 Date: 7/c 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 - 349 Printed: 07 -31 -2007 Parcel No.: 0323049086 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature doc: Cond - Elec 10321 51 AV S TUKW DEGRATE RESIDENCE Print Name:. ---37 /C OO` = 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 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. 6: 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 pres e to give authority to violate or cancel the provision of any other work or local laws regulating construction or the ance of work. Permit Number: Status: Applied Date: Issue Date: EL07.349 ISSUED 07/31/2007 07/31/2007 Date: EL07 -349 Printed: 07 -31 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Tenant Name: Property Owners Name: �a 4. i J' JY 4 r Mailing Address: Contact Person: G-- /4 e.-X Will service be altered? Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Pro • rt Served b : Puget Sound Energy ❑ Seattle City Light 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 ** King Co Assessor's Tax No.: 03)-- — 90 86 Site Address: )'Z/ S ' s Suite Number: Floor: HAApplicadons\Forma- Applications On Lineal -2007 - Electrical Permit Appliation.doc bh �g /-mot 7C Name: Vi % 5 2 i G 7L f-- C■^!--/Ge Mailing Address ... 7r( 15L , E -Mail Address: Company Name: Mailing Address:��� 2 ' 2 ..- 0 ,- 7/4**. — / `— g Valuation of Project (contractor's bid price): $7� d� Scope of Work (please provid detailed informati : Service Change ❑ Fire Alarm Electrical Permit No. Project No. or office use only) , City CONTACT PERSON Who do we contact when your permit is ready to be issue Ol 2 997 State Zip Fax Number: Day Te)ephone: ELECTRICAL CONTRACTOR INFORMATION city Q Zip Day Telephone: e la state BZO Z /d9O E -Mail Address: Fax Number: Contractor Registration Number � �-� .5 /.s 'E Expiration Date: New Tenant: ❑ Yes ❑ ..No State Zip No Adding more than 50 amps? ❑ Yes ❑ No �f �-� C4.4 9� 04 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page I 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 SIDENTIAL REMODEL AND SERVICE CHANGES Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 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) - PERMIT APPLICATION °•NOT 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 ELECTRI AL CONTRACTOR: Signatur Print Name: sZ'� /G I Date Application Accepted: H:\Applications\Forms- Applications On Ime14-2007 - Electrical Permit Application.doc bh MULTI - FAMILY 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 Date: 7 Day Telephone: Mailing Address: City State Staff Initials: Zip Date Application Expires: Page2of2 Parcel No.: 0323049086 Address: 10321 51 AV S TUKW Suite No: Applicant: DEGRATE RESIDENCE Receipt No.: R07 -01543 Payee: ERIC HOOVER TRANSACTION LIST: Type Method Description 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 Initials: WER Payment Date: 07/31/2007 11:28 AM User ID: 1655 Balance: $0.00 Amount Payment Check 1293 75.00 Account Code Current Pmts 000.322.101.00.0 75.00 Total: $75.00 Permit Number: EL07 -349 Status: PENDING Applied Date: 07/31/2007 Issue Date: Payment Amount: $75.00 01385 07/31 9710 TOTAL 75.00 doc: Receiot -06 Printed: 07 -31 -2007 Project: at6ola AeiS Type of Inspection: Address: r/ ... 5 .- ' PYi Date Called: Special Inttructions: Date Wanted: / //// Ca.nii). . 7fiT ° Requester: Phone No: INSPECTION RECORD Retain a copy with permit IP INSPECTION NO. "kffRMIT NO. CITY OF TUKWILA BUILDING DIVISION r 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-367 OMMENTS: - Ffr1/29 l oved oved per applicable codes. Corrections required prior to approval. Inspec}6r2 #4 - r ate: /////c7 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: COMMENTS: j)tdc14 (AO/,/NM AC1A Type of Inspection: \, 7C -/../ r,s ) /9 /)0 M L /6//T AT 144)4 Date Called: ' , R>/M /91-1; /)11 L 7 ct-4,I/, . ys7/ A107 / (O Requester: Phone No: P oject: CM '.- l- S Type of Inspection: \, 7C -/../ Address: /< .2 l - 1 / f l/t - Date Called: Special Instructions: Date Wanted: / (O Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Inspe INSPECTION RECORD Retain a copy with permit /CL Fir77 4 S 4'y IDat'// gw7-3y9 PER NO (20 )4 1 - 367,0 Er Forrections required prior to approval. $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: License Information License NORTHES015CK Licensee Name NORTHWEST ELECTRICAL & SER INC Licensee Type ELECTRICAL CONTRACTOR UBI 601926723 Ind. Ins. Account Id AGENT Business Type CORPORATION Address 1 10228 29TH ST E Address 2 City EDGEWOOD County PIERCE State WA Zip 98372 Phone 2534457029 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 2/12 /1999 Expiration Date 2/12 /2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License UFFENRJ254M9 Business Owner Information Name Role Effective Date Expiration Date UFFENS, RONALD J 01/01/1980 BARKHURST, CHRIS AGENT 01/01/1980 BARKHURST, CHRIS V PRESIDENT 01/01/1980 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. Electrical Administrator Information License Name Status UFFENRJ254M9 UFFENS, RONALD J ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NORTHES015CK 07/31/2007