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
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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
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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/, .
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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