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Home My WebLink AboutPermit EL09-0142 - GONZALEZ RESIDENCEGONZALES RESIDENCE 13264 38 AV S ELO9-0142 Parcel No.: 7340600920 Address: 13264 38 AV S TUKW Suite No: Tenant: Name: GONZALEZ RESIDENCE Address: 13264 38 AVE S , TUKWILA WA Owner: Name: GONZALEZ SIDNEY P Phone: Address: 13264 38TH AVE S , SEATTLE WA Contact Person: Name: JOHN REARDON Phone: 253 - 383 -4546 Address: 3939 S ORCHARD , TACOMA WA Contractor: Name: MADSEN ELECTRIC Phone: 253 383 -4546 Address: 3939 S ORCHARD ST , TACOMA WA Contractor License No: MADSEE *140P8 Expiration Date: 04/30/2010 DESCRIPTION OF WORK: TEMPORARY POWER FOR FIRE DAMAGED HOUSE - REPLACE SERVICE PANEL AND SUPPLY 2 GFCI PLUGS AT PANEL Value of Electrical: NRES: $0.00 Fees Collected: $60.00 RES: $1,100.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Print Name: doc: EL -4/07 City0f 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 V C9� ✓�.�G r & 1/4-Q-4 ■ ELECTRICAL PERMIT iLVLO. Permit Number: EL09 -0142 Issue Date: 02/20/2009 Permit Expires On: 08/19/2009 Date: 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. 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 performance of work. I am authorized to sign and obtain this electrical permit. Signatu • Date: 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. EL09 -0142 Printed: 02 -20 -2009 Parcel No.: 7340600920 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 1326438AVSTUKW 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 GONZALEZ RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0142 ISSUED 02/20/2009 02/20/2009 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 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: Print Name: doc: Cond -Elec Date: EL09 -0142 Printed: 02 -20 -2009 CITY OF TUKWILA. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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 ** SITE LOCATION Site Address: / 3C - J 4 r i /We - C1 Suite Number: Floor: Tenant Name: Property Owners Name: Mailing Address: / 6z/ ~S5 - / A 0 Name: E -Mail Address: Company Name: Mailing Address: Yl (k&s Q I T I 9 . i 9 Sn . Ce) c- c,kn 1`d Contact Person: ( -Nv\ t. E -Mail Address: • c,,„`d e V(4'\&,\ F/ •c iC. Gr; (4\ Contractor Registration Number: 1 0,6 se E - 4 - 1 U/ (a Property Served by: ❑ Puget Sound Energy Seattle City Light H \Applications \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc • Electrical Permit No. E Loot- 0 !La. a. Project No. (For office use only) King Co Assessor's Tax No.: City LA10 Stat CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: Mailing Address: Zip City State Fax Number: ELECTRICAL CONTRACTOR INFORMATION 74CAlha ()gyp, 6 /4,6 City State Zip Day TelephonerS.- 3tS-7i — c7/3 -6 / Fax Number:. 53 _ ;'— GCe /r Expiration Date: Valuation of Project (contractor's bid price): $ l /00U Scope of Work (please provide detailed information): e=plc C /-ems, � 3�0 (p o— o ??-0 New Tenant: ❑ Yes ❑..No Will service be altered? Yes ❑ No Adding more than 50 amps? ❑ Yes 11 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Tenant Improvement Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings .$145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78 00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added /altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTES - 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 ELECTRICAL CONTRACTOR: Signatuk: Print N Mailing Address: Date Application Accepted: ki:Upplications\Forms- Applications On Lined -2009 - Electrical Permit Application.doc MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES T emporary service (residential).. $60.00 ❑ 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:J 2 Day Telephone: Y L /S /h * ) C (4A' , ' City State Zip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 7340600920 Address: 13264 38 AV S TUKW Suite No: Applicant: GONZALEZ RESIDENCE Receipt No.: R09 -00292 Initials: WER User ID: 1655 Payee: CTM GROUP ACCOUNT ITEM LIST: Description doc: Receiot -06 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 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 045784 60.00 RECEIPT Account Code Current Pmts 000.322.101.00.0 60.00 Total: $60.00 0905101 -1 0102 02/20/2009 001 101 DCD Permit_ F'lus - General Fund $60.00 Permit Number: EL09 -0142 Status: PENDING Applied Date: 02/20/2009 Issue Date: Payment Amount: $60.00 Payment Date: 02/20/2009 09:34 AM Balance: $0.00 Printed: 02 -20 -2009 Project: Type of Inspection: co poo Address: r324 A' Av. 5 . D Called: —. Special Instruction : Date Wanted: 0 42-- a.m. Requester: Phone No: 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE' MIT NO. CITY OF TUKWILA BUILDING DIVISION �- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Ei Corrections required prior to approval. COMMENTS: / ,(441./ nspector: old Date: D ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: ++ Name Role Effective Date Expiration Date HAAS, HENRY AGENT 12/29/2003 SHARP, ROCKY PRESIDENT 12/29/2003 PETERSON, GREGORY TREASURER 04/22/2004 MACDOUGALL, RICHARD VICE PRESIDENT 12/30/2003 NEWTON, DANIEL VICE PRESIDENT 12/30/2003 DEVISH, JOE R 01/01/1980 12/30/2003 IRBY, JOSEPH L 01/01/1980 12/29/2003 SHIVELY, DARREL A 01/01/1980 12/29/2003 HAAS, HENRY AGENT 10/23/2003 12/29/2003 Untitled Page Electrical Contractor Business Owner Information • A business licensed by Lai 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type MADSEN ELECTRIC 2533834546 3939 S ORCHARD ST TACOMA WA 98466 PIERCE Corporation Parent Company CARL T MADSEN INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 278030668 ACTIVE MADSEE*140P8 ELECTRICAL CONTRACTOR 10/28/1986 4/30/2010 CARLTMI505DH SHARPTR972DF GENERAL UNUSED ADMINISTRATOR INFORMATION License SHARPTR972DF Name SHARP, TRAVIS R Status ACTIVE Bond Information Bond Bond Company Bond Account Effective Expiration Cancel https: // fortress. wa. gov /lni/bbip /Detail.aspx ?License= MADSEE* 140P8 Impaired Bond Page 1 of 2 Received 02/20/2009