HomeMy WebLinkAboutPermit EL09-0184 - STENSON RESIDENCESTENSON RESIDENCE
4434 S 150 ST
ELO9O 184
CitgXf 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
Parcel No.: 0042000070
Address: 4434 S 150 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0184
Issue Date: 03/13/2009
Permit Expires On: 09/09/2009
Tenant:
Name: STENSON RESIDENCE
Address: 4434 S 150 ST , TUKWILA WA
Owner:
Name: STENSEN I M Phone:
Address: 4434 S 150TH , SEATTLE WA
Contact Person:
Name: DENNIS PARKER Phone: 206 730 -4843
Address: 9920 EDMONDS WY , EDMONDS WA
Contractor:
Name: CITI LIGHTS ELECTRIC Phone: 425 - 702 -2484
Address: 9920 EDMONDS WAY , EDMONDS WA
Contractor License No: CITILE *944JF Expiration Date: 04/06/2010
DESCRIPTION OF WORK:
100 AMP PANEL CHANGE
Value of Electrical: NRES: $0.00 Fees Collected: $78.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date: CIAll,t11
I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complies' wit , whether specified herein or not.
The granting of this permit doe of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or a rformarncce f' work. IIaam authorized to sign and obtain this electrical permit.
Signature: Date:
Print Name: A_ 1 3 a
"")/( 3/0
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.
doc: EL -4/07
EL09 -0184 Printed: 03 -13 -2009
Parcel No.: 0042000070
Address:
Suite No:
Tenant:
•
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.tulavila.wa.us
4434 S 150 ST TUKW
STENSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0184
ISSUED
03/13/2009
03/13/2009
1: ** *ELECTRICAL * **
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 Qerformance of work.
Signature:
Print Name:
Date: 37(5�C r
doc: Cond -Elec
EL09 -0184 Printed: 03 -13 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
Project No.
41 of 3t
(For office 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 **
SITE LOCATION
Site Address:
Tenant Name:
Property Owners Name: /hr. S'/ Sovt
/
Mailing Address: `7 ?.3 S• (�d
qg3y S Aso s�
King Co Assessor's Tax No.: O (200 'O1
Suite Number:
New Tenant:
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued 5`
Name:
. 4;.s Pa-
Mailing Address:
11t? -O Cd4(s
E -Mail Address: pa r f C L L° y4t J)0 - C- -
Floor:
❑ Yes ❑..No
LAJA 7F
State Zip
Day Telephone: 20 7.3 D lie 9 3
� °acts rkoa -0
City
State
Zip
Fax Number: Li P-5 (p o c9_qct
ELECTRICAL CONTRACTOR INFORMATION
Company Name: -i -i—r ( jLi-I s c.
Mailing Address:
Contact Person: ,�Pti14ts T . r
E -Mail Address: pet I :re. (t2 L d • C-0 w"
Contractor Registration Namber: ( Cf LE yy3
City
Day Telephone: c913 6 ‘-(8u3
Fax Number: ' ire '' S 4 7e a y4i .
State Zip
Expiration Date:
Valuation of Project (contractor's bid price): $ /00D. 0")
Scope of Work (please provide detailed information): /0 0 A pry(
Will service be altered? ❑ Yes ta No
Type of Use: p
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
Seattle City Light
0A I,
Adding more than 50 amps? ❑ Yes 0_ No
Service Change ❑ Remodel
❑ Fire Alarm ❑ Telecommunication
HAApplicatwns \Forms - Applications On Line \I -2009 - Electrical Permit Application.doc
bh
❑ 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)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary 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
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.
1 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 OW R ELEC CONTRACTOR:
Signature:
Print Name: l!— eir�/li J
ea,—�
Mailing Address: (q a o F b car,• o -�3
LDate Application Accepted: m•7) { 2-,1 I
Date: 3// 3,4
Day Telephone: o 8 '/3
�cl,cn•o�n .1 S
City
State�
rf0 .7-11
Zip
Date Application Expires:
[(1O'
Staff Initials:
H: Appll cabana orms- Applicanons On Line \[ -2009 • Electrical Permit Application doc
bh
Page 2 of 2
•
City of Tukwila
n907201-1.0189 07./13/2009 001 101
DCD Perr Plus - General Fund $78.00
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
Parcel No.: 0042000070 Permit Number: EL09 -0184
Address: 4434 S 150 ST TUKW Status: PENDING
Suite No: Applied Date: 03/13/2009
Applicant: STENSON RESIDENCE Issue Date:
Receipt No.: R09 -00407
Payment Amount: $78.00
Initials: JEM Payment Date: 03/13/2009 04:37 PM
User ID: 1165 Balance: $0.00
Payee: CITILIGHTS ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 78.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 78.00
Total: $78.00
1
doc: Receipt -06
Printed: 03 -13 -2009
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: `� itij�� i ,( &. •
Type of Inspection:
ICU
Address:(`
Date Called:
Special I structio s:
C444" J UN
"" k-kAt.
Date Wanted:
v
'
a:m
m .
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
0
4. -
Inspector:
136vAific
Date: 1)3/1 1/07
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:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by Led 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
Parent
Company
CITI LIGHTS ELECTRIC
INC
4256702484
9920 EDMONDS WAY
EDMONDS
WA
98020
SNOHOMISH
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
602571527
ACTIVE
CITILE *944JF
ELECTRICAL
CONTRACTOR
4/6/2006
4/6/2010
PARKED *026JD
RESIDENTIAL
UNUSED
ADMINISTRATOR INFORMATION
License PARKED *026JD
Name PARKER, DENNIS A
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
WOODWORTH, ALETA
AGENT
04/06/2006
Bond
Amount
PENA, ANDREA A
PRESIDENT
04/06/2006
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= CITILE *944JF
03/13/2009