HomeMy WebLinkAboutPermit EL09-0297 - OXENRIDER RESIDENCEOXEIII RIDE 1' SI
13544 35 AV S
EL09M297
E,' CE
CityOf 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.: 8864000045
Address: 13544 35 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0297
Issue Date: 05/11/2009
Permit Expires On: 11/07/2009
Tenant:
Name: 1DXENRIDER RESIDENCE
Address: 13544 35 AV S , TUKWILA WA
Owner:
Name: OXENRIDER WESLEY J Phone:
Address: 13544 35TH AVE S , SEATTLE WA
Contact Person:
Name: CHARLES BITTON Phone: 253 - 445 -1893
Address: 13619 MILWAUKEE AVE E , PUYALLUP WA
Contractor:
Name: AA AMERICAN ELECTRIC INC Phone: 253 - 445 -9540
Address: 5619 MILWAUKEE AVE E , PUYALLUP WA
Contractor License No: AAAMEAE913DC Expiration Date: 03/03/2011
DESCRIPTION OF WORK:
200 AMP SERVICE UPGRADE
Value of Electrical: NRES: $0.00
RES: $3,000.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$78.00
National Electrical Code Edition: 2005
Date: Is-0/
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 @f work. I am authorized to sign and obtain this electrical permit.
Signature: Date: . -( (— CD
Print Name: t 1 P S 't-4 v t-�
This permit shall became 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 -0297 Printed: 05 -11 -2009
Parcel No.: 8864000045
Address:
Suite No:
Tenant:
0
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
13544 35 AV S TUKW
OXENRIDER RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0297
ISSUED
05/11/2009
05/11/2009
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 performance of work.
Signature: Dater— l l —c ' C
Print Name: C1Vc Q,P s,st:::c, rkc -
doc: Cond -Elec
E L09 -0297 Printed: 05 -11 -2009
CITY OF TUKW!LA
Community Development Department
Pennit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto.//www.ci.tukwila.wa.us
Electrical Permit .No. 6 LO q-• OA 7
Project No.
(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: `354 -1 &k (A- QOE
King Co Assessor's Tax No.: g P tp'l OO OQf S
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑..No
Property Owners Name: till S�P bk e d1 r
Mailing Address: 13 S 4.14 ?, 5-:(kn L k LZ ∎ \, G
City
�B (�S
State Zip
CONTACT PERSON -Who do we contact when your permit is ready to be issued :
Name:
Day Telephone:
Mailing Address:
City State Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:P" 4inrNp -i t:ccct\ eA e ct L� C i tr) C
Mailing Address: 5 (O \P e ; ( E
Contact Person: a 1'4t5Y1
E -Mail Address: i} A AmeSi t Ca ri Q
Contractor Registration Number: 4'.AMEA a
Lc p
City State Zip
Day Telephone: 3 44, 5 — C39
Fax Number: 1.'S 3 CF S ct Sq
Expiration Date: a — 13 — a-C-D ( 3
ba
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): &OD cb-ct. p
Will service be altered? EVYes ❑ No
Type of Use: re S 1 8.0—G`i `
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
▪ uget Sound Energy
❑ Seattle City Light
9- 1ervice Change
❑ Fire Alarm
H:\Appbeations \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc
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Adding more than 50 amps? ❑ Yes 13-110
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1of2
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
SIDENTIAL 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 OWNER OR ELECTRICAL CONTRACTOR:
SignatureCQA- J
Date: S
Print Name: c'Q.r (e L {"�C�'\ Day Telephone:� 14)- 2- " � (7 8
Mailing Address: 37 r& c (c r, c , jCR.Z & C_. 7 Ca_< < Wc� -Y ) `L
City V State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H VspphcatonsTorms.Apphcattons on Line11.-2009 - Electrical Permit Appbcatton.doc
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Page 2 of 2
•
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
Parcel No.: 8864000045
Address: 13544 35 AV S TUKW
Suite No:
Applicant: OXENRIDER RESIDENCE
RECEIPT
Permit Number: ]EL09 -0297
Status: PENDING
Applied Date: 05/11/2009
Issue Date:
Receipt No.: R09 -00697
Payment Amount: $78.00
Initials: WEB. Payment Date: 05/11/2009 09:38 AM
User ID: 1655 Balance: $0.00
Payee: A A AMERICAN ELECTYRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1017 78.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 78.00
Total: $78.00
v. rT: 1T
E EVE
doc: Receipt -06 Printed: 05 -11 -2009
INSPECTION RECORD
Retain a copy with permit �W
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-36 0
.az'1
Project , rr
�,>(�'�i 1� ACS •
Type of Inspection:'
��Z Z t OD
Address:
,�sy y 3s,. .
Date Called:
f"--"
Special nstructi ns:
Date Wanted:
^
i1 /W
m.
p.m
Requester:
Phone No:
r;g1 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
oRgab45 nvvE
Inspector:
Date: 03
r
EJ $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:
2
INSPECTION RECORD ta
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Ir"--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36x0
Project: ^x RI Dek R6.
`��r
Type of Inspection: 7v02... J2/00\
(/
Address:
135y� 3._
�. s .
Date Called:
ktiotle PVc, s t 'a froir
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
— E / W..f, 2 PD Ah-5 or SJp_e9,2T"
Phone No:
253 'Mc 75 o
Ptcm.t, rinIitL-
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
..S>y /1cf A-P R.o uA c, 4k 1r iAJ4 L
t$5 JED lAi E4koi\
ktiotle PVc, s t 'a froir
— 1jaeAlp 2‘lI f€ t'1 ST 2 (e r 4 &v/
f oort,t'4E JrrN 2." R'c i D .5TL
rtspr-Atk, /Wsrh si ZJ K€ pawl-
04 IJIsi iv #& JE RaorLtN
— E / W..f, 2 PD Ah-5 or SJp_e9,2T"
A, ► •J6 eoUPt_146\
Ptcm.t, rinIitL-
Inspector:
Date:
❑ $60.00 REINS • ECTION FEE REQUIRED. Prior to inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION Kr,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (26)431 -3670
ProjV:::� 0767
Type of Inspection ] 2-100
AddrSs
�3Sy�
3S�• S
Date Called:
Special Instructs ns:
Date Wanted:
taS
Requester: caketz
Phone No:763 72..,Z 9782,
JJApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
•Yj - - 5fclict
Date:
$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:
1
Untitled Page
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Page 1 of 1
Electrical Contractor
A business licensed by LEtI 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
AA AMERICAN ELECTRIC
INC
2534459540
5619 MILWAUKEE AVE E
PUYALLUP
WA
98372
PIERCE
Corporation
UBI No. 602900944
Status ACTIVE
License No. AAAMEAE913DC
License Type ELECTRICAL
CONTRACTOR
Effective Date 3/3/2009
Expiration
Date
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
:3/3/2011
MASTER ELECTRICIAN INFORMATION
License BITTOCL978P2
BITTON, CHARLES L
ACTIVE
Name
Status
Business Owner Information
Name
Role
Effective Date
Expiration Date
Bitton, Rodger L
AGENT
03/03/2009
Bond
Amount
BITTON, RODGER L
PRESIDENT
03/03/2009
790286550006602
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
GREAT
AMER INS
CO OF
NY
790286550006602
/25/2009
Until
Cancelled
$4,000.0003/03/2009
https: / /fortress.wa.gov /lni/bbip /Detail.aspx
05/11/2009