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HomeMy WebLinkAboutPermit EL09-0333 - BARLOW RESIDENCECARLOW RESIDENCE 13715 MACADAM RD S ELO9-0333 CitAf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #1100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 7347600407 Address: 13715 MACADAM RD S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0333 Issue Date: 05/27/2009 Permit Expires On: 11/23/2009 Tenant: Name: BARLOW RESIDENCE Address: 13715 MACADAM RD S , TUKWILA WA Owner: Name: BARLOW DOUGLAS W +JACKSTADT, Phone: Address: 13715 MACADAM RD S , SEATTLE WA Contact Person: Name: JENNY HOUSE Phone: 360 357 -9973 Address: 5201 CAPITOL BL #201 , TUMWATER WA Contractor: Name: NORTHWEST REGRIGERATION Phone: 360 357 -9973 Address: 5201 CAPITOL BL #201 , OLYMPIA WA Contractor License No: NORTHR *002DB Expiration Date: 03/29/2010 DESCRIPTION OF WORK: LOW VOLTAGE WIRING Value of Electrical: NRES: $0.00 Fees Collected: $57.00 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: () 1V -1041 I hereby certify that I have read and exa ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli • wi i , 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. Signature: Date: S 7/O i Print Name: 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 -0333 Printed: 05 -27 -2009 Parcel No.: 7347600407 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.tukwila.wa.u.s 13715 MACADAM RD S TUKW BARLOW RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0333 ISSUED 05/27/2009 05/27/2009 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: Date: S/e)- 7/o 9 Print Name: F O er4- S doc: Cond -Elec EL09 -0333 Printed: 05-27-2009 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. I Project No. (For office use only) ELECTRICAL PER1v1IT 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 King Co Assessor's Tax No.:l341 Site Address: \31 1 5 bL,e.,p,,,,.p,.'('e. `4,p, S Suite Number: Floor: Tenant Name: Z )h,..9\ Si, (,,.r \ f‘l,J New Tenant: ❑ Yes ❑ ..No Property Owners Name: 0Q\1 Zar\4 W 1 Mailing Address: 13 15 ar (0, an. ■sU S_ --T∎ 1.Aq WA 7' Se t L Ir State Zip City CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ��� \'y \\O1NSe.. Day Telephone: 3 iaN- 35 j• 7 13 Mailing Address: Sat\ LS Qp�� O, a�rl,Ck ` ,LQ IVIYA,r W N nl8'36 I ` City State Zip E -Mail Address:\..\ Nc\cAge_ © Cilk&v\m„p_Asozglas Corn Fax Number: 3(0(\- S'.{- —113") ELECTRICAL CONTRACTOR INFORMATION Company Name:_ N s *\\..\-%-) e.ZJ 1��� �`q _` Mailing Address: 5c 61 C C&.Q. t o k %iUCN, Vc,101 �VSt∎l lei .0.A 9 S( I ` \ City State Zip Contact Person v �\O e Day Telephone: 3‘06-351 e� - / 9 13 E -Mail Address:`.�(1AV.Se. t!� Vn� c &Q,kwA rihr C. Fax Number: 3UN - 1 5 ti' _11 31 Contractor Registration Number:MtSV't `skQ b l7 AAA Expiration Date: 3 -1 ( Valuation of Project (contractor's bid price): $ 3,3 3S 0, 0I Scope of Work (please provide detailed information): L QW V CAA t Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Tvpe of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H. Applications Fortes - Applications On Lint I 211114 Llecntcai Permit Application Jac hh Page 1 42 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New, single family dwellings S145.60 (including an attached garage) ❑ Garages. pools. spas and outbuildings S78.00 ea ❑ Lo« voltage systems (alarm, furnace thermostat) - - S57.00 ea RESIDENTIAL RENIODEL AND SERVICE CHANGES ❑ Set- Vice change or alteration S78.00 (no added/altered circuits) ❑ Service change with addethaltered circuits 578.00 number of added circuits S11.00 ea ❑ Circuits added,altered without service change 552.00 (up to 5 circuits) ❑ Circuits added/altered without service change S52.00 (6 or more circuits) 57.30 ea ❑ Meter/mast repair S65.00 [1- Low voltage systems - 557.00 (( (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary senice (residential) S60.00 ❑ Temporary service (generator) S75.00 ❑ Manufactured/mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions 510.00 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. 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: Signatu Print Name: e.`■•c■Nk Mailing Address:5lb\ t' Date: D -ea Day Telephone: 3ea0— c 51- 9 9 )3 City State Zip IDate Application Accepted: (1_1_1/oil Date Application Expires: Staff Initials: H Apphcanons 1- 'nn, Apphtali, ns On 1 ire I . i+ Elrcu real Perini \pphcarun do bh Page : of: of Tukwila. ao 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.u.s SET RECEIPT Copy Reprinted on 05 -27 -2009 at 12:44:50 05/27/2009 RECEIPT NO: R09 -00782 Initials: JEM Payment Date: 05/27/2009 User ID: 1165 Total Payment: 319.01 Payee: VAUGHN MECHANICAL, INC. SET ID: S000001211 SET NAME: NW REFRIGERATION SET TRANSACTIONS: Set Member EL09 -0333 M09 -056 TOTAL: Amount 57.00 262.01 57.00 TRANSACTION LIST: Type Method Description Amount Payment Check 24150 319.01 TOTAL: 319.01 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES MECHANICAL - RES 000.322.101.00.0 000.322.102.00.0 TOTAL: 57.00 262.01 319.01 INSPECTION RECORD 2� Retain a copy with permit (� 33 CT S IN PE ION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION i 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: gborta:vsj n,� Type of Inspection: 2400 Address: 137 I S Date Called: Special Instructions: L f f . V 1 Date Wanted: a u:14, Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: 0 hi (A), Inspector: Li /Z4j Date: °(0/ 67 $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 • 0 Page 1 of 2 Electrical Contractor A business licensed by Lal 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 NORTHWEST REFRIGERATION 3603579973 5201 CAPITOL BLVD #201 OLYMPIA WA 98501 THURSTON Corporation VAUGHN MECHANICAL UBI No. 601437459 Status ACTIVE License No. NORTHR *002DB License Type ELECTRICAL CONTRACTOR Effective Date 3/2/2000 Expiration Date Suspend Date Specialty 1 Specialty 2 UNUSED 3/29/2010 HVAC /RFRG LTD ENERGY ADMINISTRATOR INFORMATION License BRAINTN951Q9 Name BRAIN, TIMOTHY N Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date MURPHIE, JENNY 01/01/1980 MURPHIE, VAUGHN 01/01/1980 Account CASSIDY, PATRIC Expiration 01/01/1980 Impaired Bond Information Bond Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received https: // fortress :wa.gov /lni/bbip/Detail.aspx 05/27/2009