HomeMy WebLinkAboutPermit EL09-0368 - FRAZER RESIDENCEFRAZER REST
ENCE
4234 S 150 ST
ELO9-0368
Cityii' 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.: 0042000098
Address: 4234 S 150 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0368
Issue Date: 06/16/2009
Permit Expires On: 12/13/2009
Tenant:
Name: FRAZER RESIDENCE
Address: 4234 S 150 ST , TUKWILA WA
Owner:
Name: FRAZER RICARDO R Phone:
Address: 4234 S 150TH ST , TUKWILA WA
Contact Person:
Name: DAVID HERMES Phone: 253- 224 -0884
Address: 6503 34 AVE CT E , TACOMA WA
Contractor:
Name: A & D ELECTRICAL SERVICES INC Phone: 253- 224 -0884
Address: 6503 34 AVECT E , TACOMA WA
Contractor License No: ADELESI972DK Expiration Date: 03/23/2011
DESCRIPTION OF WORK:
NEW 40 AMP CIRCUIT FOR A/C UNIT & NEW THERMOSTAT WIRE
Value of Electrical: NRES: $0.00
RES: $350.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$109.00
National Electrical Code Edition: 2005
` Date: lY ` 6 {Q - oq
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 pres o give authority to violate or cancel the provisions of any other state or local laws regulating
construction or Qtt erforman o f worts, am authorized to sign and obtain this electrical permit.
Signature: Date: (L�' /v v
Print Name:
c/ l cd 6U. /J-e Yµt-eJ
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 -0368 Printed: 06 -16 -2009
Parcel No.:
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.us
0042000098
4234 S 150 ST TUKW
FRAZER RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0368
ISSUED
06/16/2009
06/16/2009
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 gf work.
Signature:
Print Name:
atod /Jel'ikef
Date: O�
doc: Cond -Elec
EL09 -0368 Printed: 06 -16 -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
�% 2t� King Co Assessor's Tax No.:
Site Address:' 7023 / S /CO Suite Number:
Tenant Name:
Property Owners Name: '3 ■ CGS r c/o �Ff-/n Z
Mailing Address:
ya31/ ' /c094
00 '2101 -00070 9d'
New Tenant:
Floor:
❑ Yes ❑..No
det
City
CONTACT PERSON - Who do we contact when your permit.is ready`�o b °issued;'
State
Zip
Name: AV-DI k—)LC�I i G€. 1 jj Day Telephone: , ��(� dPO G%
Mailing Address: () j 3` C'1 i tav ((WGt /l %� 9��%73
/ City Mate Zip
E -Mail Address: %� � E �.G C / C a ar ref 4-iC e ' S t Fax Number: / ' S� S �i 66.7
ELECTRICAL CONTRACTOR INFORMATION
Company Name: »I cL/ IJ? C , ( L Ii
Mailing Address: gS-03 3271v (4 T (cm-i6
Contact Person:
OA U i C� i7 .e t7k J
E -Mail Address: Orb c ( I'?�� 6), ra j/.
Contractor Registration Number: k / F 9 -dlJ .k
City p
Day Telephone: - 09ay 4c�crq
State zip
Fax Number: 475 535--_ �Oo21 C'
Expiration Date: 03' 7/
Valuation of Project (contractor's bid price): $ /�
Scope of Work (please provide detailed information): �eld l r (A / 1 LiO Cc .., 4`
Will service be altered? Yes J /❑ /No ) %
Type of Use: C� c'.e d / Q l~ e
Type of work:
❑ New l" Addition
92L-ow Voltage ❑ Generator
Property Served by:
Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes ■to
❑ Service Change
❑ Fire Alarm
H:\AppltcationsWnrms- Applications On Line \I -2009- Electrical Permit Application.doc
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❑ Remodel
❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
IDate Application Accepted:
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
ircuits 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
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 CONT' /CTOR:
/�
Signature:
Print Name:
Mailing Address: &5-0 3 ,a„ (T
Day Telephone:
0044
City
Date: ‘16- 0
OPcP
G06- r
State Zip
Staff Initials:
Date Application Expires:
H `Appl cationsWorms- Applications On Line! -2009 - Electrical Permit Application doc
bh
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.: 0042000098
Address: 4234 S 150 ST TUKW
Suite No:
Applicant: FRAZER RESIDENCE
RECEIPT
Permit Number: EL09 -0368
Status: PENDING
Applied Date: 06/16/2009
Issue Date:
Receipt No.: R09 -00894
Initials: WER
User ID: 1655
Payment Amount: $109.00
Payment Date: 06/16/2009 10:15 AM
Balance: $0.00
Payee: A & D ELECTRICAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4279 109.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 109.00
Total: $109.00
PAYMENT
ECEIVED
doc: Receipt -06 Printed: 06 -16 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
f co- O3,S
PERMIT NO.
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project: f A�
rl�-
n
K
Type of Inspection:
2400
Address:
4434
$ 605r-
Date Called:
"'—
Special Instructions:
Date Wanted:
O� / (ark 7
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
0-
t4. - (IAA,
Inspector:
Date: 0417 l
r7 $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 L£tI 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
A 8 D ELECTRICAL SERVICES
INC
UBI No. 602274819
Phone 2532240884 Status ACTIVE
Address 6503 34TH AVE CT E License No. ADELESI972DK
Suite /Apt. License Type ELECTRICAL
CONTRACTOR
City TACOMA Effective Date 3/12/2003
State WA Expiration 3/23/2011
Date
Zip 98443 Suspend Date
County PIERCE Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent
Company
ADMINISTRATOR INFORMATION
License HERMEDW971 BB
Name HERMES, DAVID W
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
HERMES, DAVID
AGENT
03/12/2003
Bond
Amount
HERMES, DAVID
PRESIDENT
03/12/2003
HERMES, ALINA V
SECRETARY
03/12/2003
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
OLD
https://fortress.wa.gov/lni/bbip/Detail.aspx
06/16/2009