HomeMy WebLinkAboutPermit EL09-0413 - LEE RESIDENCELEE RESIDENCE
12621 42 AV S
EXPIRED
OS -02 -10
ELO9-04 13
City Of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web sits: http://www.ci.tukwila.wa.us
Parcel No.: 7340600681
Address: 12621 42 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0413
Issue Date: 07/09/2009
Permit Expires On: 01/05/2010
Tenant:
Name: LEE RESIDENCE
Address: 12621 42 AV S , TUKVVILA WA
Owner:
Name: HEMENWAY DANIEL J TRUST Phone:
Address: C/O HEMENWAY JOHN D TTEE , 4816 RODMAN ST NW
Contact Person:
Name: AI NOU Phone: 206 - 618 -9652
Address: 4267 S ORCAS ST , SEATTLE WA
Contractor:
Name: D J ELECTRIC Phone: 206 - 721 -1533
Address: 4267 S ORCAS , SEATTLE WA
Contractor License No: DJELEI *011KF Expiration Date: 05/06/2011
DESCRIPTION OF WORK:
WIRING FOR REMODEL WITH SERVICE PANEL CHANGE
Value of Electrical: NRES: $0.00 Fees Collected: $298.00
RES: $5,500.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
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 the performance of work. am authorized to sign and obtain this electrical permit.
Signature:
Print Name: _\ �►-
Date: 1-9‘ I
This permit shall become null and void if the ork 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 -0413 Printed: 07 -09 -2009
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.: 7340600681
Address: 12621 42 AV S TUKW
Suite No:
Tenant: LEE RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0413
ISSUED
07/09/2009
07/09/2009
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.
1 -10
Signature: — Q'Z..t
Print Name: A\ _ Qa
Date: _9 -39
doc: Cond -Elec
EL09 -0413 Printed: 07 -09 -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 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 vic, a3 - 4 ao, &i
Tu V & -+ -‚- . W4 ..%16.• •
I King Co Assessor's Tax No.: --1.)-10 `D ) -- No 0 1
Site Address: 12 pazi - 4e)-Ka W s • Suite Number: Floor: I G ryt
Tenant Name: t l New Tenant: ❑ Yes In-lvo`
Property Owners Name: L-5 nW {'n.
Mailing Address: u-L-_ cx i e
Name:
City
State
Zip
Day Telephone:
Mailing Address:
City
E -Mail Address:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
State
Zip
Fax Number:
k7_ - it.S cam-. 5stAltf
� City
Contact Person: .--1\15 C-t Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: 1:51ektiZric.. 0 It
tNa
State Zip
C/5-Ns-z_
Expiration Date:
Valuation of Project (contractor's bid price): $ CO • C"CD
Scope of Work (please provide detailed information): �s\psi
Will service be altered? ❑ Yes ® No
Type of Use:
Type of wor
New ❑ Addition ❑ Service Change ❑ Remodel
❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
Property Served by:
❑ _Puget Sound Energy
Pr-Seattle City Light
H:\ApplicationsWonns- Applications On Line \I -7009 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
W 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
Syrvice change or alteration $78.00
(no added/altered circuits)
Service change with added/altered circuits $78.00
1` 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 S52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, fumace 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.
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:
Signature: --�
Print Name: �-t 1%,)Q(it
Mailing Address:
Date: 9�
Day Telephone' (�6 / 6 � d e / --� 6..R—.
W4
City
stato Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
m.AApplicanons\Forms- Applications On Line] -2009 - Electrical Permit Application 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.tuicwila.wa.us
Parcel No.: 7340600681
Address: 12621 42 AV S TUKW
Suite No:
Applicant: LEE RESIDENCE
RECEIPT
Permit Number: EL09 -0413
Status: PENDING
Applied Date: 07/09/2009
Issue Date:
Receipt No.: R09 -01059
Payment Amount: $145.60
Initials: WER Payment Date: 07/09/2009 10:15 AM
User M: 1655 Balance: $0.00
Payee: D J ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
145.60
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 145.60
Total: $145.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 07 -09 -2009
2
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(1,07 -oy/3
PERMIT NO.
(206)431 -3670
Project: tee Rs e
Type of Inspection:
���
Address: / 24 ,
il 2
Date Called:
Fork Low s ii>t ter.,.
Go/JDj /rr (co ,Jor e
- No 1 M oti^lp vitae Pi ik ri IV -
Special Instructions:
Date Wanted:
/ 1
03
a.
.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
OK. r ,0 ,.4../
jor:- pRo /t! s f Pow Id tJA-u
Fork Low s ii>t ter.,.
Go/JDj /rr (co ,Jor e
- No 1 M oti^lp vitae Pi ik ri IV -
Ini -
(Date: /00 i7
r7 $60.00 REINSP CTION FEE REQUIRED. Prior to inspec ion, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
i
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
V-
(206)431-3670
Project: 'l
L-DIIKTV CC.
Type of Inspection: �q
tag
Address: /Z2'1 Li2-
Date Called:
Special Instructions:
Date Wanted:
07 /02,
God
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
rAi
�o ✓� A�w CEtunIGS
i
Date: 07/02/07
El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee mt st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Al NOU
4267 S ORCAS ST
SEATTLE WA 98118
RE: Permit No. EL09 -0413
12621 42 AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 05/02/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 05/02/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
—Wi --'6•■L
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0413
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 a Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
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Page 1 of 3
Electrical Contractor
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
Parent Company
D J ELECTRIC INC
2067214915
4267 S ORCAS
SEATTLE
WA
98118
KING
Corporation
UBI No. 601802040
Status ACTIVE
License No. DJELEI *011 KF
License Type ELECTRICAL CONTRACTOR
Effective Date 5/6/1999
Expiration Date 5/6/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
DJELE * *051J6
D J
ELECTRICAL
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
4/26/1995
4/26/1999
ARCHIVED
MASTER ELECTRICIAN INFORMATION
License SMITHJ *963JW
Name SMITH, A J
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
JACK, DONALD
Cancel
Date
01/01/1980
Bond
Amount
WOODBURY, JOHN
AGENT
01/01/1980
790 2865
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
GREAT
790 2865
Until
https://fortress.wa.gov/lni/bbip/Detail.aspx
07/09/2009