HomeMy WebLinkAboutPermit EL09-0470 - BOSLEY AND SMITH RESIDENCEBOSLEY & SMITH RESIDENCE
14727 56 AV S
ELO9-0470
Cityef 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.tu/cwila.wa.us
Parcel No.: 1157200178
Address: 14727 56 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0470
Issue Date: 10/06/2009
Permit Expires On: 04/04/2010
Tenant:
Name: BOSLEY & SMITH RESIDENCE
Address: 14727 56 AV S , TUKWILA WA
Owner:
Name: BOSLEY MIKE S +SMITH MARK R
Address: 14727 56TH AVE S , TUKWILA WA
Contact Person:
Name: DAN O'CONNOR, CUSTOM RENOVATIONS NW
Address: 4653 S 150 ST , TUKVVILA WA
Contractor:
Name: J R ELECTRIC CONST DESIGN INC
Address: 1813 58 ST NE , TACOMA WA
Contractor License No: JRELECD007D7
Phone:
Phone: 206 832 -5616
Phone: 253 - 961 -5286
Expiration Date: 04/01/2010
DESCRIPTION OF WORK:
INSTALL SUBPANEL AND FINISH WIRING BASEMENT TO CODE
Value of Electrical: NRES: $0.00 Fees Collected: $166.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
„WIE).4,
Date: l V -V Ci
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
constructio
Signature:
Print Name:
s permit does not presur ,dgive authority to violate or cancel the provisions of any other state or local laws regulating
m authorized to sign and obtain this electrical permit.
e performer of work:
Date: C�
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 -0470 Printed: 10 -06 -2009
Parcel No.: 1157200178
Address:
Suite No:
Tenant:
11
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
14727 56 AV S TUKW
BOSLEY & SMITH RESIDENCE
PERMIT CONDITIIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0470
ISSUED
08/04/2009
10/06/2009
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 giv uthority to violate or cancel the provision of any other work or local
laws regulat �,nstruction or the performance/. ork.
Signature:
Print Name:
�l� Zve/5
Date: /& �5 Z?
/
doc: Cond -Elec
EL09 -0470 Printed: 10 -06 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.cttukwila.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
Site Address:
Tenant Name:
Property Owners Name: ■I'(e 605key 't t�sr Sli -∎1AN
Mailing Address:
1 L11 21 S6t,e. �e
Pand) w King Co Assessor's Tax No.: 1 15 1 ZO -- D 1 , g
t,57-2-001-13
Suite Number: Floor:
New Tenant: ❑
Yes
❑..No
City
CONTACT PERSON - Who do'we gontact when your permit is,.rea'dy to beF s ued
State
Zip
Name: CIA‘ a4-0 124?), V0 ge- oh 5 V., LL( Day Telephone: '1E16 —$3 2 -56) 6
Mailing Address: ' b53 5 )504-k 4- 4 L k,.i 1 a / i?
Zip
E -Mail Address:_
City - state
('e ri„};o.5 LA..) L.7 (..o i Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
�R Elf -h-;�
58-N 54
Contact Person: ZUtvty r S
E -Mail Address:
Contractor Registration Number: T 1 E) e L O o `I 0-7
City
1,.''4 • Qi$z2.
State Zip
Day Telephone: 263-41.1,1--
Fax Number: '2zs3 — ?16 — D 89
Expiration Date: / // /t c•
Valuation of Project (contractor's bid price): $ 2,000 . 0 0
Scope of Work (please provide detailed information): in 544ei )1 . 6 KS, -fa v,e 1 a t,.4
.Ci v.;,5 1‘ LA r i..) b tse t—e ,..--k 4-b c_ De( e ,
Will service be altered? Yes ❑ No Adding more than 50 amps?
Type of Use: V��1 t'4 �✓ ?`^��e �a.ti�`1y ,
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property by:
Puget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
1- 1:\Applications \Forms - Applications On Line \I.2004 - Electncal Permit Application.doc
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Yes ❑ No
is Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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) S57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
18:1 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)
Cl 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
L.
Print Name:
Da e1 CsvIvtor
Mailing Address:4b53 5 (50•P1
Date Application Accepted: D q)
o
H \Appl¢auonslrortns -Appl',cations On Linei1 -2009 - Electrical Fermi Applicanon doc
bh
Day Telephone:
City
Date Application Expires: U`
" 4 d
Date: /436 ✓ �G
- 8•3 Z-S 61 6
w� qti g g
State
Staff Initials:
Zip
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.tulcwila.vva.us
RECEIPT
Parcel No.: 1157200178 Permit Number: EL09 -0470
Address: 14727 56 AV S TUKW Status: APPROVED
Suite No: Applied Date: 08/04/2009
Applicant: BOSLEY & SMITH RESIDENCE Issue Date:
Receipt No.: R09 -01455
Payment Amount: $49.00
Initials: WER Payment Date: 09/16/2009 03:34 PM
User ID: 1655 Balance: $0.00
Payee: CUSTOM RENOVATIONS NW
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 033118
ACCOUNT ITEM LIST:
Description
49.00
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 49.00
Total: $49.00
E T
RECE
doc: Receiot -06 Printed: 09 -16 -2009
CiP of Tukwila,
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: hitp: //www. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R09 -01220
Initials: JEM
Payment Date: 08/04/2009
User ID: 1165 Total Payment: 2,450.79
Payee: MIKE S BOSELY
SET ID: S000001279 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
D09 -154
EL09 -0470
M09 -097
PG09 -091
TOTAL:
1,977.90
96.60
196.29
180.00
1,977.90
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2580 2,450.79
TOTAL: 2,450.79
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - RES
ELECTRICAL PERMIT - RES
MECHANICAL - RES
PLAN CHECK - RES
PLUMBING - RES
STATE BUILDING SURCHARGE
000/322.100
000.322.101.00.0
000.322.102.00.0
000/345.830
000.322.103.00.0
640.237.114
TOTAL:
1,196.00
96.60
157.03
852.66
144.00
4.50
2,450.79
PAYMENT
RECEIVE
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P 0474,00
MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 67
Project! IF".J���
I
Type of Inspection: Zoo
Addre,s:
21
Date Called:
Special Innstructibns:
C ktv P(I,ko
Date Wanted:
I1 Z�
[ L
6.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. ..
OM M ENTS:
• . --{ Art
Inspector: / r 'j
Date: 114,101
O
Ei $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee mist be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
{ INSPECTION RECORD ci 0
Retain a copy with permit -0170
INSPECTION NO.
PIIRMIT NO.
CITY OF TUKWILA BUILDING DIVISION 12--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje,`. � ��
$ I . •
Type of Inspection:
Addr;s 7 21 5( Av,
J
Date Called:
Special In tructions:
Date Wanted:
J
a.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. •
COMMENTS:
gok)(04
ReXic
'OD itAt11 M00%
$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 J R ELECTRIC CONST DESIGN
INC
Phone 2539615286 Status ACTIVE
Address 1813 58TH ST NE License No. JRELECD007D7
Suite /Apt. License Type ELECTRICAL
CONTRACTOR
City TACOMA Effective Date 4/1/2000
State WA Expiration 4/1/2010
Date
Zip 98422 Suspend Date
County PIERCE Specialty 1 RESIDENTIAL
Business Type Corporation Specialty 2 UNUSED
Parent
Company
UBI No. 602019099
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
Effective
Ex Dara
te on
Status
JRELE * *022JB
J R
ELECTRIC
ELECTRICAL
CONTRACTOR
RESIDENTIAL
UNUSED
4/2/1998
4/2/2000
ARCHIVED
MASTER ELECTRICIAN INFORMATION
License IVERSRJ961JR
Name IVERS, RANDY J
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
IVERS, RANDY
01/01/1980
IVERS, BARBARA
01/01/1980
https://fortress.wa.gov/lni/bbip/Detail.aspx
10/06/2009