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HomeMy WebLinkAboutPermit EL09-0562 - DERRINGER RESIDENCEDERRINGE RESIDENCE 156 9 44 AV S ELO9-0562 Parcel No.: Address: Suite No: 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.tukwila.wa.us 8108600123 15629 44 AV S TUKW ELECTRICAL PERMIT Permit Number: EL09 -0562 Issue Date: 09/03/2009 Permit Expires On: 03/02/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: DERRINGER RESIDENCE 15629 44 AV S , TUKWILA WA DERRINGER DAVID A PO BOX 68454 , SEATTLE WA ALICIA FESTA PO BOX 1239 , BOTHELL WA Contractor: Name: EXCELLENCE ELCTRIC LLC Address: PO BOX 1239 , BOTHELL WA Contractor License No: EXCELEL940DS Phone: Phone: 206 - 228 -5098 Phone: 206 - 228 -5098 Expiration Date: 03/10/2010 DESCRIPTION OF WORK: CIRCUIT FOR (2) INDOOR AIR HANDLERS AND (1) HEAT PUMP Value of Electrical: NRES: $0.00 RES: $800.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $52.00 National Electrical Code Edition: 2005 Date: _© f 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 of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: \ \ CA (-4;;VC-V Date: 510? 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 -0562 Printed: 09 -03 -2009 Parcel No.: 8108600123 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 15629 44 AV S TUKW DERRINGER RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0562 ISSUED 09/03/2009 09/03/2009 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 m 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. _ ► (7 Signature: ' Date: (':2)) CD ■ c't Print Name: doc: Cond -Elec EL09 -0562 Printed: 09 -03 -2009 CITY OF TUKWIIIP Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. t. `05 (p2 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: 15629 44th AVE S. King Co Assessor's Tax No.: 8 i0 8 00 -3 Floor: Tenant Name: Dennis Derringer Suite Number: Property Owners Name: Dennis Derringer New Tenant: ❑ ..... Yes ® ..No Mailing Address: 15629 44th AVE S. Tukwila WA 98188 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Alicia Festa Mailing Address: PO BOX 1239 Day Telephone: (206) 228 -5098 Bothell WA 98011 E -Mail Address: info@excellenceelectric.com City State Fax Number: (425) 7442749 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Excellence Electric, LLC Mailing Address: PO BOX 1239 Bothell WA 98011 Contact Person: Alicia Festa E -Mail Address: info@excellenceelectric.com Contractor Registration Number: EXCELEL940DS City Day Telephone: Fax Number: Expiration Date: state (206) 228 -5098 (425) 744-2749 02/03/2010 Zip Valuation of Project (contractor's bid price): $ 800 Scope of Work (please provide detailed information): Circuit for. (2) Indoor air - handlers, and (1) heat pump. Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ® Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ Remodel ❑ Tenant Improvement Property Served by: ❑ Puget Sound Energy ® Seattle City Light HAApplir ®alFmma-Applicali®a On ImeU -2009 - Electrical Permit Appli®ti®.doc bh Pagc 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) $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 • 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. 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: Mailing Address: PO BOX 1239 Date: 09/03/2009 Day Telephone: (206) 228 -5098 Bothell WA 98021 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H: Wpp6catiunatFonm- Applicmiom On Iinek1-2009 - Electrical Pent Applimtim-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.: 8108600123 Address: 15629 44 AV S TUKW Suite No: Applicant: DERRINGER RESIDENCE RECEIPT Permit Number: EL09 -0562 Status: PENDING Applied Date: 09/03/2009 Issue Date: Receipt No.: R09 -01385 Payment Amount: $52.00 Initials: WER Payment Date: 09/03/2009 09:42 AM User ID: 1655 Balance: $0.00 Payee: EXCELLENCE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1912 52.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 52.00 Total: $52.00 PAYME,T RECEIVED doc: Receipt -06 Printed: 09 -03 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 051(Z P MIT NO. CITY OF TUKWILA BUILDING DIVISION \a� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (20E)431 -3670 Project: primAkim Type of Inspection:704 VQ`l Address: 6&� / 1 Date Called: Special Instruction Date Wanted: �j ®a p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: / � ��CIyJ1/ 60.00 REIN PECTION FEE R Date: 010 El $ OUIRED. Prior to inspection, fee lust 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 LBtI 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 EXCELLENCE ELECTRIC LLC 2062285098 PO BOX 1239 BOTHELL WA 98011 KING Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602581673 ACTIVE EXCELEL940DS ELECTRICAL CONTRACTOR 3/10/2006 3/10/2010 GENERAL UNUSED ADMINISTRATOR INFORMATION License FESTARD955KE Name FESTA, ROCCO D Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date FESTA, ALICIA AGENT 03/10/2006 FESTA, ROCCO D PARTNER /MEMBER 03/10/2006 Account FESTA, ALICIA R PARTNER /MEMBER 03/10/2006 Impaired Bond Information Bond Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received https: // fortress .wa.gov /lni/bbip /Detai1.aspx 09/03/2009