HomeMy WebLinkAboutPermit EL09-0629 - BOSLEY AND SMITH RESIDENCEBOSLEY & SMITh RESIDENCE
14727 56 AV S
ELO9-0629
Parcel No.: 1157200178
Address:
Suite No:
City' 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
ELECTRICAL PERMIT
Permit Number: EL09 -0629
Issue Date: 10/02/2009
Permit Expires On: 03/31/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
BOSLEY & SMITH RESIDENCE
14727 56 AV S , TUKWILA WA
BOSLEY MIKE S+SMITH MARK R
14727 56TH AVE S , TUKWILA WA
DEANNA SIMMONS
PO BOX 39300 , LAKEWOOD WA
BROADVIEW SECURITY INC
PO BOX 39300 , LAKEWOOD WA
License No: BROADSI9114M
Phone:
Phone: 253 -582 -0800
Phone: 253 - 582 -0800
Expiration Date: 07/13/2011
DESCRIPTION OF
INTRUSION ALARM
WORK:
Value of Electrical:
Type of Fire Protection:
NRES: $0.00
RES: $445.00
UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $57.00
National Electrical Code Edition: 2005
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 or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
6e, dim e /1% t//-
Date: /d'1'O 9
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 -0629 Printed: 10 -02 -2009
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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.: 1157200178
Address: 14727 56 AV S TUKW
Suite No:
Tenant:
BOSLEY & SMITH RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0629
ISSUED
10/02/2009
10/02/2009
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:
Print Name:
aGtot..-1,
Date: -07
doc: Cond -Elec
EL09 -0629
Printed: 10 -02 -2009
0
O
CITY OF TUKWILA
Community Development Department
Permit Center
6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
littp://www.ci.tukwila.wa.us
c 2 . y33 / POD
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 **
4,1) (jo?Cor7o
Electrical :Permit: No. EL.cj 0tP
_Project No. (
(Forofce.use only)
LSITEL O CATION
Site Address:
11-/-77 sal ,a-vj $0
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
Suite Number:
r ..
Floor:
New Tenant: ❑ .....Yes
..No
at
5
a
ce
City
State
Zip
Ca'ERS07
r `-! ^-' -, --j=am =a-'
Vhordowe. contect?W hen =yours permitriszreedy:'tobe-issued
'y�
Name:
Mailing Address:
Day Telephone:
E -Mail Address:
EZECTRICiAZaBONTRA
�-._.. _
Company Name:
WORMe
City
Fax Number:
State
Zip
Mailing Address: 0 .1 9 .zi-k v0i' 4/.9 93 9cd
City State r--�y r7Zip Q
Day Telephone: . -,...9 a. - U0�
Fax Number: ,4%..5_- M-5;',Q— (2999
Expiration Date:
Contact P erson:, _
E -Mail Addre 5) T ipipn5. broad u ittoetivi
Contractor Registration Number.baMD5 0 Co
Valuation of Project (contractor's bid price): $ ,l' J ' 00
Scope of Work (please provide detailed information):
Will service be altered? El Yes No Adding more than 50 amps? ❑ Yes yi No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H•Umlierninnaonns- Annheslwns On Lme14-2007- Elecrical Pemui Applicabon,doc
Page 1 of 2
1
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings - $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL .REMODEL AND SERVICE CHANGES
❑ Service change or alteration - $75.00
(no added /altered circuits)
❑ Service change with added/altered circuits 575.00
number of added circuits $10.00 ea
❑ Circuits added /altered without service change $50.00
(up to 5 circuits)
❑ Circuits added /altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
Low voltage systems $55.00
(alann, fumace thermostat)
MULTI - FAMILY AND COM114ERCJAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) - - - -- $75 00
❑ Manufactured /mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals - $75.00
Number of concessions-. ........ ........ ..... $10.00 ea
ER11%IIT41: Tacg ON-NOT
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: l /1/70 cA / / /%/,1??C �,2?
Print Name: ' —/2e_aI A/%Q
Mailing Address: /U . i6e2Ir
Date:
Day Telephone:
can,
Slate
Dale Application Accepted:
Date Application Expires:
Staff initials:
.., .._� __..__..z_,.... ...J...nnn. on I.ine14- 2007 - Eleuncal Penrul Applmalion.doc
Page 2 of 2
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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
RECEIPT
Parcel No.: 1157200178 Permit Number: EL09 -0629
Address: 14727 56 AV S TUKW Status: PENDING
Suite No: Applied Date: 10/02/2009
Applicant: BOSLEY & SMITH RESIDENCE Issue Date:
Receipt No.: R09 -01547
Initials: WER
User ID: 1655
Payment Amount: $57.00
Payment Date: 10/02/2009 11:13 AM
Balance: $0.00
Payee: BRINKS HOME SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1000447 57.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 57.00
Total: $57.00
pLYMENT
RECEIVED
doc: Receiot -06
Printed: 10 -02 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
M.D474
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Project 4-511111t (<6.
Type of Inspection:
2/04
1
Addre is:4l 2 � , te
Date Called:
'�
Special Instruct ns:
AtA(Z1
Date Wanted:
i
/7V
a.m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
OMMENTS:
6
t l •
I
Inspector:
Date: 1
❑ $60.00 REINSPEbTION FEE REQUIRED. Prior to inspection, fee l t be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit -0621
INSPECTION NO. P RMIT NO. .
CITY OF TUKWILA BUILDING DIVISION I2'-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projectea a14-S11
Type of Inspection:
?005
Address: cle AV
Date Called:
Sp@cial lnstroctions:
Date Wanted:
/Q d7
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
J
COMMENTS:
O_K_ ?Imo tAi
uInspector:
Dat):01 0 i o
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fe must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
tv,,ido\
Receipt No.:
Date:
Untitled Page
0
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Page 1 of 2
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
Broadview Security INC
2535820800
PO BOX 39300
LAKEWOOD
WA
98496
PIERCE
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600545354
ACTIVE
BROADSI9114M
ELECTRICAL CONTRACTOR
7/13/2009
7/13/2011
LIMITED ENERGY
UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
BRINKHS148LE
BRINKS
HOME
SECURITY
INC
ELECTRICAL
CONTRACTOR
LIMITED
ENERGY
UNUSED
6/5/1986
3/31/2010
OUT OF
BUSINESS
ADMINISTRATOR INFORMATION
License BLACKAD926QP
Name Black, Adrian D
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
CT Corp System
AGENT
07/13/2009
Allen, Robert B
PRESIDENT
07/13/2009
Yevich, Stephen C
VICE PRESIDENT
07/13/2009
Bond Information
IBond I Bond Account
Effective IExpirationlCancellImpaired
https://fortress.wa.gov/lni/bbip/Detail.aspx
Bond I Received
10/02/2009