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Home My WebLink AboutPermit EL09-0634 - VADER RESIDENCEVADER RESIDENCE 12228 47 AV S ELO9-0634 City0f 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.: 0179001170 Address: 12228 47 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0634 Issue Date: 10/07/2009 Permit Expires On: 04/05/2010 Tenant: Name: VADER RESIDENCE Address: 12228 47 AV S , TUKWILA WA Owner: Name: VADER JOHN A Phone: Address: 12228 47TH AVE S , SEATTLE WA Contact Person: Name: VIC DEHERRERRA Phone: 206 - 963 -7243 Address: PO BOX 630 , KENT WA Contractor: Name: FOX ELECTRIC CO Phone: 253 - 852 -0540 Address: P 0 BOX 630 , KENT WA Contractor License No: FOXELC *278DA Expiration Date: 08/30/2010 DESCRIPTION OF WORK: INSTALL NEW PANEL & BREAKERS ON EXISTING METER Value of Electrical: NRES: $0.00 Fees Collected: $78.00 RES: $1,250.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: 10 7-01 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 ogNM,tt or �theeppjerformance of work. I am authorized to sign and obtain this electrical permit. Mgt- Signature: - M Date: Print Name: A4 A4.-1h 0 Y 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. (c -07•G doc: EL -4/07 EL09 -0634 Printed: 10 -07 -2009 Parcel No.: Address: Suite No: Tenant: 0 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 0179001170 12228 47 AV S TUKW VADER RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0634 ISSUED 10/07/2009 10/07/2009 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: M atist/ M erV Goa -14 -4t !„/ m'Coq Date: 1°-19 ?- 0 �f doc: Cond -Elec EL09 -0634 Printed: 10 -07 -2009 CITY OF TUKWID Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tulcwila.wa.us .- Electrical Permit No. G Lb 9- O to 3 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 King Co Assessor's Tax No.: D l 7 Roo — w--1, 0 Site Address: /2-2--2_q, 0 9i / - Suite Number: Floor: Tenant Name: Property Owners Name: 151-4,r0 fee Mailing Address: �� _ _ 7P`-`,9 New Tenant: ❑ Yes [<l`lo City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address PO % JyL l'3V__ E -Mail Address: VIC76/ sce.-/,/, "/ r - nee 71 Day Telephone: 2a& -1z, 3 72 City State Zip Fax Number: 2S3--- $ft/ 1p / ELECTRICAL CONTRACTOR INFORMATION Company Name: / -0,c' f7/( '�/ _ • , �-1 Mailing Address: PC) C) (p0 - _ 25. !ZS City State Contact Person: Vie ' E -Mail Address: U /(i-or #0, x.e. 7;1 _ - (/Z 7' Contractor Registration Number�T/)�e ! 7$ Zip Day Telephone: 2U/F —Gf ie "3— 7244? Fax Number: Expiration Date -j 5 / 7 Valuation of Project (contractor's bid price): $ I 2 'pc2 - 0 Scope of Work (please provide detailed information): tV1< EZ" 1. r 4 &7 671 lLt s�,yt_5 Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: _ - - Type of work: ❑ New ❑ Addition Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro a e = ed b : Puget Sound Energy Seattle City Light H:\Applicatio sWorero- Applicahona On tine \I -2009 - Electrical Pest Application.doc bb Page 1of2 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. 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 CONTRACTOR: Signature: ` M‘, OA r /V` Print Name: A44 "e�tir %�>14LOY I Mailing Address: O /? C.> O Kervi 1 % IDate Application Accepted: Date: /0-0 7 -G 9l Day Telephone: 25-3- 8S 2- osya City wa State ggd3S_ Zip Date Application Expires: Staff Initials: 11:1ApplicationsWorms- Applicat;ons On We l-2009 - Electrical Pent Applicatioadoc hh 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.: 0179001170 Address: 12228 47 AV S TUKW Suite No: Applicant: VADER RESIDENCE RECEIPT Permit Number: EL09 -0634 Status: PENDING Applied Date: 10/07/2009 Issue Date: Receipt No.: R09 -01569 Payment Amount: $78.00 Initials: WER Payment Date: 10/07/2009 01:21 PM User ID: 1655 Balance: $0.00 Payee: FOX ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4236 78.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 78.00 Total: $78.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 10 -07 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (01-0(03't PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: , / v - Type of Inspection: fov Address: l ZZw LI1 AV ' Date Called: Special Instructions: Date Wanted: y� 0 IV p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: f) Inspector: &ifjef\ ‘i[ti Date: 10 f01 Q� ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, ee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page 0 • 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company FOX ELECTRIC CO 2538520540 PO BOX 630 KENT WA 980350207 KING Corporation UBI No. 600114698 Status ACTIVE License No. FOXELC *278DA License Type ELECTRICAL CONTRACTOR Effective Date 3/1/1973 Expiration Date 8/30/2010 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License FOX *JJB9790Q Name FOX, JAMES B Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date FOX, JAMES B AGENT 01/01/1980 Bond Amount FOX, JAMES B PRESIDENT 01/01/1980 52BSBEC261510/08/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 HARTFORD FIRE INS CO 52BSBEC261510/08/2006 Cancelled ncelled 4 AMERICAN STATES INS CO 6260199 12/22/2003 Until Cancelled 10/08/2006 $4,000.0012/30/2003 3 CBIC 654040 01/08/1986 Until Cancelled 01/23/2004 $4,000.0012/22/1986 2 CONTINENTAL, 9239619 01/08/1984 Until 01 /08/1986 $4,000.0001 /08/1984 https: // fortress .wa.gov /lni/bbip /Detail.aspx 10/07/2009