HomeMy WebLinkAboutPermit EL09-0647 - JONES RESIDENCEJONES RESIDENCE
16452 53 PL S
ELO9-0647
Parcel No.:
Address:
Suite No:
COM' 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
16452 53 PL S TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0647
Issue Date: 10/15/2009
Permit Expires On: 04/13/2010
Tenant:
Name: JONES RESIDENCE
Address: 16452 53 PL S , TUKWILA WA
Owner:
Name:
Address:
Phone:
Contact Person:
Name: JONES RESIDENCE Phone: 425 890 -7448
Address: 16452 53 PL S , TUKWILA WA
Contractor:
Name: LANDER ELECTRIC SERVICE LLC
Address: 13359 NE 16 ST , BELLEVUE WA
Contractor License No: LANDEES991BC
Phone: 425 - 562 -1771
Expiration Date: 01/03/2011
DESCRIPTION OF WORK:
INSTALL 30 AMP RV OUTLET
Value of Electrical: NRES: $540.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $52.00
National Electrical Code Edition: 2008
Date: lo[[sl " l
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie
whether specified herein or not.
The granting of this permit does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p' rf rmance of work. I . autho ed to sign and obtain this electrical permit.
Signature:
Print Name:
Date: I O - LS -o9
S\RefU_
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 -0647 Printed: 10 -15 -2009
Parcel No.:
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: htip: / /www.ci.tukwila.wa.us
16452 53 PL S TUI{W
JONES RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0647
ISSUED
10/15/2009
10/15/2009
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:
S\nA�F ccok�
Date: lb - -O9
doc: Cond -Elec
EL09 -0647 Printed: 10 -15 -2009
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn../Avww.ci.tukwila.wa.us
Electrical Permit No. G LQ 1 —1[1,141
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
/, / I /� King Co Assessor's Tax No.:
Site Address: i lG ""{ 62 �� �.JY_� S• Suite Number: Floor:
Tenant Name: N // 1a, New Tenant: ❑ Yes ❑..No
Property Owners Name: - 1�/}--t ,C L \..16(1 e a
Mailing Address: O2— O & .J-e..
City
Stale
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Day Telephone: AO. W cD 7443
3
Mailing Address:
City
Fax Number:
E -Mail Address:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: LAYl ECe„(QJeY_Xj3I
Mailing Address: (? 5' NA-e- ! "S e jJ2PAIt -t_ (.34 97W
City j State Zip
Contact Person: �jt'.t -� br? 7r Day Telephone: i.b- -' Z 177 /
E -Mail Address: Fax Number: Lffd.- 2- Zg &CP
Contractor Registration Number: l %Fi i 1 .. Expiration Date: (- 1 U - W
C l.�
Valuation of Project (contractor's bid price): $ v
Scope of Work (please provide detailed information): L-n
Will service be altered? ❑ Yes jJ No
Type of Use:
Type of work:
❑ New ]Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes El No
Property S rved by:
getSound Energy
❑ Seattle City Light
11 tApphcahons \Forms- Applications On Line 4 -2141) - Electrical Perm,t Application dnc
Fly
Page 1 of 2
RESIDENTIAL
•
NEW RESIDENTIAL, SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools. spas and outbuildings $75.00 ea
❑ I.ow voltage systems
(alarm, furnace thermostat) - $55.00 ca
RESIDENTIAL, REMODEL AND SERVICE CIIANCES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
I1? 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
(alarm. furnace thermostat)
MULTI - FAMILY AND COMMERCIAL,
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
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 REAL) AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENAL; IY OF PERJURY 13Y THE LAWS OF THE STATE OF WASHINGTON. AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
IDate Application Accepted: 10
Date: l CJ( f C j0 C
Day Telephone: /Z t 7 "% /
City
State Zip
,ts10 1
Date Application Expires:
II Applications,rorms- Applications On LmeW -2007 - Electncal Permit Application doc
hI,
o,-tLtcico
Stall Initials:
Page 2of2
•
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.:
Address: 16452 53 PL S TUKW
Suite No:
Applicant: JONES RESIDENCE
RECEIPT
Permit Number: EL09 -0647
Status: PENDING
Applied Date: 10/15/2009
Issue Date:
Receipt No.: R09 -01612
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $52.00
Payment Date: 10/15/2009 11:58 AM
Balance: $0.00
LANDER ELECTRIC SERVICE LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3501 52.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 52.00
Total: $52.00
PAYMENT
RECEIVED
doe: Receiot -06
Printed: 10 -15 -2009
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
INSPECTION RECORD
Retain a copy with permit
TJL
ti47
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Project: /65 KtS
Type of Inspection:
I
Address:i4y5l 53 (i , s f
Date Called:
Special Instructions:
Date Wanted:
/0//
a.m:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
Inspector:�1�
Date: r0 / I Q fo 1
1-1$60.00 REINSF�ECTION 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 LFtI 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
LANDER ELECTRIC SERVICE
LLC
4255621771
13359 NE 16TH ST
BELLEVUE
WA
98005
KING
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602087340
ACTIVE
LANDEES991 BC
ELECTRICAL
CONTRACTOR
1/3/2001
1/3/2011
GENERAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License JESSEJE970MA
Name JESSEN, JAMES E
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
WKG INC
AGENT
01/01/1980
JESSEN, JEFFREY
PARTNER /MEMBER
01/01/1980
Account
JESSEN, JAMES
PARTNER /MEMBER
01/01/1980
Impaired
Bond Information
Bond
Bond
Bond
Company
Account
Effective
Expiration
Cancel
Impaired
Bond
Received
https: // fortress .wa.gov /lni/bbip /Detail.aspx
10/15/2009