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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