HomeMy WebLinkAboutPermit EL08-0957 - DERRAMAS RESIDENCEDERRAMAS RESIDENCE
12054 44 PL S
ELO8-957
Citylif 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.: 3347400875
Address: 12054 44 PL S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -0957
Issue Date: 07/11/2008
Permit Expires On: 01/07/2009
Tenant:
Name: DERRAMAS RESIDENCE
Address: 12054 44 PL S , TUKVVILA WA
Owner:
Name: DERRAMAS BIENVENIDO R +EDNA Phone:
Address: 24242 26TH AVE S , DES MOINES WA
Contact Person:
Name: PHILIP MOLINA Phone: 253 - 813 -8633
Address: 22637 102 PL SE , KENT WA
Contractor:
Name: MOLINA DELTA ELECTRIC CO Phone: 253 -813 -8633
Address: 22637 102 PL SE , KENT WA
Contractor License No: MOLINDE015D9 Expiration Date: 04/09/2009
DESCRIPTION OF WORK:
WIRE SINGLE FAMILY RESIDENCE
Value of Electrical: $8,000.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$140.00
2005
Date: -1 - ` - o
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 th
construction or th
Signature:
Print Name:
rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
rformance of worn. I am autilo ized to sign an btain this electrical permit.
(?'c 1)), 1A. -
Date:
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
EL08 -0957
Printed: 07 -11 -2008
Parcel No.: 3347400875
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
12054 44 PL S TUKW
DERRAMAS RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -0957
ISSUED
07/11/2008
07/11/2008
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:
r �
Print Name: �/�, t � .� 1 0/ ( / `_
Date: t
doc: Cond -Elec
EL08 -0957 Printed: 07 -11 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. t 0 k `QS 7
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.: 7:34-7 4 0 0 -is—
Site Address: /qp5i «9 ' ' ' J O - mil' I )/ 6 ��
'quite Number: Floor:
Tenant Name: <-A414"104 f /e /j Ve2Vr p New Tenant: —es ❑ .. No
Property Owners Name: P'e rnS L � -4) 1 cro 4 )/1-) "et- .
Mailing Address: /2 nt 44, 44 7 L • S . - 77%C /
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to beissued
Name: Day Telephone:
Mailing Address:
City state Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: & -, _ (% _
Mailing Address: -2%2- &3 7 /Oa' ' - ' ' & ��%"' f I-04 • / V
Contact Person: 7 C/7 'z 1
E -Mail Address:
City
Day Telephone:
Fax Number:
State Zi
--c:c,,/3
Contractor Registration Number:_ 6e-- /1" 1-1-46) 9 * Expiration Date:
Valuation of Project (contractor's bid price): $ , 00 0
Scope of Work (please provide detailed informatign): t r16- /1-1- /�''
e-fil 2) 77 ) G: A) -- 41 RretZt7 — — rt-Y9 6 E
CA-5'
(77 -) R41/06
Will service be altered? ❑ Yes ❑ No
Type of Use: '7.0 ED A1-1- --?
T • e of wor
Adding more than 50 amps? ❑ Yes ❑ No
S'�e,�, G�
New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
X..Seattle City Light
H:'Applicanons\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
/ NEW RESIDENTIAL SERVICE
J New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings S75.00 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 $75.00
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
(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 Budding 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0
Signature: o �---�
Print Name: / A„,2,„9-7_ L7 t'/ Day Telephone: °CI r ' e'l / cPe j 3
g IO c, L : f • Kam/ f; % X1)3
Mailing Address: ?� �j 7 � f /
State Zip
LECTRICAL CONTRACTOR:
Date:
/)-6,p
lDate Application Accepted:
City
Date Application Expires:
Staff Initials:
H Appbcat ons\Forms- Applications On Line14-2007 - Eiectrical Permit Application.doc
bh
Page 2 of 2
1
•
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.: 3347400875
Address: 12054 44 PL 5 TUKW
Suite No:
Applicant: DERRAMAS RESIDENCE
RECEIPT
Permit Number: EL08 -0957
Status: PENDING
Applied Date: 07/11/2008
Issue Date:
Receipt No.: R08 -02522
Payment Amount: $140.00
Initials: WER Payment Date: 07/11/2008 10:32 AM
User ID: 1655 Balance: $0.00
Payee: MOLINA DELTA ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 140.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 140.00
Total: $140.00
4691 07/11 9711 TOTAL 140.00
doc: Receipt -06 Printed: 07 -11 -2008
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit CL A+ 6757
57
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION \'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
Project: � �gAtI , S ges.
Type of Inspection: 2490
Address' °51/ , " /
Y !y
A-5.
Date Called:
Special Instructions:
Date Wanted:
yy rr��
Illii
Clap,
Requester:
Phone No:
.1t Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
C:aolartab trot
0.K -- K-Ahvi.._
Inspector. /�
1
Date: ,),"2.4f,7
$60.00 REINSIbECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTI NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION k1'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
1 Rik�'M4-5 Kee-
Type of Inspection:
2
00
1 C onWEGT�p
Address: � �� pL s .
l 2o 5
Date Called:
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^-_,
Special Instructions:
Date Wanted:
) Zv
a.
.m.
Requester:
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: f
— '& to (t 5tji ( Z "d Ft,00k vit5r
__ yy
- 2nA ctoo uJCST r»1 d r101 42.-
1 C onWEGT�p
- c Look Valk V.4.Zoi4.LL RE.CEPTAt c.c
(((A A49 %oeStf CBJCt,
- i `k ko°\ 4 PATIO eCafviLa g.Oota,5
&Oct caeK
- 56 tit LIC (4T (()Cr'4 5 4yr lAiv& 4t J 3 - why
- 14 4-00c uvC^51- &9R-o 1 QiftE4 rAL L.E.%
t % Pot.Akir i oPte! Ifa-lAL.
i
- Loo5t KCE -PPtcA£ 14 g D o r)
Inspector:
6644c1\
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee mulct be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
02120 0
Receipt No.:
Date:
- --j• �..,� a. ..�.
3
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
6,4-0/C7
PERMIT NO.
(206)431 -36V0
Project: Da P11416 p{iS
Type of Inspection:
—71904.
N
Address:
12051
'1'1 Pi•5.
Date Called:
Special Instructions:
Date Wanted:
!, /03
: n
Requester:
Phone No:
lKl Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
Cp�Ulon15 Plot
0-1<- -
Inspector:
Date: 1 r )03 JOr
0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
. .I.r._..�. —._. - wI( r't ly, + .. -‘4"114/1514. w� .v.0
!'. esl— .r —_.6
INSPECTION RECORD
114 - o 57
PERMIT �
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-3 7
z
INSPECTION NO.
Retain a copy with permit
Project: `. kA5
ko.
Type of Inspection:
7002._
— pft )Tturt, Lott, 40T ?4Pre9 Pc
Address:
t v 5
�
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Date Called:
i
Special Instructs ns:
Date Wanted:
/ Ohl
'-tfiTTIT::
,
Requester:
Phone No:
ElApproved per applicable codes.
OCorrections required prior to approval.
COMMENTS:
— d■ i RA.l o 0A1 #w Con)nl Wri on15
rJ Piet...
— pft )Tturt, Lott, 40T ?4Pre9 Pc
2 Co4D4cTolitS
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— (aQJ1f) tAhgt5 Tb 1 i1tnfprT( onf
6\6, Do ,Jo-r- spi.-I -
i
Inspector:
,7
Date:
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
R._
-a'51
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3 7
Project: ��Kc
v, R 5 .
Type of Inspection:
7005
— up-6A, 641) Likes
Addre110511
!l PL. s -
Date Called:
'�rc R '(.0 Asuac451 6t.c'
Special Instructions:
•
Date Wanted:
/ o Z f
m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
gS.
.- iKoQi.tvi 1,i
— up-6A, 641) Likes
iz,04.
.. (,QOJo�J7 �,DA)?JEKTTto45
'�rc R '(.0 Asuac451 6t.c'
Inspector:
6tAIAIC rate: lop,
n $60.00 REINSPECTION 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 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.
MOLINA DELTA ELECTRIC CO
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
MOLINA DELTA ELECTRIC
CO
2538138633
22637 102ND PL SE
KENT
WA
98031
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601750014
ACTIVE
MOLINDE015D9
ELECTRICAL
CONTRACTOR
3/29/1999
4/9/2009
MOLINDE023MS
MOLINF0965DN
GENERAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License MOLINF0965DN
Name MOLINA, FELIPE 0 JR
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
MOLINA, FELIPE JR
01/01/1980
Bond Information
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= MOLINDE015D9
07/11/2008