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HomeMy WebLinkAboutPermit EL08-1298 - HAGGERTON RESIDENCEHAGGERTON RESIDENCE 15820 43 AV S ELO8-1298 Parcel No.: Address: Suite No: Cityf 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 6154200070 15820 43 AV S TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -1298 10/01/2008 03/30/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: HAGGERTON RESIDENCE 15820 43 AV S , TUKWILA WA HAGGERTON JIMMY L 15820 43RD AVE S , SEATTLE WA DEBBIE BUNTTING 13359 NE 16TH ST , BELLEVUE WA LANDER ELECTRIC SERVICE LLC Address: 13359 NE 16 ST , BELLEVUE WA Contractor License No: LANDEES991BC Phone: Phone: 425 - 562 -1771 Phone: 425 - 562 -1771 Expiration Date: 01/03/2009 DESCRIPTION OF WORK: REPLACE 125 AMP PANEL. INSTALL BATHROOM CIRCUIT Value of Electrical: $2,500.00 Type of Fire Protection: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $85.00 National Electrical Code Edition: 2005 Date: 1_O _ I v 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 p nuance of work. I am authorized to sign and obtain this electrical permit. Signature-2/-1( ` Date: Print Name: / ��✓�T r 6 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 -1298 Printed: 10 -01 -2008 Parcel No.: 6154200070 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 15820 43 AV S TUKW HAGGERTON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1298 ISSUED 10/01/2008 10/01/2008 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: Print Name: 2(7 Date: /i1� doc: Cond -Elec EL08 -1298 Printed: 10 -01 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 /11tp: //www.ci tukwila.wa.irs Electrical Permit No. EL_D - 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 1 5 720 43v-Gt4ot S Site Address: Tenant Name: Property Owners Name: Mailing Address: King Co Assessor's Tax No.: 4P (S4) -O 001 0 Suitc Number: New Tenant: Floor: ❑ Yes ❑..No CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: 369 : /.Gr1_ 0P-1 e [_A ti C7ee-- Day Telephone: l6` 42>''�?o2 / 7 7 / City E -Mail Address: Fax Number: 4/ ' State Zi ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: �t�12. Cil 9 4Q1)t eg u_ t\e (6t` f- 2QOQ01 LOA- c 'S-- City ' State Zip Day Telephone: 4 �ecz-- l 7 7 / �� � Fax Number: 1 D(? 1 t - Expiration Date: 1 ` 09 '05 E -Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ `(a' ) Scope of Work (please provide det led information): 1 C Ll2C 4 Will service be altered? Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ No Adding more than 50 amps? ❑ Yes [27No ❑ Remodel ❑ Tenant Improvement Pro a ed b : 7get Sound Energy Seattle City Light If ,Apphcahnns \Forms- Applrcahons On Lined- 20(17 . Electncal Permit Apphcannn doc hh 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 ca ❑ Low voltage systems (alann. furnace thermostat) $55.00 ea ESIDENTIAI. REMODEL AND SERVICE CHANGES Service change or alteration $75.00 S(no added/altered circuits) ervice change with added/altered circuits $75.00 4 ____ 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 ca 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 he requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY TI IAT I HAVE READ AND EXAMINED TI IIS APPLICATION AND KNOW THE SAME 'FO RE TRUE UNDER PE.NA',Ty OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON. AND I AM AUTIIORILED TO APPI.Y FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Date: / V g Day Telephone: 1-1 )---/ 7 7 % City state Zip Date Application Accepted: Date Application Expires: Staff Initials: 11 `ApphcaIi n 'Forms- Appllcahuns On Lme\4 -2007 - laeclrical Perm Applrcai on doe 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.: 6154200070 Address: 15820 43 AV 5 TUKW Suite No: Applicant: HAGGERTON RESIDENCE RECEIPT Permit Number: EL08 -1298 Status: PENDING Applied Date: 10/01/2008 Issue Date: Receipt No.: R08 -03405 Payment Amount: $85.00 Initials: WER Payment Date: 10/01/2008 08:42 AM User ID: 1655 Balance: $0.00 Payee: LANDER ELECTRIC SERVICE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3433 85.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 85.00 Total: $85.00 doc: Receipt -06 Printed: 10 -01 -2008 INSPECTION RECORD Retain a copy with permit (Lo- IA; INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Project: t cxt krotsi Type of Inspection: 1Q Address: 1572.0 113 44• S . Date Called: Special Instructions: Date Wanted: j 10 1 0 p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: rif\fact, Inspector: Date: I 0/10/0\Z r7 $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 LEtI 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 Previous License Next License Associated License Specialty 1 Specialty 2 602087340 ACTIVE LANDEES991 BC ELECTRICAL CONTRACTOR 1/3/2001 1/3/2009 JESSEJE970MA 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 JESSEN, JAMES PARTNER /MEMBER 01/01/1980 Bond Information I I I https: // fortress .wa.gov /lni/bbip/Detail. aspx ?License= LANDEES991 BC I 1 10/01/2008