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
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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
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1
10/01/2008