HomeMy WebLinkAboutPermit EL10-0049 - LARSON RESIDENCELARSON RESIDENCE
5630 S 147 ST
EL1 0-0049
Citygf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.c1.tukwila.wa.us
Parcel No.: 3365900515
Address: 5630 S 147 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0049
Issue Date: 01/25/2010
Permit Expires On: 07/24/2010
Tenant:
Name: LARSON RESIDENCE
Address: 5630 S 147 ST , TUKWILA WA
Owner:
Name: LARSON DAVE NORMAN Phone:
Address: 6285 S 153RD ST , TUKWILA WA
Contact Person:
Name: PAUL BURTON Phone: 206 - 706 -1931
Address: 5308 BAKER AVE NW , SEATTLE WA
Contractor:
Name: PUGET SOUND SOLAR LLC Phone: 206 - 706 -1931
Address: 5308 BAKER AVE NW , SEATTLE WA
Contractor License No: PUGETSS920RH Expiration Date: 12/08/2010
DESCRIPTION OF WORK:
INSTALLATION OF SOLAR SYSTEM. PHOTOVOLTAIC ARRAY 3.7 KW
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $54.60
National Electrical Code Edition: 2008
LtJa l
Date:
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 performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: -/
Date: \ ---- 4 \ :
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
ELI 0-0049 Printed: 01 -25 -2010
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: http: / /www.ci.tukwila.wa.us
3365900515
5630 S 147 ST TUKW
LARSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0049
ISSUED
01/25/2010
01/25/2010
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:
Date:
'(o
doc: Cond -Elec
ELI 0-0049 Printed: 01 -25 -2010
CITY OF TUKWIL.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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 **
King Co Assessor's Tax No.: . 3(p.5 Cf 1) 0 S 1 S
Site Address: Silz'j i� lj ) L1 ` - 4 r TU ILw\ LA— F° 1u Number: Floor:
Tenant Name: .AP>G )- ./-I -25 o1-s New Tenant: ❑ Yes ❑..No
Property Owners Name: Titwe, j 4 N1
Mailing Address: (9.22 5 5 15 s -- to 4„,,L...4
Name:
City
(�Pt `rn (Y?3
State Zip
Day Telephone:
Mailing Address:
State
E -Mail Address:
Company Name:
Mailing Address:
Li t"V6-
S
Sot.—a.2
City
Zip
Fax Number:
)_L C..
Contact Person:
E -Mail Address: ■*(\_cD p pv n.�.$av rN4-4, b\ jj', (--o�
Contractor Registration Number: FOC &ET-5s 9'2-0 J?i-k
City
Day Telephone:
Fax Number:
Expiration Date:
State
2 Cb -7- OCo
20Cu c'>('
1-247/to
Valuation of Project (contractor's bid price): $ l Q SC)
Scope of Work (please provide detailed information):
Fi-e-e4cry `3 _7- K
Will service be altered?
Type of Use:
T e of wor
New
❑ Low Voltage
Property Sery d by:
Puget Sound Energy
❑ Seattle City Light
�es ❑
❑ Addition
❑ Generator
No
9-c.v, T--
Adding more than 50 amps? ❑ Yes
❑ Service Change
❑ Fire Alarm
H:\Applications\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
IDate Application Accepted:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$152.85
$81.90 ea
$59.85 ea
❑ Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
Zr Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $ 10.50 ea
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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
-•r• ,-7--
Mailing Address:
Date:
Day Telephone: 2 Xo 2'- -SAS �C7
r c% 97/07
City State Zip
Date Application Expires:
Staff Initials:
H :\Appbcations\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
bh
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.: 3365900515
Address: 5630 S 147 ST TUKW
Suite No:
Applicant: LARSON RESIDENCE
RECEIPT
Permit Number: EL10 -0049
Status: PENDING
Applied Date: 01/25/2010
Issue Date:
Receipt No.: R10 -00115
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $54.60
Payment Date: 01/25/2010 02:01 PM
Balance: $0.00
PUGET SOUND SOLAR
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC -
Authorization No. 52275B
ACCOUNT ITEM LIST:
Description
54.60
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 54.60
Total: $54.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -25 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6t1ioDoq7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1z,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367!0
Project:
Type of Inspection:
Address:
5- /I7 5r-
Date Called:
Special Instructions:
Date Wanted:
3 , oo
a.m.
p.m.
Requester:
t
Phone No:
Approved per applicable, codes. 0 Corrections required prior to approval.`
COMMENTS:
Inspector: ripi 6 ,
Date: 03 / pf j O
LI $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:
�.,.;_'✓'...'�� K >t.,."�;..rx •cif "'*�^
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6u0 —oty7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36V0
Project: z.,A�70 / 6,5 -
Type of Inspection: 2 /Oo
Address: 567 i
3o5./'/ 5�_
Date Called:
Special Instructions:
Date Wanted:
3� I �
a.m
p.m. .
Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
3cA4 ti
Inspector: /r te I Date: 03 Ig I o
❑ $60.00 _REINS ECTION FEE RE UIRED. 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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
fL..4o-ooi
Project: % �,Q Q/�
tom'^ ` �� i \v✓
Type of Inspection:
700
\
Address:
.//P30 s,/175r.
Date Called:
Special Instructions:
Date Wanted:
��
//f
ap.•m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval. 7
COMMENTS:
(JCi4 1AJ
Inspector:
Date:
lu)
(0
ri $60.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
_ _ r
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
PUGET SOUND SOLAR LLC
2067061931
5308 BAKER AVE NW
SEATTLE
WA
98107
KING
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
602584534
ACTIVE
PUGETSS920RH
ELECTRICAL CONTRACTOR
12/8/2008
Expiration Date 12/8/2010
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
yp
Specialty 1
p y
Specialty
2
Effective
Date
Expiration
Date
Status
PUGETSS921 D4
PUGET
SOUND
SOLAR
LLC
ELECTRICAL
CONTRACTOR
RESIDENTIAL
UNUSED
3/24/2008
3/24/2010
OUT OF
BUSINESS
ADMINISTRATOR INFORMATION
License SMITHJJ925QQ
Name Smithson, Jeremy J
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
Smithson, Jeremy J
AGENT
12/08/2008
Burton, Pamela
PARTNER /MEMBER
12/08/2008
Smithson, Jeremy J
PARTNER /MEMBER
12/08/2008
https://fortress.wa.gov/lni/bbip/Detail.aspx
01/25/2010