HomeMy WebLinkAboutPermit EL10-0228 - GONZALEZ RESIDENCEGONZALES RESIDENCE
13264 38 AV S
EL1 0-0228
City0f 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.ci.tukwila.wa.us
Parcel No.: 7340600920
Address: 13264 38 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0228
Issue Date: 03/22/2010
Permit Expires On: 09/18/2010
Tenant:
Name: GONZALES RESIDENCE
Address: 13264 38 AV S , TUKWILA WA
Owner:
Name: GONZALEZ SIDNEY P Phone:
Address: 13264 38TH AVE S , SEATTLE WA
Contact Person:
Name: CHRIS MOE Phone: 253 - 606 -6439
Address: PO BOX 849 , SUMNER WA
Contractor:
Name: EVERGREEN STATE ELECTRIC INC Phone: 253 770 -0656
Address: PO BOX 849 , SUMNER WA
Contractor License No: EVERGSE066JA Expiration Date: 04/01/2010
DESCRIPTION OF WORK:
WIRE NEW SINGLE FAMILY RESIDENCE AND LOW VOLTAGE SECURITY SYSTEM
Value of Electrical: NRES: $0.00
RES: $1,000.00
Type of Fire Protection: UKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition: 2008
$212.70
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 rformance of wg1k. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:3' Z2 (v
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
EL10 -0228 Printed: 03 -22 -2010
Parcel No.: 7340600920
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
13264 38 AV S TUKW
GONZALES RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0228
ISSUED
03/22/2010
03/22/2010
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 m 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: Date: (0
Print Name: gY\114/0
doc: Cond -Elec
EL1 0-0228
Printed: 03 -22 -2010
CITY OF TUKIL.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
EL --10- 0,1,g
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
Site Address:1 3 2 6 4 3 8th Ave S
King Co Assessor's Tax No.: 7 3 4 0 6 0 0 9 2 0
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
Property Owners Name: Harlan Perkins
Mailing Address: 21211 95th Ct S
Kent, WA 98031
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Chris Moe C/0 Evergrt en S1-M- i 1 ci-ri r- Day Telephone: (2 5 3) 6 0 6 —64 3 9
Mailing Address: PO Box 849
E -Mail Address: wired2(dnet— vPnt-urP_ern
Simmer, WA 98390
City state
Fax Number: ( 253 ) 770 -1767
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Evergreen State Electric, Inc
Mailing Address: PO Box 849
Contact Person: Chris Moe
Sumner, WA 98390
E -Mail Address: wired2 @net — venture.com
Contractor Registration Number: EVERGSE066JA
City State
Day Telephone: ( 253) 606 -6439
Fax Number: ( 253 ) 770 -1767
Expiration Date: 04 -01 -7010
Valuation of Project (contractor's bid price): $ 1)600.00
Scope of Work (please provide detailed information): Wire new single family residence
Will service be altered? ❑ Yes No
Adding more than 50 amps? ❑ Yes No
Type of Use: Single Family DwP] 1 i ng SeCLLri4)I Sip-+en i
Type of work:
® New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
® Puget Sound Energy
❑ Seattle City Light
H:\ pplicatioasWonwApplicatiom On Line4S-2007 - Electrical Pen ht Applcation.doc
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❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE $ 1 N S5
.s,�New single family dwellings p"' -"
(including an attached garage)
Garages, pools, spas and outbuildings $75.00 ea
Low voltage systems
(alarm, furnace thermostat) $54 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 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:Fetill #h
Mailing Address: Pn Pre 849
. : 3Jaa /,o
Day Telephone: ( 253)606 -6439
SumnPrr 114 98 -90
City State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: Applications\Fomts- Applications On Linel4 -2007 - Electrical Permit Appticationdoc
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
RECEIPT
Parcel No.: 7340600920 Permit Number: EL10 -0228
Address: 13264 38 AV S TUKW Status: PENDING
Suite No: Applied Date: 03/22/2010
Applicant: GONZALES RESIDENCE Issue Date:
Receipt No.: R10 -00496 Payment Amount: $212.70
Initials: WER Payment Date: 03/22/2010 08:58 AM
User ID: 1655 Balance: $0.00
Payee: EVERGREEN STATE ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
•
Payment Check 09971 212.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 212.70
Total: $212.70
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 03 -22 -2010
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 -3670
6,,Oozi8
Project:60 /7
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Type of Inspection: ��
Address826 /
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Date Called:
Special Instructions:
Date Wanted:
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Requester:
Phone No:
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pApproved per applicable codes. ❑ Corrections required prior to appr
COMMENTS:
6DkP6t�7v�IS rilPf
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Date:
0 7/2zli?
ri $60.00 REIN PECTION 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
ha-Da
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION (2--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: .. i4 z /J6 -
Type of Inspection:
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Address:
Date Called:
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Special Instructions:
Date Wanted:
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Requester:
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Phone No:
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❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
011Q/0
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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:
' INSPECTION,, RECORD
Retain a copy with permit
INSPEI ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1?7
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
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Project: -104zM of
Type of Inspection: • �O0
Address: ` 3, 38 ,
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Date Called:
Date
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Special Instructions:
Date Wanted:
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Requester:
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Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:`
/ Date: 67/07 /o
ri $60.00 REINS ECTION 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
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PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION p--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project
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Type of Inspection:
7003
Addres
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Date Called:
Special Instructions:
Date Wanted:
3 3�
a.m.
p.m
Requester:
Phone No:
igl Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Cotj��c,1ro4.S na-De
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Date:
03/30/1 0
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
rri
Receipt No.:
Date:
. - .,_.,.•-- xY`t..s_...a3, :...fib+, _.es)29,4 36u
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 -3670
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Project: UD,v2
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Type of Inspection:
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Address: /320
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Date Called:
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Special Instructions:
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Date Wanted:
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a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Ei Corrections required prior to approval.
COMMENTS:
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t}rC v.J6JT I4 ArPr Foot itc
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Inspector:ci\
Date:
3#5110
ri $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-RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION i
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
96
Project: 60/12.44.45 Re5 •
Type of Inspection:
76D3
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Address:
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Date Called:
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Special Instructions:
453 1i o (1‘.1
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Date Wanted:
3/2 c
Re q uester:
Phone No:
aApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: '
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Inspector:
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Date:
0325, 0
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:
Contractors or Tradespeople Pr ter Friendly Page
•
Page 1 of 2
Electrical Contractor
A business licensed by L &I 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
Evergreen State Electric Inc
2537700656
Po Box 849
Sumner
Wa
98390
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601521666
Active
EVERGSE066JA
Electrical Contractor
4/1/1994
4/1/2012
General
Unused
ther Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGSE066BG
Evergreen State
Electric Co
Electrical
Contractor
General
Unused
1/7/1994
1/7/1996
Archived
EVERGSE123KK
Evergreen State
Electric Co
Electrical
Contractor
Residential
Sign
5/12/1988
5/12/1994
Archived
EVERGSE123CA
Evergreen State
Electric Co
Electrical
Contractor
Residential
Unused
2/1/1988
2/1/1990
Archived
MASTER ELECTRICIAN INFORMATION
License CHAMBM *977KG
Name Chamberlin, Mitchell
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Chamberlin, Mitchell
ttNbsp;
01/01/1980
Chamberlin, Lynda K
ttNbsp;
01/01/1980
Chamberlin, Lynda
Agent
01/01/1980
Smith, Faith
Secretary
07/28/2005
Wilkinson, Jessica
Secretary
07/28/2005
Mcbride, Tom
Secretary
07/28/2005
03/16/2010
Bond Information
https: // fortress .wa.gov /lni/bbip/Print.aspx
03/22/2010