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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 bh ❑ 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 6.5 Type of Inspection: �� Address826 / _ / Date Called: Special Instructions: Date Wanted: 7 %Zy / a rn Requester: Phone No: / .0 pApproved per applicable codes. ❑ Corrections required prior to appr COMMENTS: 6DkP6t�7v�IS rilPf 04 Km,. 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: �, Address: Date Called: C,,FGl PR.o Special Instructions: Date Wanted: 7740 a m a 1:),.., Requester: i nl Phone No: / - mfrreg5 ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: 11► "::'7` 60t)ZICA k. airitC, UG C,,FGl PR.o - MkS th" L P IJd I ,AJakKI4! '� - _ i nl 2 Z - mfrreg5 I�� k dr�a AT LA/ Sf2J Inspector: Date: 011Q/0 znidec 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 EU� -DZZW C�6 Project: -104zM of Type of Inspection: • �O0 Address: ` 3, 38 , S 1!/ Date Called: Date r Special Instructions: Date Wanted: /17 .m: Requester: Re q Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Y:5c4 4- Sci-k6DJa 474D koiro( 5 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 ao w PERMIT NO. CITY OF TUKWILA BUILDING DIVISION p-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project eim -z Kes. Type of Inspection: 7003 Addres /510 / 3V ,N-u. 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 0(4 kt 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 t to -o2Zi Project: UD,v2 5 KO Type of Inspection: 7 Address: /320 '. Date Called: hi at - /45T 4 62oJ nip (Lot)5 BEC. f ( Special Instructions: t}rC v.J6JT I4 ArPr Foot itc Date Wanted: �� a.m. p.m. Requester: Phone No: Approved per applicable codes. Ei Corrections required prior to approval. COMMENTS: 01( ' 5ftet)ICE hi at - /45T 4 62oJ nip (Lot)5 BEC. f ( t}rC v.J6JT I4 ArPr Foot itc I..,i A-5 Pod 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 0.0 -.T %5 wit/L./ '36 A ?L06u Address: /32q AV. 3R Date Called: - Cx7CA10K\ o Ltm r165 r4-lit AT i m Special Instructions: 453 1i o (1‘.1 i1Trd , j4 510r Date Wanted: 3/2 c Re q uester: Phone No: aApproved per applicable codes. Corrections required prior to approval. COMMENTS: ' — ARC F t,T. 01 -6 104 REQJt 1260 fO( Aik/ ,4O'J - GFc4 otT -T5 (J L -f Jld 0.0 -.T %5 wit/L./ '36 A ?L06u vJt1t 3-1.40-E be-cJlT) - V (.k C-% t4 D&./ %Al 55 r 'JG) titre.( - Cx7CA10K\ o Ltm r165 r4-lit AT i - 1-147 «I.iKol&p �^ f" , _•\571 l 50,4DIA1t1 A-i L-1/ 3tgd ic E LOC4floN eoJ4'r R6c,EPr, w f &O 36' JO Inspector: -Vrbc-44,61( 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