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HomeMy WebLinkAboutPermit EL10-0233 - WOODS RESIDENCEWOODS RESIDENCE 3924 S 117 ST EL 10-0233 Cityllif 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.: 7340600180 Address: 3924 S 117 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0233 Issue Date: 03/23/2010 Permit Expires On: 09/19/2010 Tenant: Name: WOODS RESIDENCE Address: 3924 S 117 ST , TUKWILA WA Owner: Name: WOODS JESSE +VICTORIA LYNN Phone: Address: 3924 S 117TH , SEATTLE WA Contact Person: Name: JOSH BRUNS Phone: 206 - 931 -4395 Address: 1225 N 43 ST , SEATTLE WA Contractor: Name: MIRSKY ELECTRIC INC Phone: 206 - 230 -8293 Address: 1225 N 43 ST , SEATTLE WA Contractor License No: MIRSKEI964D2 Expiration Date: 03/22/2012 DESCRIPTION OF WORK: REPLACE SERVICE PANEL DUE TO FIRE DAMAGE Value of Electrical: NRES: $0.00 Fees Collected: $81.90 RES: $1,300.00 Type of Fire Protection: UNKOWN National Electrical Code Edition: 2008 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Lk)-- Date: 0 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 work. I am authorized t _ ign and obtain this electrical permit. • Signature: Print ame: Date: 3 ? - /G 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 0-0233 Printed: 03 -23 -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 7340600180 3924 S 117 ST TUKW WOODS RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0233 ISSUED 03/23/2010 03/23/2010 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: Date: Print Name: J e-C h 41% ., /15 doc: Cond -Elec ELI 0-0233 Printed: 03 -23 -2010 CITY OF TUKWIL4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.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 ** Site Address: 76/c)1/ '� //7 57 Tenant Name: T O Li /7 L✓ed S Property Owners Name: -Tel h 1-1.1.09oW Mailing Address: .3'%( 4' ,6 a7 x 1 7 > /(L✓os / v✓' v King Co Assessor's Tax No.: - 3 L{ d LOO — 01 SO Suite Number: Floor: M� I r% New Tenant: ❑ Yes IA. No igl‘e City CONTACT PERSON 'Who do we co.ntacf when your Permit is ready; to be tss'ued Name: Tes 4 `G �drat/ S ,, / Mailing Address: 70 d � 4 t/1 '3-dS 7e. E -Mail Address: ,ro,s h .6%'jt1 (5ty e /Cr.7',' - c Company Name: A4 //2.512/ jE(ec 7 (1, Mailing Address: /do4 / " 43(--'' j Contact Person: -.�O S 4 State Zip Day Telephone: a ©6 5-e/4 is,ig .907/03 City State Zi Fax Number: ��9 ;- 2 q-- \0 ' ' E -Mail Address: f54 Cc '- Contractor Registration Number: /tS PJ O'"[ e4 SPti p Day Telephone:,,,,,,occ��I��a�' Fax Number: Expiration Date: 3 /p( Nll C2 State Zi Valuation of Project (contractor's bid price): $ , _OD 0 0 Scope of Work (please provide detailed information): Jk) e f /G1 c e ( (nice- 1)4 i 4 e) Will service be altered? ❑ Yes g No Adding more than 50 amps? ❑ Yes No Type of Use: . . Type of work: ?me/ be ❑ New ❑ Addition /�a Service Chan ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added /altered circuits number of added circuits ❑ Circuits added/altered without service change (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) $81.90 $11.55 ea $54.60 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' 4 p Print ► .. -; - 4 6t wh5 ng Address: I o U - N 11�� Day Telephone: City Date: eVol i //O ‘9. `� State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line \2010 Applications\ I -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.: 7340600180 Address: 3924 S 117 ST TUKW Suite No: Applicant: WOODS RESIDENCE RECEIPT Permit Number: EL10 -0233 Status: PENDING Applied Date: 03/23/2010 Issue Date: Receipt No.: R10 -00503 Payment Amount: $81.90 Initials: WER Payment Date: 03/23/2010 09:01 AM User ID: 1655 Balance: $0.00 Payee: MIRSKY ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 00507D ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 P/WMENT R doc: Receiot -06 Printed: 03 -23 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION L duo -0233 6300 So thcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Project: ( fi1.V6w�, � Type of Inspection? 2 /.... 00 Address: 31v-1 5M-15r. Date Called: Special Instructions: Date Wanted: 2, j "� a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. "Z COMMENTS: h/- Inspector: i f � Date: 0 3/24 i 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: . ,1!..�,_ _ _ � .J- . ' w- -....� v" w. • 'l: mr= r.' ir- s" �,, wV ': "v.�^':."Sl.7L,.c't�sy- ?-Ye;. y -.,, -: vJ''';�• a.i ^- �L� -c_� - ^z...._� Contractors or Tradespeople Prjgter Friendly Page • 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 Mirsky Electric Inc 2062308293 1225 N 43Rd St Seattle Wa 98103 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601763048 Active MIRSKEI964D2 Electrical Contractor 3/22/2004 3/22/2012 General Unused nses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ACTIOE503568 Action Electrical Services Inc Electrical Contractor General Unused 1/28/1997 1 /28/2005 Out Of Business MASTER ELECTRICIAN INFORMATION License MIRSKD'974JG Name Mirsky, Darrell Status Active Business Owner Information Name Role Effective Date Expiration Date Mirsky, Darrell Agent 03/26/2004 Mirsky, Darrell President 03/26/2004 Mirsky, Hazel R Secretary 12/21/2006 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SA6890 03/26/2004 Until Cancelled $4,000.00 03/26/2004 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type https: // fortress .wa.gov /lni/bbip /Print.aspx 03/23/2010