HomeMy WebLinkAboutPermit EL10-0254 - FINDLAY RESIDENCEFINDLAY RESIDENCE
13765 MACADAM RD S
EL1 0-0254
CityliNf 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.: 3229200040
Address: 13765 MACADAM RD S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0254
Issue Date: 04/02/2010
Permit Expires On: 09/29/2010
Tenant:
Name: FINDLAY RESIDENCE
Address: 13765 MACADAM RD S , TUKWILA WA
Owner:
Name: CLENNA BRYAN Phone:
Address: 7703 39TH AVE S , SEATTLE WA
Contact Person:
Name: ROB KOCH Phone: 206 - 288 -4118
Address: PO BOX 25614 , SEATTLE WA
Contractor:
Name: SOLID GROUND ELECTRIC INC Phone: 206 - 228 -4118
Address: PO BOX 25164 , SEATTLE WA
Contractor License No: SOLIDGE959NH Expiration Date: 08/08/2011
DESCRIPTION OF WORK:
ADD 2 RECEPTACLES IN KITCHEN, INSTALL GFI'S IN KITCHEN AND BATH, RELOCATE
LAUNDRY RECEPTACLE WHERE NECESSARY, RECESS RANGE WIRE WHERE REQUIRED. ADD STAIR
LIGHT WITH 3 -WAY SWITCH.
Value of Electrical: NRES: $0.00 Fees Collected: $81.90
RES: $1,000.00
Type of Fire Protection: NON National Electrical Code Edition: 2008
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
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:
Date: / Z �D
Print Name: go KOC(+
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 -0254 Printed: 04 -02 -2010
Parcel No.: 3229200040
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
13765 MACADAM RD S TUKW
FINDLAY RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0254
ISSUED
04/02/2010
04/02/2010
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:
doc: Cond -Elec
EL10 -0254 Printed: 04 -02 -2010
CITY OF TUKWIL,
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:llwww. Cr. tkwila. a. us
Electrical Permit No. 0,4 0 �✓2
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
King Co Assessor's Tax No.:
Site Address: 13765 Macadam Rd S
Tenant Name: R
Property Owners Name: l-cac i 4 1161
Mailing Address: 0 -7 tc' 5 Mai (044,1
Suite Number:
New Tenant:
Floor:
❑ Yes
Stale
.. No
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Rob Koch
Mailing Address:
E -Mail Address:
PO Box 25614
Day Telephone: (206) 228 -4118
Seattle WA 98165
solidgroundelectric @msn.com
City State Zip
Fax Number: (206) 729 -1261
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Solid Ground Electric, Inc.
Mailing Address: PO Box 25164
Contact Person: Rob Koch
WA 98165
E -Mail Address:
solidgroundelectric @msn.com
Contractor Registration Number: solidge959nh
City
Day Telephone:
Fax Number:
State
(206) 228 -4118
(206) 729 -1261
Zip
Expiration Date: 08/08/2011
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information): Add 2 receptacles in kitchen, install GFIs in kitchen and
Bath, relocate laundry receptacle where necessary, recess range wire where required. %.D
5T -12 L I G1tr- w i 3- 1 l r-r t
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Tyne of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
ProperV Served by:
Puget Sound Energy
❑ Seattle City Light
HivApplicationsTorms- Applications On Line \2010 ApplicationsVI -2010 - Electrical Permit Applicauon.doc
bh
Pasco 1 of 2
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
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
m 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
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:
/ —c of
Mailing Address: Po - 80X 257 &L
Day Telephone:
City
Date: / - Z - w
Zola - zz8 -Ylle
State Zip
IDate Application Accepted: 41.10
Date Application Expires: /v /b
Staff Initials: m
H:\Applications \Forms - Applications On Line .2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Pase 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.: 3229200040 Permit Number: EL10 -0254
Address: 13765 MACADAM RD S TUKW Status: PENDING
Suite No: Applied Date: 04/02/2010
Applicant: FINDLAY RESIDENCE Issue Date:
Receipt No.: R10 -00563
Initials: BLH
User ID: ADMIN
Payment Amount: $81.90
Payment Date: 04/02/2010 01:01 PM
Balance: $0.00
Payee: ROB KOCH - SOLID GROUND ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 008192
ACCOUNT ITEM LIST:
Description
81.90
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 81.90
Total: $81.90
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 04 -02 -2010
is
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3671 INSPECTION RECORD eliO-W9t Retain a copy with permit
INSPECTI N No. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 1 Kt-5 •
Type of Inspection:
�O O
Address:
137
Date Called:
,--.,
Special Instructions:
Date Wanted:
6�
a.m.
p.m.
Requester:
Phone No:
1;6
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
,Tto5 iA
. h �
Inspector: "/
Date: 06/Zgif 0
IT $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:
14 .. n,._ .,!T+r.+:'424.aa4,4e wat�3�444^44zY.-]- !:'*?, v
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
6 o- 625y
PERMIT NO.
1R
(206)431 -3670
Q
Project: I
Azim ke5.
Type of Inspection:
vJ ink PDT .cQ v\J
- .17 8 oic 14 e6tIAA/41 PtAxa,65 rluD Rid
Address:
137rn5 ,4-CM)
Date Called:
6fa kia R .,wJDnC -n65
A G tJ LT" PiLo cxr ON k_(00112.6-0 R&
Special Instructions:
Date Wanted:
4/i/12-
A.m.
('"r
Requester:
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
— ` s&tC-- 'r $41-14 6F61 To S6 Mo Mh
vJ ink PDT .cQ v\J
- .17 8 oic 14 e6tIAA/41 PtAxa,65 rluD Rid
c3,! A.O. .-
M the - uOtad( CaC-Q t t6 R60Q t a
6fa kia R .,wJDnC -n65
A G tJ LT" PiLo cxr ON k_(00112.6-0 R&
nlonl - (Cl C at) Jot,T GtR_u(15
— PAr�f (-t, I Q:o Jnf D 14 c O .K ,
Inspector:
Date:
r7 $60.00 REINS ECTION FEE R QUIRED. Prior to inspec ion, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
640 ''/
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION iZ
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Alov
Type of Inspection:
7oo3
OKgo.no 4 us)
Address
Date Called:
ahiArA5
Special Instructions:
Date Wanted:
11/7/0
a.w,
(13.71
i
Requester:
64sucE clkwAip RoD,$
Phone No:
104 Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
OKgo.no 4 us)
(wet\ wort. 44,1>
ahiArA5
409- 64soge tre.4.655 To ilicit • /hi
LA s1D0.1 Ck1u
&JSi L.E 6.06469\ 6011, r rJor ,J 30*
-- 11w6 6.Cllr. Tz, vJa u4E A141>
64sucE clkwAip RoD,$
1
Inspector:
Date: 4/2,0/10
$60.00 REINSPrECTION 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 P j ier 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
Solid Ground Electric Inc
2067291266
Po Box 25164
Seattle
Wa
98165
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602523555
Active
SOLIDGE959NH
Electrical Contractor
8/8/2005
8/8/2011 •
Residential
Unused
ADMINISTRATOR INFORMATION
License KOCH *R *955M1
Name Koch, Rob
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Koch, Robert
Agent
08/08/2005
Grefsrud, Robert
President
08/08/2005
Grefsrud, Robert
Secretary
08/08/2005
Koch, Robert
Treasurer
08/08/2005
Koch, Robert
Vice President
08/08/2005
Bond Information
Page 1 of 1
Bond
1
Bond Company Name
CBIC
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
SG2329
07/29/2005
Until Cancelled
$4,000.00
08/08/2005
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 04/02/2010