HomeMy WebLinkAboutPermit EL10-0337 - QUINSAY RESIDENCEQUINSAY RESIDENCE
4226 S 137 ST
EL1O-0337
CitAf 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.: 2612000090
Address: 4226 S 137 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0337
Issue Date: 05/06/2010
Permit Expires On: 11/02/2010
Tenant:
Name: QUINSAY RESIDENCE
Address: 4226 S 137 ST , TUKWILA WA
Owner:
Name: QUINSAY SANTIAGO Phone:
Address: 4226 S 137TH ST , TUKWILA WA
Contact Person:
Name: BRANDON PHILLIPS Phone: 425 773 -5041
Address: 820 103 DR SE , LAKE STEVENS WA
Contractor:
Name: PHILLIPS ELECTRIC LLC
Address: 820 103 DR SE , LAKE STEVENS WA
Contractor License No: PHILLEP926J8
Phone: 425 773 -5041
Expiration Date: 05/04/2012
DESCRIPTION OF WORK:
ELECTRICAL FOR BATHROOM ADDmON: (5) OUTLETS, (3) LIGHTS, AND (2) SWITCHES
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and Examl
governing this work will be complied with,
The granting of this
construction o
Signature:
Print Name:
Fees Collected: $54.60
National Electrical Code Edition: 2008
Date:il[0
ied this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
rformance of work. I am authorized to sign and obtain this electrical permit.
Date: °5 J(' %°
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 -0337 Printed: 05 -06 -2010
Parcel No.: 2612000090
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
4226 S 137 ST TUICW
QUINSAY RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0337
ISSUED
05/06/2010
05/06/2010
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: 6O I
doc: Cond -Elec
EL10 -0337 Printed: 05 -06 -2010
CITY OF TUKWIL•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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 **
Site Address: 922 (o S /3 71"" S
Tenant Name:
Property Owners Name: 53q t T/360 V Ar v S/q-
Mailing Address: /
King Co Assessor's Tax No.: 2.1:2 O7 O v 1/
` L#1 V" Suite Number: Floor:
New Tenant: ❑ Yes
El.. No
City
State
Zip
,..
NTACT PERSON "; Who to we contact when your permit is'ready .to. be issued ;
m_ i;, ;.,. . s .. •-••;,,,,,,,:'•••-,`••.'•••.el p one. . -.`. •.. i 7'�.. �G� •DayTeh 4Zs) /
Mailing Address: 2-P 1 b 3 V-9 `X-C-.. 5 Z' L t< S 'c Z��N) %�f Z
S Er
\ n City
E -Mail Address: ebYG.. vDG t" - • �' `' S7 6-1-"e::"-61-4"t GC • ipexci.lumbe
Name:
'-ELECTRICAL CONTRA'CTOR hNFORMATIO
State Zip
Company Name: ,1\ I \es' E L &C1' ■ C_
Mailing Address: q2-C)
\ C) -5\1 -P ,1� ∎(C.— 9 L ),- Se w S tj q �f 2 S
11 1 City State Zip
Contact Person: c7) YGhCJc'►^ 1 �'V� I,. Day Telephone:C Z S �— 773 -S�0 �/ /
E -Mail Address: :)Y[.w1 +^ • �� \■ S' It'— L C-eTYL �� OVA / "'Fax Number:
Contractor Registration Number: ?in ; `� Z q 26 -3 g- Expiration Date: / �`� 0
Valuation of Project (contractor's bid price): $ 2 i 3C-62
Scope of Work (please provide detailed information): fitr 4' i )4370 1 T�Uv� / �i U-t--TC
T, lC f- ✓a-a -' 0 re 1fz-5
Will service be altered? V Yes �o
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:\Applications\Forms- Applications On Line \20I0 Applications \I -2010 - Electrical Permit Application.doc
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Page 1 of 2
Adding more than 50 amps? ❑ Yes
No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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 $81.90
number of added circuits $11.55 ea
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)
IDate Application Accepted:
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:
Mailing Address:
Lk
Date: 516 / 0
Day Telephone: (4/ S — 7 7 3 — So z/
S% C'JE.c..- 5
City
State Zip
Date Application Expires:
Staff Initials: d..0---
H:\Applications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
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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.: 2612000090
Address: 4226 S 137 ST TURIN
Suite No:
Applicant: QUINSAY RESIDENCE
RECEIPT
Permit Number: EL10 -0337
Status: PENDING
Applied Date: 05/06/2010
Issue Date:
Receipt No.: R10 -00779
Payment Amount: $54.60
Initials: JEM Payment Date: 05/06/2010 08:47 AM
User ID: 1165 Balance: $0.00
Payee: PHILLIPS ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
54.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 54.60
Total: $54.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 05 -06 -2010
INSPECTION RECORD au) �Retain a copy with permit 3
INSPE@TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 ;3670
Project: avJ9 K3-
Type of Inspection:
2 /co
�
Address: is
Date Called:
Special Instructions:
Date Wanted:
S 07
a.m
p.m.
Requester:
Phone No:
7:1
COMMENTS:
Approved per applicable codes. Corrections required prior to approval.
,PgECt'Ion15 ►w4k
OK -rfAi,
Inspector:
efiNijel
Date: 0510 1
Jv
❑ $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fed must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Contractors or Tradespeoplenter Friendly Page
•
Electrical Contractor
A business licensed by LEl 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
Phillips Electric Llc
4257735041
820 103Rd Dr Se
Lake Stevens
Wa
98258
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602821889
Active
PHILLEL926J8
Electrical Contractor
4/28/2008
5/4/2012
Residential
Unused
ADMINISTRATOR INFORMATION
License PHILLBL923JS
Name Phillips, Brandon L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Phillips, Brandon L
Partner /Member
04/28/2008
Bond Amount
Phillips, Lorissa G
Partner /Member
04/28/2008
105240355
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
2
TRAVELERS CAS &
SURETY CO
105240355
04/18/2009
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
04/13/2009
1
PLATTE RIVER INS CO
41132719
04/18/2008
Until Cancelled
06/14/2009
$4,000.00
04/28/2008
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EAARG00257
7/31/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EAARG00254
7/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EAARG00253
7/30/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 05/06/2010