HomeMy WebLinkAboutPermit EL10-0344 - ANDERSON RESIDENCEANDERSON RESIDENCE
13057 56 AV S
EL 10-0344
City* 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: / /wwwci.tukwila.wa.us
Parcel No.: 2172000075
Address: 13057 56 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0344
Issue Date: 05/07/2010
Permit Expires On: 11/03/2010
Tenant:
Name: ANDERSON RESIDENCE
Address: 13057 56 AV S , TUKWILA WA
Owner:
Name: MALONE CATHERINE P Phone:
Address: 13057 56TH AVE S , TUKWILA WA
Contact Person:
Name: NAIDA KHAN Phone: 360 945 -2787
Address: 1345 GULF RD , POINT ROBERTS WA
Contractor:
Name: WASHINGTON ENERGY SERVICES Phone: 206 282 -4700
Address: 2800 THORNDYKE AV W , SEATTLE WA
Contractor License No: WASHIES971 OD Expiration Date: 09/04/2011
DESCRIPTION OF WORK:
ELECTRICAL FOR GAS FURNACE
Value of Electrical:
Type of Fire Protection:
NRES: $1,500.00
RES: $0.00
SMOKE DETECTORS
Electrical Service provided by: SEATTLE CITY LIGHT
Fees Collected: $54.60
National Electrical Code Edition: 2008
,
Permit Center Authorized Signature: i Date: 11/40
I hereby certify that I have read and
governing this work will be complie
ed this permit and know the same to be true and correct. All provisions of law and ordinances
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
constructio • e = - rformance of work. I am authorized to si d obtain this electrical permit.
Signature: ��' � Q Q Q %L Date: t { ��
Print Name: `f� t-r9- k'e ""
This permit shall b` ecome 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.
MtlakoWt v.
doc: EL -4/07
EL10 -0344 Printed: 05 -07 -2010
Parcel No.: 2172000075
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
13057 56 AV S TUKW
ANDERSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0344
ISSUED
05/07/2010
05/07/2010
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: �. ` "` V \ ov v\
Date:
doc: Cond -Elec
EL10 -0344 Printed: 05 -07 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //4vww. ci. tkwila. 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: I �/0S +
Tenant Name:
Property Owners Name: Tam
Mailing Address:
King Co Assessor's Tax No.: ' V3- 2 000075- 0
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
-1--u % V1 LA- 'vt - '1 fig'
City State Zip
CUNTA�C PER ON ° Whu do e.s ntactbwben Your perm∎t ad oY be iue'd
.:,1,f., ..L:.. .a.i. A-0M'7Y..ri '•`'`? .T'�.�`F- ,�,,��.`S:a!':f5,�t��A . ..v...,'�.,f�. n�. f�i...sY... tL��sv'�B'r.'�` =�
Name: 14111)/4- �C $114"►'v. / i W 1��,� Day TTeleephone: - (VOW S c`,� '►'is
Mailing Address: L 3�-t'� � [ -F F' 1 F 7_% 2 W `. Z
—2- CF ceES L t J
E -Mail Address: V �T t" ' l Fax Number: 3 J
Company Name:
Mailing Address:
II AA_4: ! . id
n City �� 3- L S (�f p I ,,
Contact Person: ��' I�-� Day Telephone: O `(1..� lSL3
E -Mail Address: Fax Number:
Expiration Date: g t z l L I
Contractor Registration Number:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
gleciA-cak_ (Da.0
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes No
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:WpplicationsWorms- Applications On Line4-2007 - Electrical PemritApplicationdoc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 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
lll/// ��� (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.APP.LICAIIION NOT
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 OrR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
1-csr1 YVI, I 1 Vl,O vl�
Mailing Address S Ct_A-
IDate Application Accepted:
Date:
Day Telephone: 2—S 3 — 200 -�'l b'Z,
g- 3 5s C.. A F
City State Zip
os /An Ii,o
Date Application Expires:
Staff Initials:
H: Applications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc
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Page 2 of 2
SET RECEIPT
RECEIPT NO: R10 -00795
Initials: JEM Payment Date: 05/07/2010
User ID: 1165 Total Payment: 392.45
Payee: WASHINGTON ENERGY SSERVICES COMPANY
SET ID: S000001378 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL10 -0344
M10 -061
PG10 -057
TOTAL:
Amount
54.60
241.25
96.60
54.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6243 392.45
TOTAL: 392.45
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
GAS - NONRES
MECHANICAL - RES
000.322.101.00.0
000.322.103.00.0
000.322.102.00.0
54.60
96.60
241.25
TOTAL: 392.45
PAYMENT
RECEIVED
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
610-031111-
PERMIT,NO.
1
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project
/ /)
Type of Inspection:
Address:
13057
56
.5.
Date Called:
Special Instructions:
.
Date Wanted:
a r
P.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. ,if
OM M ENTS:
(49. 1-ekfV)Ai5 riPsDE
Inspector: excitiV
Date: 67 012/10
$60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ir� �Jnl61\
Receipt No.:
Date:
INSPECTIONRECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Ft2-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
610-031ty
(\6
Project:
5VA/ keSType
of Inspection:
/DO
FL L 1() 4r19 3IJPR R Y R €QJ( +, g R
Address: � 5b5 7 56 41/..
Date Called:
--�
Special Instructions:'
Date Wanted:
/ /t,k
q.rr�,,
m.
Requester:
r
Phone No:
Approved per applicable codes.
14 Corrections required prior to approval.
COMMENTS:
K -4. 564-(/ g(JiRR /A) 5a ti .E
r fikt,05 d2E 3- go%
- etto44441 een,- PP.EcrtaJ (r6r*t.
FL L 1() 4r19 3IJPR R Y R €QJ( +, g R
RaM bUT ,1OIsr sP4a -ro
rJ Ac6
6C114
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 06/#0
Receipt No.:
Date:
N
Contractors or Tradespeople Peter Friendly Page
Page 1 of 2
Electrical Contractor
A business licensed by L&tI 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
Washington Energy Services Co
2062824700
2800 Thorndyke Ave W
Seattle
Wa
98199
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602320560
Active
WASHIES971 OD
Electrical Contractor
9/4/2003
9/4/2011
General
Unused
her Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
WASHIES009MC
Washington Energy
Services
Electrical
Contractor
General
Unused
7/3/2000
7/3/2002
Archived
NORTHWH099JZ
Northwest Water
Heater Inc
Electrical
Contractor
General
Unused
4/9/1991
4/9/2001
Archived
WASHIES997N8
Washington Energy
Services Co
Electrical
Contractor
General
Unused
8/28/2001
8/28/2005
Out Of
Business
ADMINISTRATOR INFORMATION
License CRISMTS935R0
Name Crisman, Travis S
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Freidberg, Dan
Agent
09/04/2003
Olson, Craig
President
09/04/2003
Heagle, Randy
Secretary
09/04/2003
Christianson, Steve
Treasurer
09/04/2003
Olson, Vern
Vice President
09/04/2003
Bond Information
'Bond
Bond Company NamelBond Account Number
Effective DatelExpiration Date
Cancel Datellmpaired Date
https://fortress.wa.gov/lni/bbip/Print. aspx
05/07/2010