HomeMy WebLinkAboutPermit EL10-0607 - PANELA RESIDENCEPANELA RESIDENCE
5341 S 140 ST
EL1O-0607
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: / /www.ci.tukwila.wa.us
Parcel No.: 1670400215
Address: 5341 S 140 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0607
Issue Date: 07/28/2010
Permit Expires On: 01/24/2011
Tenant:
Name: PANELA RESIDENCE
Address: 5341 S 140 ST , TUKWILA WA
Owner:
Name: ANDERSON MICHAEL R Phone:
Address: 5341 S 140TH ST , TUKWILA WA
Contact Person:
Name: KAREN MCCABE Phone: 253- 631 -7750
Address: PO BOX 59284 , RENTON WA
Contractor:
Name: PROVIDENT ELECTRIC INC Phone: 253 631 -7750
Address: PO BOX 59284 , RENTON WA
Contractor License No: PROVIEI103C2 Expiration Date: 02/22/2012
DESCRIPTION OF WORK:
REPAIR AND /OR REPLACE 20 CIRCUITS AND PARTS IN EXISTING 100 AMP SQUARE D PANEL
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$98.70
National Electrical Code Edition: 2008
Date: - - U— - 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 of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: -2^ •0 l c)
Print Name: j vt `) Jd LA ck) , ( P(�
This permit shall becom6 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 0-0607 Printed: 07 -28 -2010
•
City of Tukwila
h z 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.:
Address:
Suite No:
Tenant:
1670400215
5341 S 140 ST TUKW
PANELA RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0607
ISSUED
07/28/2010
07/28/2010
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:
L
r
Date: 2. "16
doc: Cond -Elec
ELI 0-0607 Printed: 07 -28 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. i. O O (o 0 7
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:
5 3 41 s, i`I-0411
Tenant Name: Po 6er fPa.we. &_
Property Owners Name: Pa/we/La—
Mailing Address: JS3t-%( s. (404P)- St.
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
ko7 0 o - DPI
Floor:
❑ Yes ❑..No
City State
Zip
1
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
2av-evi.
Mailing Address:
Po Fox
Day Telephone: .2 S 3-4,31
Zen-kyr-1 ova.
-775o
J
geob-g
City State
E -Mail Address: Fax Number: .-q55-6?-31-
Zip
77 54
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Provcd.ev1t Elec- •-ic,
Po 'fox- &gzgq-
�/I �,o ,, City
Contact Person: �. �/►�.v Day Telephone:
E -Mail Address: n �, Fax Number:
Contractor Registration Number: P2oV I e l 10.3( 2-- Expiration Date:
lrtic- •
Pen +a9n
w� g806g
253- ta (o-3)- 71 / 50
a5S - 031- 775
- -ao( L
Valuation of Project (contractor's bid price): $ 750. D
Scope of Work (please provide detailed information):
C, &CAA-C to
10Pa_ .f. /� . R.2 .
Will service be altered? ❑ Yes la No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
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Page 1 of 2
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel
❑ Telecommunication
. Tenant Improvement
❑ Temporary Service
1
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 CHANCES
❑ 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)
0. 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 $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: 12am,(A., 1C,
Print Name: ka,ren
Mailing Address: Po aoK 641 Z$'
Day Telephone:
City
Date: 7 -- -160
A53-4.61- 7750
W4 go 6g
State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
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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
RECEIPT
Parcel No.: 1670400215 Permit Number: EL10 -0607
Address: 5341 S 140 ST TUKW Status: PENDING
Suite No: Applied Date: 07/28/2010
Applicant: PANELA RESIDENCE Issue Date:
Receipt No.: R10 -01436 Payment Amount: $98.70
Initials: WER Payment Date: 07/28/2010 01:38 PM
User ID: 1655 Balance: $0.00
Payee: PROVIDENT ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2150 98.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 98.70
Total: $98.70
N
RECFI\IED
doc: Receiot -06 Printed: 07 -28 -2010
INSPECTION RECORD
Retain a copy with permit/0
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 14
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project � � �
�� �
Type of Inspection: �O�/ V
Ad es�
�? �1 .S ��D
S7
Date Called:
._
Special Instructions:
Date Wanted: (� /V] 0/1/, `
a:m
.
Requester:
Phone No:
roved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspecto %1-' 4fff6fl
Date
7/0
D $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:
.�., ,.,- _��ti.�_.,.._ a u- �.r`,..- r- .- ". rt' S ^--'�a" ^.r,r+,._.._.r�.t�.`t.r r...,.^.'-:"ti.r^"'�,..'�. ._._.v.w.�t. ✓ :n= ,.,.�.'...".-,__ _ _cam:.
INSPECYION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
fciD-ot.0
PERMIT NO.
(206)431 -3670
Project: g,6.
Type of Inspection: 7eti-
• 5 g01 Jrraa.6v Rf h
Address: 5-3 1 3 . /10 5 r
Date Called:
Special Instructions:
Date Wanted:
OS
a:m:
Requester:
Phone No:
❑ Approved per applicable codes.
igiCorrections required prior to approval.
COM M ENTS:
-.1 /H /`U0_ �_
• 5 g01 Jrraa.6v Rf h
Date: Dv /05 %r0
4RiuNb k 6 0-4 E � Jc
RED W
S( c C
(
i±4
S FEE aF Ut i-Nitsic‘
A
Inspector:
-.1 /H /`U0_ �_
(
Date: Dv /05 %r0
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:
i
Contractors or Tradespeople titer Friendly Page
1
Page 1 of 2
Electrical Contractor
A business licensed by Lal 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
PROVIDENT ELECTRIC INC
2536317750
Po Box 59284
Renton
WA
98058
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601217805
Active
PROVIEI103C2
Electrical Contractor
2/22/1990
2/22/2012
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PROVIE *133P7
PROVIDENT
ELECTRIC
Electrical
Contractor
General
Unused
10/27/1987
10/27/1991
Archived
PROVIE *159MC
PROVIDENT
ELECTRIC
Electrical
Contractor
Residential
Unused
7/3/1985
5/31/1989
Archived
MASTER ELECTRICIAN INFORMATION
License OLSONA *971 OW
Name OLSON, ALAN
Status Active
Business Owner Information
1
Name
Role
Effective Date
Expiration Date
OLSON, ALAN W
01/01/1980
OLSON, JUDY E
01/01/1980
SHEWCHUK, ALLAN S
01/01/1980
SHEWCHUK, ELIZABETH A
01/01/1980
MICHAEL REGEIMBAL INC
Agent
01/01/1980
Bond Information No records found for the previous 6 year period
Assignment of Savings Information
https://fortress.wa.gov/lni/bbip/Print.aspx
07/28/2010