HomeMy WebLinkAboutPermit EL11-0078 - BARNETT RESIDENCEBARNETT RESIDENCE
16416 53 PL S
EXPIRED
09 -12 -11
ELi 1 -0078
Parcel No.:
Address:
Tenant Name:
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
1670400206
14015 55 AV S TIIKW
BARNETT RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0078
02/02/2011
08/01/2011
Owner:
Name: BARNETT NATHAN C
Address: 16416 53RD PL S , TUKWILA WA 98188
Contact Person:
Name: KEN TOMBARGE
Address: 11304 215 AV E , BONNEY LAKE WA 98391
Contractor:
Name: K & A ELECTRIC INC
Address: 11304 215 AV E , BONNEY LAKE WA 98391
Contractor License No: KELECI *972BP
Phone: 253 - 831 -3980
Phone: 253 - 447 -4480
Expiration Date: 01/17/2013
DESCRIPTION OF WORK:
ALTERED SERVICE - INSTALL NEW 200 AMP LOADCENTER - ALTER 3 CIRCUITS
Value of Electrical Work: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $116.55
National Electrical Code Edition: 2008
LO,WL
Date: 9_ )-- (
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,f work. I am autho Wed to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name: 1� /Q. N ki e W J i '�
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.
Date/5 Z -UZ- //
doc: EL -9/09
EL11 -0078 Printed: 02 -02 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0078
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL11 -0078 Printed: 02 -02 -2011
Parcel No.:
Address:
Tenant Name:
Cityif 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
7796400190
1641653PLSTUKW
BARNETT RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0078
02/02/2011
08/01/2011
Owner:
Name: BARNETT NATHAN C
Address: 16416 53RD PL S , TUKWILA WA 98188
Contact Person:
Name: KEN TOMBARGE
Address: 11304 215 AV E , BONNEY LAKE WA 98391
Contractor:
Name: K & A ELECTRIC INC
Address: 11304 215 AV E , BONNEY LAKE WA 98391
Contractor License No: KELECI *972BP
Phone: 253 - 831 -3980
Phone: 253 - 447 -4480
Expiration Date: 01/17/2013
DESCRIPTION OF WORK:
ALTERED SERVICE - INSTALL NEW 200 AMP LOADCENTER - ALTER 3 CIRCUITS
Value of Electrical Work: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $116.55
National Electrical Code Edition: 2008
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 and agree to the conditions on the back
of this permit.
Signature:
Print Name: 4,/Q.
iv
am^
Date: al-02- -
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 -9/09
ELI 1-0078 Printed: 02 -02 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0078
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
E L 11 -0078 Printed: 02 -02 -2011
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. C L-� 1 `- 0 0-7e
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
40I S 55 a S°QTIU
� / _ I l �
Site Address: .3 2r ° '
Tenant Name:
Property Owners Name: C-0.-,fv (y tJ -` t" 4
Mailing Address: 1 (a y' (o 5 3 P). S o .
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
T11i<.WILA-
City
State
92 /YV
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 1‘04J 10106 c, -rc
Mailing Address: 1 1 3 U' ✓2
I< -1- 3 A (c v . (- v\
E -Mail Address:
Day Telephone: /A-6 - 3/- 3 y U
oiw1 -,.j I. a-z (n 59 (
City State Zip
Fax Number: ( - � ' t'(
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: (( h) (S A- P{ 64-S r
(9 A e 2LIA « rte, L
Contact Person: {�+ tt l
) OM� ��
E -Mail Address: l( A A I oL-Pc � '^'�"" -'
Contractor Registration Number: I e. cc' ) g 7 Z Ip
6i 1/4,44-Ai /
City State Zip
Day Telephone: Z5 " I - 3 9 �l
Fax Number: /(,° " <I Z S - O?0
Expiration Date:
Valuation of Project (contractor's bid price): $ i`, 0 v • `
(
4.-AC -
Scope of Work (please provide detailed information):
Will service be altered? es
Type of Use: re SI
Type of work:
❑ No Adding more than 50 amps? ❑ Yes
tg No
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
piPuget Sound Energy
❑ Seattle City Light
H: \Applications\Forms•Applications On Line\2010 Applications \7.2010 • Electrical Permit Applicetion.doc
bh
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Wo-s
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)
5t Service change with added /altered circuits $81.90
j 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)
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: (fn /r
Print Name:
Mailing Address: / 0 of r .4 E. •
Day Telephone:
Date: vL42/
V3/ .3,y0
6IV3�
Zip
State
IDate Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line\2010 Applications\7 -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.: 7796400190
Address: 16416 53 PL S TUKW
Suite No:
Applicant: BARNETT RESIDENCE
RECEIPT
Permit Number: EL11 -0078
Status: PENDING
Applied Date: 02/02/2011
Issue Date:
Receipt No.: R11 -00194
Payment Amount: $116.55
Initials: WER Payment Date: 02/02/2011 08:41 AM
User ID: 1655 Balance: $0.00
Payee: K & A ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
116.55
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 116.55
Total: $116.55
doc: Receiot -06 Printed: 02 -02 -2011
INS PE TION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 YL (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: / r
5 -
Type of Inspection:
rj 460
i
Address: Hot
S5 4-AI.
Date Called:
Special Instructions:
Date Wanted:.
00
p.nmv
��
Requester:
Phone No:
•
DApproved per applicable codes. D Corrections required prior to approval. /6'
COMMENTS:
�P
Inspector:
I IDate:
obi/ I
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
3
INSPECTION NO.
..I.NSPECTION RECORD ,
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: A g Nn i
6
Type of Inspection:
2-
Address:
/1/0/c'
446 4
Date Called:
...
Special Instructions:
Special
Date Wanted:
r
3 i )D
a r ,
P.m-
Requester:
Phone No:
1pApproved per applicable codes.
COMMENTS:
ElCorrections required prior to approval.
(loOder4- oa? r(n43F.
eirisitee
Date: 3/K r
ri REINSPECTION FEE REQUIRE ' . Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
a
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
0144
PERMIT NO:
CITY OF TUKWILA BUILDING DIVISION V-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: g 1+06 -
Type of Inspection:
DO
Address:
/1/K5c Ail-
Date Called:
Special Instructions:
Date Wanted:
/
i
Ciai
Requester:
Phone No:
1pApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
(/'(1 /6Ctf1A)
Inspector:
Date: 93A co ]r
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1
I
(Olt -dbt
INSPECTION RECORD
Retain a copy with permit RMIT N0:
INSPECTION NO. t,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: % i„
,0 ✓
Type of Inspection:
��
Address:
P101 5-(i•
Date Called:
Special Instructions: r
Date Wanted:
;
Im.
f f
I..'"m
Requester:
Phone No:
ElApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
gap cAtr .am) tAiktrt pAiC
'1 t CA/ -r) Se
P
Inspector jtii /frth'J6f\
Date:
Galt II
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be-
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspdction.
0161"• •.'R^.,3.. w . .....ff F. ••A0 a0. . .. •.. • • 'tl$am&
-: , :. City of Tukwila
08 -01 -2011
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
KEN TOMBARGE
11304215AVE
BONNEY LAKE WA 98391
RE: Permit No. EL11 -0078
14015 55 AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 09/12/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 09/12/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
'15a 11_
Bill Rambo
Permit Technician
File: Permit File No. EL11 -0078
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
City of Tukwila
•
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: /hvww.ci.tukwila.wa.us
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 02 ' U Z -- / / Plan Check/Permit Number:
t L- l 1- Do-10
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # / after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: d'lTe471 lbeS r (�Ck•G`!,
Project Address:
Contact Person:
Phone Number:
Summary of Revision:
cr N C-49-rte- 0,110recS 6-1J
press S /015 S S(. til
RECEIVED
CITVOFTUKWLA
1 FEB 02 2011
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of rev. •
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on
H:Wpplications \Forms - Applications On Line \2010 Applications \7 -2010 - Revision Submittal doc
Created: 9 -13 -2004
Revised: 7 -2010
Contractors or Tradespeople Peer Friendly Page
Electrical Contractor
A business licensed by LEI 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 K & A ELECTRIC INC UBI No. 602259163
Phone 2534474480 Status Active
Address 11304 215 Ave E License No. KELECI.972BP
Suite /Apt. License Type Electrical Contractor
City Bonney Lake Effective Date 1/17/2003
State WA Expiration Date 1/17/2013
Zip 98391 Suspend Date
County Pierce Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License TOMBAKW972BZ
Name TOMBARGE, KENNETH W
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
TOMBARGE, KENNETH W
Agent
01/17/2003
Bond Amount
TOMBARGE, KENNETH W
President
01/17/2003
LSM0021843
TOMARGE, ANGELA S
Secretary
01/17/2003
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
4
RLI INS CO
LSM0021843
12/13/2007
Until Cancelled
$4,000.00
12/12/2007
3
AMERICAN
CONTRACTORS
INDEMNITY
100014509
12/13/2006
Until Cancelled
12/13/2007
54,000.0012/08/2006
2
ACCREDITED SURETY
Et CAS CO
10035076
12/13/2004
Until Cancelled
12/13/2006
$4,000.0001/11/2005
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
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip/Print.aspx 02/02/2011