HomeMy WebLinkAboutPermit EL11-0136 - ANGELIER RESIDENCEANGELIER RESIDENCE
5134 S 164 ST
ELi 1 -0136
Parcel No.:
Address:
Tenant Name:
City of 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
6818400030
5134 S 164 ST TUKW
ANGELIER RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0136
02/22/2011
08/21/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
ANGELIER MICHAEL J +LYNETTE M
5134 S 164TH ST , SEATTLE WA 98188
JOSHUA JACOBS
317 S 120 ST , SEATTLE WA 98168
EMERALD CITY ELECTRIC
317 S 120 ST , SEATTLE WA 98168
Contractor License No: EMERACE901JZ
Phone: 206 992 -4286
Phone: 206 992 -4286
Expiration Date: 04/09/2012
DESCRIPTION OF WORK:
125 AMP PANEL REPLACEMENT PLUS GROUNDING AND BORDING.
Value of Electrical Work: NRES:
$0.00 Fees Collected: $81.90
RES: $9-69 §t
Type of Fire Protection: SMOKE DETECTORS
Electrical Service Provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and ami
governing this work will be complied with,
The granting of this pe
construction or the o ce of w• -k. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
National Electrical Code Edition: 2008
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
o • not pre y - to give authority to violate or cancel the provisions of any other state or local laws regulating
Signatur
Print Name:
Date: #2//(
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 1-0136
Printed: 02 -22 -2011
PERMIT CONDITIONS
Permit No. EL11 -0136
* *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 -0136 Printed: 02 -22 -2011
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. `/ t
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: )(,' 7 5- /61.0 Vt' •
Tenant Name:
Property Owners Name: Lynn A
Mailing Address:
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor:
❑ Yes ❑ .. No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: C\r^Ichtii 3 ajo/S
Mailing Address: ,3/ 7 �. /20 • ( e
E -Mail Address:
Day Te ephone:( (mi) Yz -1/Zgo
e 44 9/6S
City
Fax Number:
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: eP /(/ 6,!t 3 fkC' f//`11 lL
Mailing Address: %/ 7 . 0-
Contact Person:
,),7e.o/:0
City State Zip
Day Telephone: (2°C6) ?, Z (10
E -Mail Address: eft/O PPO 1-jllekei1:t�C�L�; (.f i / • Fax Number:
Contractor Registration Number: �kk 1?'qp�, 1,0 l -Z Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): 1Z9 4frip Pvt..] lays 9Ifeu j ,I'
cI &41)t
otl 04\�12
Will service be altered? ❑ Yes jjo Adding more than 50 amps? ❑ Yes ,No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodelenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
ki Puget Sound Energy
❑ Seattle City Light
H:WpphcationsTorms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
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)
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 OWNE CTRICAL CONTRACTOR:
Signature: Date: ZZ (
Print Name: /204 (JS Day Telephone: Z
Mailing Address: 3(? S. S Sv// i
City
IDate Application Accepted:
22
Date Application Expires: I Staff Initials:
H:1Applications\Fortns- Applications On 'Line12010 Applications17 -2010 - Electrical Permit Application.doc
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Page 2 of 2
•
C 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.citukwila.wa.us
Parcel No.: 6818400030
Address: 5134 S 164 ST TUKW
Suite No:
Applicant: ANGELIER RESIDENCE
RECEIPT
Permit Number: EL11 -0136
Status: PENDING
Applied Date: 02/22/2011
Issue Date:
Receipt No.: R11 -00322
Payment Amount: $81.90
Initials: JEM Payment Date: 02/22/2011 11:12 AM
User ID: 1165 Balance: $0.00
Payee: EMERALD CITY ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 111144
ACCOUNT ITEM LIST:
Description
81.90
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 81.90
Total: $81.90
doc: Receiot -06 Printed: 02 -22 -2011
•
S•
INSPECTION RECORD
Retain a copy with. permit
INSPECTION NO. P RMIT NO.
. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd:, #100, Tukwila. WA 98188 ' (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: mci ft) OS •
Type of Inspection: 6''�
Address:
s' 5731/ 5. /4Py,5f;
Date Called:
Special Instructions:
Date Wanted:
34/
a.m.
en.,
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
t
tl
i:.
Inspector:
Date:
I t3D1/J
REINSPECTION FEE REQUIRESD. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd:; Suite 100. Call to schedule reinspection:
•
Contractors or Tradespeople Per 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
EMERALD CITY ELECTRIC
2069924286
317 S 120Th
Seattle
WA
98168
King
Limited Liability Company
Parent Company SOUTH SEATTLE ELECTRIC LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602994731
Active
EMERACE901JZ
Electrical Contractor
4/9/2010
4/9/2012
Residential
Unused
Electrical Administrator INFORMATION
License JACOBJM903B6
Name JACOBS, JOSHUA M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JACOBS, JOSHUA M
Partner /Member
04/09/2010
WOLD, KYLE
Partner /Member
04/08/2010
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
1
CBIC
S15820
04/09/2010
Until Cancelled
$4,000.00
04/09/2010
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 02/22/2011