HomeMy WebLinkAboutPermit EL11-0352 - SONG RESIDENCESONG RESIDENCE
5129 S 164 ST
EXPIRED
10-19-11
EL1 1 -0352
Parcel No.:
Address:
Tenant Name:
City Itf 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
6818400130
5129 S 164 ST TUKW
SONG RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0352
Issue Date: 04/21/2011
Permit Expires On: 10/18/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
MEDGARD TANYA R +HARRISON TROY j
5129 S 164TH ST , SEATTLE WA 98188
LUCAS ALONSO Phone: 425 - 239 -0613
10425 9 PL SE , LAKE STEVENS WA 98258
IN -HOUSE ELECTRICAL SRVCS INC Phone: 425- 239 -0613
10425 9 PL SE , LAKE STEVENS WA 98258
Contractor License No: INHOUES952QG
Expiration Date: 11/16/2011
DESCRIPTION OF WORK:
REPLACE 125 AMP PANEL AND INSTALL 3 20 AMP 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:
Lt.—Al_ 1
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.
Signat
Print Name: L U CQ/21(2A.Sil
Date: 1/ Z1''1
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
EL11 -0352 Printed: 04 -21 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0352
* *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 -0352 Printed: 04 -21 -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. 'LL--1 \`
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
King Co Assessor's Tax No.: (p81 ) 11,0 " 0 t 3 0
Site Address:- _ / 2g .s /6 Y 1a Suite Number: Floor:
Tenant Name: hi Property Owners Name: iQ'I f049
Mailing Address: 5 / 2 t-‘4?-1-
New Tenant: ❑ Yes ❑..No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: -(IC4J 41O4o Day Telephone: &b)2YI'06/7
Mailing Address: 10Y2.5 o f L SF [ .k f v'/iJ 1&/4 911.3"
/ City State Zip
E -Mail Address: / .. /) / Cafe( ti 15 d (C f 7 c... ( ''1 Fax Numbe( (JO/7V O' i
ELECTRICAL CONTRACTOR INFORMATION
Company Name: l nr E lid cc. cc( .kA' / (1 c
Mailing Address: I DyU C r L l a k
c
Contact Person: Lucca A 1(74- 0 r
E -Mail Address: (J I /1 V, CA /v11�t'd<CFt . CGM
Contractor Registration Number: iA/id(ISI52 Vt
field) L4 5 w
City
State Zip
Day Telephone \729 279 L'6/ 7
Fax Numbercl( X7Y'JtZ
Expiration Date: y /17% 2._D/ 2
Valuation of Project (contractor's bid price): $ 7000
Sco a of Work (please provide detailed information):
C4.
/1144 7 ZO c t'I cl ( L
Will service be altered? 5t. Yes ❑ No
Type of Use:
Type of work:
❑ New 10 Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
HAApphcanons\Porms- Applications On Lme\2010 Applications \7 -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
3 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, fumace 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 $1 0.50 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:
Signatu
Print Name: L%ci /T /a4J0
Mailing Address: 1041r 543- f
L f
Date Application Accepted:
Date: 1 1 2-I/ 11
Day Telephone: (11 ZS) 2-35 -06/2
lAk ACA/74/ 1.(-4
ci ty State
Zip
Date Application Expires:
Staff Initials:
tApplications ■Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Apphcation.doc
bh
Page 2 of 2
1
•
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.tukwi la. wa. us
Parcel No.: 6818400130
Address: 5129 S 164 ST TUKW
Suite No:
Applicant: SONG RESIDENCE
RECEIPT
•
Permit Number: EL11 -0352
Status: PENDING
Applied Date: 04/21/2011
Issue Date:
Receipt No.: R11 -00770
Initials:
User ID:
WER
1655
Payment Amount: $116.55
Payment Date: 04/21/2011 11:06 AM
Balance: $0.00
Payee: LUCAS ALONSO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 010614
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: 04 -21 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION a'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 .r (206) 431 -3670
04352-
Permit Inspection Request Line (206) 431 -2451 r
Project:
ke5 •
Type of Inspection:
• :r.,*
Address: -}
Cal 3• /4/ ST-
Date Called:
Special Instructions:
10 - to : l v
Date Wanted: 07—•
a.m
m.
Requester:
Phone No:
0 Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
i(sokYitt
i4we\
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 641/2211
09 -01 -2011
• •
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
LUCAS ALONSO
10425 9 PL SE
LAKE STEVENS WA 98258
RE: Permit No. EL11 -0352
5129 S 164 ST 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 10/19/2011.
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 10/19/2011, 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,
A `.--- I
Bill Rambo
Permit Technician
File: Permit File No. ELI 1-0352
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pier Friendly Page
•
Electrical Contractor
A business licensed by L &I 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 IN -HOUSE ELECTRICAL SRVCS INC UBI No. 602548644
Phone 4252390613 Status Active
Address 10425 9Th Pl Se License No. INHOUES952QG
Suite /Apt. License Type Electrical Contractor
City Lake Stevens Effective Date 11/7/2005
State WA Expiration Date 11/16/2011
Zip 98258 Suspend Date
County Snohomish Specialty 1 Residential
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
INTECEC954D1
IN TECH ELECTRICAL
CONTRS INC
Electrical
Contractor
Residential
Unused
3/21/2005
3/21/2007
Expired
INTECEC973BS
IN TECH ELECTRICAL
CONTRACTORS
Electrical
Contractor
Residential
Unused
1/10/2003
1/14/2007
Out Of
Business
Master Electrician INFORMATION
License ALONSLJ974KR
Name ALONSO, LUCAS J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ALONSO, LUCAS
Agent
11/07/2005
Bond Amount
ALONSO, LUCAS JOHN
Partner /Member
11/07/2005
SB009001382
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
4
Ullico Casualty
Company
SB009001382
01/09/2010
Until Cancelled
$4,000.00
03/01/2010
3
PLATTE RIVER INS CO
41132333
01/09/2008
Until Cancelled
03/01/2010
$4,000.00
01/16/2008
2
PLATTE RIVER INS CO
41089785
10/21/2006
Until Cancelled
01/27/2008
$4,000.00
12/07/2006
1
ACCREDITED SURETY
& CAS CO
10042926
10/21/2005
Until Cancelled
12/10/2006
$4,000.0011/07/2005
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
Infractions /Citations Information
Infraction / Citation I Date I RCW Code
Type I Status I Violation Amount
https: // fortress .wa.gov /lni/bbip /Print.aspx
04/21/2011