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Home My WebLink AboutPermit EL11-0421 - SMITH RESIDENCESMITH RESIDENCE 10397 BEACON AV S EL1 1 -0421 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: / /wwwci.tukwila.wa.us 5476800193 10397 BEACON AV S TUKW SMITH RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0421 Issue Date: 05/12/2011 Permit Expires On: 11/08/2011 Owner: Name: SMITH BRYAN E SR Address: 10397 BEACON AVE S , SEATTLE WA 98178 Contact Person: Name: BRYAN SMITH Phone: Address: 10397 BEACON AV S , TUKWILA WA 98168 Contractor: Name: LEBBERN ELECTRIC Address: 9704 181 STAVE , BONNEY LAKE WA 98391 Contractor License No: LEBBEE *936P9 Phone: 253 - 345 -7261 Expiration Date: 10/29/2011 DESCRIPTION OF WORK: INSTALL DEDICATED CIRCUIT FOR SEPTIC SYSTEM. Value of Electrical Work: NRES: $0.00 RES: $800.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $54.60 National Electrical Code Edition: 2008 Date: c..` 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 th= • - orm. ce of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this perrt}it. Signature'. ' Print Name: 77:21U7.5 Date: 5-- 17 -17 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 -0421 Printed: 05 -12 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0421 * *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 -0421 Printed: 05 -12 -2011 CITY OF TUKAA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. ".x-11 0 1)—I 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.: S-L{ 7 6 i5 V -- 0 Site Address: 1_0314+ P>ec-t6,0 /'-h) 5 Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Sr'�T4 Mailing Address: ,lO3'4' )t(Cer.! 4v E S E -Mail Address: Day Telephone: City Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: te b 6,y, E(arTc ; c_ Mailing Address: 9-706k 1`a1sr Contact Person:Tna u r E -Mail Address: c®0625Ttu-e " Contractor Registration Number: L E (3$ E CA 13b \ c ,L. La L, t44 g g341 State Zip Day Telephone: 263 -5 79- ,25-45,4. Fax Number: Expiration Date: /67- 2. ci •'L7 Valuation of Project (contractor's bid price): $ 690, Er7 n e L Scope of Work (please provide detailed information): �wsTaIL .aF'oa�'caTe.E C �r-r.4 :T TOr Sea; L Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \2010 Applicanons \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 IDate Application Accepted: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $8].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 Bir 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) ❑ Cariiivals $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 O OR ELECTRICAL CONTRACTOR: Signa Print Name fl -vu, Mailing Address: Date: 5-12- al Day Telephone: Date Application Expires: Staff Initials: 1—P Applications'Forms- Applications On LineV2010 ApplicalionsV7 -2010 - Electrical Permit Application.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.tukwila.wa.us RECEIPT Parcel No.: 5476800193 Permit Number: EL11 -0421 Address: 10397 BEACON AV S TUKW Status: PENDING Suite No: Applied Date: 05/12/2011 Applicant: SMITH RESIDENCE Issue Date: Receipt No.: R11 -00963 Initials: User ID: WER 1655 Payment Amount: $54.60 Payment Date: 05/12/2011 01:51 PM Balance: $0.00 Payee: LEBBERN ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 082015 ACCOUNT ITEM LIST: Description 54.60 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 54.60 Total: $54.60 doc: Receiot -06 Printed: 05 -12 -2011 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. „ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 6141-0V-1 Project: r . g e5 . Type of Inspection: N to Address: /0371 Aptcol4N. Da te Called: Special Instruction : Date Wanted: j/. 6.3. p.m. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: 0 Date: 03 neS REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by LEtI 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 LEBBERN ELECTRIC UBI No. 602773004 Phone 2533457261 Status Active Address 9704 181St Ave E License No. LEBBEE'936P9 Suite /Apt. License Type Electrical Contractor City Bonney Lake Effective Date 10/29/2007 State WA Expiration Date 10/29/2011 Zip 98391 Suspend Date County Pierce Specialty 1 Residential Business Type Partnership Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License HAWLETM933N8 Name HAWLEY, TRAVIS M Status Active Business Owner Information Name Role Effective Date Expiration Date HAWLEY, TRAVIS M Partner 10/29/2007 Bond Amount BAKER, KAREN Partner 10/29/2007 105361043 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 3 TRAVELERS CAS Et SURETY CO 105361043 10/29/2009 Until Cancelled $4,000.0011 /10/2009 2 RLI INS CO 1sm0066603 10/25/2008 Until Cancelled 01/28/2009 $4,000.00 10/22/2008 1 AMERICAN CONTRACTORS INDEM CO 100035568 10/25/2007 Until Cancelled 12/09/2009 $4,000.00 10/29/2007 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 05/12/2011