HomeMy WebLinkAboutPermit EL11-0424 - BAGWELL RESIDENCEBAGWELL RESIDENCE
12632 35 AV S
EL1 1 -0424
Parcel No.:
Address:
Tenant Name:
City 0' 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
7345600850
12632 35 AV S TUKV/
BAGWELL RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0424
Issue Date: 05/12/2011
Permit Expires On: 11/08/2011
Owner:
Name: WOOTTON HILLARY L +BAGWELL M
Address: 12632 35TH AVE S , TUKWILA WA 98168
Contact Person:
Name: PAUL DOHERTY
Address: 3726 S 128 ST , TUKWILA WA 98168
Contractor:
Name: SHAMROCK ELECTRIC
Address: 3726 S 128 ST , TUKWILA WA 98168
Contractor License No: SHAMREI898JM
Phone: 206 849 -0798
Phone: 206 849 -0798
Expiration Date: 04/14/2013
DESCRIPTION OF WORK:
INSTALL 200 AMP SERVICE
Value of Electrical Work:
Type of Fire Protection:
NRES: $0.00
RES: $0.00
SMOKE DETECTORS
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
The granting of this permit does not
construction or the performance of wor
of this permit.
ex
d with
Fees Collected: $93.45
National Electrical Code Edition: 2008
Date:
(444
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit and agree to the conditions on the back
Print Name: jPA-tl' L
Date: 5 -IZ—\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.
doc: EL -9/09
EL11 -0424 Printed: 05 -12 -2011
•
* *ELECTRICAL **
PERMIT CONDITIONS
Permit No. EL 11 -0424
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, arty 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 -0424 Printed: 05 -12 -2011
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
•
Electrical Permit No.
Project No.
-FW- aLI2y
(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 126 32 351/--
Site Address:
King Co Assessor's Tax No.: 1V-1 — bet/51)
i2e32 35^t°-'- S
Tenant Name: iVI1GHAE L. QA-GEL A.1
Property Owners Name: 5 p/. E
Suite Number:
Floor:
New Tenant: ❑ Yes ❑..No
Mailing Address: 12632 35 ¥y
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
bark h
3726 S . I 21(1-- .Y1.
E -Mail Address: 1.
c Ec t2�LCa 4•34%too .cv-t^,■
Day Telephone:
City
Fax Number:
20b -g4dl -o Tclg
State Zip
20 6 —qg I — (538
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
tRwA 0-OC1- E - Ect21C 1. tj C
Mailing Address: 3* 2(P S ?_g — ST
Contact Person: PA° L
E -Mail Address: S4( SvtAidv-o..oue_ersc--rtztc_._`-inktcy.o . C@im
Contractor Registration Number: SN60110__E zg°iS M
City State Zip
Day Telephone: 20 G — 2149 - O - Q'
Fax Number: Zn b — 7$ 1 •-
Expiration Date: 1-l- — 1 — 1 3
Valuation of Project (contractor's bid price): $ 2,45,90
Scope of Work (please provide detailed information): 1 N S'Cv1 �1
19 2o 5e2,t1c
Will service be altered? Yes ❑ No
Type of Use:t"(t A 1_
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
Seattle City Light
Adding more than 50 amps?
In
Yes ❑ No
Service Change
❑ Fire Alarm
H:\Applmattons\Fotms- Applications On Line\2010 Applications \7 -2010 - Electncal Permit Application.doc
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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 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 1 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:
Print Name:
Mailing Address: ST-Z
Day Telephone:
."---(-73 > t
City
Date: J '—C a ( (
206 - g qct --a "T'I S
gef L e
State
Zip
Date Application Accepted:
os(*
Date Application Expires:
Staff Initials: G
(,..)
H:\Applications'\Forms- Applications On Line\2010 Appbcations17 -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.ci.tukwila.wa.us
Parcel No.: 7345600850
Address: 12632 35 AV S TUKW
Suite No:
Applicant: BAGWELL RESIDENCE
RECEIPT
Permit Number: EL11 -0424
Status: APPROVED
Applied Date: 05/12/2011
Issue Date:
Receipt No.: R11 -00967
Payment Amount: $93.45
Initials: JEM Payment Date: 05/12/2011 03:24 PM
User ID: 1165 Balance: $0.00
Payee: SHAMROCK ELECTIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5582 93.45
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 93.45
Total: $93.45
doc: Receiot -06 Printed: 05 -12 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION I"
(206) 431 -36
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project: 6 to k� .
Type of Inspection:
�/u
��
Address:
/245135-QI,Q_
Date Called:
Special Instructions:
Date Wanted:
/ e, 7
/a m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
Inspector: � � Date: � , ,
REINSPECTIONf FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prr ter 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
SHAMROCK ELECTRIC INC
2068490798
3726 S 128Th St
Tukwila
WA
98168
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603083128
Active
SHAMREI898JM
Electrical Contractor
4/14/2011
4/14/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
SHAMRE1031LCSHAMROCK
ELECTRIC INC
Electrical
Contractor
General
Unused
6/3/1997
7/13/2011
Re-
Licensed
Electrical Administrator INFORMATION
License DOHERP'908PE
Name DOHERTY, PAUL
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DOHERTY, PAULA
Agent
04/14/2011
DOHERTY, PAULA
President
04/14/2011
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
Old Republic Surety
Co
W150091263
04/14/2011
Until Cancelled
$4,000.00
04/14/2011
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