HomeMy WebLinkAboutPermit EL11-0541 - THOMPSON RESIDENCETHOMPSON RESIDENCE
14217 55 AV S
EL1 1 -0541
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: / /wwwci.tukwila.wa.us
0761000160
14217 SS AV S TUKW
THOMPSON RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0541
06/16/2011
12/13/2011
Owner:
Name: THOMPSON CYNTHIA L
Address: 14217 55TH AVE S , TUKWILA WA 98168
Contact Person:
Name: RUBEN CARDONA
Address: 4221 108 AV E , EDGEWOOD WA 98372
Contractor:
Name: NORTHWEST ELECTRICAL & SER INC
Address: 10228 29 ST E , EDGEWOOD WA 98372
Contractor License No: NORTHES015CK
Phone: 253 653 -8710
Phone: 253 - 445 -7029
Expiration Date: 02/12/2013
DESCRIPTION OF WORK:
ADD CIRCUIT FOR HEAT PUMP
Value of Electrical Work: NRES: $0.00
RES: $0.00
Type of Fire Protection: SMOKE DETECTORS
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
Fees Collected: $54.60
National Electrical Code Edition: 2008
Date: (o(R41 I I
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not p : e 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:
Date: /, -/7
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 -0541 Printed: 06 -16 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0541
* *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 -0541 Printed: 06 -16 -2011
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
•
Electrical Permit No.
Project No.
t LAI - ucti
(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.: tn U
Site Address: ,"/Z /7 sz $ Suite Number:
Tenant Name: OG't
Property Owners Name: fly prs -e77
Mailing Address: /'/Z / 7 S5 AY- .3
Floor:
New Tenant: ❑ Yes .. No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
P-1.43-6" n (76rcncA-
Day Telephone: 7 53- 653- - 8%/C)
Mailing Address:
E -Mail Address:
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 0 l �% �w /��5 ;��i�fy r 1� /V'c e
Mailing Address: Z2/ /FMS cdJrr�,,��1�1
II City
Contact Person: Z4 6!/)
E -Mail Address:
Contractor Registration Number: IVbILTII (5 015 co
9g3
State Zip
Day Telephone: z53 70o-9
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $ SOD. cC
Scope of Work (please provide detailed information): /lees f 0.-10 6Jd e,)
Will service be altered? ❑ Yes XNo Adding more than 50 amps? 111 YesType 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\Porms•Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 201 I
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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
It 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.
Print Name: fi L pi CA—
Mailing Address: y1Zl
IDate Application Accepted:
Date: (� ` (� j"/./
C % Day Telephone: 253- �(,5J 7/0 ^�
CA CitwGC v"'` `1 -T/z
State Zip
fill[
tit ui
Date Application Expires:
Staff Initials:
11:1ApplicationslForms- Applications On Line\2010 Applicationsl7 -2010 - Electrical Permit Application doc
Revised: May 2011
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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.TukwilaWA.gov
RECEIPT
Parcel No.: 0761000160 Permit Number: EL11 -0541
Address: 14217 55 AV S TUKW Status: PENDING
Suite No: Applied Date: 06/16/2011
Applicant: THOMPSON RESIDENCE Issue Date:
Receipt No.: R11 -01226
Payment Amount: $54.60
Initials: JEM Payment Date: 06/16/2011 01:00 PM
User ID: 1165 Balance: $0.00
Payee: RUBEN CARDONA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 00298Z
ACCOUNT ITEM LIST:
Description
54.60
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 54.60
Total: $54.60
doc: Receipt -06 Printed: 06 -16 -2011
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Projectsi 16 DN
Type of Inspection:
pa)
Address:
Date Called:
Special Instructions.
•
•
.
Date Wanted:.
f 111g
p.m.
Requester:
Phone No:
OApproved per applicable codes. ' a Corrections required prior to approval.
'COMMENTS:
Date:
• . LI REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
arl
0
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RUBEN CARDONA
4221 108 AV E
EDGEWOOD WA 98372
RE: Permit No. EL11 -0541
THOMPSON RESIDENCE
14217 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 12/13/2011.
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 12/13/2011, 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,
c
Bill Rambo
Permit Technician
File: Permit File No. EL11 -0541
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
NORTHWEST ELECTRICAL & SER INC
2534457029
4221 108Th Ave E
Edgewood
WA
98372
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601926723
Active
NORTHES015CK
Electrical Contractor
2/12/1999
2/12/2013
General
Unused
Electrical Administrator INFORMATION
License UFFENRJ254M9
Name UFFENS, RONALD J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
UFFENS, RONALD J
Violation Amount
01/01/1980
1/20/2009
BARKHURST, CHRIS
Agent
01/01/1980
$250.00
BARKHURST, CHRIS V
President
01/01/1980
ELECTRICAL CITATION
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
2
COLONIAL AM CAS is
SURETY OF MD
LPM4049313
01/15/2000
Until Cancelled
$4,000.00
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
Date
RCW Code
Type
Status
Violation Amount
ESWAT00221
1/20/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV00274
12/27/2005
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 06/16/2011