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HomeMy WebLinkAboutPermit EL11-0548 - RUSSELL RESIDENCERUSSELL RESIDENCE 14051 35 AV S EL1 1 -0548 Parcel No.: Address: Tenant Name: City* Tukwila 1 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 1523049199 14051 35 AV S TUKW RUSSELL RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0548 Issue Date: 06/17/2011 Permit Expires On: 12/14/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: RUSSELL RONALD W 14051 35TH AVE S , TUKWILA WA 98168 RANDY IVERS 1813 58 ST NE , TACOMA WA 98422 J R ELECTRIC CONST DESIGN INC 1813 58 ST NE , TACOMA WA 98422 Contractor License No: JRELECD007D7 Phone: 253 961 -5286 Phone: 253 - 961 -5286 Expiration Date: 04/01/2012 DESCRIPTION OF WORK: ELECTRICAL FOR NEW SINGLE FAMILY RESIDENCE, 200 AMP TEMP SERVICE, AND UG FEEDER TO GARAGE WITH EXISTING WIRING. Value of Electrical Work: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: $215.85 National Electrical Code Edition: 2008 Date: Cie 1hlli ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pre construction or the performance of w of this permit Signature: Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Date: ‘74 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 -0548 Printed: 06 -17 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0548 * *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 -0548 Printed: 06 -17 -2011 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. a.,1 , t1) 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 1 King Co Assessor's Tax No.: tC9—W1 �, ill ,5 Site Address: 11-105/ , 5.S-f � Ave-s 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: Day Telephone: Mailing Address: City State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: \ 0 V3 ,5 8 5T- i E 7 (W Vk %� k 12Z- City State / Zip Contact Person: g k -" Z 7U 6 Day Telephone: 153 �/b J Z Fc6 E -Mail Address: J <<1' G (cU.-+-r( C j(kr CO GA- Fax Number: 253-- 3-- gci 6-- O if 3 Contractor Registration Number:___YR E L E L boa %.6 i Expiration Date: Valuation of Project (contractor's bid price): $ _ 4� Scope of Work (please provide detailed information): Z©� Ap �'� /Lt��j -� 1.1. 1\kLD C 3 c- S � U e Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ni∎ ew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm 1] Telecommunication emporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms- Applications on Line \2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 1 of 2 og RESIDENTIAL �PI'EW RESIDENTIAL SERVICE ,'�J( 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 e''-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 C Signature: RACTOR: Print Name:_/ l/� Mailing Address: I Date Application Accepted: Day Telephone: City Date: 4/17/1 1 7_53 -96 5286 '2_ Z.__ State Zip b� Date Application Expires: Staff Initials: If ',Applications\Forms- Applications On Line12010 Applicationst7 -2010 - Electrical Permit Application doe Revised: May 2011 bh Page 2 of 2 1111 • 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.Qov Parcel No.: 1523049199 Address: 14051 35 AV S TUKW Suite No: Applicant: RUSSELL RESIDENCE RECEIPT Permit Number: EL11 -0548 Status: APPROVED Applied Date: 06/17/2011 Issue Date: Receipt No.: R11 -01243 Initials: User ID: Payee: JEM 1165 Payment Amount: $215.85 Payment Date: 06/17/2011 01:03 PM Balance: $0.00 J. R. ELECTRIC CONSTRUCTION /DESIGN INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4469 215.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 215.85 Total: $215.85 doc: Receiot -06 Printed: 06 -17 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,11--orqg PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 • Permit inspection Request Line (206) 431 -2451 Project: C !� Type of Inspection: �% ,l Address: f / o5I 3s t `'�" • Date Called: Special Instructions: • • • Date Wanted:. 0 1 a.m Requester: T Phone No: [, ■ ' pproved per applicable codes. ElCorrections required prior to approval. COMMENTS: Inspector: (.././. Date: 01-10.1/ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECOR0,11-050 Retain a copy with permit. INSPECTION NO. P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Souther Blvd., #100, Tukwila. WA 98188 t. _a_ (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: kA kte5 • Type of Inspection: 3 Address: /,�./D 57 i�C � /• Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: I� I Approved per applicable codes. a Corrections required prior to approval. COMMENTS: (0 04c4- 1/4 Inspector: Date: 07/10/1/ I I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. • CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g_ (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: 00 Address: 1stD51 3 kv. Date Called: Special Instructions: Date Wanted: ,, _` �J x Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. 1- CO IU M ENTS: Inspector: Date: 40/11 ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. akiiriaumeitv Contractors or Tradespeople Piper 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 J R ELECTRIC CONST DESIGN INC 2539615286 1813 58Th St Ne Tacoma WA 98422 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602019099 Active JRELECD007D7 Electrical Contractor 4/1/2000 4/1/2012 Residential Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status JRELE "022JB J R ELECTRIC Electrical Contractor Residential Unused 4/2/1998 4/2/2000 Archived Master Electrician INFORMATION License IVERSRJ961JR Name IVERS, RANDY J Status Active Business Owner Information Name Role Effective Date Expiration Date IVERS, RANDY 01/01/1980 IVERS, BARBARA 01/01/1980 IVERS, RANDY Agent 01/01/1980 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 COLONIAL AM CAS & SURETY OF MD LPM4052208 04/01/2000 Until Cancelled $4,000.00 04/01/2000 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 06/17/2011