HomeMy WebLinkAboutPermit EL11-0560 - ROBERTO RESIDENCE (ADU)ROBERTO RESIDENCE
4416 S 164 ST
EL1 1 -0560
Parcel No.:
Address:
Tenant Name:
City Of Tukwila
0
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
5379800582
4416 S 164 ST TUKW
ROBERTO RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0560
Issue Date: 06/27/2011
Permit Expires On: 12/24/2011
Owner:
Name: FEDERAL NATIONAL MORTGAGE A
Address: 8100 NATIONS WAY , JACKSONVILLE FL 32256
Contact Person:
Name: GEORGE RUTHERFORD Phone: 206 371 -5000
Address: 12002 8 AV SW , BURIEN WA 98146
Contractor:
Name: A -1 ELECTRICAL SERVICES
Address: 16744 3 AV S , SEATTLE WA 98148
Contractor License No: 1 ELECES916NC
Phone: 253 -677 -8097
Expiration Date: 08/03/2011
DESCRIPTION OF WORK:
.ADD 200 AMP SERVICE WITH TWO FEEDER PANELS (2 -GANG METER) AS WELL AS
REMOVE /REPLACE EXISTING NON - CONFORMING INSTALLATIONS.
Value of Electrical Work: NRES:
$0.00 Fees Collected:
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 oomph
$151.20
National Electrical Code Edition: 2008
Date: O(p 111/11 l
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
construction or the performance of work.
of this permit.
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit and agree to the conditions on the back
19't-rP Date: 6- .97- /I
Print Name: C.alGDV IC' -CL7? 0 a
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 -0560 Printed: 06 -27 -2011
r •
PERMIT CONDITIONS
Permit No. EL11 -0560
* *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
ELI 1-0560 Printed: 06 -27 -2011
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. b L L'^ Ocio 0
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 11 q / s 5r „1--
17//& f King Co Assessor's Tax No.:
Site Address: q -s • /n� T SS T Suite Number:
Tenant Name: /U[ ,44 it/4- 4' k O Z c i2
Property Owners Name: A4 A--A- i k.0.2672.71)
Mailing Address: '" /y //p S . /62 y
G 7,1 1 D — $2.
Floor:
New Tenant: El Yes ❑ .. No
1u4KwILA- /I?8
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Rio 2 j (-1?-t�1_7.k' -/1/Y2 J/1/(%{ I kOP- ay Telephone: 206/37/- 5-600
Mailing Address: � go0 4E < 1. - . SQu 2 %g) 1,t44 /4/,6
City State Zip
N Fax Number: t96) ? Y6 - 000
E -Mail Address:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A - / -- u ( g / 4 C � 6e c// s.
Mailing Address: /9-0Oa" FIN '4- $ t-V• Ic- ../6^/ l/1/!� X67/
City State Zip
Contact Person: ‘&D'ij 6 l ,-cr7- e4 %t 41//44 .i'`/ Day Telephone: .2b 6) 3 %/- 5120 6
E -Mail Address: NX1
Fax Number:
Contractor Registration Number: i e 1V 6- Expiration Date:
o0
Valuation of Project (contractor's bid price): $ o2O 00 \ Scope of Work (please provide detailed information): 7Z6-1.4-+- 011 E�% f /b� y, Ali' ) - CB,-) e-
FU/ 11,-1 11s t A /S a✓1.d ^/& P-0 v /-�^ -D � ' w�Tu�v
FLT f4� --rs C t `-Tw /19Z)
Will service be altered? Yes ❑ No Adding more than 50 amps? ❑ Yes IQ No
Type of Use: k r (Cf I t f} C
Type of work:
New ❑ Addition El Service Change ® Remodel 11 Tenant Improvement
ID Low Voltage El Generator ❑ Fire Alarm /❑` Telecommunication ❑ Temporary Service
Property Served by:
FtPuget Sound Energy
❑ Seattle City Light
H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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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
yi 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 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:
OP
Print Name: Gegiz
Mailing Address: / 19O 1_ $'R *4z 6
IDate Application Accepted:
lam'
74U
Day Telephone:
City
Date Application Expires:
lZ
Date: Z.- a-?- //
D-0(9) 3)j---.57)60
State Z
Staff Initials:
H:1Appl ications \Forms- Appl ications On Line12010 Appl ications17 -2010 - Electrical Permit Appl i cation. doc
Revised: May2011
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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
Parcel No.: 5379800582
Address: 4416 S 164 ST TUKW
Suite No:
Applicant: ROBERTO RESIDENCE
RECEIPT
Permit Number: EL11 -0560
Status: APPROVED
Applied Date: 06/27/2011
Issue Date:
Receipt No.: R11 -01315
Payment Amount: $151.20
Initials: JEM Payment Date: 06/27/2011 11:34 AM
User ID: 1165 Balance: $0.00
Payee: MARITA L ROBERTO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 032546
ACCOUNT ITEM LIST:
Description
151.20
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 151.20
Total: $151.20
doc: Receiot -06 Printed: 06 -27 -2011
•
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:•
INSPECTION RECORD
Retain a copy with permit
- INSPECTION'NO. PERMIT NO.
CITX Off' TUKWILA BUILDING DIVISION
6300 St).
oiithcenter Blvd., #100, Tukwila. WA 98188 ¢„ (206) 431 -3670
Permit inspection Request Line (206) 431 -2451 f�
eu -os6,0
Project: „ Kitts,. _ ik l' �i(,\
Type of Inspection:
r�
.
Address: ',]il j( J&{,1� [v
Date Called:
Special • In'st'ructions:
•
•
Date Wanted: .
3/202.-
'
p.m-
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
•
COMMENTS:
Inspector:
C3,0161Vikific
(Date: 03/22//a.,
ri 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
Permit Inspection Request Line (206) 431 -2451
Pr-
(206) 431 -36
Project: 0 (K
Type of Inspection:
Address.
Date Called:
Special In tructions:
•
Date Wanted:.
' O3
G..,) p.m.
Requester:
Phone No:
'
aApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
snow To diur_DAkecrt,
e.arl& IdA11o14) CD Ec geAge)
Inspector:
Date: D2/0 02,
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 V. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 1 .
Project:
TO 4(1-'15 '
Type of Inspection:
700/
Address:
`q s.11 sr.
Date Called:
.
Special Instructions:
Date Wanted:.
I
�
Y
�mi
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
kotl
CzoJDd rr ((ce
Lorii\Av
Inspector: ..# 7 %� f )ie Date:
ri REINSPECTION FEE REQUIRED. F�rior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
iwW.R•-C.LM[ P,e" lF.in. ARhh._ _
•
•
INSPECTION RECORD
Retain a copy with permit
6114 0
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
Project:
Kos.
Address: of iitt, 119 it isr:
Special Instructions:
tea, �/ 11ne
Type of Inspection:
Date Called:
Date Wanted: .
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
yaoP QaJ41-1 t
Inspector:
(14-6644
Date:
l 1 0 it
REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD �1 �t 0q0
Retain a copy with permit (�+f
INSPECT) ON N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Q • (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: ermii.
Type of Inspection.
,..1 , 3
Address:
r�,.S-11115r.
Date Called:
Special Instruct
Date Wanted:.
I
41.
Requester:
Phone No:
•
Approved per applicable codes. � D Corrections required prior to approval.
COMMENTS:
dartthei
i �nJ(#11•} 1�
Inspector:
Date: 61101111
n REINSPECTION FEE REQUIRED. rPrior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by LEN 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
A -1 ELECTRICAL SERVICES
2536778097
16744 3Rd Ave 5
Seattle
WA
98148
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602938833
Active
1ELECES916NC
Electrical Contractor
8/3/2009
8/3/2011
General
Unused
Electrical Administrator INFORMATION
License NELSOWM914KR
Name NELSON, WARD M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
NELSON, WARD M
Owner
08/03/2009
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
CBIC
SI3607
08/01/2009
Until Cancelled
$4,000.00
08/03/2009
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 06/27/2011