HomeMy WebLinkAboutPermit EL11-0753 - GEM CONSTRUCTIONGEM CONSTRUCTION
13932 51 AV S
EL1 1 -0753
City (*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.: 1670400028
Address: 13932 51 AV S TUKW
Project Name: GEM CONSTRUCTION
ELECTRICAL PERMIT
Permit Number: EL11 -0753
Issue Date: 08/12/2011
Permit Expires On: 02/08/2012
Owner:
Name: GEM CONSTRUCTION INC
Address: 21501 CONNELLS PRAIRIE RD E , BUCKLEY WA
Contact Person:
Name: DAN DORMS Phone: 253 - 606 -3865
Address: 1291 AUDUBON RD , SELAH WA
Contractor:
Name: TAPPS ELECTRIC INC
Address: 1291 AUDUBAON RD , SELAH WA
Contractor License No: TAPPSEI990N1
Phone: 509- 698 -4810
Expiration Date: 08/22/2011
DESCRIPTION OF WORK:
2100 SQ FT NEW RESIDENCE, 200 AMP PANEL, UNDERGROUND SERVICE, PHONE AND CABLE
Value of Electrical: NRES: $0.00
RES: $6,000.00
Fees Collected:
$212.70
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
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 performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
G%
L DUB ES
Date: P)-- //
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 -4/10
EL11 -0753 Printed: 08 -12 -2011
PERMIT CONDITIONS •
Permit No. EL11 -0753
* *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 shah 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 -4/10
EL11 -0753 Printed: 08 -12 -2011
CITY OF TUKWO
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.gov
Electrical Permit No. t —� 0 7 Sj'
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
l ing Co Assessor's Tax No.:
/
Site Address: / 3 7 3 a 5/ 'Ave A So Suite Number: Floor:
Tenant Name: /- New Tenant: El Yes ❑..No
Property Owners Name: _ .t (C( , incrOin
Mailing Address: 2,/.5O j Con M! AA : r; e M/ £
giy
City /
State
tsar
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Qfti n 40 rdis
Mailing Address: /197 ,4 X 43(61 AI
E -Mail Address: Sari) y/@ 4S4L
Day Telephone: g.1i.3 -b o ,C.$
SWal, ltiI q 9f� ?
City State Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 7 //S (Je[7; c C,
Mailing Address: lag) ,11,,,,au /con
Contact Person:
E -Mail Address:
Dotrt
EL '/ /%-%SA) C.0"
Dar d .S
Contractor Registration Number: / C PI S (/ 9' 0
Se /ta %s9ya
City
State
/� Zip
Day Telephone: QS-3-C) � 3 $C3
Fax Number:
Expiration Date: it- 90/Y
Valuation of Project (contractor's bid price): $ 6 Q 0 0
Scope of Work (please provide detailed information):
aid s6c New fay denCt 01oo4,0 uAt /rjygio/ Se,- / ce.
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
2 New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:Wpplications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
bh
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Day Telephone:
SP %al
City
Date: ?-13-)0i/
053- COC -3$(
State Zip
Date Application Expires:
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
'ffr 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)
❑ Camivals $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: At L 400 r4 ;5.
Mailing Address: lag/ AV IA j3(
IDate Application Accepted:
H:\Applicationa\Forms- Applications On Line\2010 Applications17 -2010 - Electrical Permit Application.doc
Revised: May 2011
bh
Page 2 of 2
Staff' Initials:
ID
�J� w 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.: 1670400028
Address: 13932 51 AV S TUKW
Suite No:
Applicant: GEM CONSTRUCTION
RECEIPT
Permit Number: EL11 -0753
Status: PENDING
Applied Date: 08/12/2011
Issue Date:
Receipt No.: R11 -01749
Initials:
User ID:
WER
1655
Payment Amount: $212.70
Payment Date: 08/12/2011 09:39 AM
Balance: $0.00
Payee: DANIEL DORAIS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 055672
ACCOUNT ITEM LIST:
Description
212.70
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 212.70
Total: $212.70
doc: Receiot -06 Printed: 08 -12 -2011
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy tyith permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (t- (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: 4,o j% ��-
f j�j
Type of Inspection:
00
Address.
32,
t.
Date Called:
Special Instructions:
Date Wanted:.
/�
a//�
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
L�ry
o(�2Er�°N15 MDE
Inspector:
'Date: 12/6/11
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Mat aka • ALA _ _
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: 461 64 Sr-
Type of Inspection:
,r fir 1/ AD 1, -tv EE AFc.A
OL cx-e ks `is.VV A5 444y
Address: /3732, 51/0/..
Date Called:
- STKA P Fcc ,d pi-
Alder-- th rtGS PT&1 &AD 0-a.mu9 rok
Special Instructions:
Date Wanted:.
9
a
.m .
Requester:
rr
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: 1 .
,r fir 1/ AD 1, -tv EE AFc.A
OL cx-e ks `is.VV A5 444y
UG 44) Prr, ct t5 f bsuat Tt
1,1 7-10.12.00
- STKA P Fcc ,d pi-
Alder-- th rtGS PT&1 &AD 0-a.mu9 rok
i-V .5tkAila
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Fug -o7S3
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
Address:
3T.34514
Type of Inspection:
Date Called:
Special lnstrucdons:
Date Wanted:
Requester:
(206) 431 -367
Phone No:
Approved per applicable codes. Corrections required prior to approval.
¢OMMENTS:
0
...
•✓ KOj 6\4 Ifj
/
3.6241M
Ie_Et
>
i
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
.....eleemeftemesele. -e
Contractors or Tradespeople Peer 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
TAPPS ELECTRIC INC
5096984810
1291 Audubon Rd
Selah
WA
98942
Yakima
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602137022
Active
TAPPSEI990N 1
Electrical Contractor
8/21/2001
8/22/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
RDELEI'061P7
R & D
ELECTRIC INC
Electrical
Contractor
General
Unused
10/27/1994
10/27/2002
Archived
RDELE "081P7
R & D
ELECTRICAL
Electrical
Contractor
General
Unused
10/27/1992
10/27/1994
Restored From
Archived
RDELE "08008
R & D
ELECTRICAL
Electrical
Contractor
Residential
Unused
2/28/1992
2/28/1994
Restored From
Archived
Master Electrician INFORMATION
License DORAIDL957LL
Name DORAIS, DANIEL LEE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DORAIS, DAN L
Agent
08/21/2001
Bond Amount
DORAIS, DAN L
President
08/21/2001
9808446
DORAIS, JULIE A
Secretary
09/25/2003
DORAIS, SHERRY LEE
Secretary
08/21/2001
09/25/2003
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
5
Lexon Ins Co
9808446
08/06/2011
Until Cancelled
$4,000.0008/08/2011
4
COLONIAL AM CAS &
SURETY OF
MARYLAND
LLPM4074261
08/06/2007
Until Cancelled
08/06/2011
$4,000.00
07/25/2007
3
MERCHANTS BONDING
CO (MUTUAL)
WA 10800
08/06/2004
Until Cancelled
08/06/2007
$4,000.0007/16/2004
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
08/12/2011