HomeMy WebLinkAboutPermit EL11-0912 - FOSTER RIDGE LOT 3FOSTER RIDGE
LOT 3
4601 S 139 ST
EL1 1 -0912
City ofrukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.Tukwila WA .gov
Parcel No.: 3229200092
Address: 4601 S 139 ST TUKW
Project Name: FOSTER RIDGE LOT 3
ELECTRICAL PERMIT
Permit Number: EL11 -0912
Issue Date: 10/04/2011
Permit Expires On: 04/01/2012
Owner:
Name: REHABITAT NORTHWEST INC
Address: 3601 WEST MARGINAL WAY S , SEATTLE WA
Contact Person:
Name: STEVE DETWILLER
Address: 3601 W MARGINAL WY SW , SEATTLE WA
Contractor:
Name: EDGEWOOD ELECTRIC INC
Address: 11925 43 ST CT E , EDGEWOOD WA
Contractor License No: EDGEWEI950CW
Phone: 206 - 255 -3474
Phone:
Expiration Date: 02/16/2013
DESCRIPTION OF WORK:
WIRING FOR NEW SINGLE FAMILY RESIDENCE AND (2) LOW VOLTAGE SYSTEMS (PHONES AND
TELEVISION)
REVISION #1: ADD T -STAT
Value of Electrical: NRES: $0.00 Fees Collected: $332.40
RES: $10,000.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
kikk f\gag
National Electrical Code Edition: 2008
Date: 10112-111
I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with, whether specified herein or not.
The granting of this -rmit does • _ pr e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t• - p: rforman of ork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Pacce///'
Date:
/021/e
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 -0912 Printed: 10 -12 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0912
* *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 -4/10
EL11-0912 Printed: 10 -12 -2011
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.: 3229200092
Address: 4601 S 139 ST TUKW
Project Name: FOSTER RIDEG LOT 3
ELECTRICAL PERMIT
Permit Number: EL11 -0912
Issue Date: 10/04/2011
Permit Expires On: 04/01/2012
Owner:
Name: REHABITAT NORTHWEST INC
Address: 3601 WEST MARGINAL WAY S , SEATTLE WA
Contact Person:
Name: STEVE DETWILLER
Address: 3601 W MARGINAL WY SW , SEATTLE WA
Contractor:
Name: EDGEWOOD ELECTRIC INC
Address: 11925 43 ST CT E , EDGEWOOD WA
Contractor License No: EDGEWEI950CW
Phone: 206 - 255 -3474
Phone:
Expiration Date: 02/16/2013
DESCRIPTION OF WORK:
WIRING FOR NEW SINGLE FAMILY RESIDENCE AND (2) LOW VOLTAGE SYSTEMS (PHONES AND
TELEVISION)
Value of Electrical: NRES: $0.00 Fees Collected: $272.55
RES: $10,000.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date: 10 _ 14`A,
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 the performance of work. I am authoriz to sign and obtain this electrical permit.
Signature: �fr1 ~-'f �' Ll�C� Date: / 7 /)
Print Name: t.91 �� d A_- s e /
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.
doe: EL -4/10
EL11 -0912 Printed: 10 -04 -2011
• PERMIT CONDITIONS •
Permit No. EL 11 -0912
* *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, 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 -4/10
E L 11 -0912 Printed: 10 -04 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.00v
•
Electrical Permit No.
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
Site Address: 4601 S139th St Tukwilla, WA 98168
Tenant Name:
Property Owners Name: Rehabitat Northwest
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
Mailing Address: 3601 W Marginal Way SW
Seattle
C ity
WA
State
98106
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Steve Detwiller
Mailing Address:
3601 W Marginal Way SW
Day Telephone: (206) 255 -3474
Seattle WA 98106
Zip
E -Mail Address: &i' ?rte lr 4 to t 4.f okiArt6 (ow-
City
Fax Number:
State
(206) 933 -7355
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: 11925 43rd ST CT E Edgewood WA 98372
Edgewood
City State Zip
Contact Person: Vince Roscelli Day Telephone: (253) 987 -5013
E -Mail Address: vnce@edgewoodelectric.biz Fax Number: (253) 987 -5015
Contractor Registration Number: EDGEWEI950CW Expiration Date: 02/16/2013
Valuation of Project (contractor's bid price): $ 10,000
Scope of Work (please provide detailed information): Wire new single family residence
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
m New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
m Seattle City Light
H:Upplicatianslrorm s- Applications On Liact2010 Applicatioos\7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
• •
RESIDENTIAL
NEW RESIDENTIAL SERVICE
21 New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
Er Low voltage systems
)S7-- (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 $1 1.55 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
t/i✓4ewi l?osc-e
M ailing A ddress: 11925 43rd ST CT E
Date: 10/03/2011
Day Telephone: (253) 987 -5013
Edgewood
98372
City
State
Zip
Date Application Accepted:
Date Application Expires: Staff Initials:
H: \Applications \Forms- Applications On Line \2010 .Applications0-2010 - Electrical Permit Application.doc
bb
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.Rov
Parcel No.: 3229200092
Address: 4601 S 139 ST TUKW
Suite No:
Applicant: FOSTER RIDGE LOT 3
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL11 -0912
ISSUED
10/04/2011
10/04/2011
Receipt No.:
Initials:
User ID:
Payee:
R11 -02233
JEM
1165
Payment Amount: $59.85
Payment Date: 10/12/2011 01:55 PM
Balance: $0.00
EDGEWOOD ELECTRIC INC
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Credit Crd VISA
Authorization No. 593578
ACCOUNT ITEM LIST:
Description
59.85
Account Code
Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00
Total: $59.85
59.85
doc: Receiot -06
Printed: 10 -12 -2011
0 •
C d�J��l�a wq� City of Tukwila
(rs Gl
y
290a
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.00v
Parcel No.: 3229200092
Address: 4601 S 139 ST TUKW
Suite No:
Applicant: FOSTER RIDEG LOT 3
RECEIPT
Permit Number: EL11 -0912
Status: PENDING
Applied Date: 10/04/2011
Issue Date:
Receipt No.: RI I-02159 Payment Amount: $272.55
Initials: WER Payment Date: 10/04/2011 09:37 AM
User ID: 1655 Balance: $0.00
Payee: EDGEWOOD ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2734 272.55
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 272.55
Total: $272.55
doc: Receiot -06 Printed: 10 -04 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ful- �9,L
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 It— (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: 5 I i Otte,. 3
Type of Inspection:
Gov
Address:
Date Called:
Special Instructions:
54 31
Date Wanted:.
�/�
a:m�
Requester:
Phone No:
pproved per applicable codes.
IDCorrections required prior to approval.
COMMENTS:
Mcxiot, ''cif
•� .
Inspector:
Date: d3 o7 z
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPE TION NO.
.1.
INSPECTION RECORD
Retain a copy with permit
tu(-o7 (L
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
Project: A ��,
'- 1 eD kao sti o C o
& 3
Type of Inspection:
-0tt-O® y
RecasrAta lei Dial tnl (1 A
Address: , t (Do l
s
'
Sr
Date Called:
Special Instructions:
Date Wanted:.
3/e7
P m.
Requester:
r
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
'- 1 eD kao sti o C o
r > t � iD
Zt H o f t t �
-0tt-O® y
RecasrAta lei Dial tnl (1 A
ft (4-(-64i,
tnik a.) 1v ibf Gre.i
— Pt =ttiilr 6"1 Z rr
Inspector: i
(Date: 03/0 a_
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION''
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit inspection Request Line (206) 431 -2451
Projects K03
Type of Inspection: 7062,_
ddress: A
jA0 i 5 .
/37 5r
Date Called:
Special Instructions:
Date Wanted:.
fz r ,-^
C�
a rr
p.m.
Requester:
Phone No:
IgAppt.oved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
fliQf
Inspector:
Date:
/z
ri REINSPECTION FEE REQUIRtD. Prior to next inspection, fee must be
. • paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION r' L
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
4c1'z.
PERMIT NO.
Project: R���
Type of Inspection:
7001-
AddPess:
601 5,1375r-
Date Called:
Special Instructions:
Date Wanted:.
/,„..
Z 13
a
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
nlaz col1P -ri tSiz IT74
!Inspector:
6fAkkic
Date: /463/11
.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 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project :.
K E 3
Type of Inspection:
003
Address:
• Wool 5. / 37 5r.
Date Called:
Special Instructions:
•
Date Wanted:.
�0 W
.m.
Requester:
Phone No:
$1Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
04,-k 1N
'Inspector:
Date: /0/1.53/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
11! REVISION
City of Tukwila SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: //www.ci.tukwila.wa.us
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: *T /
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Plan Check/Permit Number: ELI' -O9 / 2-
Project Name:
os & 2,'c5 e Lo- 3
Project Address: ‘/(00 / S jay Si— % /Ct i lc,
Contact Person: S .c t a 7c,,i' )(ems Phone Number: 20C 2. CC ?4.77-
Summary of Revision: add '1----s7(4 !fie (..,)("1--);-t, 7b p9,-4.1,
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on 10 \ 2-1 1
H:\Applieations\Fomts- Applications On Line\2010 Applications N7-2010 - Revision Submittal.doc
Created: 8-13-2004
Revised: 7 -2010
Contractors or Tradespeople P 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
EDGEWOOD ELECTRIC INC
2539875013
11925 43Rd St Ct E
Edgewood
WA
98372
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602471300
Active
EDGEWEI950CW
Electrical Contractor
2/16/2005
2/16/2013
Residential
Unused
Master Electrician INFORMATION
License ROSCED *971MM
Name ROSCELLI, DAVID
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROSCELLI, VINCENTA
Agent
06/15/2010
10/22/2007
ROSCELLI, VINCENT A
President
06/15/2010
$500.00
ROSCELLI, VINCENTA
Secretary
06/15/2010
ROSCELLI, VINCENT A
Treasurer
06/15/2010
ROSCELLI, VINCENT A
Vice President
06/15/2010
PEARSON, LEONARD
Agent
02/16/2005
06/15/2010
PEARSON, LEONARD
President
02/16/2005
06/15/2010
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
LPM4067964
02/10/2005
Until Cancelled
$4,000.00
02/16/2005
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
EMILD00240
10/22/2007
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https://fortress.wa.gov/lni/bbip/Print.aspx
10/04/2011