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Home My WebLink AboutPermit EL11-0934 - MCCULLUM RESIDENCEMCCULLUM RESIDENCE 12816 34 AV S EL1 1 -0934 City okukwila • 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.: 7359600175 Address: 12816 34 AV S TUKW Project Name: MCCULLUM RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0934 Issue Date: 10/11/2011 Permit Expires On: 04/08/2012 Owner: Name: BAC HOME LOANS SERVICING LP Address: 400 NATIONAL WAY , SIMI VALLEY CA Contact Person: Name: TERRY MOBLEY Address: 140 12TH ST SE , PUYALLUP WA Contractor: Name: PACIFIC HOME ELECTRIC LLC Address: 140 12TH ST SE , PUYALLUP WA Contractor License No: PACIFHE935O4 Phone: (253)617 -9288 Phone: (253)617 -9288 Expiration Date: 09/30/2013 DESCRIPTION OF WORK: PICKED UP A FINISHED JOB THAT OWNER DID TO GET A PERMIT AND PASSED OFF REMODEL. 100% NEW WIRE, 1 NEW 200 AMP SERVICE Value of Electrical: NRES: $0.00 RES: $0.00 Fees Collected: $81.90 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: /i/l�P �" "t Date: l0 /// �// 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 • • e complied with, whether specified herein or not. The grantin • construct n o e perf rmance ?rk. Iutltarizzd to sign and obJam this electrical permit. of = pe t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: Date: ��- (( -2oi( 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 ELI 1-0934 Printed: 10 -11 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0934 * *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 E L 11 -0934 Printed: 10 -11 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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: I 0` 1 41% Au F 5' Tenant Name: STLI l412T fw. r_% L L u,vvi Property Owners Name: S notA Y1T 141 C.(4 LL t41/11 Mailing Address: (2 '(k 344c s4 S King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: Lam' Yes ❑..No City cJ State 1(114' Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 11L�( (41 13LF `I Day Telephone: (' 5 (R (t 12 or Mailing Address: 1 Li 0 j Z IA ST S P �-6�, � C.14- qr' T E -Mail Address: eh <1c C +01.0 ® Y City 4 ��d �� Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: PA -clT'i C +1 1E Stec -t✓ti -L 1 KO 12 Sr SE 04,jr. kie 1Y(Le (City State Day Telephone: (2 s) to l . r - 42 77 Fax Number: Expiration Date: 1- 2 LL - 2.0 1 Lf Contact Person: - - vi-a -1 E -Mail Address: e i C(< c- j-►r. C ef, /1 4'1 0o • Cv.A9 Contractor Registration Number: I °t L H/ 1 c. cf 35 o t'1 Valuation of Project (contractor's bid price): $ 5 0 0 0 • Scope of Work (please provide detailed information): plc 16•Lvl "V' :4511. -{ -%.4- a.rn 4.- ,Q�l; e, �—o 0;0 ey - .i./' G• •I�/- `i- /'—1 /0/�SS c� n / Will service be altered? pr Yes ❑ No Adding more than 50 amps? ❑ Yes 111 f No Type of Use: Type of work; ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm v0 c I/ spa.o..J -- u 3 Property Served by: izr Puget Sound Energy ❑ Seattle City Light H: Applications \Forms - Applications On Line \2010 Applications W-2010 - Electrical Permit Application.doc bh Page 1 of 2 Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Staff Initials: ,2,(,✓ 1 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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) ❑ 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: (? D1 A)L L� Mailing Address: 1c-.1 b 17+`‘. s 7 SF Day Telephone: ray Date: lb- (/- ?DI 1 253- (old - 25r �Pk--- State Zip IDate Application Accepted: In /ii/II Date Application Expires: 0,a/ H: Applications\Fonns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh 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.: 7359600175 Address: 12816 34 AV S TUKW Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: EL11 -0934 Status: APPROVED Applied Date: 10/11/2011 Issue Date: Receipt No.: R11 -02221 Initials: User ID: LAW 1632 Payment Amount: $81.90 Payment Date: 10/11/2011 02:06 PM Balance: $0.00 Payee: PACIFIC HOME ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 doc: Receipt -06 Printed: 10 -11 -2011 INSPECTION NO. INSPECTION"RECORD 4,/ J / 02? Retain a copy with permit L(-! PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 jZ (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: a A /1 ,m go ' Type of Inspection: poo k Address: /2P(o p1( 4-if` Date Called: Special Instructions: O/ Z O Date Wanted:. 3, a.fr Requester: Phone No: /5 3 6 (7 a? Approved per applicable codes. E Corrections required prior to approval. COMMENTS: AtiU ea4CA-P46 riktDf r4";441_. Inspector: I j�� i j Jt7Wv Date: 03 /z- .— REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. r • P. INSPECTION RECORD � Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 2_- (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project:4 Res. Type of Inspection: Address: in(, 41/. Special Instructions: 0575 Date Called: Date Wanted: . 3/�0 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: — c _. gerx-PActL- e•Af ttil/A/Drof .9A/4_ Et `'' 1 i%ZorIFc rf- " & V (- IraoK` iP or ®»S1'034L- M f ,,rtar lissidei 14.0. 3011.5 - iio fintibc e Inspector: (Date: 03 0/ J Z D REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. N INSPECTION NO. INSPECTION RECORD Retain a copy with permit 0311 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 cZ., (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 'ic /► �ii/�i1 - Type of Inspection: 100 Address: 12-311i � �3q, f Date Called: --r7) gC 6F Special Instructions: Date Wanted: . A �� . G Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: AiAJ aCt Il 1 At r J TO tD( Ililkk krc is (*f f IAf Ca.O1, o/ CI C C4 5 - t4 Roori mst 1 Q f C "S rD --r7) gC 6F - cofretert 0 OF li>,05At, - iks r lT u4 -,h r agKol1 -- otde Mewl' o sire Inspector: (Date: 02- /27/1L REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • r.. • • :4 INSPECTION RECORD Retain a copy with permit INSPECTION NO. P 11-6131 MIT NO. CITY OF TUKWILA BUILDING DIVISION .6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: f %J!5 . Type of Inspection: 2 �i 3 Date Called: movie ktIotats ovtAcJik _ 44D ( Qc r c(op Special Instructions: f� ELI /'Ma , )'j ag , Pk %OR Date Wanted:. / vtO m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: VC 6/ ' luck) ' - i oJ‘ lixMos Pty Fai JsPecr ,c 4 - ttvccik Pea rdNJ kk-GiOtak.6 E & to 414 WA CAlc -o rz) movie ktIotats ovtAcJik _ 44D ( Qc r c(op ..- A Inspector: j!i Ltih..1eS (Date: OI ap Ot,� • IJ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r.: 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 -367 Permit Inspection Request Line (206) 431 -2451 Project: tleto Type of Inspection: aQ ■. i 1 Address. I0$11 Date Called: Special Instructiong: Date Wanted:. ! f f den. Requester: Phone No: -- bccA CL' iu ti-D 61 LWiJ ort 944 Approved per applicable codes. Corrections required prior to approval. COMMENTS: X 045 t ? 0 -1 4 / ,-(-4411c,t a =-- eitkillor '60 (Wm.. vi Pa uJ i -- bccA CL' iu ti-D 61 LWiJ ort 944 - N ,Jt feiktirr ac c trf Inspector: Date: 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 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 K' Project: i I i r ,, IAA) WWV Type of Inspection: �OD3 A dre d ss 1 Z:81 /• ��/ Date Called: Special Instructions: Date Wanted:. Pi m. Requester: Phone No: pproved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector: Date: /D 1'1 I ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per 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 PACIFIC HOME ELECTRIC LLC 2536179288 140 12Th St Se Puyallup WA 98372 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602756902 Active PACIFHE93504 Electrical Contractor 9/24/2007 9/30/2013 Residential Unused Electrical Administrator INFORMATION License MOBLET•938LK Name MOBLEY, TROY Status Active Business Owner Information Name Role Effective Date Expiration Date MOBLEY, TROY A Agent 09/24/2007 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 4 NGM Insurance Company S788707 12/08/2010 Until Cancelled $4,000.0012/15/2010 3 American Contractors Indem CO 100106742 12/08/2009 Until Cancelled 01/29/2011 $4,000.0012/14/2009 2 AMERICAN STATES INS 6597893 09/17/2008 Until Cancelled 12/03/2009 $4,000.0008/22/2008 1 AMERICAN CONTRACTORS INDEM CO 100032868 09/17/2007 Until Cancelled 11/06/2008 $4,000.0009/24/2007 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 EJORP03627 3/16/2010 19.28.101 RCW ELECTRICAL CITATION Not satisfied $2,000.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 10/11/2011