HomeMy WebLinkAboutPermit EL11-0936 - ILLA POMEROYILLA POMEROY
13322 35 AV S
EL1 1 -0936
City oOfukwila
•
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.: 7358600220
Address: 13322 35 AV S TUKW
Project Name: ILLA PMEROY
ELECTRICAL PERMIT
Permit Number: EL11 -0936
Issue Date: 10/11/2011
Permit Expires On: 04/08/2012
Owner:
Name: POMEROY ILLA M
Address: 13322 35TH AVE S , SEATTLE WA
Contact Person:
Name: TODD WILLIAMS
Address: 1516 45 ST # 100 , SUMNER WA
Contractor:
Name: DICKS HEATING & AIR COND
Address: 1516 45 ST E STE 200 , SUMNER WA
Contractor License No: DICKSHA915JL
Phone: 253 - 405 -7028
Phone:
Expiration Date: 04/13/2013
DESCRIPTION OF WORK:
SERVICE CHANGE AND ADD 8 RECESSED CAN LIGHTS
Value of Electrical:
NRES: $0.00
RES: $2,000.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LI _
Permit Center Authorized Signature: Al, / / / Date: ` 1
I hereby certify that I have read and examine. s pe . d' w isame to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether spe - d herein or not.
The granting of this permit does not presume to giv- aut ority to violate or cancel the provisions of any other state or local laws regulating
'zed to sign and obtain this electrical permit.
Fees Collected:
National Electrical Code Edition:
$81.90
2008
construction or the • erformance of work. I
Signature:
Print Name:
Date: /o//_7
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
EL 11 -0936 Printed: 10 -11 -2011
e •
PERMIT CONDITIONS
Permit No. EL11 -0936
* *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 -0936 Printed: 10 -11 -2011
Site Address:
CITY OF TUKW�
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:AWww. TukwilaWA. qov
Electrical Permit No. E L t 1 r
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 **
1 '332_2 ?S1 cNe S
King Co Assessor's Tax No.:
.�^ () Suite Number:
Tenant Name: ^1— cc 4- Y t9t4' L New Tenant:
Property Owners Name:
Mailing Address: t'
Floor:
❑ Yes No
City
State
Zip
CONTACT PERSON =Who do we contact wlienyour permit is ready tote issued
Name:
Oa 14 04/14/1
Mailing Address: lc/6 lc/6 cl 01- 51 i °O
E -Mail Address: DO VP (' Di r
Day Telephone:
253-54°1- 70-2-F
5Vol �.�19 98 39
City State Zip
Fax Number: 2f 5 - S'3( 4951 E
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
1)
lc ( to (KJ C� I A4,49 C--
j/5k4 OPP
Contact Person: 7 QJ)P
E -Mail Address: (A)
12
Contractor Registration Number. Dl ` / N fi/ 9(5- I. L
Valuation of Project (contractor's bid price): $ Z et,7
/14 w1 g39 0
City Stater Zip
Day Telephone: 2 1 ..(O$ L$
Fax Number: 2 T i • cif ,111-2_
Expiration Date:
Scope of Work (please provide detailed information):
te
Will service be altered? V2 Yes
Type of Use:
Type of work:
❑ New ❑ Addition g Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ No Adding more than 50 amps? EC Yes ❑ No
❑ Remodel ❑ Tenant Improvement
Property Served by:
* Puget Sound Energy
(❑ Seattle City Light
H:\Appliations\Fwms-Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuilding $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
❑ 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
PERIVIIT;APPLICATIUNN:OTES
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:
c
Signature'
Print Name:
Mailing Address:
7-; IJ' /(w,
Day Telephone:
City
Date: / O
253 -y .9c- 7-023
kjit YIf0
State Zip -
IDate Application Accepted / et/ / `
f
/
1
Date Application Expires: v/91,,
Staff Initial/1/7)
H: Wpplications\Foans- Applications On Line\2010 Applicasons\7 -2010. ueetdcal Permit Applic 1ian.doc
bh
Page 2 of 2
0 •
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.: 7358600220
Address: 13322 35 AV S TUKW
Suite No:
Applicant: ILLA PMEROY
RECEIPT
Permit Number: EL11 -0936
Status: PENDING
Applied Date: 10/11/2011
Issue Date:
Receipt No.: R11 -02223
Initials:
User ID:
TLS
1670
Payment Amount: $81.90
Payment Date: 10/11/2011 03:17 PM
Balance: $0.00
Payee: TODD WILLIAMS DICKS HEATING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 71116G
ACCOUNT ITEM LIST:
Description
81.90
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 81.90
Total: $81.90
doc: Receiot -06 Printed: 10 -11 -2011
3
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 -3670
Permit Inspection Request Line (206) 431 -2451
Project: I VO' as
Type of Inspection: /2/00
Address:
Date Called:
Special Instructions:
CM/ dZ i+ . N ok
04, _ 9
Date Wanted:.
ii /t
a:m
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
!Date: 04/2._
r7 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
6,41 -v9341
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION L
6300 Southcenter Blvd., #100, Tukwila. WA 98188 tia.'+ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: ! A �( kv
Type of Inspection:Ov
2:o e.r�
Address: 133723c
/
Date Called:
Lt--Pr �e -s.s f do/ C 0 , 8 -ck
Special Instructions:
Nook
Date Wanted:. 312,a
a
Requester:
Phone No: Z53 %5 7027
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
2:o e.r�
Ala Acu 5
0.,6? JJ h Eai, RAC DO • '►' ?c. / :/5
Lt--Pr �e -s.s f do/ C 0 , 8 -ck
/. A t-
'Inspector:
act
(Date: 03 /2...0) JIZ
ri 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
PERM! NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: ' I W pri KOY
Type of Inspection:
,4
Address:
133Z2— 3c tvt/ .
Date Called:
Special Instructions:
Date Wanted:
/ O b i._
p.m.
Requester:
Phone No:
EJApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Vig 9E — O To tJir Rt SIG,(
-notes
- GAP Lt -f. ?A,i t- 9-a,W D o Lf
titz a -1Pit-416n
6 0 0 1 U 60acri 5 p
PAD JCL( (, ,Jt,� R ,ipr
Inspector:
'Date: 10/1210
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
TODD WILLIAMS
1516 45 ST # 100
SUMNER WA 98390
RE: Permit No. EL11 -0936
ILLA POMEROY
13322 35 AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 04/09/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 04/09/2012, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. ELI 1 -0936
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople lir Friendly Page
•
Electrical Contractor
A business licensed by L8I 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
DICK'S HEATING Et AIR COND INC
2535319579
1516 45Th St E Ste 200
Sumner
WA
98390
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600250626
Active
DICKSHA915JL
Electrical Contractor
4/13/2009
4/13/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
DICKSHA008DA
DICKS HEATING a
A/C INC
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
3/1/2000
3/1/2010
Expired
Electrical Administrator INFORMATION
License WILLIT`944LA
Name WILLIAMS, TODD
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLLAND, CRAIG
Agent
04/13/2009
3/8/2011
LAURITZEN, BRET
President
04/13/2009
$2,000.00
HOLLAND, CRAIG
Vice President
04 /13/2009
Bond Information
'Bond
1
Page 1 of 1
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
RLI INS CO
1sm0094668
04/10/2009
Until Cancelled
$4,000.00
04/13/2009
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EBOES00533
3/8/2011
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$2,000.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 10/11/2011