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Permit EL11-0939 - ROGERS RESIDENCE
ROGERS RESIDENCE 15837 42 AV S EXPIRED 04 -09 -12 EL1 1 -0939 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.: 8108600683 Address: 15837 42 AV S TUKW Project Name: ROGERS RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0939 10/12/2011 04/09/2012 Owner: Name: ROGERS KATHRYN I Address: 15837 42ND S , SEATTLE WA Contact Person: Name: Address: Contractor: Name: Address: APRECIOUS WILLIAMS 828 POPLAR PL S , SEATTLE WA S M E INC OF SEATTLE 828 POPLAR PL S , SEATTLE WA Contractor License No: SMEINS *066DB Phone: 206 391 -8271 Phone: 206 329 -2040 Expiration Date: 03/02/2012 DESCRIPTION OF WORK: CHANGE OUT EXISTING 125 AMP SERVICE PANEL WITH NEW 125 AMP. ALSO RUN NEW 30 AMP CIRCUIT FOR WATER HEATER. Value of Electrical: NRES: $0.00 RES: $0.00 Type of Fire Protection: SMOKE DETECTORS Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied th, Fees Collected: National Electrical Code Edition: Date: $93.45 2008 d this permit and know the same to be true and correct. All provisions of law and ordinances ether specified herein or not. The granting of this permit does not pres - - to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t perfo fee of work. I am authorized to sign and obtain this electrical permit. Signature: 1 ' I ,tt ,tt. Date: /Oil 7/), Print Name: v� il! JL�A�Q�Ir'1 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 -0939 Printed: 10 -12 -2011 1 • PERMIT CONDITIONS Permit No. EL11 -0939 * *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 -0939 Printed: 10 -12 -2011 CITY OF TUKW Community DevelopmWDepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov 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 ** + ©2 King Co Assessor's Tax No.: 5 3 c� Site Address: I( Li 2_0D 1\04...S t Suite Number: / Tenant Name: 1�atNZyl`i Ile 1TGe� �;PROP r �iWN��R7������,�n��;� �:��� ��f �,� �;�:°�:���,:& ����.. Name: 1/7,1[41 LOCHS Name: p ,� h�� ®� WAytC„vAS Address: `Sv3R- C.r2N 44.__. Address: BS 90R Ip.... S City - rult -WILN State: �A _ I Zip: N y+:in9„"5 reWF - & ^ii .si`V'wi 4 4.'.' 'iA .q. nCON I'ACT.PERRSONe 'person =trecetvmg lT4'proj �� common ic0on Name: p ,� h�� ®� WAytC„vAS City: `� k�TL State: � v-1 11 Zip: (` b U 9 Address: BS 90R Ip.... S City -t-Ckk_ State: ^ `� l� Zip: Phone /'1r ) 291 _ 871 I Fax: ��-14 O L 1' Email: <AO O — 003 Floor: New Tenant: ❑ Yes ❑.. No EIETRICIL,CU1�T1iCT'Ci' i o RMATION Company Name: c nA �l � Inc 5 ----- �I ( ,`Acpc_, S , Address: B2 City: `� k�TL State: � v-1 11 Zip: (` b U 9 Phon . c)3 ,11 � Fax: Contr Reg No. ttlisbt.Exp Date: O?J 12-- Tukwila Business License No.; (0 _ 1 O 2 5 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 0- USJ OS r. 1 i NCi 17. S Aa'i S rc. - PANiELL rW L7Zl /1/2`1 /?Sap. 1 V Will service be altered((? c --Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use Sl c QJLVI\ al Type of work: ❑ New ❑ Addition ❑ Service Change aE Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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 ❑ Service change or alteration $81.90 (no added/altered circuits) c 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 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: fie& Mailing Address: G v OPC R- • S ' H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11. docx Revised: August 2011 bh Date: l0 1 )2_1 Day Telephone: 2C1,0 7'11 ^ pR 5 sa_Tnt._ q8//-/L( City State Zip Page 2 of 2 1 � r 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.: 8108600683 Address: 15837 42 AV S TUKW Suite No: Applicant: ROGERS RESIDENCE RECEIPT Permit Number: EL11 -0939 Status: PENDING Applied Date: 10/12/2011 Issue Date: Receipt No.: Initials: User ID: R11 -02227 JEM 1165 Payment Amount: $93.45 Payment Date: 10/12/2011 10:14 AM Balance: $0.00 Payee: SME, INC. OF SEATTLE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 22425 93.45 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 93.45 Total: $93.45 doc: Receiet -06 Printed: 10 -12 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director APRECIOUS WILLIAMS 828 POPLAR PL S SEATTLE WA 98144 RE: Permit No. EL11 -0939 ROGERS RESIDENCE 15837 42 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. EL11 -0939 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople 'rater Friendly Page • Electrical Contractor A business licensed by Lf/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 S M E INC OF SEATTLE 2063292040 828 Poplar Pl S Seattle WA 98144 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601524252 Active SMEINS'066DB Electrical Contractor 3/2/1994 3/2/2012 General Unused ed Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PACIFFS973PU PACIFIC FIRE AND SECURITY INC Electrical Contractor Limited Energy Unused 10/30/2003 10/30/2009 Expired SMEINIS926QG SME INC OF SEATTLE Construction Contractor General Unused 11/5/2008 11/5/2012 Suspended Master Electrician INFORMATION License BLAIRSA961NQ Name BLAIR, STEPHEN ANDREW Status Active Business Owner Information Name Role Effective Date Expiration Date MARVICH, STEPHEN E Cancel Date 01/01/1980 Bond Amount PINSKY, ADAM A 1 01/01/1980 636702 BAKER, JON T Agent 01/01/1980 ELECTRICAL CITATION 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 1 CBIC 636702 03/02/1994 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 $1,000.00 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 EBOES00522 2/3/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00521 2/3/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EJORP01018 10/19/2006 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EMILD00364 4/5/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 10/12/2011