HomeMy WebLinkAboutPermit EL11-0944 - JOSE MALDONADAJOSE MALDONADO
13744 53 AV S
EL1 1 -0944
City oA'ukwila
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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.: 0003000063
Address: 13744 53 AV S TUKW
Project Name: JOSE MALDONADA
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0944
Owner:
Name: GONZALEZ - MALDONADO JOSE L +P
Address: 13744 53RD AVE S , SEATTLE WA
Contact Person:
Name: BILL DANIELS
Address: PO BOX 609 , ORTING WA
Contractor:
Name: GARNER ELECTRIC CO
Address: 2920 SE BROOKWOOD AVE STE A , HILLSBORO OR
Contractor License No: GARNEEC965RM
Phone: 253 - 320 -1657
Phone: (503) 648 -4552
Expiration Date: 12/14/2012
DESCRIPTION OF WORK:
REPLACE PANEL
Value of Electrical: NRES: $0.00
RES: $800.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY HT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$81.90
2008
I hereby certify that I have read and examined this p —
governing this work will be complied with, whethe • . ecified herein or not.
and know the same to be true and correct. All provisions of law and ordinances
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 performance of ork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: /n / /27//
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 -0944 Printed: 10 -12 -2011
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PERMIT CONDITIONS
Permit No. EL11 -0944
* *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 -0944 Printed: 10 -12 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.dov
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Electrical Permit No E6 / / — 69W 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: 13744 53rd Ave S
Tenant Name:
Property Owners Name: Jose Maldonado
Mailing Address: 13744 53rd Ave S
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor:
❑ Yes ❑..No
98168
zip
Tuckwilla
WA
City
State
CONTACT PERSON — Who do we contact when your permit is ready to he issued
Name: Bill Daniels
Day Telephone: (253) 320 -1657
Mailing Address: PO Box 609 Orting WA 98360
City State
E -Mail Address: bdaniels @garnerelectric.com Fax Number: (253) 288 -2156
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Nanie:
Mailing Address: PO Box 609 Orting WA 98360
City state zip
Contact Person: Bill Daniels Day Telephone: (253) 320 -1657
E -Mail Address: bdaniels @garnerelectric.com Fax Number: (253) 288 -2156
Garner Electric
Contractor Registration Number: GARNEEC965RM
Expiration Date: 12/14/2012
Valuation of Project (contractor's bid price): $ 800
Scope of Work (please provide detailed information): Remove and replace panel.
Will service be altered? ❑ Yes J No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition VI Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
m Seattle City Light
11 Apphcanons,Fonns- Applicati ons On I-me'2 2010 Apphcauons'7 -2010 - Electrical Nei nut Application ttoc
bh
Page 1 o1.2
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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 Cl1ANGES
m Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number (Wadded circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(tip to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ I,ow 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 he reviewed and is subject
to possible revision by the Permit Center to comply with current lee schedules.
Expiration of I'Ian Review — Applications for which no permit is issued within 180 days Ibllowing 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 TI IIS APPLICATION AND KNOW 'HIE SAME TO BE - nun: UNDER
PENALTY OF PERJURY 13Y THE LAWS OF THE STATE OF WASIIINGTON, AND I AM AUTIIORIZED'I'O APPLY FOR 'ri IIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Print Name:
Mailing Address: PO Box 609
IDate Application Accepted:
Date: /0 / /Z
Day Telephone: (253) 320 -1657
Orting 98360
City State Zip
Dale Application Expires:
Staff Initials:
TL5
11 \pphcationsIornu- ApphcaunnS On Line,20111 Apphcamons 7 -1010 - Electrical Permit Application dot
bh
Page 2o12
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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.: 0003000063
Address: 13744 53 AV S TUKW
Suite No:
Applicant: JOSE MALDONADA
RECEIPT
Permit Number: EL11 -0944
Status: PENDING
Applied Date: 10/12/2011
Issue Date:
Receipt No.: R11 -02238
Initials:
User ID:
TLS
1670
Payment Amount: $81.90
Payment Date: 10/12/2011 04:03 PM
Balance: $0.00
Payee: BILL DANIELS GARNER ELEC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 81212G
ACCOUNT ITEM LIST:
Description
81.90
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 81.90
Total: $81.90
doc: Receipt -06 Printed: 10 -12 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ELO-o'3f1
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451 Vt-
Project: �OS( �` D^���
Type of Inspection:
kfv0 .
Address: 13711 53 00/.
Date Called:
Special Instructions:
Date Wanted:.
/0 I
a.m.
p.m
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
kV
Inspector:
rate:
r
REINSPECTION FEE REQUIRED. rior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Plber Friendly Page
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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
GARNER ELECTRIC CO
5036484552
2920 Se Brookwood Ave Ste A
Hillsboro
OR
97124
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602453734
Active
GARNEEC965RM
Electrical Contractor
12/14/2004
12/14/2012
General
Unused
Electrical Administrator INFORMATION
License DANIEBR923CK
Name DANIELS, BILLY R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DANIELS, BILL R
Agent
12/14/2004
1/12/2010
GARNER, CHARLES C
President
12/14/2004
$250.00
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
WESTERN SURETY CO
25445280
12/07/2004
Until Cancelled
$4,000.00
12/14/2004
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EBJOR00217
1/12/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMEHU01195
6/20/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECAML00374
10/2/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECAML00375
10/3/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECAML00455
6/16/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/12/2011