HomeMy WebLinkAboutPermit EL11-1076 - HALSTEAD RESIDENCEHALSTEAD RESIDENCE
3711 S 140 ST
EL1 1 -1076
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.: 1610000005
Address: 3711 S 140 ST TUKW
Project Name: HALSTEAD RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -1076
Issue Date: 12/05/2011
Permit Expires On: 06/02/2012
Owner:
Name: HALSTEAD WILLIAM A +JOELLEN
Address: 12705 STANDING LN SW , BURIEN WA
Contact Person:
Name: WILLIAM HALSTEAD
Address: 12705 STANDRING LANE SW , BURIEN WA
Contractor:
Name:
Address:
Contractor License No:
Phone: 206 - 935 -6655
Phone:
Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION FOR POWER RE- ENERGIZE
Value of Electrical: NRES: $0.00
RES: $10.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $0.00
National Electrical Code Edition: 2008
^ -� Date: 1 —,�` l
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 authorized to sign and obtain this electrical permit.
Signature: i°`�� Date:
12 - 5---11
Print Name: A,,J1,1-4-4
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 -1076 Printed: 12 -05 -2011
•
PERMIT CONDITIONS •
Permit No. EL11 -1076
* *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 -1076 Printed: 12 -05 -2011
12- 02 -'11 15:47 FPOM- pub].cworks /dcd
U� l R VL 2 VAIA IT
Community 17evelopme epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htlp: / /www•TukwilaWAzov
T -300 P001/002 F -449
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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 **
51
�L Icing Co Assessor's Tax No.:
Site Address: 311) S , 11 -FOei . l q 87 6 7 Suite Number:
Tenant Name:
:.i.!:•1FN,Cif': ^:17`�:JI! 7;' '� . .. �t.'AY .a: .i l.:il.r'''�� •. a '. 1 �-n
a ^S.S` ;,"a a F[:. eiC i•'$k''i' d[ S e i_. _
art •.. ..1 � : ��. 1, � I •:t:�
,.. �. � r6: ate.. ....v41:c,,,.�,13Ja�...,::s. �,, .,�,:. •:;..1�.:. ,.�., .� 'fie. -.:�f°a*: '�.
Name: W
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1 [,� P'
4 -114-�S -7 F
Address: Zi U <
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City: NA,P -it�
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95/4�
Floor:
New Tenant: ❑ Yes ❑.. No
},s 7`�j y : i� 4 ";3� �'e. ,y��p'" G�14p1 , *.:24.1.,::::',,;; + er �1, ! : f �':Y.t '
"t r:t. . 5.:,. 'r � Mid,ei. •!:3�..srco '...., G.:i,.,: -'�4 ',ail ., ... . r:
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ l D-
Scope of Work (please provide detailed information): 0 i t.`1 Tu G----r Pow lt_ % - l tJ 3rRlr E. ,
a4r l-r L- —r—o Pt -y 4.16-0-T— '13w_ 4 +) Po z-'E — .G L S 433 0 a►
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes E No
Type of Use:
Type of work
❑ New ❑ Addition E. Service Change ❑ Remodel 0 Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy � • Seattle City Light
H pplitatiOns1Porim- Applications On Lints12011 Applieations\Eletlrice! Permit Application Revised B.9.11.docx
Revised: August 2011
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2064313665
T -300 P002/002 F -449
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)
❑ Service change with added/altered circuits $$1.90
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.
MISCELLANEOITS P _En
❑ Temporary service (residential) $63 -00
❑ Temporary service (generator) $78.75
Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Numbcr 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 fcc 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: (,) v '
Print Name: d f � Lt-[ A- I —
Mailing Address: Z-1 Utr
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H:1Applicationaorms- Applications On 1.ino12011 ApplicatiOnAblecIrical Permit Application Revised 5- 0.11.doox
RCVISed: August 2011
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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.: 1610000005
Address: 3711 S 140 ST TUKW
Suite No:
Applicant: HALSTEAD RESIDENCE
RECEIPT
Permit Number: EL11 -1076
Status: PENDING
Applied Date: 12/05/2011
Issue Date:
Receipt No.: RI1 -02618
Initials: WER
User ID: 1655
Payment Amount: $63.00
Payment Date: 12/05/2011 09:46 AM
Balance: $0.00
Payee: WILLIAM HALSTEAD
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1664 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 12 -05 -2011