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Home My WebLink AboutPermit EL11-1104 - HUGHES RESIDENCEHUGHS RESIDENCE 16046 46 AV S EL1 1 -1104 City ollI'ukwila • 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.: 1922500040 Address: 16046 46 AV S TUKW Project Name: HUGHS RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -1104 Issue Date: 12/12/2011 Permit Expires On: 06/09/2012 Owner: Name: HUGHES PRISILA Address: 113 SAGE LN , FAIRHOPE AL Contact Person: Name: JOSIAH CHO Phone: (425)488 -3181 Address: 15110 85TH AVE NE , KENMORE WA Contractor: Name: SAMS ELECTRICAL CONTRNG, LLC Address: 15110 85TH AVE NE , KENMORE WA Contractor License No: SAMSEL *973DS Phone: (206)931 -1402 Expiration Date: 03/18/2013 DESCRIPTION OF WORK: OVERHEAD TEMP POWER - 100 AMP Value of Electrical: NRES: $0.00 RES: $850.00 Fees Collected: $63.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature:-C� Date: 62-7 /a-- %/ 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 aut construction or the erff: ance of work. I . i th• Signature: --Tosict at° olate or cancel the provisions of any other state or local laws regulating n and obtain this electrical permit. Date: 1 1 24201 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 -1104 Printed: 12 -12 -2011 • PERMIT CONDITIONS Permit No. EL 11 -1104 * *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 -1104 Printed: 12 -12 -2011 CITY OF TUKWI Community Developme )apartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 '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 ** Site Address: WO6 4/' ii 4tie Tenant Name: Name: Address: NO 4‘. 4ve 5 City: _hit State: 1/0 ,Q Zip: . fL� Name: 0--0 e;t k C 10 Address: , l ei, 4, U „ ,,,,, City: ty: eiv mo(e State: : 4 Zip: : G, 0 8 Phone: d 1 O b H 00.�- Fax: `o...- 6U 8 ' j Email: lr„_ ?(e . f va ti 00 ,. co vu..., King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑.. No Valuation of Project (contractor's bid price): $ ' Z Scope of Work (please provide detailed information): f 0 -t r polayk nonbif Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication jTemporary Service Pro rtv Served bv: Puget Sound Energy ❑ Seattle City Light 1- 1: \ Applications \Forms- Applications On Line\201 I Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Company Name: SAT) S l::-.1e(4 f ! C 4 C0114t vo(aid -, Address: /two es ,l tie ' City: lif?1/71OY(' State. a) Li p: 7 8 Phone 0x'��j)_Iti.Ia Fax:4 c_ iti J r,' Contr Reg No.:� n,/ �C, r zExp Date: 7/0 I/ 0i3 Tukwila Business License No.; 000` 75(13 Valuation of Project (contractor's bid price): $ ' Z Scope of Work (please provide detailed information): f 0 -t r polayk nonbif Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication jTemporary Service Pro rtv Served bv: Puget Sound Energy ❑ Seattle City Light 1- 1: \ Applications \Forms- Applications On Line\201 I 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) ❑ 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. Z 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 MISCELLANEOUS FEES PERMIT 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---„, Signa Print Na OS: if) C Mailing Address: H:\Applications\Forms- Applications On Line\201 I Applications\Electrical Permit Application Revised 8.9.11.docx Revised: August 2011 bh Date: i i / ioi/ Day Telephone: City State Zi 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.: 1922500040 Address: 16046 46 AV S TUKW Suite No: Applicant: HUGHS RESIDENCE RECEIPT Permit Number: EL11 -1104 Status: PENDING Applied Date: 12/12/2011 Issue Date: Receipt No.: RI 1 -02703 Initials: User ID: Payee: LAW 1632 Payment Amount: $63.00 Payment Date: 12/12/2011 12:21 PM Balance: $0.00 SAMS ELECTRICAL CONTRNG TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 41210G ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 12 -12 -2011 z- INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 `R (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: fly _ � Type of Inspection: Address: /6�yb site 41/. Date Called: led: Instructions: Date Wanted:. / / a:m m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: emuu-7,04) l Inspector: (Date: tfI'I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. f:. INSPECTION NO INSPECTION RECORD Retain a copy with permit (u(-iio'( PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION R 6300 Southcenter BIVd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: (4 5 gC5 ' Type of Inspection: Address: j)p V uu . tile M TV Date Called: Special Instructions: Date Wanted:. /43 m. 1d Requester: Phone No: I__J Approved per applicable codes. Corrections required prior to approval. COMMENTS :. F4-. ne644YdNist lk+N12 _ . 12, ft aJ� ,DRt�E+� or oQcrl PATNI6L- REINSPECTION. FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peer Friendly Page 1 Electrical Contractor A business licensed by LE/Ito 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 SAMS ELECTRICAL CONTRNG, LLC UBI No. 602276122 Phone 2069311402 Status Re- Licensed Address 15110 85Th Ave Ne License No. SAMSEL'973DS Suite /Apt. License Type Electrical Contractor City Kenmore Effective Date 3/10/2003 State WA Expiration Date 3/18/2013 Zip 98028 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SAMSEEC895MKSAM'S ELECTRIC Et CONSTR INC Electrical Contractor General Unused 7/12/2011 7/12/2013 Active Business Owner Information Name Role Effective Date Expiration Date CHO, JOSIAH CW Partner /Member 03/10/2003 07/12/2011 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 2 RLI INS CO SRS1003589 07/07/2006 Until Cancelled 07/12/2011 ELECTRICAL CITATION $4,000.0007/13/2006 5250.00 1 HARTFORD CAS INS CO 01BSBCB9564 03/03/2003 Until Cancelled 07/14/2006 $4,000.0003/12/2003 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 EHOUD00571 9/7/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EAARG00329 7/7/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied 5250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 12/12/2011