HomeMy WebLinkAboutPermit EL12-0058 - MELLINGER RESIDENCEMELLINGER
RESIDENCE
4402 S 122 ST
EL1 2-0058
City oftukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.T'ukwilaWA.gov
Parcel No.: 3347401165
Address: 4402 S 122 ST TUKW
Project Name: MELLINGER RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0058
01/23/2012
07/21/2012
Owner:
Name: MELLINGER JUDY A
Address: 4402 S 122ND ST , SEATTLE WA
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
ZAHIRA ELAOUD Phone: 206 - 782 -5522
4415 LEARY WY NW , SEATTLE WA
OLSON ENERGY SERVICE Phone: 206 782 -5522
4415 LEARY WY NW , SEATTLE•. WA
Contractor License No: OLSONES006L2
Expiration Date: 06/22/2012
DESCRIPTION OF WORK:
INSTALL ELECTRIC HEAT PUMP
Value of Electrical: Fees Collected: $54.60
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: SEATTLE CITY LIGHT
NRES: $0.00
RES: $0.00
Permit Center Authorized Signature:
Date: (-)_3
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:PG..l"l 1/t.( Q- ? JJ /jL
Print Name: if1A611 VA b A, {j
!�
Date: \ 123/1
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
EL12 -0058 Printed: 01 -23 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0058
* *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
EL 12 -0058 Printed: 01 -23 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. L'1— 1 00 5-9
Project No.
Date Application Accepted:
Date Application Expires:
(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:
Tenant Name:
King Co Assessor's Tax No.:
4402 S 122ND ST TUKWILLA WA 98178
JUDY MELLINGER
Suite Number:
PROPERTY OWNER
Name: ZAHIRA ELAOUD
Name: JUDY MELLINGER
City: SEATTLE State: WA Zip: 98107
Address: 4402 S 122ND ST
Email: ZAHRA@OLSONENERGY.COM
City: TUKWILLA State: WA
Zip: 98178
CONTACT PERSON — person receiving all project
communication
Name: ZAHIRA ELAOUD
Address: 4415 LEARY WAY NW
City: SEATTLE State: WA Zip: 98107
Phone: (206) 782 -5522 Fax: (206) 782 -1303
Email: ZAHRA@OLSONENERGY.COM
Floor:
New Tenant: ❑ Yes J ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: OLSON ENERGY SERVICE
Address: 4415 LEARY WAY NW
City: SEATTLE State: WA Zip: 98107
Phone: (206) 782 -5522 Fax: (206) 782 -1303
Contr Reg No.: OLSONES951 L3 Exp Date: 10/24/2013
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 3,363
Scope of Work (please provide detailed information):
INSTALL ELECRIC HEAT PUMP
Will service be altered? ❑ Yes No
Adding more than 50 amps? ❑ Yes No
Type of Use: HEAT PUMP
Type of work:
❑ New ❑ Addition [] Service Change ® Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator [] Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\ApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9-11 docx
Revised: August 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single fancily 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
m 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
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of constniction 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 1 HAVE READ ANL) EXAt ' ED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STA,iOF WASHINGTON. AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONT ►' OR:
Signatur L � �� Date: 01/20/2012
Print e; ZAHIRA ELAOUD Day Telephone: (206) 782 -5522
Mailing Address: 4415 LEARY WAY NW SEATTLE WA 98107
City
H:\Applications \Forms - Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9-1 I.docx
Revised: August 2011
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State Zip
Page 2 of 2
0 •
C City of T 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.: 3347401165
Address: 4402 S 122 ST TUKW
Suite No:
Applicant: MELLINGER RESIDENCE
RECEIPT
Permit Number: EL12 -0058
Status: PENDING
Applied Date: 01/23/2012
Issue Date:
Receipt No.: R12 -00199
Initials: WER
User ID: 1655
Payment Amount: $54.60
Payment Date: 01/23/2012 02:45 PM
Balance: $0.00
Payee: OLSON SERVICE GROUP INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 90445 54.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 54.60
Total: $54.60
doc: Receipt -06 Printed: 01 -23 -2012
INSPECTION RECORD
Retain a copy with permit 1 5'
INSPECTION NO. 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'm
Pm fs.
Type of Inspection:
too
Address:
Date Called:
Special Inst
uctions:
Date Wanted:.
216
a��
LM• :�
Requester:
Phone No:
ipApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
rlikpA104 t ADt
Inspector:
FALLtif
1Date:��d
• ❑ 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
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 re, (206) 431 -36'
Permit Inspection Request Line (206) 431 -2451
Project: i.1\ KeS
Type of Inspection:
Address: ® �• / ST-
Date Called:
Special Instr ctions:
.cf I 0
I 0
Date Wanted:.
a.m.
Requester:
Phone No:
•
EiApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Ifivotpki 6t/604k6k l6 P
CA—NTV (\T6 15- Ate
Inspector. �°J Date: � ,
"--1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by LEHI 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
OLSON ENERGY SERVICE
2067825522
4415 Leary Way Nw
Seattle
WA
98107
King
Corporation
OLSON SERVICE GROUP, INC.
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
578052563
Active
OLSONES006L2
Electrical Contractor
6/22/2000
6/22/2012
Hvac /Rfrg Ltd Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
OLSONES892QD
OLSON ENERGY
SERVICE
Electrical
Contractor
Residential
Unused
11/15/2011
11/15/2013
Active
Electrical Administrator INFORMATION
License HAWKED`001 L2
Name HAWKES, DAVE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
OLSON, ROBERT
Violation Amount
01/01/1980
9/12/2008
OLSON, ROBERT A
Agent
11/04/2011
$250.00
OLSON - CALPE, ANN M
Secretary
11/04/2011
ELECTRICAL CITATION
OLSON, EDD
$250.00
01/01/1980
11/04/2011
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
DEVELOPERS SURETY
& INDEM CO
575303C
06/10/2005
Until Cancelled
$4,000.00
06/08/2005
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
EJORP02431
9/12/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02432
9/12/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02429
9/12/2008
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
ELEIS00375
7/29/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 01/23/2012