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HomeMy WebLinkAboutPermit EL12-0120 - HUGHES RESIDENCEHUGHES RESIDENCE 16046 46 AV S EL12 -0120 City okukwila 0 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: HUGHES RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0120 Issue Date: 02/10/2012 Permit Expires On: 08/08/2012 Owner: Name: HUGHES PRISILA Address: 113 SAGE LN , FAIRHOPE AL Contact Person: Name: JOSIAH CHO Phone: 206 931 -1402 Address: 15110 85 AV NE , KENMORE WA Contractor: Name: SAM'S ELECTRIC & CONST INC Address: 15110 85 AV NE , KENMORE WA Contractor License No: SAMSEEC895MK Phone: 206 931 -1402 Expiration Date: 07/12/2013 DESCRIPTION OF WORK: REWIRE BRANCH CIRCUITS, REPLACE 200 AMP SERVICE. NO WORK AT SWIMMING POOL (AS IS) AND NO WORK WITH GARAGE PORCH. Value of Electrical: NRES: $0.00 RES: $6,500.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $81.90 2008 I hereby certify that I have read and ex4 min: d this permit and know the same to be true and correct. All provisions of law and ordinances th, hether specified herein or not. governing this work will be complied The granting of this permit does not presume to ive a orit o violate or cancel the provisions of any other state or local laws regulating construction or t i - . erfo ce of work. I auth • - • • sign and obtain this electrical permit. Signature Print Name ZS-6 S 1 et Date: -! (0I (90 ?- 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 -0120 Printed: 02 -10 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0120 * *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 EL12 -0120 Printed: 02 -10 -2012 CITY OF TUKWI4 Community Developmer ►epartment 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 ** King Co Assessor's Tax No.: I 6 �2 — u•X4 Site Address: /6046 % 6' ,SUP S 7(46001 Suite Number: Floor: Tenant Name: Qv S' Yi 4) G New Tenant: ❑ Yes ❑.. No { Name: //ti , 5 prl 1a Address: Address: //3 S2 ` ^ , 1 Ue ,20. City: �,)7.40.714, State: �j Zip: Valuation of Project (contractor's bid price): $ 600 - Scope of Work (please provide detailed information): �u %e brOkyit/ 1rwi}� . © � S � cry. "00 )n)oW 5(0ye hn poN LL 5- i f:) A90 R)ok sKope Grade iore, j1. O C? Company Name: ? S mem 61C (�Yvi(ovaIti1 Address: r b 9. , jpe A C, City: &� Ui. State0 A Zip %? Phone: bl 9,J / -/6(0_ Fax: / 2$ L/88 3 ! I Contr Reg No.: Exp Date: Tukwila Business License No.; fbiAc riot -� Will service be altered? [f Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel El/ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Di Puget Sound Energy ❑ Seattle City Light H: \ApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Address: ` ' , 1 Ue ,20. City: _ ice / Stater A Zip: /I • ; Phone: = (ii oM — (�_ Fax: _ _ if Email: 11 ...... eV 0 ii • �. rig Valuation of Project (contractor's bid price): $ 600 - Scope of Work (please provide detailed information): �u %e brOkyit/ 1rwi}� . © � S � cry. "00 )n)oW 5(0ye hn poN LL 5- i f:) A90 R)ok sKope Grade iore, j1. O C? Company Name: ? S mem 61C (�Yvi(ovaIti1 Address: r b 9. , jpe A C, City: &� Ui. State0 A Zip %? Phone: bl 9,J / -/6(0_ Fax: / 2$ L/88 3 ! I Contr Reg No.: Exp Date: Tukwila Business License No.; fbiAc riot -� Will service be altered? [f Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel El/ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Di Puget Sound Energy ❑ Seattle City Light H: \ApplicationsWorms- 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 (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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. 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:, •/ i� ' ..'' c�� Date: a/(0 (dZ�i( 2.— Print N Mailing Address: /--1( H: Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised: August 2011 bh Day Telephone: 9"uwre City ,),06-931 - /96 State Zip 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 TUI{W Suite No: Applicant: HUGHES RESIDENCE RECEIPT Permit Number: EL12 -0120 Status: PENDING Applied Date: 02/10/2012 Issue Date: Receipt No.: R12 -00588 Initials: User ID: Payee: JEM 1165 Payment Amount: $81.90 Payment Date: 02/10/2012 10:44 AM Balance: $0.00 JOSIAH CHO, SAM'S ELECTRIC & CONS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 21013G ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 doc: Receiot -06 Printed: 02 -10 -2012 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION L 6300 Southcenter Blvd., #100, Tukwila: WA 98188 tz. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 INSP ECTION N0. PERMIT NO. Project: ,' CI vitS Type of Inspection: IVO Address: /WO 4/f( AV- Date Called: ' Special Instructions: ' Date Wanted:. /�2r a:m: Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: T1 Co0e4f) 5 r t OLK. Inspector: Date: al/1- REINSPECTION FEE REQUIREtD. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (t (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �� ��� 14C-5 Type of Inspection: 2/60 Address: llooq r �� � Date Called: Special Instructions: Date Wanted:. L k a.m: Requester: Phone No: ID Approved per applicable codes. 5- Corrections required prior to approval. COMMENTS: 001J5 to to45 eclat(-1-6? Eycar ok rrA Fat er kC rr ° t'' (44/0,,i L t4445 faJh Aff- PrrArt i- 'S) Inspector: Date: /11//2 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Btvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit bieL-01 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R,.. (206) 431 -3670 Permit Inspection. Request Line (206) 431 -2451 Project: t p� ik ,r> 1 tjAVAA)/ AlkierVgaaTAcal Type of Inspection: 2.100 trcorl r xTi-gJ o& &Re C CCJI Address: 1( �� A a Date Called: 14• Special Instructs ns: Date Wanted:. m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: tjAVAA)/ AlkierVgaaTAcal gt0.,u ACC/I trcorl r xTi-gJ o& &Re C CCJI 14• Inspector: Date: oil- n 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 6,1Z -ors PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 te- (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 14114g-cc) fv73. Type of Inspection: ('S v7" O /V Porkr Or 44oJA/Did 3 Address: // / / AO% I O A / • Date Called: -... Special Instructions: Date Wanted:. ai a.m. Requester: tieriti.-- Phone No: EApproved per applicable codes. Corrections required prior to approval. COMMENTS: ('S v7" O /V Porkr Or 44oJA/Did t, a a fir, ,SySi zixi sc-PR ( (. 50, !tin--3 5,t , t aothvb ke<61 & code LA/ -. iftvsP9 f i; i(-1 42o'Jp5 fJ t4iiet( 1 tieriti.-- /Neil Inspector: Date: t� 23 l2...- 0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R,- (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 (141-0/1,c) Project: / K. kit1-5 Type of Inspection: 70(4 AO 3 Address:/(, II b I s p�i� Date Called: Special Instructions: Date Wanted: Requester: Phone No: ItApproved per applicable codes. Corrections required prior to approval. /7 COMMENTS: • r 61-kY ICE 01)4 /N Inspector: A Date: n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prater Friendly Page • Electrical Contractor A business licensed by L &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 SAM'S ELECTRIC a CONSTR INC 2069311402 15110 85Th Ave Ne Kenmore WA 98028 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603101483 Active SAMSEEC895MK Electrical Contractor 7/12/2011 7/12/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status SAMSEL'973DSSAMSELECTRICAL CONTRNG, LLC Electrical Contractor General Unused 3/10/2003 3/18/2013 Re- Licensed Electrical Administrator INFORMATION License CHO "JC972DS Name CHO, JOSIAH CW Status Active Business Owner Information Name Role Effective Date Expiration Date CHO, JOSIAH CHIN WOO Agent 07/12/2011 CHO, JOSIAH CHIN WOO President 07/12/2011 CHO, HEA YOUNG Vice President 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 LSM0201701 07/14/2011 Until Cancelled $4,000.00 07/20/2011 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/10/2012