HomeMy WebLinkAboutPermit EL12-0158 - BATES RESIDENCEBATES RESIDENCE
5201 S 164 ST
EL12-0158
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.: 6818400090
Address: 5201 S 164 ST TUKW
Project Name: BATES RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0158
02/17/2012
08/15/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
BATES JENNIFER ROSS
5201 S 164TH ST , TUKWILA WA
APRECIOUS WILLIAMS
828 POPLAR PL S , SEATTLE WA
S M E INC OF SEATTLE
828 POPLAR PL S , SEATTLE WA
Contractor License No: SMEINS *066DB
Phone: 206 788 -3824
Phone: 206 329 -2040
Expiration Date: 03/02/2012
DESCRIPTION OF WORK:
PANEL CHANGE AND ADDITION OF (2) CIRCUITS AS WELL AS INSTALLATION OF BACK UP
GENERATOR
Value of Electrical:
NRES: $0.00
RES: $0.00
Type of Fire Protection: SMOKE DETECTOR
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Fees Collected:
National Electrical Code Edition:
Date:
$105.00
2008
2
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 o the perfor - nce o rk. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
cc2-01-0�
Date:
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 -0158
Printed: 02 -23 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0158
* *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 m 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 -0158 Printed: 02 -23 -2012
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.TukwilaWA.gov
Parcel No.: 6818400090
Address: 5201 S 164 ST TUKW
Project Name: BATES RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0158
Issue Date: 02/17/2012
Permit Expires On: 08/15/2012
Owner:
Name: BATES JENNIFER ROSS
Address: 5201 S 164TH ST , TUKWILA WA
Contact Person:
Name: APRECIOUS WILLIAMS Phone: 206 788 -3824
Address: 828 POPLAR PL S , SEATTLE WA
Contractor:
Name: SM= ZNC- 0 - stA -1TLE
Address: 8 POpLPII ?1 S S E4'flL.E Wk
Contractor License No: Stll E 3 1115 « 0 (o tD b Expiration Date: 0 3 — 0?-- ?-0 l2
Phone:
DESCRIPTION OF WORK:
PANEL CHANGE AND ADDITION OF (2) CIRCUITS AS WELL AS INSTALLATION OF BACKUP
GENERATOR
Value of Electrical: NRES: $0.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SMOKE DETECTOR National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: NV>
Date:
$105.00
2008
02-1 l"l t l2
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • with, hether specified herein or not.
The granting of this permit does not pr. u - to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p rformance of ork. am authorized to sign and obtain this electrical permit.
Signature: Date:
Print Name:
2-A \-q\-)___
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 -0158 Printed: 02 -17 -2012
PERMIT CONDITIONS •
Permit No. EL 12 -0158
* *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 -0158 Printed: 02 -17 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
•
Electrical Permit No. D kg.
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
King Co Assessor's Tax No.: Y $ 01,9 -col0
Site Address: E0`Ol S0 , l tot-4141 Sre�� Suite Number:
New Tenant: ❑ Yes No
Tenant Name: 3emc-ea( clyytitS
Floor:
PROPERTY OWNER
Name: A. PPre.ci oUS caw
II\ls
Address: (ZrA .N tar p, .j ,
City:&tbbb N t\ State: Wi Zip: ()¢(44)
P h o n e : ? . (0,-) Fax: ek,ce, 5&9_ (411--)
Name: e r\ \(1_
Tukwila Business License No.: / _/ p ),5
Address c
s�\
1
��
City: TALL) A a
State: W A
Zip:C
c
CONTACT PERSON — person receiving all project
communication
Name: A. PPre.ci oUS caw
II\ls
Address: (ZrA .N tar p, .j ,
City:&tbbb N t\ State: Wi Zip: ()¢(44)
P h o n e : ? . (0,-) Fax: ek,ce, 5&9_ (411--)
Email-
a feel 0 u hoe SYvQJ vc_Sge to •cew,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: E
a seams
I_,__
Address: �p vo p letl 1 t
9''
State: (ol Zip: Qtpq
City: va,� \
Phone: W --y6.3 _ Fax: _6 (DB I 0
Contr Reg No.:syytlAkkuot xp Date: 3/) ql
`1
Tukwila Business License No.: / _/ p ),5
Valuation of Project (contractor's bid price): $ ' 000
Scope of Work (please provide detailed information):
f fTL CAM- 4M3 1 PeDVAAbr c ' — cAQ -Gun. /ye�1 C� 6-1 c \JVA?
S `icA�
Will service be altered ?1'es ❑ No Adding more than 50 amps? ❑ Yes No
Type of Use: 2esC\ ,,nk -1A
Type of work:
❑ New ❑ Addition Cth-"Service Change Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms - Applications On Line \2011 Applications \Electr cal Permit Application Revised 8 -9 -I I.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
iervice change or alteration $81.90
(no added /altered circuits)
Service$ ange with added /altered circuits $81.90
vv �! 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
PERMIT APPLICATION NOTES -
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:
Print Name: \ti
Mailing Address: SR Foulke,( �1 ,
SeQ
H.Wpplications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11 docx
Revised. August 2011 -
bh
Date: 9-1?-010...
Day Telephone: 900 7 - 3Sa1
l:0 q2.114q
City State Zip
Page 2 of 2
•
C City of Tukwila
1
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 6818400090
Address: 5201 S 164 ST TUKW
Suite No:
Applicant: BATES RESIDENCE
RECEIPT
Permit Number: EL12 -0158
Status: PENDING
Applied Date: 02/17/2012
Issue Date:
Receipt No.: R12 -00703
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $105.00
Payment Date: 02/17/2012 12:07 PM
Balance: $0.00
SME, INC. OF SEATTLE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 22557 105.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 105.00
Total: $105.00
doc: Receipt -06 Printed: 02 -17 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
f2-oK
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 � (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: f/
r
Type of Inspection:
Address: s
clot
:5. ! &-f .5r
Date Called:
.,..,
Special Instructions:
Date Wanted:.
5f
•7n
/.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
8.
COMMENTS:
t
(Atf 445 rip'
Waert
Inspector: 66,44itc
Date:
❑ 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 Ir. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
(u2
Project: 64,1 , ii„,
Type of Inspection:
Address..
t
Date Called:
Special Instructions: J
XVI,- ilk, , RIO
#�
Date Wanted:.
a.m.:-
Requester:
Phone No
aApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
00 frf (KKK CAN reAfti 1,4
Inspector:
(114.114-ic
Date: a/24 (IL,.
REINSPECTION FEE REQUIRED. Prior to next inspections fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General /Specialty Contractor
A business registered as a construction contractor with LEI to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name SME INC OF SEATTLE UBI No. 601524252
Phone 2063292040 Status Active
Address 828 Poplar Place 5 License No. SMEINIS926QG
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 11/5/2008
State WA Expiration Date 11/5/2012
Zip 98144 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SMEINS*066DB
5 M E INC OF
SEATTLE
Electrical
Contractor
General
Unused
3/2/1994
3/2/2014
Active
PACIFFS973PU
PACIFIC FIRE AND
SECURITY INC
Electrical
Contractor
Limited
Energy
Unused
10/30/2003
10/30/2009
Expired
Business Owner Information
Name
Role
Effective Date
Expiration Date
BAKER, JON T
President
11/12/2010
Amount
WITTMAN, JOHN P
Secretary
11/05/2008
4tco526d960aphx11
PINSKY, ADAM A
Treasurer
11/05/2008
MARVICH, STEPHEN E
President
11/05/2008
11/12/2010
BAKER, JON T
Vice President
11/05/2008
11/12/2010
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
AMERICAN STATES INS
CO
6613252
10/31/2008
Until Cancelled
$12,000.00
11/05/2008
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date,
Amount
Received Date
3
Phoenix
Insurance
Company, The
4tco526d960aphx11
10/09/2011
10/09/2012
$1,000,000.0010
/10/2011
2
Security
National Ins Co
SPP1001805
10/09/2009
10/09/2011
$1,000,000.0010
/04/2010
1
SECURITY
NATIONAL
INSURANCE
SPP1001805
10/09/2008
10/09/2009
$1,000,000.00
11/05/2008
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
05/17/2012