HomeMy WebLinkAboutPermit EL12-0192 - PHIMVIENGKHAM RESIDENCEPHIMVIENGKHAM
RESIDENCE
183144 PL S
EL12-0192
City oikukwila •
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.: 3347400993
Address: 11831 44 PL S TUKW
Project Name: PHIMVIENGKHAM RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0192
Issue Date: 02/28/2012
Permit Expires On: 08/26/2012
Owner:
Name: PHIMVLENGKHAM RATHIDA
Address: 11829 44TH PL S , TUKWILA WA
Contact Person:
Name: GARY PHILLIPS
Address: PO BOX 2049 , TUKWILA WA
Contractor:
Name: PHILLIPS & SON ELECTRIC
Address: PO BOX 2049 , BELFAIR WA
Contractor License No: PHILLSE055MG
Phone: 360 - 275.5701
Phone:
Expiration Date: 07/07/2013
DESCRIPTION OF WORK:
WIRING FOR NEW SFR
Value of Electrical:
NRES: $0.00
RES: $4,365.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LI
Permit Center Authorized Signature:
oe
Fees Collected:
National Electrical Code Edition:
Date:
$152.85
2008
I hereby certify that I have read and examined this pe "'t 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 p - r • rmance • f of J;ar} authorized to sign and obtain this electrical permit.
Signature:
Print Name:
41-y I, A ;Mr
Date: ol . ef -/2
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 -0192 Printed: 02 -28 -2012
0 0
PERMIT CONDITIONS
Permit No. EL12 -0192
* *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 -0192 Printed: 02 -28 -2012
CITY OF TU%$
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. & j, CL a
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: t I$ 3I 9 'l f 1. 5
King Co Assessor's Tax No.:
Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name:r b P\t\`11 \ Q S
Name: RctiVwxci 4ti'rhv ►Lh9k\,am‘
City: saeRstr State: W f Zip.9
Address:
Email: Moocts gte. (X 0 rr stl. c.oln
City: State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:r b P\t\`11 \ Q S
Address: ? O o4_ D.041
City: saeRstr State: W f Zip.9
Phone:36o :ns -570 t Fax: 366 xi, _ 01(11`1
Email: Moocts gte. (X 0 rr stl. c.oln
ELECTRICAL CONTRACTOR INFORMATION
Company Name: pht nips. a. Soh E. ktatyC 3r�,
Address: p() aot avti9
City: Qe.` ,;r State: W t1 7 Zip: c,{g5a,g
`
Phone: 360 - ;� )S -Slot Fax: 36() ail. CIM1Li
Contr Reg No.:X14toLSEtssn1 . Exp Date: 71311 12
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ t.� 3 b S. 0 Q
Scope of Work (please provide detailed information):
Wcct 5 F R For R�� � omQ..S
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 ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\ApplicationsToms• Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 l.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.
MISCELLANEOUS FEES
❑ Temporary service (residential) S63.00
❑ 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.
0 EL C RACTIR:
Signature: / > Date: a + Gee- /%
Print Name: 6441 L. P/1►'II�1 J
Mailing Address: / t ;649'
?elORl!-
H:\Applicatiore\Forms- Applications On Line12011 Applications\Electrical Permit Application Revised B-9-1 I.docx
Revised: August 2011
bh
Day Telephone:
3co.c -s 93p
tvA, 195-A8
City State Zip
Page 2 of 2
1 0
City of Tukwila
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
RECEIPT
Parcel No.: 3347400993 Permit Number: EL12 -0192
Address: 11831 44 PL S TUKW Status: PENDING
Suite No: Applied Date: 02/28/2012
Applicant: PHIMVIENGKHAM RESIDENCE Issue Date:
Receipt No.: R12 -00828
Initials: TLS
User ID: 1670
Payment Amount: $152.85
Payment Date: 02/28/2012 09:32 AM
Balance: $0.00
Payee: RHONDA PHILLIPS - PHILLIPS SON ELECT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 040432
ACCOUNT ITEM LIST:
Description
152.85
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 152.85
Total: $152.85
doc: Receiot -06 Printed: 02 -28 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Otc12
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 1
Project
f
Type of Inspection:
Address: � ��� �
, `�
��,�
�
Date Called:
r
Special Instructions:
•
Date Wanted:.
1
/ /
.m.
p..
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
•
1,44Nr
Inspector:
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 N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206)431 -2451
642- G702,-
Project:
i-P el , f
A 1 1' '
ype of Inspection:
,oO
co& L-ofid Vot,r C,f
Address: °
Pc-
Date Called:
Special Instructions:
Date Wanted:.
dc
ft.m.
Requester:
Phone No:
Approved per applicable codes.
`sr4
orrections required prior to approval.
COMMENTS: .
p- . ILL=- tZ(a►.i (ft°
MiraStiS 60 gy `
P6K Alar 1 r4sP6 tod . / - f iJAij
co& L-ofid Vot,r C,f
i«
Inspector:
Date: 1
t
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Callao 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 rz. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
(u2,-ot
Project:
1-141116Agke t\r)
Type of Inspection:
--
AV) 00'0
Address:
it Y 3( 'ft( Pt--
Date Called:
- ' V40- /4 ev-tri,61-€
Special Instructions:
Date Wanted:®
, -t--‘11ci.
a.m:
P•
Requester:
r G t t.
b.isritu, fikini.SiSitri 8 VAIP (1.11 &
Phone No:
A ao J Ai D rk. J11 NoJel— TO id 56=k;ficf)
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
}
- ' V40- /4 ev-tri,61-€
, -t--‘11ci.
r G t t.
b.isritu, fikini.SiSitri 8 VAIP (1.11 &
A ao J Ai D rk. J11 NoJel— TO id 56=k;ficf)
Date:
3./a
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
08 -01 -2012
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
GARY PHILLIPS
PO BOX 2049
TUKWILA WA 98528
RE: Permit No. EL12 -0192
PHIMVIENGKHAM RESIDENCE
11831 44 PL S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 09/04/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 09/04/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
File: Permit File No. EL12 -0192
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206 -431 -3665
Yot.
City of Tukwila •
6200 Southcenter Blvd, Tukwila, WA
If City Vendor = Tu Business License Application
. FILL—OUT—THIS FORM IN ITS ENTIRETY •
COMPLETE APPLICATIONS WILL NOT BE PROCESSED
nd NOT a license to conduct business.
sting business. ALL LICENSES EXPIRE DECEMBER 3i
Rusin( 2 0 5 9 0 1 - 1 0 2 / 2 8 / 2 0 1 2 8 R 1 1 T121 Tess Change ❑ Usage Change Application Date:
Busine Tue Feb28,2012 09:06AM Trans #10 -10
.., .e,
Corporate/Legal Business Name o ✓If want to use asmawngaddress
`ernm Name: PHILLIPS & SON ELECTRIC INC PHIL
v x.%11 10 $67.00 BUSLCN - Business Licenses
$1eines Customer #: 00058149
?<) 1 Activity #: 00007441
Address
City
5116; 1 ITEM(S): TOTAL: $67.00
City
State
Tip Code
Email , MasterCard PAID $67.00
Nous (
Corporate Email
Corporate Phone
Previous www . tukw i 1 awa . gov 206 - 433 -1835
Ownership Status Di Corporation
❑ Individual ❑ Partnership ❑ LLC ❑ Non - Profit ❑ Govemment
WA State : _... -� - ---• __ --•-- .., , .,.,. . e)
60( 64 a o$ L I ?1k1l.LS E WS MG
Are you a Utility Company
iliNo ❑ Yes, if yes specify type:
Description of Business (give complete details of services provided/goods sold) Duration of Work here in City:
E1et:‘,r kci..,` CvrAeGeinr Temporary Joblwork: ❑ No IN Yes (Example: Contractor)
Regular Work/Service provided: ❑ No ❑ Yes (Example: Service Prodder)
Planning & Building Information
Are you presently doing any installation of New Signage or Changes to existing signage, including copy changes? ❑ No ❑ Yes
(If yes, you must complete the City of Tukwila Sign Affidavft stating that you have read and understand TMC - Title 19 Sign Code.)
'List all - owners /partners /Officers . (Please
(Name 1: :.
(ro L VN.t\1t vs
attach list, for'more owners /partnerslofficers.)
Tale: Home Address: .
QceS 4350 t. mostA N-4 Pr W `
Clty/Staternp-
trt+c. ev Gli 9%MM
Phone: aenary HomelWorWCel
360 3-510 work
Date of Birth-
-7/3%136
Driver's License Number:
?\\ L bL'VA \ 1h)
State L se Issued:
WR
Name 2:
%.‘0 s l■ N\\I?s
Title:
l);cAL pWeS
Home Address:
`13So t Mc or Qv tX)
City/State/Zip:
krca ev W41�`1l
Phone: tclartry HomeNValc/CoU
360 '13.7- awl donne.
Business License Fee
Date
la.
`'t
Birth: Driver's License Number
.24156 NILL.RLHLt3R 1
State udense Issued:
k).34
Licenses are valid JANUARY 1 through DECEMBER 31 (Licenses are not pro -rated and expire December 31.)
A. 0 Total Number of Owner /Manager/Employee hours worked in Tukwila, Jan — Dec.
(Determine the hours worked by ALL employees — full & part-time, managers and owners.)
• One Full -Time Equivalent (FTE) Employee = 1,920 hours (per WA State Dept of Labor & Industries)
• New businesses need to estimate number of hours to be worked in a 12 month period.
• Report only those hours worked in Tukwila
B. 61.00 Multiply line "A" by $0.034896 (If less than $67, pay $67 minimum) _
C. Business License Fee, enter amount from line "B"
Please make checks payable to "City of Tukwila" (All Fees Paid are Non - Refundable)
1 certify the /nfomratlon contained herein Is correct / understand that any untrue statement is cause for revocation of my license.
Print Name
Z \\o•ac. 1_g? NC %\‘ 3, S
Title/Position
0 ■ ce. Qtr s
ure ..
YINANPEUSE,ONLY°
il Received by: ill _. Customer #: .' JI _ . / Activity #: k k'i
Contact Phone Number
3b0 a1S- Sao
.
_ r.. -..a- .... - - •.t r _' >, i_{ is sng
'- Ill .._ ..._.._ _,_.
Contractors or Tradespeople Per Friendly Page
1
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
PHILLIPS & SON ELECTRIC INC
3602755701
Po Box 2049
Belfair
WA
98528
Mason
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601642086
Active
PHILLSE055MG
Electrical Contractor
7/7/1995
7/7/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
GARDEE1095D5
GARDEN
ELECTRIC INC
Electrical
Contractor
General
Unused
3/25/1991
3/25/1997
Archived
GARDEE'135C7
GARDEN
ELECTRIC
Electrical
Contractor
General
Unused
2/27/1987
2/27/1991
Archived
Master Electrician INFORMATION
License PHILLDL964N5
Name PHILLIPS, DANNY L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PHILLIPS, GARY L
Agent
07/07/1995
Bond Amount Received Date
PHILLIPS, GARY L
President
07/07/1995
07/27/2007
PHILLIPS, RHONDA L
Vice President
07/07/1995
$4,000.0006/26/2001
STRALEY, DENNIS
Vice President
06/20/2001
04/26/2003
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
3
CBIC
SD7819
07/27/2007
Until Cancelled
$4,000.0006/26/2001
2
CBIC
SD7819
06/14/2001
Until Cancelled
07/27/2007
$4,000.0006/26/2001
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
02/28/2012