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HomeMy WebLinkAboutPermit EL12-0324 - JUSTINE RESIDENCEJUSTINE RESIDENCE 11602 40 AV S EL12-0324 City oPi'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.: 7340600142 Address: 11602 40 AV S TUKW Project Name: JUSTINE RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0324 Issue Date: 04/06/2012 Permit Expires On: 10/03/2012 Owner: Name: JUSTINE ANNE E Address: D'AMBROSIO MICHAEL A , 11602 40TH AVE S Contact Person: Name: NAIDA KHAN Address: 1345 GULF RD , POINT ROBERTS WA Contractor: Name: WASHINGTON ENERGY SERVICES Address: 2800 THORNDYKE AV W , SEATTLE WA Contractor License No: WASHIES971 OD Phone: 360- 945 -2787 Phone: 206 282 -4700 Expiration Date: 09/04/2013 DESCRIPTION OF WORK: CIRCUIT FOR FURNACE AND HEAT PUMP Value of Electrical: NRES: $0.00 RES: $300.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $54.60 2008 Date: 4— k-1 °k 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 t e performance of . • . I am authorized to sign and obtain this electrical permit. Signature: Print Name: "41443/WA Date: 1 —/C9)? 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 -0324 Printed: 04 -06 -2012 • * *ELECTRICAL ** PERMIT CONDITIONS Permit No. EL12 -0324 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, arty 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 -0324 Printed: 04 -06 -2012 CITY OF TUKWILL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. Project No. (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: 11602 40TH AVE S King Co Assessor's Tax No.: 7340600142 Tenant Name: Suite Number: Floor: Property Owners Name: MIKE D'AM B ROS I O Mailing Address: New Tenant: ❑ Yes ..No TUKWILA City WA State 98168 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Naida Khan /Northwest Permit Inc Mailing Address: E -Mail Address: 1345 GULF RD naida @nwpemit.com Day Telephone: Point Roberts City Fax Number: 360- 945 -2787 WA 98281 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: WESCO Mailing Address: 2800 Thorndyke Ave W Seattle WA 98199 Candice Gallag her City -te Zip Contact Person: Day Telephone: 800- 398 8-4463 E -Mail Address: Fax Number: Contractor Registration Number: WASH IES971 OD Expiration Date: 9/2/13 300 po�% f PL4tqP Valuation of Project (contractor's bid price): $ .� i `f� Scope of Work (please provide detailed information): CIRCUITS FOR FURNACE [ TUKWILA., 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:Wpplications \Forms - Applications On Line \4-2007 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family. dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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: Mailing Address: /36 /( /r Day Telephone: 1Ifil City Date: AJjt f4Zf1 talc zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications \Fors- Applications On Line \4 -2007 - Electrical Permit Application.doc bh Page 2 of 2 • III wqs 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.ov Parcel No.: 7340600142 Address: 11602 40 AV S TUKW Suite No: Applicant: JUSTINE RESIDENCE RECEIPT Permit Number: EL12 -0324 Status: PENDING Applied Date: 04/06/2012 Issue Date: Receipt No.: R12 -01254 Initials: WER User ID: 1655 Payment Amount: $54.60 Payment Date: 04/06/2012 10:01 AM Balance: $0.00 Payee: WASHINGTON ENERGY SERVICES COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8207 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: Receiot -06 Printed: 04 -06 -2012 INSPECTION „RECORD 6,IZ-°3q Retain a copy with permit ;INSPECTION N0.. PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter.Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project /' • Type of Inspection: 2” Address: • -' (fJ6Z LfC) Ali Date Called: Date Wanted: yho Requester: Phone No: Approved per applicable codes. f Corrections required prior to approval. 'COMMENTS: :. Date: REINSPECTION FEE REQUIRE . Prior to next inspection, fee must be paid at 6300,Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr Friendly Page Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 WASHINGTON ENERGY SERVICES CO 2062824700 2800 Thorndyke Ave W Seattle WA 98199 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602320560 Active WASHIES971 OD Electrical Contractor 9/4/2003 9/4/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status WASHIES009MC WASHINGTON ENERGY SERVICES Electrical Contractor General Unused 7/3/2000 7/3/2002 Archived NORTHWHO99JZ NORTHWEST WATER HEATER INC Electrical Contractor General Unused 4/9/1991 4/9/2001 Archived WASHIES997N8 WASHINGTON ENERGY SERVICES CO Electrical Contractor General Unused 8/28/2001 8/28/2005 Out Of Business Electrical Administrator INFORMATION License CRISMTS935R0 Name CRISMAN, TRAVIS S Status Active Business Owner Information Name Role Effective Date Expiration Date FREIDBERG, DAN Agent 09/04/2003 OLSON, CRAIG President 09/04/2003 HEAGLE, RANDY Secretary 09/04/2003 CHRISTIANSON, STEVE Treasurer 09/04/2003 OLSON, VERN Vice President 09/04/2003 Bond Information BondlBond Company NamelBond Account NumberlEffective Date Expiration Date Cancel Date Impaired Date https://fortress.wa.gov/lniibbip/Print.aspx 04/06/2012