HomeMy WebLinkAboutPermit EL12-0405 - BLACKBURN RESIDENCEBLACKBURN
RESIDENCE
12224 49 AV S
EL1 2-0405
City oil/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
Parcel No.: 0179001600
Address: 12224 49 AV S TUKW
Project Name: BLACKBURN RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0405
Issue Date: 05/02/2012
Permit Expires On: 11/19/2012
Owner:
Name: BLACKBURN JIM
Address: 18815 SE 308TH ST , KENT WA
Contact Person:
Name: STEVE ANDERSON
Address: 2721 S ASH , TACOMA WA
Contractor:
Name: B B ELECTRIC
Address: 2721 S ASH ST , TACOMA WA
Contractor License No: BBELEBE950P1
Phone: 253 -573 -1373
Phone: 253 - 573 -1373
Expiration Date: 10/22/2013
DESCRIPTION OF WORK:
INSTALL 24 -HOUR TIMER AND DISCONNECT SWITCH
REVISION #1: CHANGE OUT SERVICE
Value of Electrical:
NRES: $0.00 Fees Collected: $136.50
RES: $1,900.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date: Oc IJ
I hereby certify that I have read and 4xami \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, whether specified herein or not.
The granting of this permit does not pre' tr fie to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfArmanc of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
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 -0405 Printed: 05 -29 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0405
* *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 -0405 Printed: 05 -29 -2012
City oPI'ukwila
•
Department of Cominunity 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.: 0179001600
Address: 12224 49 AV S TUKW
Project Name: BLACKBURN RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0405
Issue Date: 05/02/2012
Permit Expires On: 10/29/2012
Owner:
Name: BLACKBURN JIM
Address: 18815 SE 308TH ST , KENT WA
Contact Person:
Name: STEVE ANDERSON
Address: 2721 S ASH , TACOMA WA
Contractor:
Name: B B ELECTRIC
Address: 2721 S ASH ST , TACOMA WA
Contractor License No: BBELEBE950P1
Phone: 253 - 573 -1373
Phone: 253 -573 -1373
Expiration Date: 10/22/2013
DESCRIPTION OF WORK:
INSTALL 24 -HOUR TIMER AND DISCONNECT SWITCH
Value of Electrical:
NRES: $0.00
RES: $400.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$54.60
2008
Date:
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 performanc,Q of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
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 -0405 Printed: 05 -02 -2012
•
* *ELECTRICAL **
PERMIT CONDITIONS
Permit No. EL 12 -0405
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 -0405 Printed: 05 -02 -2012
CITY OF TUKW44
Community Developme, Department
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 **
Site Address: i))' j I1 Nit_
Tenant Name:
;.,p�,r,`,a..y
` ai`@'Rt'• >µ 1a R u.
t 3 d
� T
Name:
61,,�vk
4J
itif
Address:
Address:
City: State:
City:
State:
City:
Phone:
State:
Zip:
King Co Assessor's Tax No.: nil 00-1(e op
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
pp yy Y! pp
rv_ p
Name:
Address:
Address:
City: State:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.: 1131 --j o, n
Email:
Tukwila Business License No.;
King Co Assessor's Tax No.: nil 00-1(e op
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
pp yy Y! pp
rv_ p
Company Name:
! ! �'T
L. Eli( j f ` Li
Address:
City: State:
Zip:
Phone: Fax:
Contr Reg No.: 1131 --j o, n
E9 g, Date: /)3
1`
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ `" b c'
Scope of Work (please provide tailed information):
JI4 1-0.74/ Lfr,
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
El New ❑ Addition ❑ Service Change ❑ Remodel
Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
❑ Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
Property Served by:
❑ Puget Sound Energy Seattle City Light
1- 1. \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -I 1.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)
❑ ervice 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 $78175
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.
1 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: �J ( ✓ ' / ' S L
H. \ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -I 1.docx
Revised. August 2011
bh
Date:
Day Telephone:
City
w e 18 Lief
State Zip
Page 2 of 2
CIAO 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: /hvww. ci. tukw ila. wa. us
SET RECEIPT
RECEIPT NO: R12 -01712
Initials: JEM
Payment Date: 05/29/2012
User ID: 1165 Total Payment: 163.80
Payee: BB ELECTRIC
SET ID: 0529 SET NAME: BB ELECTRIC
SET TRANSACTIONS:
Set Member
EL12 -0404
EL12 -0405
TOTAL:
Amount
81.90
81.90
81.90
TRANSACTION LIST:
Type Method Description Amount
Payment Check 12313 163.80
TOTAL: 163 .80
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 163.80
TOTAL: 163.80
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.: 0179001600
Address: 12224 49 AV S TUKW
Suite No:
Applicant: BLACKBURN RESIDENCE
RECEIPT
Permit Number: EL12 -0405
Status: APPROVED
Applied Date: 05/02/2012
Issue Date:
Receipt No.: R12 -01471
Initials: WER
User ID: 1655
Payment Amount: $54.60
Payment Date: 05/02/2012 10:57 AM
Balance: $0.00
Payee: BB ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12415 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: 05 -02 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
6u2. oror
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 Of— (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: /if
d ite-41SA)(4/4kK
Type of Inspection:
Address:
1222Y Y? /�
Date Called:
Special Instruction's:
Date Wanted: .
,�-
CA)
Requester:
t
Phone No:
MApproved per applicable codes.
OMMENTS:
Corrections required prior to approval.
Inspector: /"/ `I I 02/
Date: aG
❑ 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
6,42.1)(057
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 IZ (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: *61
tC' w
Type of Inspection: /_
Address:
Date Called:
Special Instructions':
' (
Date Wanted:.
L
5123
a.
Requester:
t
Phone No:
Ei Approved per applicable codes.
gi
Corrections required prior to approval.
COMMENTS:
l
- rC1x: it0,-t, 04ProNti sic
Ifck e4 4c `\') ?Rvir r kS 1?&I5lod
Inspector:
<7a,6c,d4t
Date: 517,3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: f O 41/ Plan ChecWPermit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: k) (n -' 6t•-//
Project Address:
ullie f"V
Contact Person: 5 +ems Phone Number: iP -) /3 ) 3
Summary of Revision:
A (tea v
c4ECEIVED 7111,ft ILA
X92012
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in Permits Plus on
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
Contractors or Tradespeople Per 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 B B ELECTRIC UBI No. 602541064
Phone 2535731373 Status Active
Address 2721 S Ash St License No. BBELEBE950P1
Suite /Apt. License Type Electrical Contractor
City Tacoma Effective Date 10/21/2005
State WA Expiration Date 10/22/2013
Zip 98409 Suspend Date
County Pierce Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company S J A ELECTRIC LLC
Electrical Administrator INFORMATION
License ANDERS'954PE
Name ANDERSON, STEVE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, STEVE J
Agent
10/21/2005
10/6/2006
ANDERSON, STEVE
Partner /Member
10/21/2005
$250.00
ANDERSON, KIM
Partner /Member
10/21/2005
ELECTRICAL CITATION
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
1
AMERICAN STATES
INSURANCE CO
6383316
10/21/2005
Until Cancelled
$4,000.00
10/21/2005
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
EMUTR00191
10/6/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00286
3/17/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBRIC01065
10/12/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 05/02/2012