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Home My WebLink AboutPermit EL12-0475 - MCCULLUM RESIDENCEMcCULLUM RESIDENCE 16612 53 AV S EL1 2-0475 City dinukwila 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.: 8858800045 Address: 16612 53 AV S TUKW Project Name: MCCULLUM RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0475 05/22/2012 11/18/2012 Owner: Name: OLSON DONALD RAY Address: 738 FALL CREEK DR , HUFFMAN TX Contact Person: Name: STEWART MCCULLUM Address: 20635 MARINE VIEW DR SW , MORMANDY PARK WA Contractor: Name: PACIFIC HOME ELECTRIC LLC Address: 140 12TH ST SE , PUYALLUP WA Contractor License No: PACIFHE935O4 Phone: 206 870 -5575 Phone: (253)617 -9288 Expiration Date: 09/30/2013 DESCRIPTION OF WORK: INSTALLATION OF (14) IC RATED REMODEL RECESSED CAN LIGHTS. REMOVE /REPLACE OLD 125 AMP PANEL FOR NEW 200 AMP MAIN BREAKER PANEL. Value of Electrical: NRES: RES: $0.00 $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xa with The granting of this permit does not p construction the • erformance of wor Signatu Print Name: • su Fees Collected: National Electrical Code Edition: $93.45 2008 Date: OcItiZd 1L- ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. S /Zz/ 2J Date: /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 -0475 Printed: 05 -22 -2012 PERMIT CONDITIONS Permit No. EL12 -0475 * *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 -0475 Printed: 05 -22 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188. http://www.TukwilaWA.gov Electrical Permit No. (■ /- -014 C Project No. Date Application Accepted: L ` 11-_ Date Application Expires: `j. ?"), V (� (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.: U SC-41'i 0-004C Site Address: 16612 53rd Ave S Tenant Name: Suite Number: PROPERTY OWNER Name: Stewart McCullum Name: Stewart McCullum City: Normandy Park State: WA Zip: 98166 Address: 20635 Marine View DR SW Email: stewart@reusa.biz City: Normandy Park State: WA Zip: 98166 CONTACT PERSON — person receiving all project communication Name: Stewart McCullum Address: 20635 Marine View DR SW City: Normandy Park State: WA Zip: 98166 Phone: (206) 870 -5575 Fax: Email: stewart@reusa.biz Floor: New Tenant: ❑ Yes ® ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Pacific Home Electric LLC Address: 140 12th ST SE City: Puyallup state: WA Zip: 98372 Phone: (253) 617 -9288 Fax: Contr Reg No.: pacifhe935o4 Exp Date: 09/01/2012 Tukwila Business License No.: bus - 0993295 Valuation of Project (contractor's bid price): $ 1,800 Scope of Work (please provide detailed information): Installation of (14) IC rated remodel recessed can lights. Remove/replace old 125amp panel for new 200amp main breaker panel. Will service be altered? In Yes ❑ No Adding more than 50 amps? ❑ Yes g] No Type of Use: Type of work: ❑ New ❑ Addition 121 Service Change m Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H: Applivations\Fornts. Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9- 11.duxx 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) VI Service change with added/altered circuits $81.90 1 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: Date: 05/22/2012 Print Name: Troy Day Telephone: (253) 617 -9288 Mailing Address: 140 12th ST SE Puyallup WA 98372 City H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9.11.docx Revised: August 2011 bh 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.Tukwila WA.gov Parcel No.: 8858800045 Address: 16612 53 AV S TUKW Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: EL12 -0475 Status: PENDING Applied Date: 05/22/2012 Issue Date: Receipt No.: R12 -01648 Payment Amount: $93.45 Initials: JEM Payment Date: 05/22/2012 01:14 PM User ID: 1165 Balance: $0.00 Payee: TROY MOBLEY, PACIFIC HOME ELECTRIC LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 041416 ACCOUNT ITEM LIST: Description 93.45 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 93.45 Total: $93.45 doc: Receipt -06 Printed: 05 -22 -2012 ;.INSPECTION- RECORD -Retain a copy with permit INSPECTION NO.? :' , PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Soutlicenter Blvd:, #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 611.--tyric Project sp Type of Inspection Address: /6..4/2.:. t�� 41 Date Called: /// Special Instructions Date Wanted: .m. cZt P.m Requester: Phone No: lApproved per applicable codes. ['Corrections required prior to approval. COMMENTS; 'HAIA1Y Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople P ter 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 PACIFIC HOME ELECTRIC LLC 2536179288 140 12Th St Se Puyallup WA 98372 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602756902 Active PACIFHE93504 Electrical Contractor 9/24/2007 9/30/2013 Residential Unused Electrical Administrator INFORMATION License MOBLET*938LK Name MOBLEY, TROY Status Active Business Owner Information Name Role Effective Date Expiration Date MOBLEY, TROY A Agent 09/24/2007 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 4 NGM Insurance Company S788707 12/08/2010 Until Cancelled $4,000.0012/15/2010 3 American Contractors Indem CO 100106742 12/08/2009 Until Cancelled 01/29/2011 $4,000.0012/14/2009 2 AM STATES INS 6597893 09/17/2008 Until Cancelled 12/03/2009 $4,000.0008/22/2008 1 AMERICAN CONTRACTORS INDEM CO 100032868 09/17/2007 Until Cancelled 11/06/2008 $4,000.00 09/24/2007 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 EJORP03627 3/16/2010 19.28.101 RCW ELECTRICAL CITATION Not satisfied $2,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 05/22/2012