HomeMy WebLinkAboutPermit EL12-0538 - BOSLEY & SMITH RESIDENCEBOSLEY & SMITH
RESIDENCE
14727 56 AV S
EL1 2-0538
City ATukwila
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.: 1157200178
Address: 14727 56 AV S TUKW
Project Name: BOSLEY & SMITH RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0538
Issue Date: 06/13/2012
Permit Expires On: 12/10/2012
Owner:
Name: BOSLEY MIKE S +SMITH MARK R
Address: 14727 56TH AVE S , TUKWILA WA
Contact Person:
Name: STEPHEN BRANDEIS
Address: PO BOX 15269 , SEATTLE WA
Contractor:
Name: ELECTRIC CO /SEATTLE INC, THE
Address: PO BOX 15269 , SEATTLE WA
Contractor License No: ELECTCIO2OBN
Phone: 206 633 -3896
Phone: 206 633 -3896
Expiration Date: 04/03/2014
DESCRIPTION OF WORK:
ADD CIRCUITS FOR SHET - WIRING FOR IN-WALL HEATERS
Value of Electrical:
NRES: $0.00
RES: $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 d
governing this work will be complied
Fees Collected: $81.90
National Electrical Code Edition: 2008
Date: M(2)112
Ka ned this permit and know the same to be true and correct. All provisions of law and ordinances
wit whether specified herein or not.
The granting of this permit does not pre' me to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: O 6fi ?// 2
Print Name: /4--Pr C -(4
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 -0538 Printed: 06 -13 -2012
•
PERMIT CONDITIONS
Permit No. EL12 -0538
* *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 -0538 Printed: 06 -13 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
63011 Sout/wenter /3 /rc/ , Suite 100
Tukwila, W4 98188
http: / /www.TukwilaWA.gov
Electrical Permit No.
Project No. n
Date Application Accepted: t - 11 '1(2 -.
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.:
itW1219 —O(]i
Site Address: Pi72 7 .5 C' Ave- S. ItAl<wilov WP 9iFv68- Suite Number: Floor:
Tenant Name:
PROPERTY OWNER
Name:
.S-b ei ti orrtwn a-c-i-1
Name: m wrK
1;1,17 k -1
Phonr,2o 0 (33 -rj9e. Fax: ic, 6) 7 7 0 _ 7,7' 90
Address:
P1717
- -et. AV-I- f.
Phone: Al 0 e) ‘rf-_ Cd -9Px:
City: fiU-k t./.1 l a
State: w�
Zip: ?'ef/
CONTACT PERSON — person receiving all project
communication
Name:
.S-b ei ti orrtwn a-c-i-1
Address:
(17,d, 007C l.iZ ‘ 9
Address:
Phonr,2o 0 (33 -rj9e. Fax: ic, 6) 7 7 0 _ 7,7' 90
City: Stat
Zip:
Phone: Al 0 e) ‘rf-_ Cd -9Px:
Email: �
5', (v a e ► r7`) e l C o re. Cot''',
New Tenant: ❑ Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: G Cv, 64' SGet
Address:
(17,d, 007C l.iZ ‘ 9
City• State: Zip:
Phonr,2o 0 (33 -rj9e. Fax: ic, 6) 7 7 0 _ 7,7' 90
Contr Reg No.: _i_. E C i Gsoi2 4xp ,Date: /7/f
Tukwila Business License No.: OQ 0 �7
Valuation of Project (contractor's bid price): $ 9'D b, 00
Scope of Work (please provide detailed information):
c; rc wi f J -%a Il, -c4 ! i h I-1- u- r 1
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Puget Sound Energy
No
ed; 4(4141 a4
w i r' h� -%n' i!� - wovi I
Adding more than 50 amps? ❑ Yes No
❑ Service Change
❑ Fire Alarm
❑ Seattle City Light
H:\ Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
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at Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
$81.90 ea
Garages, pools, spas an
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANCES
❑ 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
ded/ to d wit • -ervice ige $54.60
(up to ' rcuit
❑ 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 xvriting
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: O 6 / /31/2_
Print Name:
Q'Cah J-e f
Mailing Address: 69.6. go( /.fz C9'
Day Telephone: ! 2 °4 (' ' -36-7(
6-9'(
Jest, t-t� x 1- 961/5--
City State Zip
H: \Applications \Forns - Applications On Line \2011 Applieat inns \Ele..ii iud Permit AppliLdtiun Revised 8 -9.1 Ldomx
Revised: August 2011
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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.TukwilaWA.gov
Parcel No.: 1157200178
Address: 14727 56 AV S TUKW
Suite No:
Applicant: BOSLEY & SMITH RESIDENCE
RECEIPT
Permit Number: EL12 -0538
Status: APPROVED
Applied Date: 06/13/2012
Issue Date:
Receipt No.: R12 -01858
Initials: JEM
User ID: 1165
Payment Amount: $81.90
Payment Date: 06/13/2012 01:08 PM
Balance: $0.00
Payee: THE ELECTRIC COMPANY OF SEATTLE, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12431 81.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 81.90
Total: $81.90
doc: Receiot -06 Printed: 06 -13 -2012
2
INSPECTION NO.
INSPECTION.:,RECORD
Retain a copy with permit
PERMIT N0. ..
CITY OF TUKWILA BUILDING DIVISION:
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - 3670'.
Permit Inspection Request Line (206) 431 -2451
Project:
4.61 1 ilv
i,c
Type of Inspection: -.
Address: 1
f
Date Called:
Special Instruct ons:
Date Wanted:.
a:m
Requester:
Phone No:
pApproved per applicable codes.
'COMMENTS:
Inspector:
ElCorrections required prior to approval.
n 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
PERMIT NO.
'CITY"OF:'TUKWILA BUILDING DIVISION
16300.SouthcenterBlvd., #100, Tukwila. WA 98188 `x.p,.,(206) 431 -3670
• Permit Inspection: Request Line (206) 431 -2451
611-bc31
Projec ?'
t SID 445.
Type of Inspection:
v �� to
Address:
Date Called:
Special. Instructions:
Date Wanted:.
(lg.:
Requester:
Phone No
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ifisivxistAJAJD
0
• /,
Inspector:
/U/11
� l r
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
fir- 0-0J
Date:0 6
Contractors or Tradespeople Flitter Friendly Page
•
General /Specialty Contractor
A business registered as a construction contractor with L &I 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 ELECTRIC CO /SEATTLE INC, THE UBI No. 601842293
Phone 2066333896 Status Active
Address Po Box 15269 License No. ELECT "020BW
Suite /Apt. License Type Construction Contractor
City Seattle Effective Date 1/16/1998
State WA Expiration Date 3/27/2014
Zip 98115 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
ELECTC*077MR
ELECTRIC
COMPANY, THE
Construction
Contractor
General
Unused
7/19/1993
7/19/1998
Archived
Business Owner Information
Name
Role
Effective Date
Expiration Date
BRANDEIS, STEPHEN
01/01/1980
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
CBIC
SB2923
01/09/2002
Until Cancelled
$12,000.00
03/27/2002
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
14
Sentinel
Insurance Co
LTD
01SBMAS7976
06/02/2012
06/02/2013
$1,000,000.0005
/18/2012
13
American
Family Mutual
Insuran
46X002510300
05/09/2011
05/09/2012
$2,000,000.0005
/12/2011
12
AMERICAN
FAMILY
INSURANCE
COMP
46X002510300
05/09/2009
05/09/2011
$2,000,000.0005
/05/2010
11
AMERICAN
FAMILY MUTUAL
INSURAN
46X002510300
05/09/2008
05/09/2009
$2,000,000.00
05/06/2008
10
AMERICAN
FAMILY MUT INS
CO
46X002510300
05/09/2007
05/09/2008
$2,000,000.00
06/26/2007
9
NORTH PACIFIC
INS CO
C13132468
03/10/2007
03/10/2008
06/18/2007
$1,000,000.0002
/16/2007
8
NORTH PACIFIC
INS CO
C11132468
03/10/2005
03/10/2007
$1,000,000.0002
/13/2006
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
https: // fortress .wa.gov /lni /bbip /Print.aspx
06/13/2012