HomeMy WebLinkAboutPermit EL12-0574 - SMITH RESIDENCESMITH RESIDENCE
10397 BEACON AV S
EL12-0574
City oPTukwila
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.: 5476800193
Address: 10397 BEACON AV S TUKW
Project Name: SMITH RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0574
Issue Date: 06/21/2012
Permit Expires On: 12/18/2012
Owner:
Name: SMITH BRYAN E SR
Address: 10397 BEACON AVE S , SEATTLE WA 98178
Contact Person:
Name: DONALD JACK Phone: 206 - 307 -8165
Address: PO BOX 28882 , SEATTLE WA, 98118
Contractor:
Name: MJ ELECTRIC CO
Address: PO BOX 28882 , SEATTLE WA 98118
Contractor License No: MJELEEC908R2
Phone: 253 486 -8488
Expiration Date: 12/22/2012
DESCRIPTION OF WORK:
REPLACE FIRE DAMAGED WIRING AND UPGRADE OTHER AREAS. NEW WIRING FOR GARAGE
Value of Electrical: NRES: $0.00
RES: $3,000.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$92.85
National Electrical Code Edition: 2008
Date: Cr ^
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 performance of •r. I am autho • ed to sign and obtain this electrical permit.
��l �_. •� ��/ �' �r Date:
Signature:
Print Name:
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 -0574 Printed: 06 -21 -2012
•
* *ELECTRICAL **
PERMIT CONDITIONS
Permit No. EL 12 -0574
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
EL12-0574 Printed: 06 -21 -2012
CITY OF TUKWIJ'
Community Development i epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://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: Jo . J 17 Pt 5,
Tenant Name:
r
Name:
Address:
City:
State`— ZiJ7 f
Phone 30 7 w!s Fax:
Email:
Valuation of Project (contractor's bid price): $ o 0
Scope of Work (please provide detailed information):
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes
Name: „1/J T t _., �1 -ii
Address: �'� ®X /v0 0 D
City:
f
State e,
Phone6 -307
Contr R J I.EG90 $R Exp Date:
Tukwila usiness License No.;
d %'7 3'-1-
Salk _a ritaA—_
Will service be altered?
Type of Use: J'
❑ Yes ❑c -
Adding more than 50 amps? ❑ Yes ❑ No
Type of work:
❑ New ddition ❑ Service Change EV emodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 .docx
Revised: August 201 I
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°: - '
Page 1 of 2
Name: 4 f\ ya_vt
,9-7-(2
Address: ,a,
e2-oceek. aye'
Sa
City: -1 L 1 Ja-
Ldy ?
:17T-
Name:
Address:
City:
State`— ZiJ7 f
Phone 30 7 w!s Fax:
Email:
Valuation of Project (contractor's bid price): $ o 0
Scope of Work (please provide detailed information):
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes
Name: „1/J T t _., �1 -ii
Address: �'� ®X /v0 0 D
City:
f
State e,
Phone6 -307
Contr R J I.EG90 $R Exp Date:
Tukwila usiness License No.;
d %'7 3'-1-
Salk _a ritaA—_
Will service be altered?
Type of Use: J'
❑ Yes ❑c -
Adding more than 50 amps? ❑ Yes ❑ No
Type of work:
❑ New ddition ❑ Service Change EV emodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 .docx
Revised: August 201 I
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)
❑ 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 s e cchange., $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
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:
fAajel
Print Name:
Mailing Address: D X
Day Telephone: r7� `3e> / 7'S
State Zip
City
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
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.Tukwila WA.aov
Parcel No.: 5476800193
Address: 10397 BEACON AV S TUKW
Suite No:
Applicant: SMITH RESIDENCE
RECEIPT
Permit Number: EL12 -0574
Status: PENDING
Applied Date: 06/21/2012
Issue Date:
Receipt No.: R12 -01955
Initials:
User ID:
WER
1655
Payment Amount: $92.85
Payment Date: 06/21/2012 02:50 PM
Balance: $0.00
Payee: MJ ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
92.85
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 92.85
Total: $92.85
doc: Receiot -06 Printed: 06 -21 -2012
INSPECTION RECORD 6424511
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 l' (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 1 ge5,
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Type of Inspection:
J�
Address: `orn A
Date Called:
Special Instructions:
Date Wanted:.
/a.m
m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval. •
COMMENTS:
R Boa/ r r
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Inspector:
A
Date:
/5
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPPCTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (2 ?(206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: IFS
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Type of Inspection:
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Address: /0377,(r» f /1‘j.
Date Called:
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Special Instructions:
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Date Wanted: .
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Requester:
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Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector: r/
Date: '1 9 1Z'
❑ 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 NO..
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206),431= 3670''.
Permit Inspection Request Line (206) 431 -2451
Project: /n+ ke5
Type of Inspection:'...
Address: /03 17 (5( j
Special Instructions:
Date Called:
Date Wanted:
Requester:
Phone No:
EA El Approved per applicable codes. Corrections required poor to approval:
COMMENTS:
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IN/ =- C (k61--
Inspector:
i
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REINSPECTION FEE REQUIRED. Prior to next inspection feet-must 'be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection::'.;
Z
INSPECTION.RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. J
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 12_, (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
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Project:
Address:
crlirn4 P\eS
Type of Inspection:
Iv3�7 864(a)AltW
Special Instructions:
Date Called:
Date Wanted:
Requester:
8/.
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Phone No:
JApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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1/
4 (1,00 trittA4
1474D eru4
�! I N Date: /,y
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must-be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector: l
INSPECTION RECORD
Retain a copy with,, permit 617■1)571I
INSPECTION NO. PERMIT NO. 1
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1Z. (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: $P i 1
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Type of Inspection:
700)
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Address: /035
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Date Called:
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Special Instruction :
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Date Wanted: .
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Requester:
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Phone No:
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EiCorrections required prior to approval.
COMMENTS:
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-„
Inspector:
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 liter Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
MJ ELECTRIC CO
2534868488 Status
Po Box 28882
UBI No.
Seattle
WA
98118
King
Individual
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603069359
Active
MJELEEC908R2
Electrical Contractor
12/22/2010
12/22/2012
General
Unused
Electrical Administrator INFORMATION
License JACK *DR904PF
Name JACK, DONALD R
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JONES, MARLEISHA D
Owner
12/22/2010
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
2
Ullico Casualty
Company
PHSB009000611
12/16/2011
Until Cancelled
$4,000.00
12/09/2011
1
Ullico Casualty
Company
SB009002667
12/16/2010
Until Cancelled
12/16/2011
$4,000.00
12/22/2010
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 06/21/2012