HomeMy WebLinkAboutPermit EL12-0638 - DELGADO RESIDENCEDELGADO RESIDENCE
13527 35 AV S
EL1 2-0638
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.: 8864000175
Address: 13527 35 AV S TUKW
Project Name: DELGADO RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0638
Issue Date: 07/09/2012
Permit Expires On: 01/05/2013
Owner:
Name: DELGADO JUAN
Address: 13527 35TH AVE S , SEATTLE WA 98166
Contact Person:
Name: ISAAC CONRAD
Address: 14590 CAVALLI RD SE , OLLALA WA, 98359
Contractor:
Name: NORTH SHORE ELECTRIC INC
Address: 14590 CAVALLI RD SE , OLLALL WA 98359
Contractor License No: NORTHSE983PH
Phone: 253- 223 -0502
Phone: 253 - 223 -0502
Expiration Date: 10/13/2012
DESCRIPTION OF WORK:
REPAIR FIRE DAMAGED AREA AND SERVICE
Value of Electrical:
NRES: $0.00
RES: $4,200.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
$197.40
2008
Date: 7- 4 -��
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 work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: tt)
Date:
-9 -/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 -0638 Printed: 07 -09 -2012
• PERMIT CONDITIONS •
Permit No. EL 12 -0638
* *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 -0638 Printed: 07 -09 -2012
CITY OF TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. LI )- Q (03 0
Project No.
Date Application Accepted:
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.:
Site Address: 13527 35th Ave S Suite Number: Floor:
Delgado
Tenant Name:
PROPERTY OWNER
Name: Isaac Conrad
Address: 14590 Cavalli Rd. SE
Name:
Phone: 253- 223 -0502 Fax: 253- 276 -7707
Email: isaac@northshoreelectricinc.com
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Isaac Conrad
Address: 14590 Cavalli Rd. SE
City: Olalla State: WA Zip: 98359
Phone: 253- 223 -0502 Fax: 253- 276 -7707
Email: isaac@northshoreelectricinc.com
New Tenant: Yes p ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: North Shore Electric, Inc.
Address: 14590 Cavalli Rd. SE
City: Olalla State: WA Zip: 98359
Phone: 253- 223 -0502 Fax: 253- 276 -7707
Contr Reg No.: NorthSE983PH Exp Date: 10/2014
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 4200
Scope of Work (please provide detailed information):
Repair fire damaged area and service
Will service be altered? Mi Yes ❑ No Adding more than 50 amps? ❑ Yes ® No
Type of Use:
Type of work:
_f New L Addition 0 Service Change 0 Remodel _ Tenant Improvement
J Low Voltage L Generator J Fire Alarm L Telecommunication _ Temporary Service
Property Served by:
_f Puget Sound Energy J Seattle City Light
H:Vtpplications\Forms- Applications On Line \2011 Applcations\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
. 1 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
1 Service change or alteration $81.90
(no added/altered circuits)
O Service c ge with added/altered circuits $81.90
/4 number of added circuits $11.55 ea
1 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
J Meter /mast repair $68.25
,J Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
J Temporary service (residential) $63.00
J Temporary service (generator) $78.75
-J Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
J 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: LLII �
Print Name:,, L 5'� �' L l C9 V1rCc.
Mailing Address: /471S-6) Ccc 1""4 ` / j) � ed
Date: -7 -
Day Telephone /! J 3 -2 .7 --o so-z._
Q2-
LJt1- ele S-1
City
H: Applications\Forms- Applications On Line\2011 Appliications\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 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.Tukwila WA . ov
Parcel No.: 8864000175
Address: 13527 35 AV S TUKW
Suite No:
Applicant: DELGADO RESIDENCE
RECEIPT
Permit Number: EL12 -0638
Status: PENDING
Applied Date: 07/09/2012
Issue Date:
Receipt No.: R12 -02070
Initials:
User ID:
WER
1655
Payment Amount: $152.85
Payment Date: 07/09/2012 01:48 PM
Balance: $0.00
Payee: WILLIAM CONRAD
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 021742
ACCOUNT ITEM LIST:
Description
152.85
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 152.85
Total: $152.85
doc: Receiot -06 Printed: 07 -09 -2012
INSPECTION-RECORD.
Retain a copy with permit..
INSPECTION NO. ;. -.PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 j . f .'(206) 431 =3670
Permit Inspection Request Line (206) 431 -2451
Project:j� �C •
IIYY d
Type of Inspection'
1.1640
Address: � i ,._
t z7 ,3 r �✓.
Date Called:
Special Instruction:
Date Wanted:
�Q `rp.m.
Requester:
Phone No:
®!Approved per applicable codes.
COMMENTS:
Inspector:
Corrections required.prior to approval.
,' i/'z045v
I" t
n REINSPECTION FEE REQUIRED. Prior to next inspection fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection
INSPECTION RECORD
Retain a copy with permit
INSPE TION 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: ,U171.-4 f0v a1/4' •
Address: i 3�-1 a 2c W.
Special instructions:,
ElApproved per applicable codes.
Type of Inspection: ='
Date Called:
Date Wanted:
Requester:
Phone No: .
Corrections required prior to•approval:.
COMMENTS:
roic 144 t+ ?3 alp, PIA/
PfLorr-c-r.61) PLA, 6trtl eor
o7 /ro l it ?,
ACCa
Inspector:
I
n REINSPECTION FEE REQUIRED. Prior to next inspectionflee must be...
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedulereinspection.. -`
INSPECTION RECORD
Retain a copy with permit
ECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
fuZ- -d.33�
(z-
(206) 431 -36
Projec»6t4 w L1 .-
(�5• r�( ~Ai%
TYpe of Inspection:
Address:
tfe3c27 e..31r
Date Called:
Special Instruction's:
Date Wanted:. ,
'r + a.m.
!y cm.
Requester:
Phone No:
IfApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
I
()A. ° ,S ekc+✓e
Inspector:
Oratsitil
Date:
1
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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451 4" -
Eu2-043g
Project kes
Type of Inspection:
Oa--
° 106 day ST - KF at ris e....i 040
Address :,3527 35-AI.
Date Called.
- J64 vi c
L
Special Instructio s:
Date Wanted: .
7 /10
a.m
P.m.
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
° 106 day ST - KF at ris e....i 040
- 200(•t -►JE (f Irc-frr-S tAh S- rkikfe.
- J64 vi c
L
` i Jc aA5 &1dr 7b a` I
of Tv rd
3
t of DP6I wt' OI /
%1
_ a
Inspector: Ull Date: �7 JAG
II
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 y (206).431 -36
Permit Inspection Request Line (206) 431 -2451
Project: \ a
1
Type of Inspection:
�ifYr3f/17�6
Address: f q -13(A1-
Date Called:
Special Instructions:
/3(2
Date Wanted :.
7 t0:
a.m":
ri't.
Requester:
Phone No:
Approved per applicable codes.. El Corrections required prior to approval:,?
COMMENTS:
•
gixibot rAl
kDTE - LROA ,Did/A16;Afir.rA-f
CIAC JI '� 76 gi Ac,a i -7(
'cirkr r m
Udati M
F d Ac --zoos
Inspector: '"/
n REINSPECTION FEE REQUIRED. Prior to next inspection: fee.mustbe .'
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule" reinspection.V';
Contractors or Tradespeople Printer Friendly Page
4)
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
NORTH SHORE ELECTRIC INC
2532230502
14590 Cavalli Rd. Se
Olalla
WA
98359
Kitsap
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602236413
Active
NORTHSE983PH
Electrical Contractor
10/8/2002
10/13/2012
General
Unused
Master Electrician INFORMATION
License CONRAWI951BQ
Name CONRAD, WILLIAM I
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CONRAD, KRISTEN
Agent
10/08/2002
CONRAD, KRISTEN
President
10/08/2002
FORD, TROY
Secretary
10/08/2002
CONRAD, WILLIAM
Treasurer
10/08/2002
FORD, MISTY
Vice President
10/08/2002
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
DEVELOPERS SURETY
& INDEM CO
858772C
10/04/2002
Until Cancelled
$4,000.00
10/08/2002
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
EHOSJ00367
6/8/2009
WAC 296 -46B -990
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 07/09/2012