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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