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HomeMy WebLinkAboutPermit EL12-0677 - BERGE RESIDENCEBERGE RESIDENCE 4019 S 148 ST EL1 2-0677 City 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.TukwilaWA.gov Parcel No.: 0041000169 Address: 4019 S 148 ST TUKW Project Name: BERGE RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0677 Issue Date: 07/19/2012 Permit Expires On: 01/15/2013 Owner: Name: BERGE MICHAEL A Address: 4019 S 148TH ST , SEATTLE WA 98188 Contact Person: Name: JONAH BELL Phone: 253 -335 -8334 Address: 718 GRIFFIN AV PMB 342 , ENUMCLAW WA, 98022 Contractor: Name: ARTISAN PREMIER ELECTRICAL INC Address: 718 GRIFFIN AV PMB 342 , ENUMCLAW WA 98022 Contractor License No: ARTISPE893LT Phone: 360- 802 -3810 Expiration Date: 06/30/2013 DESCRIPTION OF WORK: INSTALL (1) HVAC CIRCUIT Value of Electrical: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $54.60 National Electrical Code Edition: 2008 Date: -7- q- (� 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 au orized to sign and obtain this electrical permit. Signat Print Name: Ew Date: 7 ' /¢ • /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 -0677 Printed: 07 -19 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0677 * *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 -0677 Printed: 07 -19 -2012 CITY OF TUKWI Community Developme. .Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:''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: /IC/9 S / fQ t4 s f Tenant Name: 1\1IKr- &AGE. Name: M;1Ltr ?::)sitsa Address: i" 5. /Li ye_ 5 71- City: %U 1� oil State: �A_ Zip: / 5 � 6 •g t,, Y3'a'� tIf ;i 1� 3 41filxP R? 37 t'iY�'� "��iA tA'N?d'�'id h'tiY? Name: --t it:.4.4 A 1-4' 13.E L[, Address: Its 4F1 Fr. / /1 /L. PM Q. 3 9z City: .1,0MCL J State: caik. Zip: 90.0Z Phone: .253.335. , g 5.31 Fax: 30, see, • 47 Email: 16V\G1 k p 414. i j?h f - • 0.4 /,,\ 5 King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes. No Valuation of Project (contractor's bid price): $ 56i)• Scope of Work (please provide detailed information): (.4yPre., t2.1 racks t r Will service be altered? ❑ Yes CA., No Adding more than 50 amps? ❑ Yes p( No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ 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 \20I l Applications\Electrical Permit Application Revised 8 -9 -1 I .docx Revised. August 2011 bh Page 1 of 2 t .-le At. Company Name: t\ILTI SA 4 ?IL E µ VC. it Address: --41% G (Z.t f f 1x1 A•YF, jM 6• 3 K2 State: con. City:UMC g�o Z G Phone: 253. 333 • S63 3y Fax: 366' 96 2. 413/15 Contr Reg No.: AR.r. ISPE $9 su Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 56i)• Scope of Work (please provide detailed information): (.4yPre., t2.1 racks t r Will service be altered? ❑ Yes CA., No Adding more than 50 amps? ❑ Yes p( No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ 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 \20I l Applications\Electrical Permit Application Revised 8 -9 -1 I .docx Revised. August 2011 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 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 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: Sign• Print Name: O4/474- Date: 7. /9- ton__ Day Telephone: 25;. 35'7335' Mailing Address: fibs GR4 FP / t9146 342. Gs),— 9 $-o2 z City State Zip HRWpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised. August 2011 bh 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.2,ov Parcel No.: 0041000169 Address: 4019 S 148 ST TUKW Suite No: Applicant: BERGE RESIDENCE RECEIPT Permit Number: EL12 -0677 Status: PENDING Applied Date: 07/19/2012 Issue Date: Receipt No.: R12 -02168 Initials: User ID: Payee: WER 1655 Payment Amount: $54.60 Payment Date: 07/19/2012 01:52 PM Balance: $0.00 JONAH BELL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 035205 ACCOUNT ITEM LIST: Description 54.60 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 54.60 Total: $54.60 doc: Receipt -06 Printed: 07 -19 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: 4(5 , Type of Inspection: , r Address: ii0( 1 S-1Y Y sr: Date Called: /--t Special Instructions:' Date Wanted:. 7/11 c Requester: I Phone No: vii Approved per applicable codes. Corrections required prior to approval. COMMEN ) Inspector: Date: 671 vet 0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Politer 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 ARTISAN PREMIER ELECTRICAL INC 3608023810 718 Griffin Ave Pmb 342 Enumclaw WA 98022 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602695303 Active ARTISPE893LT Electrical Contractor 6/30/2011 6/30/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ARTISPE937D7ARTISAN PLUMBING Et ELCTRCL INC Electrical Contractor General Unused 3/27/2007 3/27/2013 Re Licensed Electrical Administrator INFORMATION License BELL'JC950BG Name BELL, JONAH C Status Active Business Owner Information Name Role Effective Date Expiration Date BELL, JONAH C Agent 06/30/2011 BELL, JONAH C President 06/30/2011 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 American Contractors Indem CO 100115131 03/15/2010 Until Cancelled $4,000.00 03/15/2010 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 07/19/2012