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HomeMy WebLinkAboutPermit EL13-0104 - ELREY RESIDENCE - REMODELELREY RESIDENCE 4110 S 139 ST EL13-0104 City otk ukwila 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.: 7360600341 Address: 4110 S 139 ST TUKW Project Name: ELREY RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0104 Issue Date: 01/28/2013 Permit Expires On: 07/27/2013 Owner: Name: SIMON ELREY Address: PO BOX 125 , SHELTON WA 98584 Contact Person: Name: ELREY SIMON Address: 4110 S 139 ST , TUKWILA WA, 98168 Contractor: Name: PACIFIC HOME ELECTRIC LLC Address: 140 12TH ST SE , PUYALLUP WA 98372 Contractor License No: PACIFHE935O4 Phone: 360 427-1150 Phone: (253)617-9288 Expiration Date: 09/30/2013 DESCRIPTION OF WORK: ELECTRICAL FOR GAS FURNACE IN ATTIC, SWITCH X 2, GFCI X 1, AND LIGHT X 1 Value of Electrical: NRES: $0.00 RES: $450.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $114.45 2008 Date: 1 )_g- 13 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 arty other state or local laws regulating construction or th ance of work. I am autho • and obtain this electrical permit. ' ( 07 4Signature: Date: .-----71) Print Name: .-1--- 1/101.--77: —`� 1 i if the work is not commenced within 180 days from the date of issuance,or if the work is suspended This permit shall become null and void yp or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL13-0104 Printed: 01-28-2013 • • PERMIT CONDITIONS Permit No. EL 13-0104 **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 EL13-0104 Printed: 01-28-2013 CITY OF TUKWI' Community Developm epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Peat No. Project. No. Date Application Accepted: oL1 Date.Application Expires: _(For oJce 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 Address: Li \ 1 0 5 IS ` Tenant Name: VAP 447— King Co Assessor's Tax No.: 1 "✓kJ DIP —0;111 Suite Number: Floor: New Tenant: ❑ Yes ❑.. No PROPERTY OWNER Name: ItiftLI si /14.0a �( Address: \\A0 12,,•}k ST S1^ Name: E`1,.0� eft A City:-r4Pll. j eu State: �1OJ\' Address: l r h D S. X31 S T- City:1-u� State: f jn Zip:qglleg CONTACT.PERSON = person receiving 411 project comrnunicatiori Name: ItiftLI si /14.0a �( Address: \\A0 12,,•}k ST S1^ Address: lit p l 3 (3 G ci--- City:-r4Pll. j eu State: �1OJ\' A_ Zip: ntley I Phone(2(t �%t"j 1 15 6ax: �C ) r" l_ Email: ELECTRICAL CONTRACTOR INFORMATION 1_„- ._- Company Name: 'Ntrrr-/-- 1-1001R- Address: \\A0 12,,•}k ST S1^ City: /� Staterork_ Zip.'72 i�t„1--t.. 6vp P ne: 11re. ltd _ caw Fax: ` Contr Reg No Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ V Scope of Work (please provide detailed information): �r (_ _Z- ) Sl,s3( - )C2 C�-,=cam x I 1 C�f- >e ) —14 4,✓L MADsT✓� 1 Will service be altered? ❑ Yes ( 01 ----No Type of Use: (2etc-144 '- Adding more than 50 amps? ❑ Yes E No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: 7r Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2011 Applications\Electncal Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh f Remodel 0 Tenant Improvement 0 Telecommunication ❑ Temporary Service -” Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ 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 ❑ 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 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. 1 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: Print Name: Mailing Address: 1(1 ( / 27 ( ST J 7Ze- 1( f H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh Day Telephone: City Date: ' /Z -- g / 3 (2s 3) LI - i 2S �. Li ,9- .1iS-3 1Y2 State Zip Page 2 of 2 • City of Tukwila ti 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.: 7360600341 Address: 4110 S 139 ST TUICW Suite No: Applicant: ELREY RESIDENCE RECEIPT Permit Number: EL13-0104 Status: APPROVED Applied Date: 01/28/2013 Issue Date: Receipt No.: R13-00594 Payment Amount: $114.45 Initials: WER Payment Date: 01/28/2013 02:53 PM User ID: 1655 Balance: $0.00 Payee: TROY MOBLEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 005317 ACCOUNT ITEM LIST: Description 114.45 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 114.45 Total: $114.45 Drc.,ro,d• nl_�a_�n1z INSPECTION RECORD Co10 Retain a copy with permit (rj INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 a (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:R(iiiKet3 Type of Inspection: ,-, Address:. ..... 375/ • Date Called: Special ilnstructions: • Date Wanted:. ' l coq a.m.l p.• Requester: t! Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: LiSe,c(\',-r-A-100,) Inspector: C./ Date: 02 101 (1/3 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) 431-3670 Permit Inspection Request Line (206) 431-2451 fu3btw[ Project: meiK< Type of Inspection: X71 Address: J1;f5 ' C� Date Called: Special Instructions: J Date Wanted:. Ze.m. p� Requester: Phone No: Approved per applicable codes. nCorrections required prior to approval. COMMENTS: (-06 1-14t Tb ilkavAIW) (Alm+ 46 rzoti Pte - 1� u Inspector: iltrdAbc Date: ©1/17 13 REINSPECTION FEE REQUIRED. Prior to next inspection, fee'must be: paid at 6300 Southcenter Blvd., Suite 100. Callao schedule:reinspection. Contractors or Tradespeople Pieter 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 PACIFIC HOME ELECTRIC LLC 2536179288 140 12Th St Se Puyallup WA 98372 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602756902 Active PACIFHE93504 Electrical Contractor 9/24/2007 9/30/2013 Residential Unused Electrical Administrator INFORMATION License MOBLET'938LK Name MOBLEY, TROY Status Active Business Owner Information Name Role Effective Date Expiration Date MOBLEY, TROY A Agent 09/24/2007 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 NGM4 Insurance Company 5788707 12/08/2010 Until Cancelled $4,000.0012/15/2010 3 American Contractors Indem CO 100106742 12/08/2009 Until Cancelled 01/29/2011 $4,000.0012/14/2009 2 AMERICAN STATES INS 6597893 09/17/2008 Until Cancelled 12/03/2009 $4,000.0008/22/2008 1 AMERICAN CONTRACTORS INDEM CO 100032868 09/17/2007 Until Cancelled 11/06/2008 $4,000.00 09/24/2007 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 EJORP03627 3/16/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 https://fortress.wa.gov/lni/bbip/Print.aspx 01/28/2013