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Home My WebLink AboutPermit EL13-0351 - STRANDER RESIDENCE - LOW VOLTAGESTRANDER RESIDENCE 15000 57 AV S EL13-0351 City (*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.gov Parcel No.: 1157200390 Address: 15000 57 AV S TUKW Project Name: STRANDER RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0351 Issue Date: 04/12/2013 Permit Expires On: 10/09/2013 Owner: Name: STRANDER JOHN B+LOIIISE M Address: PO BOX 88636 , TUKVVILA WA 98138 Contact Person: Name: KEN SALO Address: 2120 PACIFIC AV , EVERETT WA, 98201 Contractor: Name: XVQ-61 tN cS Address: q Contractor License No: -c-Ni4-`24, Phone: 425 252-3114 Phone: Expiration Date: 2-11 SI DESCRIPTION OF WORK: LOW VOLTAGE WORK FOR INSTALLATION OF GAS FURNACE AND DUCTLESS HEAT PUMP. Value of Electrical: NRES: $0.00 Fees Collected: $59.85 RES: $250.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Acv National Electrical Code Edition: 2008 Date: Z I hereby certify that I have read and : xami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • with, hether specified herein or not. The granting of this pe 't does no r= um - to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • e • orma f ork. authorized to sign and obtain this electrical permit. Signature: ( Date: Y -12- - [3 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 EL13-0351 Printed: 04-12-2013 • PERMIT CONDITIONS Permit No. EL 13-0351 **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 EL13-0351 Printed: 04-12-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. i � 2j -- O Project No. Date Application Accepted: 04 Z 3 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.: I lc 11,0 — V , 0 Site Address: 150DO — 57 77-/- (16-, 6e771 Suite Number: Floor: Tenant Name: %•OGt65ENew Tenant: ❑ Yes 14. -.No PROPERTY OWNER Name: ((EIV �� Name: L..OtiILSE � •-=Nr"� Phorye , 252 - 31 /14, Fax(ti) 25Q{ — (9l Address: 5 — 57`tit 1I_ ATlVS Soct'-t-( LtlLic�Ct�$ Stte. 1 9g % SC CONTACT PERSON — person receiving all project communication Name: ((EIV �� Address:2l Z O P/- L C City: �,z„er_ t5.4. ge&i ( S/obo Phorye , 252 - 31 /14, Fax(ti) 25Q{ — (9l Email: ueti--6- ad a G Q5 5,1/,4a6Z. COM ELECTRICAL CONTRACTOR INFORMATION Com E21��2�� 54TC vcitt E AC G Add s(s'LO r-C_.I.�LC. City C r -t 3Xte: 4/p: 11141e: 2s2 -3//tf ro 259 -Gtr Cont Re o E t �I.cag 55'282N / z�`i goof Tukwila Business License No.: /6/,', Valuation of Project (contractor's bid price): $ iJ► Scope of Work (please provide detailed information): xri 1G7L.) eVt ) 1/ a1� (!moi 1/BL'i7i6 „5 Will service be altered? ❑ Yes F&No Adding more than 50 amps? ❑ Yes XN° Type of Use: — Type of work: 0 New 0 Addition 0 Service Change D Remodel 0 Tenant Improvement Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served bv: Puget Sound Energy 0 Seattle City Light H: \Applications\Forms-Applications On Line \2011 Applications\Elecirical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bit 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 9$68Meter/mast repair .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. 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: Print Name: 1117 iv �d Mailing Address: 1Z[) [ 4c Date: '—/Z- !3 Day Telephone(t-f 252. - 3/ / 0%' City H:\Apphcauons\Forms-Applications On Line \2011 Apphcations\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh - State Q� w/ Zip Page 2 of 2 CA/ 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.ci.tukwila.wa.us SET RECEIPT RECEIPT NO: R13-01303 Initials: JEM User ID: 1165 Payee: EVERGREEN STATE HEAT & A/C Payment Date: 04/12/2013 Total Payment: 440.50 SET ID: S000001954 SET NAME: EVEREGREEN STATE SET TRANSACTIONS: Set Member Amount EL13-0351 59.85 M13-065 284.05 PG13-051 96.60 TOTAL: 59-:45 TRANSACTION LIST: Type Method Description Amount Payment Check 13234 440.50 TOTAL: 440.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES GAS - RES MECHANICAL - RES 000.322.101.00.0 000.322.103.00.0 000.322.102.00.0 59.85 96.60 284.05 TOTAL: 440.50 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 tt1'D3Si Project: g.ee Type of Inspection Address:� i )loco 57 frli. Date Called: f . A Special Instructions: t Date Wanted:.! � / a.ai., . Requester: ( % `.+�. Phone No: INApproved per applicable codes. Corrections required prior to approval. COMMENTS: \‘. IInspector: 1' Date: sio.:7 If 3 V f n REINSPECTION FEE REQUIRE. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. Contractors or Tradespeoplenter Friendly Page 1 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 EVERGREEN STATE SHEET METAL UBI No. 601724357 Phone 4252523114 Status Active Address 2120 Pacific Ave License No. EVERGSS928RN Suite/Apt. License Type Electrical Contractor City Everett Effective Date 12/15/2008 State WA Expiration Date 12/15/2014 Zip 98201 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company EVERGREEN STATE SHEET METAL IN Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EVERGSSOOOSJEVERGREEN STATE SHEET METAL Electrical Contractor Hvac/Rfrg Ltd Energy Unused 1/11/2000 1/11/2012 Re - Licensed Electrical Administrator INFORMATION License KIMBARD924RJ Name KIMBALL, RUSSELL D Status Active Business Owner Information Name Role Effective Date Expiration Date KIMBALL, RUSSELL D Agent 12/15/2008 Bond Amount KIMBALL, RUSSELL D President 12/15/2008 2136560 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 NORTH AMERICAN SPEC INS CO 2136560 01/07/2011 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 11 /19/2010 1 INS CO OF THE WEST 1718659 01/07/2000 Until Cancelled 01/07/2011 EROMA00516 $4,000.00 01/14/2000 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 ECHAE00608 5/5/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EHRAL00955 2/10/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJURT00526 1/28/2013 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EROMA00516 9/2/2009 WAC 296-468-990 ELECTRICAL CITATION Satisfied $500.00 EJONV01334 9/24/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 httos://fortress.wa.:?ov/lni/bbin/Print.asnx 04/12/2013