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HomeMy WebLinkAboutPermit EL13-0443 - BALZARINI RESIDENCE - SERVICE CHANGEBAi.7,ARiNI RESIDENCE 3535 S 126 ST EL1 3-0443 Parcel No.: Address: 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 7345600810 3535 S 126 ST TUKW Project Name: BALZARINI RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0443 Issue Date: 05/09/2013 Permit Expires On: 11/05/2013 Owner: Name: BALZARINI THOMAS J Address: 3535 S 126TH ST , SEATTLE WA 98168 Contact Person: Name: CHRIS BOSTRON Address: 6619 132 AV NE PMB 135 , KIRKLAND WA, 98033 Contractor: Name: WASHINGTON AUDIO VIDEO LLC Address: 2204 171ST PL SE , BOTHELL WA 98012 Contractor License No: WASHIAV879DK Phone: 425 516-9835 Phone: 425 516-9835 Expiration Date: 03/13/2015 DESCRIPTION OF WORK: SERVICE CHANGE (PREVIOUS OWNER DID A SERVICE CHANGE YEARS AGO WITHOUT A PERMIT, IT WAS LEAKING WATER INTO OLD PANEL AND WAS IN UNSAFE CONDITION). Value of Electrical: NRES: $0.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie x. with, Date: $81.90 2008 ock\13 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether 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 rf•rmance of w k. I am authorized to sign and obtain this electrical permit. Signature: Print Name: IU' Date: 5 /9/7? 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 EL13-0443 Printed: 05-09-2013 PERMIT CONDITIONS Permit No. EL13-0443 **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 EL13-0443 Printed: 05-09-2013 CITY OF TUKWail Community Developm Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No.0 27'0 Project No. Date Application Accepted: l C 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.: Site Address: T5-31— ( ji S' 1't -1M74. Suite Number: Floor: Tenant Name: PROPERTY OWNER. ,.... - _-_ � .j Name:,r.--7.7,/�. l l � J I Address: -35----3/2.I 5\72- City:. / v Gni 7/a State: i, Zip:9�/g CONTACT PERSON - person receiving all project communication' Company Name: 0Y�m,•ns 716,77 ''4c- 7/G/2 Name: `l ,,,5 73Cjs',i,6,,n City: /C /114/2.,/ State: �� Zip: 4'` Address: WQ /."&).. S� .1/1, (/, /t/.L /L7,, City: kir/-.4i70,7 State: /4/9 Zip: -.), . Phone: tV?7 76.. 905 -Fax: Email: �s f-Yal�017 i%%/�1'% e0„2,...2 5 New Tenant: ❑ Yes Z.. No 0 ELECTRICAL CONTRACTOR'INFORMATION Company Name: 0Y�m,•ns 716,77 ''4c- 7/G/2 Address: 6‘/9 / 3,71 ri//vim �j' 9g5d City: /C /114/2.,/ State: �� Zip: 4'` Phone: (7/6---5...-)i- 9-S.Fax: Contr Reg No.://rA 'iv8,,or Date:3 _/3_/s— Tukwila Business License No.; 00:06/ 93Gj Valuation of Project (contractor's bid price): $ /g0 ' Scope of Work (please provide detailed information): 5=Tr1/,'C-C Gia/ j-e- P/;e'.. tots 0(...Y -eV' /7/d 0 s...e V 'c Ch,,,2y .e, /zf ,s' s.e:, v,-,-"., C- 6( ,e/Lc)%;f /.7L !/y-5_---k-,it ti.‹) / U/01 /9i2z/ r� 5 • X Will service be altered? S Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition Service Change 0 Remodel 0 Tenant Improvement O Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Farms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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. M ISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O 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. 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: CGI yf 'S ea St/s'1 Print Name: Mailing Address: Day Telephone: Date: c7// 42C-> r/ - 9,35 City H \Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11 dock 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: 206-431-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 7345600810 Address: 3535 S 126 ST TUKW Suite No: Applicant: BALZARINI RESIDENCE RECEIPT Permit Number: EL13-0443 Status: APPROVED Applied Date: 05/09/2013 Issue Date: Receipt No.: R13-01564 Initials: JEM User ID: 1165 Payment Amount: $81.90 Payment Date: 05/09/2013 09:02 AM Balance: $0.00 Payee: CHRIS BOSTRON, WASHINGTON AUDIO VIDEO TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 0160212 ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 o.o Asa• nc_ne_ )fl1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 l; z (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: g ^ � Type of Inspection: (00 Address: 3c35.75 5. Special Instructions: Date Called: Date Wanted: Requester: Phone No: �rApproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 4 Cokrio4s Date: n REINSPECTION FEE REQUIRE . 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 th3—o'3 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 VL_ (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Dici--ps-ikw, eo.4 Type of Inspection: loco V --- _� EC u,. A ?kW( cr s Address: 36.3c-542 5r. Date Called: Ar Pk.i k, 440 aJd if Li 77) l.Jk . cM! 5''k('r31 nr S,4J'_". n (*J,T1i,Jt Special Instructions: Date Wanted:. ! '' "' Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: r t a 1 .-..•--"-------°4- _ N./Fee ,.. ;I A.M. V --- _� EC u,. A ?kW( cr s m yoto)1 4A j1JO RBI U14 -i CorPF Ar Pk.i k, 440 aJd if Li 77) l.Jk . cM! 5''k('r31 nr S,4J'_". n (*J,T1i,Jt - &M- 4o-rfiz ►i m 6,€ ,15E fit? ,r- BC/k- t"fA/ )l1iT Inspector: Date: 65/17 f i ? i �j REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople enter 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 WASHINGTON AUDIO VIDEO LLC 4255169835 2204 171St Pl Se Bothell WA 98012 Snohomish Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603277610 Active WASHIAV879DK Electrical Contractor 3/13/2013 3/13/2015 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ELECTI'929R9 ELECTRICAL INTEGRATION LLC Electrical Contractor General Unused 12/29/2008 1/5/2015 Active Master Electrician INFORMATION License BERSTWF962RP Name BERST, WILLIAM F Status Active Business Owner Information Name Role Effective Date Expiration Date BOSTRON, CHRISTOPHER Partner/Member 03/12/2013 BRANTER, CHRISTY Partner/Member 03/12/2013 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 Lexon Ins Co 9816140 03/12/2013 Until Cancelled $4,000.00 03/13/2013 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 No records found for the previous 6 year period httns://fortress.wa.aov/lni/bbin/Print.asnx 05/09/2013