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