HomeMy WebLinkAboutPermit EL13-0632 - GENE JUAREZ - REMODELGENE JUAREZ
280 SOUTHCENTER MAIL
ELi 3-0632
City ogukwila
•
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.: 9202470010
Address: 280 SOUTHCENTER MALL TUKW
Project Name: GENE JUAREZ
ELECTRICAL PERMIT
Permit Number: EL13-0632
Issue Date: 06/27/2013
Permit Expires On: 12/24/2013
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA 92013
Contact Person:
Name: SKIP JOHANSON Phone: 206-321-8488
Address: 4530 CROWN LN , MALAGA WA, 98828
Contractor:
Name: DENNIS WEBB ELECTRIC INC
Address: 4530 CROWN LN , MALAGA WA 98828
Contractor License No: DENNIWE031C4
Phone: 206-321-8494
Expiration Date: 02/24/2015
DESCRIPTION OF WORK:
ADD OUTLET LINT THE LAUNDRY ROOM
Value of Electrical: NRES: $500.00 Fees Collected: $75.60
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
r ‘41,
Date:
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
construction or tl}e erform. ' ce of w-,rk. I am authorized to sign and obtain this electrical permit.
resume to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature:
Print Name: A
Date: -2 7 3
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
EL13-0632 Printed: 06-27-2013
• PERMIT CONDITIONS •
Permit No. EL13-0632
**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
EL13-0632 Printed: 06-27-2013
CITY OF TUKWI
Community DevelopmenriTepartment
Permit Center
6300 Southcenter Blvd., Suite /00
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Per•No., . -\7, _ �(Q32_
Project No.
Date Application Accepted:
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**
% King CoAssessor's Tax No.:
Site Address: 2 g Sdv76 Cel `L ,y�9/ gY//Suite Number: Floor:
Tenant Name: e; -e— 3-(//1."'e 2
PROPERTY OWNER -
Company Name: pen fri ' s 4-'I I I'
Name: G !C ly jol _ vl4
Name:
Address/4 '39 6 rc /
G1fie'
City:fro„,! & State:
Address:
f2ce
Phone Og 1'q 5 Fax:
7
City:
State:
Zip:
CONTACT PERSON = person receiving all project
communication
Company Name: pen fri ' s 4-'I I I'
Name: G !C ly jol _ vl4
Address/4 '39 6 rc /
G1fie'
City:fro„,! & State:
City: i v , A State: c4/0_ ZiPq
f2ce
Phone Og 1'q 5 Fax:
7
Email
Contr Reg No.:
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR -INFORMATION
Company Name: pen fri ' s 4-'I I I'
Addressq 3 /n C rc,,,,,i
City:fro„,! & State:
t/ i_
Zip'v 92
Phone: 42A--- / I; ,itt/ Fax:
__l / l
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ T �^ �
Scope of Work (please provide detailed information): ,9 a42 6Yr// 14 / "�- �jGL�%f'��"t� 41i
0
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes FLNo
Type of Use:
Type of work:
0 New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
El Low Voltage 0 Generator , ❑ Fire Alarm 0 Telecommunication El Temporary Service
Property Served by:
Puget Sound Energy El Seattle City Light
H:Wpplicattons\Forms-Applications On Line\20 I I Appltcations\Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
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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.
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:
Date:
Day Telephone?0E 3 2 / 94 / /
Mailing Address: 30 1ge7g
City State Zip
It iApplications\Forms-Applications On Line\201 I Applications\Electrical Permit Application Revised 8-9-11 docx
Revised August 2011
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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
RECEIPT
Parcel No.: 9202470010 Permit Number: EL13-0632
Address: 280 SOUTHCENTER MALL TUKW Status: PENDING
Suite No: Applied Date: 06/27/2013
Applicant: GENE JUAREZ Issue Date:
Receipt No.: R13-02007
Payment Amount: $75.60
Initials: WER Payment Date: 06/27/2013 11:57 AM
User ID: 1655 Balance: $0.00
Payee: RICHARD SAGE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 05133G
ACCOUNT ITEM LIST:
Description
75.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
rinr• Parcint-!1R
Printar1• f1R-27-2(113
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
1 % /3
Project:Type
1 0'�
of Inspection: /
Address: /
Date Called:
Special Instructions:
Date Waned:.
.7 . ; -L3
a.m.
p.m.
Requester:
Phone No:
pproved per applicable codes.
ti
Corrections required prior to approval.
COMMENTS:
Inspector: k. i.er)ritivsy'
Date: G
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6500 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pier Friendly Page
•
Electrical Contractor
A business licensed by LEtI 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
DENNIS WEBB ELECTRIC INC
2063218494
4530 Crown Lane
Malaga
WA
98828
Chelan
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601770609
Active
DENNIWE031C4
Electrical Contractor
2/24/1997
2/24/2015
General
Unused
Master Electrician INFORMATION
License JOHANGW973RH
Name JOHANSON, GEORGE W
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
WEBB, PATRICIA R
Agent
01/01/1980
9/24/2010
WEBB, DENNIS C
President
01/01/1980
$250.00
WEBB, PATRICIA R
Secretary
01/01/1980
ELECTRICAL CITATION
WEBB, PATRICIA R
Treasurer
01/22/2013
9/24/2010
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
OHIO CAS INS CO
3094786
02/24/1997
Until Cancelled
$4,000.00
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
ECHAE00455
9/24/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHAE00451
9/24/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHAE00453
9/24/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03930
10/18/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
httos://fortress.wa.2ov/lni/bbip/Print.aspx 06/27/2013