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HomeMy WebLinkAboutPermit EL13-0794 - MCCULLUM RESIDENCE - SERVICE CHANGEMcCULLUM RESIDENCE 14015 35 AV S ELi 3-0794 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.: 1523049118 Address: 14015 35 AV S TUKW Project Name: MCCULLUM RESIDENCE ELECTRICAL PERMIT Permit Number: EL13-0794 Issue Date: 08/22/2013 Permit Expires On: 02/18/2014 Owner: Name: HARRISON JOSEPH H Address: 491 W ELSON RD , SHELTON WA 98584 Contact Person: Name: TROY MOBLEY Phone: Address: 140 12 ST SE , PUYALLUP WA, 98372 Contractor: Name: PACIFIC HOME ELECTRIC LLC Address: 140 12TH ST SE , PUYALLUP WA 98372 Contractor License No: PACIFHE935O4 Phone: (253)617-9288 Expiration Date: 09/30/2013 DESCRIPTION OF WORK: ALL NEW WIRING AND SERVICE Value of Electrical: NRES: $0.00 RES: $3,500.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $174.30 Washington Cities Electrical Code: 2011 orestzr� 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 pe oes not presume to give authority to violate or cancel the provisions of any other state r local laws regulating construction o • • erform. , ce of work. I am auth ' ed to si n and obtain this electrical permit. % Signature: Date: `? / 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 -7/13 EL13-0794 Printed: 08-22-2013 • • PERMIT CONDITIONS Permit No. EL13-0794 **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 -7/13 EL13-0794 Printed: 08-22-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 66- I3 -oiQ4/ 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** SITE LOCATION H h c King Co Assessor's Tax No.: Site Address: " 16 35" Avg , Suite Number: / Floor: New Tenant: ❑ Yes Nr.No Tenant Name: IA4 (xf Ltel F — PROPERTY OWNER Name: --r rte, ` ,t „u 061 F. 1 Name: "1"f0p,1Qr AA `Clay ok Phow3 (I.17 - y 2 Q't Fax: Address: 2A435 tk Y‘c t%1Lc.) City:Nbrus (44,16 State: cp._ Zip:Is1ttte CONTACT PERSON - person receiving all project communication Name: --r rte, ` ,t „u 061 F. 1 Address: )4 D (Z, -' sr cg.... City:1- - it. Ip State: (J Zip:fg 7 Z Phow3 (I.17 - y 2 Q't Fax: Email: pk.cbc "1 v.. c- ®CN,ot • (04,.. ELECTRICAL CONTRACTOR INFORMATION Company Name: PAC, PLC, tWr', A Address: f to tilt. s -7 -s -s f City: p w,41,. a State: W Zip %gg72 pins f( 7 - QZ S'7 Fax: Contr Reg No.:10,4G; Qkg. G(S5 Exp Date: 10/3aft 3 Tukwila Business License No.;043. Octel 329 S Valuation of Project (contractor's bid price): $ 5 5'' (20 a n Scope of Work (please provide detailed information): Ngo L. l (t ilr Z sae vG},_ Will service be altered? a Yes ❑ No Adding more than 50 amps? ❑ Yes rarNo Type of Use: Type of work: ❑ New ❑ Addition /Service Change Celemodel 0 Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line 12013 Apphcaoons\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page f of 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 ch ge 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: �z4 'j two 8L( - Mailing Address: I —11 0 ( 2.1a4 S H:Upplications\Forms-Applications On Lme12013 Apphcanons\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: °,(Z (13 Day Telephone`("l `T ' P4e110 110 &Jet-te RfZ7StaZip 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.: 1523049118 Address: 14015 35 AV S TUKW Suite No: Applicant: MCCULLUM RESIDENCE RECEIPT Permit Number: EL13-0794 Status: APPROVED Applied Date: 08/22/2013 Issue Date: Receipt No.: R13-02422 Payment Amount: $174.30 Initials: TLS Payment Date: 08/22/2013 11:12 AM User ID: 1670 Balance: $0.00 Payee: TROY MOBLEY PACIFIC HOME ELECTRICLLC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 041214 ACCOUNT ITEM LIST: Description 174.30 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 174.30 Total: $174.30 rine Rcr•nin}_nR PrintM• na-72-21111 INSPECTION NO. INSPECTION RECORD. Retain a copy with permit e'te°7?. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 • Permit Inspection Request Line (206) 431-2451 - A.4 Project:qt ev LI,/ (, _ Type of Inspection: j rc..- Address: tif0(r (41/ Date Called: �_ Special Instructions: (l 3/ Date Wanted: / 2Z- a.m.. `p Requester: I ' fPrgPhone No: Z� .Gf( Approved per applicable codes. 0 Corrections required prior to approval: COMMENTS: Inspector: Date: 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 permitetic-077s(TINSPEC ION N0. PERMITO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: / /j �' •E' Type of Inspection: / / j Address:! !tCrI)Vci !fol hi, Date Called: Special Instructions: IZ3Phone Date Wanted: m. p' Requester: j No: Z53 tP / (7 / ZU© ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: JliC\ ARXA R14c. `Pr k cLc S OiJ KrrG +/- 'PLA44e.6e A.c-Ocr TO- 86 Inspector: Date: Of�i REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: INSP 6TION NO. INSPECTION RECORDd 4 Retain a copy with permit! L PERMIT NO.1. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: A j1 i�` K� • Type of Inspection: D° 3 Address: 106- c 41/ Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: 'Approved per applicable codes. n Corrections required prior to approval. COMMENTS: (,cuo'ts naix `tdJ�N /n% _. Inspector: Date:,0 711/(3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Nibt, INSPECTION NO. INSPECTION RECORD Retain a copy with permit (w3-omPERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 431-2451 Project: HCj��tAA)� ` Type of Inspection: %% v Address: / vlc3 • Date Called: Special Instructions: Date Wanted: .m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. C COMMENTS: — o00tq.„ LSCA :) Lt cNor- " t 3 t ski F°,2 Ian_ I\ Oat i4 D L!f .562thicr Inspector: T Date: fo 7-Y113 REINSPECTION FEE REQUIRED. Prior to nex inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION -RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDI DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 9818 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:�/� R's Type of Inspection: 3 Address,/ 015_.3 Av, , Date Called: Date Wanted: 17/03 f03 Special Instructions: • p.m. Requester: 564 4 CZ Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: AO Zdk(Cri01115 11A4)( 564 4 CZ -A6s3 — sale, reci p t; Ri .coR L th` Rf-2Jt - 3 .4A,f 5 J,rC, ( Q F� Boal &vC a Inspector: ,��$S, 4c12 Date: oq 03t 3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. i INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 1°- (206) 431-3670 INSPECTIONRECORD Retain a copy with permit 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 Project: tO 1,466 j Type of Inspection: 700 Address: l Date Called: ' #CP fr 1Sf &Nip Z aJa�C-17 c . Special Instr ctions: Date Wanted: yi 48 P• Requester: r 1'`l L. I C !E Fnk 1`' • C/(".e CAL( or" v Phone No: jr - vSE A'PPRoIt5 kat.) fDt�r k&( �. m4..4t(��E . UApproved per applicable codes. 14 Corrections required prior to approval. COMMENTS: 7to2 67RO KAMA To 40 rids! ThA6/ 2- (daici aort L k -Sr S t/ i'O471' ' #CP fr 1Sf &Nip Z aJa�C-17 c . L -d/ gJA loo) r 1'`l L. I C !E Fnk 1`' • C/(".e CAL( or" v pm46.-- jr - vSE A'PPRoIt5 kat.) fDt�r k&( �. m4..4t(��E . P ILaaoNlic.C..- Inspector: Date: 13 REINSPECTION FEE REQUIFkED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prr Friendly Page Electrical Contractor A business licensed by L&l 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 MOBLEY, TROY A Role Agent EffectiveDate 09/24/2007 Expiration Date 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 4 NGM Insurance Company S788707 12/08/2010 Until Cancelled $4,000.0012/15/2010 3 American Contractors Indem CO 100106742 12/08/2009 Until Cancelled 01/29/2011 $4,000.00 12/14/2009 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 httns • //fortress _ wa _ unv/l n i /hhi n/Print _ a snx 08/22/2013