HomeMy WebLinkAboutPermit EL13-1223 - JACOBSON RESIDENCE - REMODELJACOBSON RESIDENCE
12065 44 AV S
EL1 3-1223
City of Tukwila
Department of Community Development
2 6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
i6 Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
Parcel No: 3347400410
ELECTRICAL OTC PERMIT
Permit Number: EL13-1223
Address: 12065 44 AVE S Issue Date: 12/2/2013
Permit Expires On: 5/31/2014
Project Name: JACOBSON RESIDENCE
Owner:
Name: JACOBSEN SAMUEL F+BETTYJ
Address: 12065 44TH AVE S , SEATTLE, WA,
98178
Contact Person:
Name: STEVE ANDERSON
Address: 2721 5 ASH ST, TACOMA, WA, 98404
Contractor:
Name: B B ELECTRIC
Address: 2721 S ASH ST, TACOMA,,WA, 98409
License No: BBELEBE950P1
Lender:
Name:
Address:
Phone: (253) 573-1373
Phone: (253) 573-1373
Expiration Date: 10/22/2015
DESCRIPTION OF WORK:
24 HOUR TIMER AND DISCONNECT SWITCH
Valuation of single family: $400.00
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $93.45
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date:
I hearby 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 not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agreeto the conditions attached to this permit.
n
Signature: /(T / Date:
Print Name:
046
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKT��1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
_11
Electrical Permit No.
CU3—�223
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
�ti'l�-113
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
Site Address:
Tenant Name:
0-6 (<5 1401 AUe4,
PROPERTY OWNER
Name:
Name:
50,11,,, A-6 t" �� ('
l/ V
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3 5 9i) 3 iii6
Address:
Tukwila Business License No.;
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
���
� ,\V ^ a �� � h
--Fe�) g93% 07.I Fax: ..)/S3
3 5 9i) 3 iii6
Address:
Tukwila Business License No.;
City:
State:
Zip:
Phone:
Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes E.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 13 31:::;,./8,4,6 ci
Address: .,•.-)t.:)45�
City:1 Gd M A State: �A, Zip: los Ycy
--Fe�) g93% 07.I Fax: ..)/S3
3 5 9i) 3 iii6
Contr Reg None rvej? eci 6` xp Date: `6//4
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ (.)D
Scope of Work (plepse,,provide detailed information
Will service be altered?
Type of Use:
Type of work:
❑ Yes
No Adding more than 50 amps? ❑ Yes ❑ No
❑ New 0 Addition 0 Service Change
❑ Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\ApplicationsWorms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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❑ Remodel
❑ Telecommunication
Tenant Improvement
0 /Temporary Service
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)
I/SSeervice 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) $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: Date:
Print Name: F—+'6a4 r ` Day Telephone: � ( �j 9.3
Mailing Address: ' .4/1 Je t0 �)\-" //J `je_jV'Cer IVO( 1 OA'i
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Pennit Application Revised 7-1-13.docx
Revised: July 2013
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City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY PAI D
$202.65
EL13-1221 Address: 12202 44 AVE S
Apn: 0179000450
$54.60
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
$54.60
EL13-1222 Address: 1185144 PL S
Apn: 3347401315
$54.60
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
$54.60
EL13-1223 Address: 12065 44 AVE S
Apn: 3347400410
$93.45
ELECTRICAL
$93.45
PERMIT FEE SINGLE FAMILY
TOTAL FEES PAID BY RECEIPT: R232
R000.322.101.00.00
$93.45
$202.65
Date Paid: Monday, December 02, 2013
Paid By: BB ELECTRIC
Pay Method: CHECK 7886
Printed: Monday, December 02, 2013 1:29 PM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Eu -,2Z3
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION '.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:I
�•Jk d5OAJ /S
Type of Inspection:
A" oVf��[fr
Address:Lhh
f AV"'
Date Called:
Instructions:
Date Wanted:
/Special
40
a.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ett)
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd:. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by LEt1 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 B B ELECTRIC UBI No. 602541064
Phone 2535731373 Status Active
Address 2721 5 Ash St License No. BBELEBE950P1
Suite/Apt. License Type Electrical Contractor
City Tacoma Effective Date 10/21/2005
State WA Expiration Date 10/22/2015
Zip 98409 Suspend Date
County Pierce Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company 5 J A ELECTRIC LLC
Electrical Administrator INFORMATION
License ANDERS'954PE
Name ANDERSON, STEVE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, STEVE J
Agent
10/21/2005
12/27/2012
ANDERSON, STEVE
Partner/Member
10/21/2005
$250.00
ANDERSON, KIM
Partner/Member
10/21/2005
ELECTRICAL CITATION
Bond Information
Page 1 of 1
Bond
1
Bond Company Name
AMERICAN STATES
INSURANCE CO
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
6383316
10/21/2005
Until Cancelled
$4,000.00
10/21/2005
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
ESLOD00498
12/27/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00286
3/17/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EPOR000310
4/16/2012
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns •//fortress.wa. gov/lni/bbin/Print.aspx 12/02/2013