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Home My WebLink AboutPermit EL14-0693 - SIEBENBAUM DUPLEX B - SERVICE CHANGE OUTSIEBENBAUM DUPLEX B 3928 S 113 ST EL1 4-0693 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No: 3351400245 Permit Number: EL14-0693 Address: 3928 S 113TH ST 2 Issue Date: 7/24/2014 Permit Expires On: 1/20/2015 Project Name: SIEBENBAUM DUPLEX B Owner: Name: SIEBENBAUM JOHN B Address: 3928 S 113TH ST, TUKWILA, WA, 98168 Contact Person: Name: ROBERT SHIVELY Address: 2207 E GEORGE ST, TACOMA, WA, 98404 Phone: (253) 250-6047 Contractor: Name: CRYSTAL ELECTRIC Phone: (253) 250-6047 Address: 2207 E GEORGE ST, TACOMA, WA, 98404 License No: CRYSTE*948PF Expiration Date: 10/6/2014 Lender: Name: Address: DESCRIPTION OF WORK: SERVICE CHANGEOUT Valuation of single family: $700.00 Valuation of mf/comm: $0.00 Type of Work: SERV CHNG Fees Collected: $86.00 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: NONE Current Codes adopted by the City of Tukwila: International 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 agree to the conditions attached to this permit. Signature: �Shr Date: 7)/ iq/ t/ Print Name: POikfSJ 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: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 0 2100 ELECTRICAL FINAL 0 7003 ROUGH -IN ELECTRICAL 0 7002 SERVICE 0 7001 UNDERGROUND/SLAB CITY OF TUK �A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wvvw.TukwilaWA.gov Electrical Perjnit No. fj l J. 1 l—OV13 Project No. Date Application Accepted: 01 (Z»k Date Application Expires: (For office use old)) 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: 3-12f//3T��'7"�. lvrwilet Tenant Name: Tdh ii S Cyl ba vi v PROPERTY OWNER Name: j SiebCYiLavry Address: ,3ciz7' S. 1 13 s-r City:State: TV kT w% la t.veN Zi p CONTACT PERSON - person receiving all project communication Name: ,,S.a MI C Address: City: State: Zip: Phone: Fax: Email: King Co Assessor's Tax No.: 5 1 V I Q O ZC 5- Suite Number: 13 Floor: a New Tenant: ❑ Yes No ELECTRICAL CONTRACTOR,�INFORMATION Company Name: C►^/ .7 &! E Ie& f r't c Address: 2 Zd 7 if Grorge. s-r- City: State: Zip. TaC-c rvi « wrt etriey Phone:2 .3- 250-6ay7Fax: Contr Reg No.: Exp Date: ,0%//3,.. Tukwila Business License No.; C► - L' 1)(e0 Q 4 7( 2 Valuation of Project (contractor's bid price): $/5420 7 CS' Scope of Work (please provide detailed information): Pct. vl G l C%gnS.� Will service be altered? ❑ Yes I . No / Type of Use: Re,s7den 711a l Adding more than 50 amps? ❑ Yes ❑ No Type of work:''\ - ag pan G( C h ayWre ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ® Seattle City Light ❑ Remodel , ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 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%........t...".,..._ $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) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and' generator truck $10.80 ea • ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BL ASSESSED A 5% TECHNOLOGY FEE*** 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: Pcfot.erf- ,Sly i ve i y Mailing Address: 2 Day Telephone: City State Zip H:\Applications\Fortes-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS °PerrnitTRAK Cash Register Receipt City of Tukwila ACCOUNT ( QUANTITY PAID 72�I EL14-0692 Address: 3928 S 113TH ST 1 Apn: 3351400245 6 ELECTRICAL $81.90 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $81.90 TECHNOLOGY FEE $4.10 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.10 L14-0693 dress: '3928S,113THST 2 pn: 335140024! ELECTRICAL S81'.90 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $81.90 TECHNOLOGY FEE $410 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2660 R000.322.900.04.00 0.00 $4.10 $172.00 Date Paid: Thursday, July 24, 2014 Paid By: CRYSTAL ELECTRIC Pay Method: CREDIT CARD 159697 Printed: Thursday, July 24, 2014 9:14 AM 1 of 1 C�WSYSTEMS 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION \V111� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: iE,t -t`l P O,\ Type of Inspection: c Rv I� e Address: 6;1 al , I C 3 S-i Date Called: Special Instructions: uk‘Jt Date Wanted:Z s. ^ 7 + (p m. Requester: Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: A 1 ,. I/ 2 I N/I ° `-'" ,.:- O L AA Inspector: Date:. % ,-/e if . REINSPECTION FEE; R�EQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. CRYSTAL ELECTRIC Page 1 of 2 Washington State Department of Labor & industries CRYSTAL ELECTRIC Owner or tradesperson SHIVELY, ROBERT R Principals SHIVELY, ROBERT R, OWNER Doing business as CRYSTAL ELECTRIC WA UBI No. 602 078 887 2207 e George ST TACOMA, WA98404 253-250-6047 PIERCE County Business type Individual License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. CRYSTE*948PF Effective — expiration 10/06/2006-10/06/2014 Designated administrator SHIVELY, ROBERT RAMON License type Master Electrician Bond CBIC Bond account no. SG9648 Received by L&I 10/06/2006 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. SHIVERR954RB $4,000.00 Effective date 10/05/2006 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602078887&LIC=CRYSTE*948PF&SAW= 07/24/2014