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HomeMy WebLinkAboutPermit EL14-0726 - GORYNSKI RESIDENCE - PANEL AND ALTERED SERVICEGORYNSKI RESIDENCE 15030 43 PL S EL1 4-0726 Parcel No: Address: 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 0042000265 15030 43RD PL S Project Name: GORYNSKI RESIDENCE ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL14-0726 7/30/2014 1/26/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: GORYNSKI R R 15030 - 43RD PL S , TUKWILA, WA, 98188 GARY BAUBLITS 11109 66 AVE E , PUYALLUP[, WA, 98373 MERIDIAN CENTER ELECTRIC INC 1109 66TH AVE E , PUYALLUP, WA, 98373 Phone: (253) 848-5595 Phone: (253) 848-5595 MERIDCE318SG Expiration Date: DESCRIPTION OF WORK: FURNISH & INSTALL NEW 200 AMP PANEL, BREAKERS INCLUDED. VERIFY AND UPGRADE GROUNDING AND BONDING. ALTERED SERVICE Valuation of single family: $1,200.00 Valuation of mf/comm: $0.00 Type of Work: SERV CHNG Fees Collected: $86.00 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: 7- 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 itions attached to this permit. Signal Print Name: etM,) L/45QLie 7- Date:7/361► `l 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 TUKWILA- Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.TulcwilaWA.gov Electrical Permit No. )mot — O P+ 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 �j �y� King Co Assessor's Tax No.: b Site Address: �J tJV L' aCQ. S Suite Number: Floor: Tenant Name: \ \CJuA New Tenant: ❑ Yes PROPERTY OWNER Name: \/- &(\ _ [lC P\ Address: 45b City: ---raw ; \ State: ,k of, � Zip: Ci%le I CONTACT PERSON - person receiving all project >mmunication ,^\ Name: j�.�r� ` �►.J 11- Address:llJJ1 �` a o\ t _ 1 ,k- ' �` , E- I �S.State: `1 City: c �' t. Zip:I that cti Wy, r1•J Phone: 233 L� 5- sFax: o LI bI2 Email: aa-nuP rnee1eei` 1 L . Co r . ELECTRICAL CONTRACTOR INFORMATION Company Name: �^ ey to.\ j � I e r /-�e,,,j,_ 1' Iu C�� C.1 �� Address: 1 ``O� ' k ,e,.e-- 1 City: ? 11 State: t , t-y�__ Zip:G] g , Phone: Cj11 14::6 Fax: .5. q 0. 0i Contr Reg No.: ft\ L atr3 c 3i7sF,xpeate: 21,z 1 JJ 1 - Tukwila Business License No.: (i 1121 u 1 �.S- -d V V 1 Valuation of Project (contractor's bid price): $`f i m 2 ? T O._4&1oJ Scope of Work (please provide detailed information): Y 1(\ ll��l Zw �S'%,�� am) 9osp spa. y b e&e ✓S lln6 ed Vet( awl cep r -2, R1c tA-� and bor�i �� . ry Will service be altered? ►n Yes ElNo ,} Type of Use: 1 ✓) 1'a-` Type of work: ❑ New ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy Addition Adding more than 50 amps? 0 Yes Service Change 0 Remodel 0 Tenant Improvement Fire Alarm 0 Telecommunication 0 Temporary Service Seattle City Light v H:Wpplications\forms-Applications On Line\201 I Appli Revised: August��011 bh ions\Electrical Permit Application Revised 8-9-1 I.docx 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 OWNF.B. OR EL CTRICAL CONTRACTOR: Signature: Print Name: 1 j( 1 K\ Mailing Address: 1 I Inc) 1 Co(fifhfJP._ Date: I Day Telephone:( 5 `i IC `-V 5— ailpie it State Zip H:\Applications\Forms-Applications On Line\201 1 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 2 of 2_ Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID EL14-0726 ddress: 15030 43RD PL pn: 0042000265 86Oa ELECTRICAL S81.90 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $81.90 TECHNOLOGY FEE $4.10 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2736 R000.322.900.04.00 0.00 $4.10 $86.00 Date Paid: Wednesday, July 30, 2014 Paid By: MERIDIAN CENTER ELECTRIC INC Pay Method: CHECK 7269 Printed: Wednesday, July 30, 2014 2:57 PM 1 of 1 CRWSYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK EL14-0726`� Address: 15030 43RD PL S Apn: 004200026- ELECTRICAL $8190 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $81.90 TECHNOLOGY FEE $4• 10 f TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2736 R000.322.900.04.00 0.00 $4.10 $86.00 Date Paid: Wednesday, July 30, 2014 Paid By: MERIDIAN CENTER ELECTRIC INC Pay Method: CHECK 7269 Printed: Wednesday, July 30, 2014 2:57 PM 1 of 1 CWSYSTEMS g$7z(9 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit Project: 1 /I I Q Ns41 Type of Inspection4 Mt/ ;Address; MOO y5 pc. Date Called: Special Instructions: ,L/ 4121/ �/ f 7>oo k t4et (41,0c.L6ok Date Wanted: /1/V/ a,rn S p.m. Requester: i Phone No: C3 `7 ©! Approved per placable codes. Corrections required prior to approval. COMMENT: IJA, Ohl tki� rupf n Inspector: Date alvf REINSPECTIDN 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 permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION H 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 ittif-0726 Project: Type of Inspection: Address: f c-o30 1/5 it. . Date Called: Special Instructions: f, & Zki- C1-4 J14‘ f tt Laws*. Rt44-r Date Wanted: �/ a m m. Requester: qv / 774 Phone No: 7(7 7,106 Approved per applicable codes. rg Corrections required prior to approval. COMMENTS: — CAWor F'JD G2a .//L T w rA r1+fAl 84- �/' °0'f — 11-14 V/�,.l,./V� gb `9( ,•'y �.t//s�t1 ryNr�-Q�I(r 1.�' Lam) i an. & ii + Jj ( Lv f 1 A f 1& 1 �. \ ` L . ", 13 oy. ( r f Inspector: -% Date: l n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.