HomeMy WebLinkAboutPermit EL14-0962 - CARY LANG CONSTRUCTION, LOT 2 - 50 AMP WHIP TO TEMPORARY POLECARY LANG CONSTRUCTION
LOT 2
13056 56 AVE S
EL1 4-0962
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
2172000252
13056 56TH AVE S
ELECTRICAL OTC PERMIT
Project Name: CARY LANG CONSTRUCTION, LOT 2
Permit Number: EL14-0962
Issue Date: 10601
Permit Expires On: 4/4/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
GERALD KNUDSON
6402 S 144TH ST, TUKWILA, WA,
98188
CARY LANG
29815 24 AVE SW , FEDERAL WAY,
WA, 98023
PROVIDENT ELECTRIC INC
PO BOX 7087 , COVINGTON, WA,
98042-0040
Phone: (206) 423-5055
Phone: (253) 631-7750
PROVIEI103C2 Expiration Date:
DESCRIPTION OF WORK:
ADD 50 AMP WHIP TO EXISTING TEMP POLE
Valuation of single family: $0.00
Valuation of mf/comm: $0.00
Type of Work: NEW
Fees Collected: $54.60
Electrical Service Provided by:
Water District:
Sewer District:
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
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2014
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,aadagree to he conditions attached to this permit.
Signature:
Print Name:
Date: CD/ (<% / y
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 7002 SERVICE
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila. WA 98188
http://www.TukwilaWA.2ov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
1,1
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: I W q// ✓A/IV& S .
Tenant Name:
PROPERTY OWNER
Name: /'„ vvi �ii
Address: .. 45, . 4 fife, GW
Cit f--rict -,, Z/ `rtjam State:w/o Zip/a f190
CONTACT PERSON — person receiving all project
communication
Name: eitzv. ,
''i1//VVq ��//JJII
/' `,
v
Address:
City: `�
State:
Zip:
Phone:I t-(�[
.1 23
�`(!
., Eax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: V l /f t, ec f, //
f ii
Y N' Y
l
Address: P o p\' - D5 7
,�`�
State: Zile/
City:/1m v; c`}' `'
Phone Fax: •
Contr Reg No. Exp Date:2
{�+i F1 �C- Z I2422:44
v
Tukwila Business License No.:.y,U c ' 4 b)
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
6Lvr P U)\dp s+Orbi
Will service be altered? ❑ Yes
Type of Use:
Type of work:
-New
❑ Low Voltage
Pro pem_Served by:
No
IL%-C 1,0 arei1i u th ‘-ce
❑ Addition
❑ Generator
❑ Service Change
❑ Fire Alarm
Puget Sound Energy ❑ Seattle City Light
H:'Applications•Forms-Applications On Line\2011 Applications.Electrical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
bb
4t l� l p )04-&-&
Adding more than 50 amps? ❑ Yes
❑ Remodel
❑ Telecommunication
No
❑ Tenant Improvement
❑ Temporary Service
Page I 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 $1 1.55 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: �� Date:10 v J�a s�4
Print Name:
Ca 414 cL
Mailing Address: PD � �+el -I I-
H:'Applications\Forms-Applications On Line,2011 Applications \Electrical Permit Application Revised 8-9-1 I.docx
Revised August 2011
bh
Day Telephone: 7'5± L,�j l `1 i
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
54.60
EL14-0962 Address: 13056 56TH AVE S Apn: 2172000252
$54.60
ELECTRICAL
PERMIT FEE SINGLE FAMILY
TOTAL FEES PAID BY RECEIPT: R3236
R000.322.101.00.00
0.00
$54.60
$54.60
Date Paid: Monday, October 06, 2014
Paid By: PROVIDENT ELECTRIC INC
Pay Method: CHECK 3181
Printed: Monday, October 06, 2014 8:47 AM 1 of 1
fWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
6,11-0(.2.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: /�Ai
`
` dir�� k"
Type of Inspection:�,�.,,
/��c��
Address:
! o
�jj S/ AY
Date Called:
Special Instructions:
-Date Wanted:
Ja`'
(0 / d 7
.m
ifirn.
Requester:
Phone No:
COMMENTS:
Approved per applicable codes. Corrections required prior to approval.
GIrI
h/ -fit
1'
fj,-
Inspector:04c
Date: /0/01
/of
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
PROVIDENT ELECTRIC INC
Page 1 of 4
Washington State Department of
Labor & Industries
PROVIDENT ELECTRIC INC
Owner or tradesperson
OLSON, ALAN W
Principals
OLSON, ALAN W, PRESIDENT
OLSON, Judith E, VICE PRESIDENT
SHEWCHUK, ALLAN S, SECRETARY
Shewchuk, Bejamin M, TREASURER
Regeimbal Mcdonald PLLC, AGENT
MICHAEL REGEIMBAL INC, AGENT
(End: 02/01/2012)
SHEWCHUK, ELIZABETH A
(End: 02/07/2012)
Doing business as
PROVIDENT ELECTRIC INC
WA UBI No.
601 217 805
PO BOX 7087
COVINGTON, WA98042
253-631-7750
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
PROVIEI103C2
Effective — expiration
02/22/1990— 02/22/2016
Designated administrator
OLSON, ALAN
License type
Master Electrician
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond)
Savings account ID
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
OLSONA*9710W
$4,000.00
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601217805&LIC=PROVIEI 103C2&SAW= 10/06/2014