HomeMy WebLinkAboutPermit EL14-1041 - CARY LANG CONSTRUCTION LOT 4 - SERVICE AND WIRINGCARY LANG CONSTRUCTION
LOT 4
13048 - 56TH AVE S
FINALED 01/15/2015
EL14-1041
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
2172000256
13048 56TH AVE S Unit1
ELECTRICAL OTC PERMIT
Project Name: CARY LANG CONSTRUCTION LOT 4
Permit Number: EL14-1041
Issue Date: 10/23/2014
Permit Expires On: 4/21/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
GERALD KNUDSON
6402 S 144TH ST, TUKWILA, WA,
98188
NANCY BABST
PO BOX 7087 , COVINGTON, WA,
98042
PROVIDENT ELECTRIC INC
PO BOX 7087 , COVINGTON, WA,
98042-0040
PROVIEI103C2
/Il
Phone: (253) 631-7750
Phone: (253) 631-7750
Expiration Date:
DESCRIPTION OF WORK:
NEW 200 AMP SERVICE AND WIRING FOR NEW SFR
Valuation of single family: $8,101.00
Valuation of mf/comm: $0.00
Type of Work: NEW
Fees Collected: $160.49
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: 0 Z;
1
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: �
Print Name:
Date: L0,25-1�
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: 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.
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
http:// ww.TukwilaWA.gov
Electrical Permit No. 1
Project No.
Date Application;Accepted: :..to (s
Date Application Expires: tt
(boor. off ce use�onlyj ,> . , ,
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: ` ` g Slit-five,S
Tenant Name:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
PROPERTY OWNER
Name:
Address: 24i f 5 "t-, ilit
t,
Cit (it Stater �t�1
Ziippq(71',23
v
CONTACT PERSON -.person receiving all project
communication
Name:_anwo 4�litb
Address:s
City: State: Zip:
Phone: Fax:
(��� ,��
Emailin (iA(I ► L0 QIri/ e/tyl%1117.
ELECTRICAL CONTRACTOR INFORMATION
Company Name l�C/1Yt zi i
Address: /`' 0 -i
City StateiAN ZipgJ�
Phone:2S �(Areme ax:7554,31 j/0�'L
Contr Reg Nci 1o3Cd_Exp Date: digelice,
Tukwila Business License No.; tU,S+ Mg 41)3L-I
Valuation of Project (contractor's bid price): $ O 1 0 I • O 7
Scope of Work (please provide detailed information): nat.) duo c �T ►— I 33161
Will service be altered? ❑ Yes ❑ No
Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Tvne of work:
New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
yPuget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 .Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bit
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
XNew 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) $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
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
r
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 vj(,v v(�`rf Date: ho�i�
Print Name:`' Day Telephone:
Mailing Address:City State Zip
H:\Applications\Form-Applications On Line\2014 Applications \Electrical Permit Application Revised I-I-14.docs
Revised: January 2014
bit
Page 2 of 2
DESCRIPTIONS
'ermltTRAI
Cash Register Receipt
City of Tukwila
ACCOUNT QUANTITY
PAID
20�!
14,.1041-
ddress: 13048 56TH AVE S Unit'
�n.2172000256
160.49
ELECTRICAL
$152.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$152.85
TECHNOLOGY FEE
$7.64
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$7.64
L14=104
dress:13052,156TH AVESUnit1
n 2172000254
60
ELECTRICAL
$152.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$152.85
TECHNOLOGY FEE
$7.64
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3374
R000.322.900.04.00
0.00
$7.64
$320.98
Date Paid: Thursday, October 23, 2014
Paid By: PROVIDENT ELECTRIC INC
Pay Method: CHECK 3197
Printed: Thursday, October 23, 2014 8:25 AM 1 of 1
CRIVSYSTEMS
INSPECTION -RECORD
Retain a copy with permit
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
t‘f-- Pit
Project: // , i I ,r,/
1°A/61 L°.
Type of Inspection:
A/
Address: 2N 17 I
Date Called:
Special Instructions:
Date Wanted:
i /c
,...;:---
(,..L.....
P.m.
'Requester:
Phone No:
12Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
v - \FIA'47
inspector:
/ ..
Jfiihfilidit _Date:
or/islic-
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection,
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
fi,pf, row
PERMIT NO.
Project: Ati4/
�)
Type of Inspection NalA`4 ,,
% �C f
Address: 130 !
1�
t
Date Called:
r 1
Special Instructions:
Date Wanted:
1 /��
/a.+m
�.p
Requester:
Phone No:
rgiApproved per applicable codes. tj Corrections required prior to approval.
COMMENTS:
(A)
14
Inspector: Date:
- 4 1 ail
r t
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
0 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=PROVIEI103C2&SAW= 10/23/2014