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HomeMy WebLinkAboutPermit EL14-1042 - CARY LANG CONSTRUCTION LOT 3 - SERVICE AND WIRINGCARY LANG CONSTRUCTION LOT 3 13052 56 AVE S EL14-1042 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 2172000254 13052 56TH AVE S Unit1 ELECTRICAL OTC PERMIT Project Name: CARY LANG CONSTRUCTION LOT 3 Permit Number: EL14-1042 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 Expiration Date: Phone: (253) 631-7750 111 Phone: (253) 631-7750 DESCRIPTION OF WORK: NEW 200 AMP SERVICE AND WIRING FOR NEW SFR Valuation of single family: $7,017.00 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: 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: °, _oiP£% Date: 10---3- Hi 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 0 2100 ELECTRICAL FINAL 0 7003 ROUGH -IN ELECTRICAL 0 7002 SERVICE 0 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.g_ov Electrical' Project No. Date Application Accepted: Date Application E: (For,ofce useonly) c�2 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: 1 (J Tenant Name: King Co Assessor's Tax No.: PROPERTY OWNER Name: ( L Address: 2,1 16 !tt- ,r ,S S',W) City: State Zip:ggb2_3 CONTACT PERSON — person receiving all project communication Address: , City: State: Zip: Phone: Fax: IMI: •►F—Z.111.. 01 ' Suite Number: Floor: New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: F , _I i4e, G Address: t70 90 ((1 City: Cow State:i johc Zip/, p(42„ Phone: 2S3 _ (31'-ns X: ZSg,c031,-- 5 L4 Contr Reg No. /f Date/ j Tviz.j D3cd_Exp ice Tukwila Business License No.; 2 , S_agg463,At Valuation of Project (contractor's bid price): $ ��' Scope of Work (please provide detailed information): `D.^43,0CP (clu PT 3 4 7 L1 Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Tvne of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: $, Puget Sound Energy ❑ Seattle City Light. H:\Applications\Forms-Applications On Line \2014 Applications \Electrical Permit Application Revised I-I-I4.docx Revised: January 2014 hh Page 1 of 2 Print Name: 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 0 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% 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: /' Utitin /J Y 1/1 il/ /A Mailing Address: 4, ?DADA- 6Pa41 �a8� Day Telephone: Date: Ci H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14.docx Revised: January 2014 bh State Zip Page 2 of 2 ermitTRC .144104 DESCRIPTIONS Cash Register Receipt City of Tukwila ACCOUNT QUANTITY PAID ress: 13048 56TH AVE S Unit1 ADn ,2172000256 ELECTRICAL PERMIT FEE SINGLE FAMILY r R000.322.101.00.00 0.00 TECHNOLOGY FEE TECHNOLOGY FEE 14 52:56TH AVE 5-Unitl R000.322.900.04.00 n: 2172000254 0.00 ELECTRICAL PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 TECHNOLOGY FEE TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3374 R000.322.900.04.00 0.00 320 98 >16049 $152.85 $152.85 $7.64 $7.64 160 49� $152.85 $152.85 $7.64 $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 CSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKVVILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project; ifi bora 4 3 :Type of Inspection: F. , Address: 15.2_ Ati. Date Called: Special Instructions: 01 I j KiP Date Wanted: Requester: 'Phone No: Approved per applkable codes. Corrections required prior to approval. COMMENTS: K. nspector: \IP6VAIK REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100, Catt to schedule reinspection. Date: o1/2_1/ic 1 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 60-oz, PERMIT NO. Project: / 1 IA,/ 3 Type of Ines action: Na Address. { )) .." Date Called. Special Inst/ctions: Date Wanted: 111/ 0� a.m. '" Requester: 1 Phone No: Approved per applicable codes. t� Corrections required prior to approval. COMMENTS: n 4 7oi&a 14 Inspector: Date: it1,91, 1 y ( I 1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 4114helljdek PROVIDENT ELECTRIC INC Page 1 of 4 Washington State Department of Lab©r & 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