HomeMy WebLinkAboutPermit EL15-0126 - GOV RESIDENCE - ELECTRICAL WIRINGGOV RESIDENCE
1186042 ND AVE s
EL15-0126
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.Rov
ELECTRICAL PERMIT
Parcel No: 3347400275 Permit Number: EL15-0126
Address: 11860 42ND AVE S Issue Date: 2/9/2015
Permit Expires On: 8/8/2015
Project Name: GOV RESIDENCE
Owner:
Name: TEA GOV
Address: 4809 S 162ND ST, TUKWILA, WA,
98188
Contact Person:
Name:
NIKOLAY GORBUN
Address:
PO BOX 786, MILTON, WA, 98354
Contractor:
Name:
SUPREME ELECTRIC LLC
Address:
2304 FIR CT, MILTON, WA, 98354-
9389
License No:
SUPREEL94606
Lender:
Name:
Address:
Phone: (253) 332-8399
Phone: (253) 332-8399
Expiration Date:
DESCRIPTION OF WORK:
ELECTRICAL WIRING OF A NEW 200 AMP SINGLE FAMILY RESIDENCE
Valuation of single family: $8,000.00 Fees Collected: $160.49
Valuation of mf/comm: $0.00
Type of Work: NEW Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
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 regulatin struction or the performance of work. I am authorized to sign and obtain this
development permit a con itions a ac is permit.
Signature: Date:
Print Name:
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 TUKH 4
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
n Electrical Permit No. �
Project No.
Date Application Accepted:
Date Application Expires:
use
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"
King Co Assessor's Tax No.:
Site Address: �21�ICL ��Suite Number: Floor:
Tenant Name: New Tenant: ❑ ..... Yes ❑ .. No
PROPERTY OWNER
Name:
Address:
City.. State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address:
THD)l
City: MQ
State: Gt� Zip: s-
Phone: Z53 32Z-95
ax:
Email: SL &2
Q , .
IJ
Valuation of Project (contractor's bid price).
Scope of Work (please provide detailed information):
Will service be altered?
Type of Use:
❑ Yes
❑ No
Type of work:
119 New
❑ Addition
❑ Service Change
❑ Low Voltage
❑ Generator
❑ Fire Alarm
_Property Served by:
❑ Puget Sound Energy /15
Seattle City Light
H:\Applications\Fo=-Applications On Line\2014 Apppphcatiors\ElectricaI Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
ELECTRICAL CONTRACTOR INFORMATION
Company Name: �l R i�& (.�C
Address: Z 'T 12, 6
City: State:
Phone:
Contr Reg No.f;� �-�/Q/i�6 Exp Date: ,
Tukwila Business License No.;
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Pagel of 2
RESIDENTIAL
—NEW RESIDENTIAL SERVICE
Zc 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) ..................................
$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.
Print Name:
Mailing Address:
Date: / 7
Day Telephone: 7- 5 3 35z
H:\Applications\Forms-Applications On Line\2014 ApplicationsWectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$160.49
EL15-0126 Address: 11860 42ND AVE S Apn: 3347400275
$160.49
ELECTRICAL
$152.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$152.85
TECHNOLOGY FEE
$7.64
TECHNOLOGY FEE
TOTAL• .
R000.322.900.04.00 0.00
$7.64
$160.49
Date Paid: Monday, February 09, 2015
Paid By: NIKOLAY GORBUN SUPREME ELECTRI
Pay Method: CREDIT CARD 302381
Printed: Monday, February 09, 2015 1:47 PM 1 of 1
N?WSYSrEMS
o City of Tukwila Jim Haggerton, Mayor
o Department of Community Development Jack Pace, Director
December 28, 2015
Nick Gorbun
Supreme Electric LLC
PO Box 786
Milton, WA 98354
RE: Request for Extension #1
Permit Number EL15-0126
Dear Mr. Gorbun,
This letter is in response to your written request for an extension to Permit EL15-0126. The Building
Official, Jerry Hight, has reviewed your letter and considered your request to extend the above referenced
permit. It has been determined that the City of Tukwila Building Division will be granting an extension
to the permit through July 2, 2016.
If you should have any questions, please contact our office at (206) 431-3670.
Sincerely,
� Jj
Bill Rambo
Permit Technician
File: Permit No. EL15-0126
W:\Pennit CenteAExtension Letterr\Permits\2015\EL15-0126 Pennit Extension #].docx
6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone 206-431-3670 • Fax 206-431-3665
SUPREME ELECTRIC LLC
P.O. BOX 786
M I LTO N, WA 98354
(253) 332-8399
12/24/2015
RE: Permit No. EL15-0126
GOV RESIDENCE
11862 42"d AVE S
To Building Official:
0 'q e®
n,C 28
0e e o9me t
Hi I am Nick with Supreme Electric the holder of permit no. EL15-0126 I would like to request extension
for another 180 day period due to the house not being ready for electrical trim and final. Reason why
the house is not ready because the builder that was originally hired by owners took the deposit and
never finish all of his worked that was per contract with Gov Residence. The owners trying to finish all
unfinished work them self's with little or no knowledge how things are done and it drastically slowing all
of us down and we independent contractors who still working with them trying to help them finish the
project with the general info that we know from doing the trade. So if you could please extend the
permit that would be a great help for them at this challenging time for them.
Thank you.
Sincerely,
Nick Gorbun
Supreme Electric LLC
253-332-8399
Request for Extension # -�
Current Expiration Date: I- I t0
Extension Request:
YApproved for —' / days
❑ Denied (provide explanation)
Signature/Initials lam/
1
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
12/1/2015
NIKOLAY GORBUN
PO BOX 786
MILTON, WA 98354
RE: Permit No. EL15-0126
GOV RESIDENCE
11862 42ND AVE S
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 1/2/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address
your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 1/2/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
RIW
t
Rachellipley
Permit Technician
File No: EL15-0126
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
7/1/2015
NIKOLAY GORBUN
PO BOX 786
MILTON, WA 98354
RE: Permit No. EL15-0126
GOV RESIDENCE
11862 42ND AVE S
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 8/8/2015.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 8/8/2015, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
J
Bill Rambo
Permit Technician
File No: EL15-0126
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
INSPECTION RECORD
Retain a copy with permit � 0,
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
Project: 7Type
of Inspection:
Address: % 7
Yl v
Date Called:
Special Instructions:
5-6 ( �J
Date Wanted: r a.m.
Requester: Vl
!Phone No:
Approved per applicable codes. El Corrections required prior to approval.
I k/-' r V '" T- It�A-c-- I
nspector:
[I
REINSPECTION 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
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 60V
9(-5.
Type of Inspection:
Address: �_
v AXIY
Date Called:
Special Instructions:
0 a.m
Date Wanted: yL
Ir—M
Requester:
Phone No:
Approved per applicable codes. � Corrections required prior to approval.
COMMENTS:
/ AT (
AV 4
rA Nei i;J0 zt4
��� l kr y'e''J'kW
Z, f i(iE &
inspector: //ll�i IDate: O I o�
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
I Retain a copy with permit � O
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
Project: 60
f0 1 r
Type of Inspectio � 6 �
LA( f• c.(�
Address:' ('O'W �- I Z 44.
Date Called:
Special Instructions:
Date Wanted: a.
.m.
Requester:
Phone No:
Approved per applicable codes. - E Corrections required prior to approval.
I&
Spector:
1/0 0l 1
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Calt to schedule reinspection.
kc�
SUPREME ELECTRIC LLC Page 1 of 2
Home Inicio to Fspanol COTitiCt Search L&I
A-% Index Help MY Secure. I.,&I
Safety Claims & Insurance Workplace Rights Trades & Licensing
SUPREME ELECTRIC LLC
Owner or tradesperson PO BOX 786
GORBUN, NIKOLAY JR MILTON, WA98354
253-332-8399
Principals PIERCE County
GORBUN, NIKOLAY JR, PARTNER/MEMBER
GALIANT, PAVEL, PARTNER/MEMBER
Doing business as
WA UBI No. Business type
602 642 027 Limited Liability Company
Governing persons
NIKOLAY N
GORBUN JR
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
RESIDENTIAL
License no.
SUPREEL94606
Effective — expiration
09/26/2006— 09/26/2016
Designated administrator
Active.
GALIANT, PAVEL
Meets current requirements.
License type
License no.
Electrical Administrator
GALIAP*941 MU
Bond
CBIC
$4,000.00
Bond account no.
S10639
Received by L&I
Effective date
10/14/2008
10/13/2008
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
..........................................._..._.....
No license violations during the previous 6 year period.
Workers' comp
No active workers' comp accounts during the previous 6 year period.
Workplace safety and health
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602642027&LIC=SUPREEL94606&SAW= 02/09/2015