HomeMy WebLinkAboutPermit EL15-0227 - FORSBERG RESIDENCE - WIRINGFORSBERG RESIDENCE
12207 50 AVE S
EL15-0227
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
ELECTRICAL OTC PERMIT
Parcel No: 0179001770 Permit Number: EL15-0227
Address: 12207 50TH AVE S Issue Date: 3/11/2015
Permit Expires On: 9/7/2015
Project Name: FORSBERG RESIDENCE
Owner:
Name:
FORSBERG SCOTT J
Address:
36329 SE 56TH ST , FALL CITY, WA,
98024
Contact Person:
Name:
SCOTT FORSBERG Phone: (425) 222-6983
Address:
PO BOX 580, FALL CITY, WA, 98024
Contractor:
Name:
RED HOUSE ELECTRIC LLC Phone: (253) 617-8384
Address:
2506 OLYMPIC BLVD , PUYALLUP, WA,
98374
License No: REDHOHE895QR Expiration Date:
Lender:
Name:
Address: ...
DESCRIPTION OF WORK:
WIRING FOR NEW SINGLE FAMILY RESIDENCE
Valuation of single family: $4,000.00 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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
c
'r
r HIS -
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: 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 TUKW 7 4
Community Developm. Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Pe_ .it No.
Proj ect 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"
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 10207 .-V tG. 4yc S Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes ❑ ..No
PROPERTY OWNER
Name:
Address: Po gmx 5-W
City: 611 CA, State: Zip:q wvi
CONTACT PERSON — person receiving all project
communication
Name: SCoy.er
Address: Po 6-a 5�
City:rA" C, State: %vA- zip%02-4
Phone4Zs_ZZ2�G►��3 Fax.
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PUA
Address: SSbU �` `� 91vtA
City: P(A,-4N State: Zip -)
Phone: Fax:
Contr Reg No.: o),torte"4 , �xp Date:
�cl<... 1t —Z3 • S
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 4000
Scope of Work (please provide detailed information): 2Lv O
Will service be altered? ❑ Yes
Type of Use:
Type of work:
(�. New ❑ Addition
❑ Low Voltage ❑ Generator
Proggrty Served by:
❑ Puget Sound Energy �[
❑ Service Change
❑ Fire Alarm
Seattle City Light
Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
❑ Yes ❑ No
❑ Tenant Improvement
❑ Temporary Service
HAAppliestionsToms-Applications On Line\2014 ApplicationsWectrical Pemul Application Revised 1-1-14.doex
Revised: January 2014
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)
PERMIT APPLICATION NOTES -
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* * *
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:
Date:
Print Name: i �/ �2 Day Telephone: ? 53 -(tk—I- nJ!!!j
aw �H
Mailing
State Zip
MApplicationsTorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$160.49
EL15-0227 Address: 12207 50TH AVE S Apn: 0179001770
$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 FEES PAID•4:11
R000.322.900.04.00 0.00
$7.64
$160.49
Date Paid: Wednesday, March 11, 2015
Paid By: PAUL CHAVEZ RED HOUSE ELECTRIC
Pay Method: CREDIT CARD 277443
Printed: Wednesday, March 11, 2015 11:47 AM 1 of 1
grSYS7EM5
2-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 ( I/
Project:
d��k5
Rfs
Type of Inspection:
Approved per applicable codes. El Corrections required prior to approval.
b?
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) 431-367t
Permit Inspection Request Line (205) 438-9350
Project,
rAr
Lo—el-S62nal.,
Type of
�111L�-
�ffil f
Address-
Date Called:
Special Instructiont:
Date Wantec
Requester'.
Phone No:_1 g2-
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Red House Electric LLC
Page 1 of 2
Home Inicao en Espafiol Contact
Safety
411114 Washington State Department of
4j Labor & Industries
Red House Electric LLC
Owner or tradesperson
CHAVEZ, JESSICA P
Principals
CHAVEZ, JESSICA P, PARTNER/MEMBER
Chavez, Paul E, AGENT
Doing business as
Red House Electric LLC
WA UBI No.
603 159 162
License
Search L&I �S:+�ntJ
A-Z Hxlex Help Ivty Secure I ICI
Claims & Insurance Workplace Rights Trades & Licensing
2506 Olympic Blvd
PUYALLUP, WA98374
253-617-8384
PIERCE County
Business type
Limited Liability Company
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.
REDHOHE895QR
Effective — expiration
11/23/2011-11/23/2015
Bond
.................
Wesco Insurance Co
Bond account no.
46WBOS6598
Received by L&I
11/12/2014
Bond history
Savings
No'savings accounts during the previous 6 year period.
License Violations
... ............. ............................... .
Infraction no.
EROJE00224
Issue date
06/25/2014
Violation city
Puyallup
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
$4,000.00
Effective date
11/11/2014
Expiration date
Until Canceled
Satisfied
................._......
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603159162&LIC=REDHOHE895QR&SAW= 3/11/2015