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Permit EL15-0249 - VACANT HOME - METER BASE REPAIR
VACANT HOME 13743 41 AVE S EL15-0249 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 OTC PERMIT Parcel No: 7360600330 Permit Number: EL15-0249 Address: 13742 41ST AVE S Issue Date: 3/20/2015 Permit Expires On: 9/16/2015 Project Name: VACANT HOME Owner: Name: KIDD00 CORWIN+KIDD00 DEBBIE Address: 13742 41ST AVE S, TUKWILA, WA, 98168 Contact Person: Name: JOHN REARDEN Phone: (253) 383-4546 Address: 3939 S ORCHARD ST, TACOMA, WA, 98466 Contractor: Name: MADSEN ELECTRIC Phone: (253) 383-4546 Address: 3939 S ORCHARD ST , TACOMA, WA, 98466 License No: MADSEE*140P8 Expiration Date: 4/30/2016 Lender: Name: Address: DESCRIPTION OF WORK: REPAIR EXISTING METER BASE - REPAIR OR RPELACE METER - BURNT JAW Valuation of single family: $500.00 Fees Collected: $71.66 Valuation of mf/comm: $0.00 Type of Work: REMODEL Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 0 �� 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 permi and agree to the conditions attached to this permit. Signatu Date:�� Print Nam 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. S: 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 otCITY OF TUKWI' 4 Community Developme. Jepartment Permit Center 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tuk-wilaWA.gov Electrical Pei _t No. ��""�. Le),-06? �f 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** SITE LOCATION King Co Assessor's Tax No.: Site Address: �L ` AUk SO, Suite Number: Floor: Tenant Name: Ai- C)A-i P New Tenant: ❑ .....Yes g..No PROPERTY OWNER Name: B Address: l� City: State: Zip: CONTACT PERSON — person receiving all project communication Name: �0\CVN Address: C C� S City: ) A—C, 1 State: W n Zip: 1 �s�L/- Phone: .? SC Fax: Email: Valuation of Project (contractor's bid price): Scope of Work (please provide detailed inforr Will service be alter` ❑ Yes [XI, No Type of Use: I A� A a-kt% l 4-C, Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Pronertv Served bv: ❑ Puget Sound Energy K Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.do" Revised: January 2014 bh ELECTRICAL CONTRACTOR INFORMATION Company Name: e k �54-•eclc L Address: So. Oro —"CA S `` � City: 7 C State: �A Zip:Q ) Phone- y33—� Contr Reg No.: e, t i Rio PPP Date: Tukwila Business` License No.;0 q Adding more than 50 amps? ❑ Yes V No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 I.R&31.113"Milo 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 XMeter/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. Print Nz m; / Date: Day Telephone��53-3a7-9) �Li Mailing Address: l 3 /�.S 9! 'o ©tif C�Ch.�S S 1 �/� C . L IA Ph City State Zip H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $71.66 EL15-0249 Address: 13742 41ST AVE S Apn: 7360600330 $71.66 ELECTRICAL $68.25 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $68.25 TECHNOLOGY FEE $3.41 TECHNOLOGY FEE TOTAL' R000.322.900.04.00 0.00 $3.41 $71.66 Date Paid: Friday, March 20, 2015 Paid By: CARL T MADSEN INC Pay Method: CREDIT CARD 04302J Printed: Friday, March 20, 2015 9:08 AM 1 of 1 CRWSYS7EM5 INSPECTION RECORD ....................... I Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OFTUKWILA BUILDING DIVISION 6300 Sovthcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36740A Permit Inspection Request Line (206) 438-9350 il -- -- -11 - I -I- Project: --- ypi of Inspection: 7kddress-. U t 7-YL .-/ / I �W Date CaNd: Special Instructions'. — Date Wanted: ta-. rrt.� Requester'. --F— P one N&- f7 REINSPECTION FEE REQUIRED. Prior to next: inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. M2 MADSEN ELECTRIC Page 1 of 3 Home Ir icio cap Espanol Contact Safety Washington State Department of Labor & Industries MADSEN ELECTRIC A-% Index Help Xly Secure L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 3939 S ORCHARD ST SHARP, ROCKY TACOMA, WA98466 253-383-4546 Principals PIERCE County SHARP, ROCKY, PRESIDENT MACDOUGALL, RICHARD, VICE PRESIDENT NEWTON, DANIEL, VICE PRESIDENT PETERSON, GREGORY, TREASURER HAAS,HENRY,AGENT IRBY, JOSEPH L (End: 12/29/2003) SHIVELY, DARREL A (End: 12/29/2003) HAAS,HENRY,AGENT (End: 12/29/2003) DEVISH, JOE R (End: 12/30/2003) Doing business as MADSEN ELECTRIC WA UBI No. Business type 278 030 668 Corporation Parent company CARL T MADSEN INC License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ............................................................. Meets current requirements. License specialties GENERAL License no. MADSEE*140138 Effective — expiration 10/28/1986— 04/30/2016 Designated administrator ............._.............. SHARP, TRAVIS R License type Electrical Administrator Bond ................. TRAVELERS CAS & SURETY CO Bond account no. 40ONH1607 Received by L&I Active. Meets current requirements. License no. SHARPTR972DF $4,000.00 Effective date https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=278030668&LIC=MADSEE* 140P8&SAW= 3/20/2015