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Home My WebLink AboutPermit EL15-0578 - TUKWILA HISTORICAL SOCIETY - BATHROOM ELECTRICALTUKWIIA HISTORICAL �Tfl* I w 14475 59 AVE S EL15-0578 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: 3365901275 Permit Number: EL15-0578 Address: 14475 59TH AVE S Issue Date: 6/24/2015 Permit Expires On: 12/21/2015 Project Name: TUKWILA HISTORICAL SOCIETY Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA, WA, 98188 Contact Person: Name: DEAN HUMPHRIES Phone: (425) 207-8866 Address: 2018 BLAINE AVE NE, RENTON, WA, 98056 Contractor: Name: QUALITY ELECTRICAL CONTRACTORS Phone: (425) 207-8866 Address: 2018 BLAINE AVE NE, RENTON, WA, 98056 License No: QUALIEC915JN Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: FINISH INSTALL OF BATHROOM ELECTRICAL Valuation of single family: $0.00 Fees Collected: $81.80 Valuation of mf/comm: $500.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGET SOUND ENERGY 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 Permit Center Authorized Signature: 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 pe agree to conditions attached to this permit. Signature: Date: (P 17, Print Name: pea, n u.0 i 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, 1 Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION Electrical Permit 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: % I q2-;.- S 9 41 A=r,,,2 S . Suite Number: Floor: Tenant Name: _`. Jew 16 d i3 4-hv; rJ;4 C1 S-Pt.,.,,,,, New Tenant: ❑ ..... Yes No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: City: State: Zip: Phone: 207 Fax: Email: � r ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: City: State: ( Zip: gj�Sz Phone: Fax: Contr Reg No.:Q,,.,,,.e /SS Exp Date: tS FTukwila Business License No.; 2I'3 2 Valuation of Project (contractor's bid price): $ $'00 Scope of Work (please provide detailed information): f i d 1-9: JJ mi6o20,-,4e9LM e key,'i� Will service be altered? ❑ Yes c�o Adding more than 50 amps? ❑ Yes _O—No Type of Use: �rc,� Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 1 of 2 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 ONTRACTOR: Signature: Date: to/Ly//T Print Name: ✓ r Day Telephone: yZs Zd7 MAI, 6 Mailing Address: UM, ,r A,e z W14 fdDsz: City State Zip H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1.1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $81.80 EL15-0578 Address: 14475 59TH AVE S Apn: 3365901275 $81.80 ELECTRICAL $77.90 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $77.90 TECHNOLOGY FEE $3.90 TECHNOLOGY FEE TOTAL.14 R000.322.900.04.00 0.00 $3.90 $81.80 Date Paid: Wednesday, June 24, 2015 Paid By: DEAN HUMPHRIES Pay Method: CREDIT CARD 054201 Printed: Wednesday, June 24, 2015 1:42 PM 1 of 1 ;?WSY57EM5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3670 Project: . 4. A51r- �Oc , Type of Inspection: pM Address: Zqq—f Z) Date Called: Special Instructions: Date Wanted: a. in. Requester: Phone No: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. QUALITY ELECTRICAL CONT LT " Page 1 of 2 Honic Inicio en fspanol Contact Safety Washington State Department of Labor & Industries QUALITY ELECTRICAL CONT LLC Owner or tradesperson Principals HUMPHRIES, DEAN M, PARTNER/MEMBER Doing business as QUALITY ELECTRICAL CONT LLC WA UBI No. 602 906 582 License (Search L&I A-'7, Index Hell) My Secure, 1n&l Claims & Insurance Workplace Rights Trades & Licensing 2018 BLAINE AVE NE RENTON, WA98056-2775 425-207-8866 KING 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 GENERAL License no. QUALIEC915JN Effective — expiration 04/15/2009— 04/15/2017 Designated administrator ................ Humphries, Dean M License type Electrical Administrator Bond American Contractors Indem CO Bond account no. 100117956 Received by L&I 03/2212010 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 Active. Meets current requirements. License no. HUMPHDM918BR $4,000.00 Effective date 04/02/2010 Expiration date Until Canceled Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 191,531-00 ................................. Doing business as QUALITY ELECTRICAL CONTRACTORS M https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602906582&LIC=QUALIEC915JN&SAW= 6/24/2015