HomeMy WebLinkAboutPermit EL15-0581 - ZARAGOZA RESIDENCE - SERVICE CHANGEZARAGOZA RESIDENCE
14058 35 AVE S
EL15-0581
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:
1523049243
Permit Number: EL15-0581
Address:
14058 35TH AVE S
Issue Date: 6/25/2015
Permit Expires On: 12/22/2015
Project Name:
ZARAGOZA RESIDENCE
Owner:
Name:
ZARAGOZA RICARDO
Address:
14058 35TH AVE S , TUKWILA, WA,
98168
Contact Person:
Name:
MELINDAZARAGOZA
Phone: (206)949-4411
Address:
14058 35TH AVE S , TUKWILA, WA,
98168
Contractor:
Name:
THE JUICE COMPANY, INC
Phone: (253) 333-7823
Address:
11407 SE 326TH PL, AUBURN, WA,
98092
License No:
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
SERVICE CHANGE
Valuation of single family: $0.00
Fees Collected: $86.00
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG
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
Permit Center Authorized Signature:
Date: v
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 per and a e tot nditions attached to this permit. c
Signature: Date: Z.LIJ
Print Name: r v A
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 TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hitp://www.TukwilaWA.g_ov
SITE LOCATION
Electrical Permit No. t�1-1/I 10% I
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.:
if O S 4 3S"'" AVE • � -rut-1/v� /3 gelb f3
Site Address: y ��� W Suite Number: Floor:
Tenant Name: / E&IND4 7Ax4qG07,+ New Tenant: ❑ .....Yes RI ..No
PROPERTY OWNER
Name: /Vlr—/",o4 ���ir✓�•'4
Address: /qO -9 &U-yr. .
City. State: Zip: /
CONTACT PERSON — person receiving all project
communication
Name: , �_NU +t ZAtr.4C 6,
Address: / 'A�11 3 5 0 Zft�c
City: rax,4� - State: 1/✓�`i Zip:
Phone: .206J q[/y' 4um Fax:
Email:CA
%y%Zi�whC>t02/I /�i✓1/1Efa/VCoNS
9f4
107
ELECTRICAL CONTRACTOR INFORMATION
Company Name: - P J UtC� CDIY��a0y, 1NC
Address: ll4Q7 SE 3�& 1* pL.
City: �y 1J 13 tl r N State: pv q Zip: q i3 v 4�
Phone: (2S3) 3 7� - IB.1_ Fax-( -f' JZ33 - 0935
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): C ( CAU
Will service be altered? q Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:Wpplications\Forms-Applications On Linet2014 Applications\E-lectrical Permit Applieation Revised 1-1-14.docx
Revised: January 2014
bh
Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
Yes ❑ No
[:1 Tenant Improvement
❑ Temporary Service
Page] 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
PERNIIT 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:
Signature: ' ); i rr —1;2 Date:
Print Name: 1 (lG (7 .Q, O Day Telephone:
Mailing Address: -1 0-7 >� -1)0fALI)
City Statc zip
H:Vtpplimtions\Forms-Applications On Une\2014 Applications\Electrical Permit Application Revised 1-1-14.dom
Revised: January 2014
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$86.00
EL15-0581 Address: 14058 35TH AVE S Apn: 1523049243
$86.00
ELECTRICAL
$81.90
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$81.90
TECHNOLOGY FEE
$4.10
TECHNOLOGY FEE
TOTAL FEES ' +
R000.322.900.04.00 0.00
$4.10
$86.00
Date Paid: Thursday, June 25, 2015
Paid By: THE JUICE COMPANY, INC
Pay Method: CHECK 4540
Printed: Thursday, June 25, 2015 10:48 AM 1 of 1 r,' II
L�' 1W'SYS7EM5
INSPECTION RECORD g7-7
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION $1
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: Z
Type of Inspection: p
Address: vS
Date Called:
Special Instructions:
Stkvtc-f
Date Wanted: a.
Requester:
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
t INSPECTION RECORD
1 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:
K
Type of Inspection:
Address: � � �
s
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
JcL-ov-j 64—ra,-A-4c-6
L SST L- SA2 tc c
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection.
JUICE COMPANY INC, THE
Hoare .lnicio ern Espanol Contact
Page 1 of 3
Search L&I
Safety
kiWashington State Department of
Labor & Industries
JUICE COMPANY INC, THE
A-Z. Index Help Nly Secure L&I
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 11407 SE 326TH PL
Principals AUBURN, WA98092
p 253-333-7823
MONTENEGRO, DAVID A, PRESIDENT KING County
MONTENEGRO, CHRISTY, VICE
PRESIDENT
MONTENEGRO, CHRISTY, AGENT
Doing business as
JUICE COMPANY INC, THE
WA UBI No. Business type
602 660 912 Corporation
Governing persons
CHRISTY
MONTENEGRO
DAVID MONTENEGRO;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
........................
Meets Meets current requirements.
License specialties
GENERAL
License no.
JUICEC1933BP
Effective — expiration
01 /17/2007— 01 /17/2017
Designated administrator
Active.
MONTENEGRO, DAVID A
Meets current requirements.
License type
License no.
Electrical Administrator
MONTED'956MA
Bond
................
American States Insurance Co
$4,000.00
Bond account no.
32S205930
Received by L&I
Effective date
05/15/2012
04/20/2012
Expiration date
Until Canceled
Bond history
SavingS
Ko savings accounts during the previous 6 year period.
License Violations
_.......................................... _........
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602660912&LIC=JUICECI933BP&SAW= 6/25/2015