HomeMy WebLinkAboutPermit EL15-0673 - NORRIS HOMES - TEMPORARY POWER POLENORRIS HOMES
14407 44 LN S
EL15-0673
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
Parcel No: 0040000377
Address: 14407 44TH LN S
Project Name: NORRIS HOMES
ELECTRICAL OTC PERMIT
Permit Number: EL15-0673
Issue Date: 8/5/2015
Permit Expires On: 2/1/2016
Owner:
Name:
ORCAS HOMES
Address:
1100 DEXTER AVE N, SUITE 275,
SEATTLE, WA, 98188
Contact Person:
Name:
NANCY BABST
Phone: (253) 631-7750
Address:
PO BOX 7087, COVINGTON, WA,
98042
Contractor:
Name:
PROVIDENT ELECTRIC INC
Phone: (253) 631-7750
Address:
PO BOX 7087, COVINGTON, WA,
98042-0040
License No:
PROVIE1103C2
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
100 AMP U/G TEMP POWER POLE
Valuation of single family: $0.00
Valuation of mf/comm: $0.00
Type of Work: NEW
Fees Collected: $68.25
Electrical Service Provided by:
Water District:
Sewer District:
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: y W Date:
I hearby certify that l 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.
Signa
Print
Date: ti
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
0
CITY OF TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd-, Suite 100
Tukwila, WA 98188
http:/Im.-vNtiv.TukwilaW A.
SITE LOCATION
Electrical Permit No. W' wit
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: ( 1 (((AD(� r (.� 44,L-- ��ll�-J Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes ❑ ..No
PROPERTY OWNER
Name: dirk S S
Address: D 2 'OCR
Cit tate: Zip-9 0
CONTACT PERSON - person receiving all project
communication
Name:
lb
Address:
City:
State: Zi t1
"t-I
Phone:ZS3_05
(_1%�C)Fax: ZS3 -�3
Email:
Z
ELECTRICAL
f4NTRACTOR INFORMATION
Company Name:
(G41C.,
Address:
-70 67
City:C&V (
State: ( Zip: e v
`��l
Phone: 3-
3 j 77rjQ Fax. 2� „'�I 7
Contr Reg No.
v-{�-,-�,1g& p Date:
N tt�oo^^
Tukwila Business License No.; . qL403 J
L_
Valuation of Project (contractor's bid price): $ V
Scope of Work (please provide detailed information): �Q Uv) `j
Will service be altered?
Type of Use:
❑ Yes
❑ No
Adding more than 50 amps?
TvpQ of work:
New
❑ Addition
❑ Service Change
❑ Remodel
❑ Low Voltage
❑ Generator
❑ Fire Alarm
❑ Telecommunication
Property Served by:
Puget Sound Energy ❑
Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Re, ised 1-1-14.docs,
Revised: January 2014
bl,
❑ Yes ❑ No
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
0.
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 .......................
$1 1.55 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
?SL
i❑�
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 WI.LL 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print
Mailing Address: l v O� I O 8-1
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January_ 2014
bl,
Date: -� 4 ' I
Day Telephone:
53-(.a -) -6 D
jnt=::�
Ity State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNTQUANTITY
PAID
$0.50
EL15-0672 Address: 1441144TH LN S
Apn: 0040000375
$0.25
TECHNOLOGY FEE
$0.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$0.25
EL15-0673 Address: 14407 44TH LN S
Apn: 0040000377
$0.25
TECHNOLOGY FEE
$0.25
TECHNOLOGY FEE
TOTAL FEES PAID ,
R000.322.900.04.00 0.00
$0.25
1 1
Date Paid: Wednesday, August 05, 2015
Paid By: PROVIDENT ELECTRIC INC
Pay Method: CASH
Printed: Wednesday, August 05, 2015 9:00 AM 1 of 1 rP
SYStEMS
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$136.00
EL15-0672 Address: 1441144TH LN S
Apn: 0040000375
$68.00
ELECTRICAL
$65.00
PERMIT FEE MISCELLANEOUS
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.00
EL15-0673 Address: 14407 44TH LN S
Apn: 0040000377
$68.00
ELECTRICAL
$65.00
PERMIT FEE MISCELLANEOUS
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
TOTAL'
R000.322.900.04.00
0.00
$3.00
11
Date Paid: Wednesday, August 05, 2015
Paid By: PROVIDENT ELECTRIC INC
Pay Method: CHECK 94238
Printed: Wednesday, August 05, 2015 8:59 AM 1 of 1
l"WSYSTEMS
INSPECTION RECORD
Retain a copy with permit �l•'�
INSPECTION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: � n n f
c5
Type of Inspection:
Address: a f � V�
l �Q Un
Date Called:
Special Instructions:
1
Date Wanted: a.m
Me) 7m.
Requester.
Phone No:
IIApproved per applicable codes. LJ Corrections required prior to approval.
M
Inspector: \���y(, Iuate: 07/671<
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
%/ y
PROVIDENT ELECTRIC INC
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"Washington State Department of
Labor & Industries
PROVIDENT ELECTRIC INC
Owner or tradesperson
Principals
OLSON, ALAN W, PRESIDENT
OLSON, Judith E, VICE PRESIDENT
SHEWCHUK, ALLAN S, SECRETARY
Shewchuk, Bejamin M, TREASURER
Regeimbal Mcdonald PLLC, AGENT
MICHAEL REGEIMBAL INC, AGENT
(End: 02/01 /2012)
SHEWCHUK, ELIZABETH A
(End: 02/07/2012)
Doing business as
PROVIDENT ELECTRIC INC
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Claims & Insurance Workplace Rights Trades & Licensing
PO BOX 7087
COVINGTON, WA98042
253-631-7760
KING County
WA UBI No. Business type
601 217 805 Corporation
Governing persons
ALAN
WARREN
OLSON
ALLAN STEPHEN SHEWCHUK;
ELIZABETH ANN SHEWCHUK;
JEAN ANN BLAS;
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.
PROVIE1103C2
Effective — expiration
02122/1990— 02/22/2016
Designated administrator
...................................
OLSON, ALAN
License type
Master Electrician
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond)
Received by L&I
Release date
Active.
Meets current requirements.
License no.
OLSONA'971OW
$4,000.00
Effective date
02/16/1990
Impaired date
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601217805&LIC=PROVIEI103C2&SAW= 8/5/2015