HomeMy WebLinkAboutPermit EL16-0005 - SANDRA HAWLEY - CIRCUITSANDRA HAMq.,EY
11816 40 AVE S
EL16-0005
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: htto://www.TukwilaWA.Rov
Parcel No: 7340600065
Address: 11816 40TH AVE S
Project Name: SANDRA HAWLEY
ELECTRICAL OTC PERMIT
Permit Number: EL16-0005
Issue Date: 1/4/2016
Permit Expires On: 7/2/2016
Owner:
2012
National Electrical Code:
Name:
HAWLEY SANDRA C
2012
Address:
11816 40TH AVE S, TUKWILA, WA,
International Mechanical Code Edition:
2012
98168
2014
Contact Person:
2012
WA State Energy Code:
Name:
AL NAMAZI
Phone: (425) 894-4115
Address:
11809 NE 48TH PL, KIRKLAND, WA,
98033
Contractor:
Name:
STRINGFELLOW ELECTRIC INC
Phone: (360) 829-9817
Address:
P 0 BOX 2357, BUCKLEY, WA, 98321
License No:
STRINE1940J8
Expiration Date: 4/24/2016
Lender:
Name:
Address:
,
DESCRIPTION OF WORK:
ADD CIRCUIT
Valuation of single family: $700.00
Valuation of mf/comm: $0.00
Type of Work: TENANT IMP
Fees Collected: $57.33
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: F&MV/ "M 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 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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100
ELECTRICAL FINAL
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
CITY OF TUK11 4
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.po_
Electrical Permit No.
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�� �� 416 �-� _ S141,
Site Address:
Tenant Name:
// $/ L Lid t, lgvf - S.
PROPERTY OWNER
Name: A >9 r l _
Address: �I g ll� yU Ez lq � S.
City: S,2,}y-f- t State: �JA Zip:
CONTACT PERSON — person receiving all project
communication 42 i
Name: t�
�/L �✓ nDi I
Address:
City: State: Zip:
Phone: a�-S9�! _ �/�/S—Fax:
Email:
S
King Co Assessor's Tax No.:
Suite Number:
New Tenant: ❑
Floor:
... Yes ❑ .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:� n Q&Ni file
Address: �-1
City: chfe IF/C.) m State Zip s/ as
Phone36,0 a3e�_��� Fax:
Contr Reg No.S'f-R l Nc1q.11v I8 Exp Date: % 31_ 17
[Tukwila Business License No.; 000 n/ a
Valuation of Project (contractor's bid price): $ 76
Scope of Work (please provide detailed information): /)dd C zcu, '4 -
Will service be altered?
❑ Yes
R -'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:\Applicatiom\Forms-Applications On Line\2014
Applications\Electrical
Permit Application Revised 1.1-14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes (�No
❑ Remodel D Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Pagel 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
$65.00
❑
(no added/altered circuits)
$80.90
❑
Service change with added/altered circuits.................$81.90
$86.25
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ............
$54.60
(up to 5 circuits)
$10.80 ea
❑
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: '/ Z/ —/ ZP
Print Name: /0//- �S�i f �%� re 116 w Day Telephone:
Mailing Address: `CD ��!�/ E (� / 4` y,1'2
City State Zip
H:Wpplicatioms Forms -Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTRAK
$57.33
EL16-0005 Address: 11816 40TH AVE S
Apn: 7340600065
$57.33
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00 0.00
$54.60
TECHNOLOGY FEE
$2.73
TECHNOLOGY FEE
TOTAL1'
R000.322.900.04.00 0.00
$2.73
Date Paid: Monday, January 04, 2016
Paid By: LORI STRINGFELLOW
Pay Method: CREDIT CARD 03522C
Printed: Monday, January 04, 2016 2:34 PM 1 of 1
RWSYSTElv1S
"3 INSPECTION RECORD.
Retain a copy with permit
!N5PECTION NO. PERMIT NO.
CITY OF TUIC1f1i+ILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request tine (206) 438-9350
�V—
Project:
Type of Inspection:
Address:I It� ®�`
Date Called:
Special Instructions:
�QO
Date Wanted: a.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
Inspector:
C- "71M
GSC 1 IUaie: n `12,1
F] REINSPECT16N FEE REQUIRED. Prior to next inspection. fee`must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
E;,, -INSPECTION RECORD
Retain a co with permit
copy
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:
�1
Type of Inspection:
Address:
Date Called:
Special Instructions:
Sc" �� ��✓'���
cJ��^�
Date Wanted:a.
//Zgi tn.
Requester:
Phone No: �J?
Approved per applicable codes. 1:1 Corrections required prior to approval.
I 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) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ® ,
. Adk qkdl-
Type of Inspection:
Address: /19 t' �Date
a
Called:
Special Instructions:
Date Wanted:' a.m
h7 m.
Requester:
Phone No:
Approved per applicable codes. �iCorrections required prior to approval.
COMMENTS:
Iq SJ 10
F� cls
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
STRINGFELLOW ELECTRIC INr'
Home Inicio en lispanol Contact.
Safety
Washington State Department of
Labor & Industries
STRINGFELLOW ELECTRIC INC
Page 1 of 2
Search L&I � � • ' �l
A-% .Index Help N }y Secure 1 &I
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson PO BOX 2357
BUCKLEY, WA98321
Principals 360-829-9817
STRINGFELLOW, TED A, PRESIDENT PIERCE County
LAW OFFICES OF HAL J
GEIERSBAC, AGENT
Doing business as
STRINGFELLOW ELECTRIC INC
WA UBI No. Business type
602 552 679 Corporation
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.
STRINEI940J8
Effective — expiration
04/24/2006— 04/24/2016
Designated administrator
STRINGFELLOW, TED ALLEN
License type
Master Electrician
Bond
RLI INS CO
Bond account no.
SRS1002774
Received by L&I
05/17/2006
Savings
............... _...
No savings accounts during the previous 6 year period.
License Violations
........................................................
No license violations during the previous 6 year period.
I Workers' comp
Active.
Meets current requirements.
License no.
STRINTA973C6
$4,000.00
Effective date
04/24/2006
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.
922,937-01
_ ...............................
Doing business as
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602552679&LIC=STRINEI94OJ8&SAW= 1/4/2016