HomeMy WebLinkAboutPermit EL16-0085 - DELAY RESIDENCE - PANEL CHANGE OUTDELAY RESIDENCE
6420 S 153 ST
EL16-0085
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: 3597000345
Permit Number: EL16-0085
Address: 6420 S 153RD ST
Issue Date: 1/28/2016
International Residential Code Edition:
Permit Expires On: 7/26/2016
Project Name: DELAY RESIDENCE
2014
Owner:
2012
Name: DELAY ROBERT M+CHRISTI J
2014
Address: 2428 E MILLER, SEATTLE, WA, 98112
2012
Contact Person:
2012
Name: PATTY FULLER
Phone: (206) 423-8394
Address: 1220 S 356TH ST A-5, FEDERAL WAY,
WA, 98003
i
Contractor:
Date:
Name: FULLER ELECTRIC INC
Phone:
Address: 1220 S 356TH ST #A5, FEDERAL WAY,
WA, 98003-7479
License No: FULLEE1027BK
Expiration Date: 1/12/2018
Lender:
Name:
Address:
DESCRIPTION OF WORK:
CHANGE OUT 100 AMP PANEL
Valuation of single family: $1,000.00
Fees Collected: $86.00
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG
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 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
i
G/v
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. 1 am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: Date:
Print Name: P�-f� r- 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 TUKIV
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.Rov
SITE LOCATION
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"
C / s11 ,� /King Co Assessor's Tax No.:
Site Address: �-S3 /- Sec,. /�.9XV Suite Number: Floor:
Tenant Name: New Tenant: ❑ ..... Yes No
PROPERTY OWNER
Name: Chr,
Address: G q 2-6
City:I� State: i
d'�:�g
e
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: cede" State: �,19 Zip:%�
3
Phone: zD '1y Z3 43-1 y Fax: Z S 3 —G 6/
Email: 0 % @ Fc--Ile-l- 61e C . C 0 A"l-N
ELECTRICAL CONTRACTOR INFORMATION
Company Name: &- Ile, r /e cA-t c
Address:
l2ZG s� 3s61'
City: �Pcl n(� State Zip:�J�6C
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ oa
Scope of Work (please provide detailed information): CJ v P /) ,� /00
Will service be altered? ❑ Yes 19 No
Type of Use: &S
Type of work:
❑ New ❑ Addition 8 Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bb
Adding more than 50 amps? ❑ Yes A�j No
❑ Remodel ❑ 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
PERMIT APPLICATION NOTES -
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑
RESIDENTIAL REMODEL AND SERVICE CHANGES
$65.00
❑
Temporary service (generator) ...................................
$80.90
Service change or alteration .......................................$81.90
Manufactured/mobile home service ...........................
$86.25
(no added/altered circuits)
(excluding garage or outbuilding)
❑
Service change with added/altered circuits.................$81.90
Carnivals....................................................................
$80.60
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ............
$54.60
$10.80 ea
(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 CONTRACTOR:
Signature:
Date: /—,q6—/6
Print Name: � � ( l Day Telephone: 7/&
Mailing Address: / 2-2 U 3 S6 S F -C J &,. 1,✓ &1 W 09- q fO O3
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
City State Zip
Page 2 of 2
Date Paid: Thursday, January 28, 2016
Paid By: FULLER ELECTRIC
Pay Method: CREDIT CARD 07021E
Printed: Thursday, January 28, 2016 1:59 PM 1 of 1 CLT
SY57EM5
QUANTITYDESCRIPTIONS ACCOUNT
PAID
PermitTRAK
$86.00
EL16-0085 Address: 6420 S 153RD ST
Apn: 3597000345
$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►ID BY RECEIPT: R7528
R000.322.900.04.00 0.00
$4.10
$86.00
Date Paid: Thursday, January 28, 2016
Paid By: FULLER ELECTRIC
Pay Method: CREDIT CARD 07021E
Printed: Thursday, January 28, 2016 1:59 PM 1 of 1 CLT
SY57EM5
INSPECTION RECORD I(V�
Retain a copy with permit I �'��y
iNI"PECTION 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:
� � a
Type of Inspec ;
Address: _
Date Called:
Special Instructions:
L ���
-Li
Date Wanted: (a. M.
2,-/o
Requester:
Phone No:
viApproved per applicable codes. EI Corrections required prior to approval.
COMMENTS:
Inspector: 41 � r f, Date:
i9'11
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
FULLER ELECTRIC INC
Horne Ispaflol Contact
Safety & Health
inWashington State Department of
Labor & Industries
FULLER ELECTRIC INC
Owner or tradesperson
Principals
FULLER, PATRICIA ANN, PRESIDENT
AHLERS CRESSMAN PLLC, PAUL
CRE,AGENT
FULLER, GREGORY C, MEMBER
(End: 12/23/2011)
Doing business as
FULLER ELECTRIC INC
Page 1 of 2
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1220 S. 356th Street A-5
FEDERAL WAY, WA98003
253-661-7181
KING County
WA UBI No. Business type
601 840 365 Corporation
Governing persons
GREGORY
C
FULLER
PATRICIA ANN FULLER;
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.
FULLEE1027BK
Effective — expiration
01 /12/1998— 01/12/2018
Designated administrator
Active.
FULLER, PATRICIA ANN
Meets current requirements.
License type
License no.
Electrical Administrator
FULLEPA035NZ
Bond
CBIC
$4,000.00
Bond account no.
SB2906
Effective date
01/01/1998
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
.........._.........1.1-111-1.1 ...........
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601840365&LIC=FULLEEI027BK&SAW= 01/28/2016