HomeMy WebLinkAboutPermit EL16-0137 - FANNIE MAY - REPAIR OUTLETSFANNIE MAY
3810SI58THST B8
EL16-0137
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 4215000140
Address: 3810 S 158TH ST B8
Project Name: FANNIE MAY
Owner:
2012
Name:
TEKELEMARIAM TESHOME+WUBBIE
Address:
3810 S 158TH ST, TUKWILA, WA,
WA Cities Electrical Code:
98188
Contact Person:
2012
Name:
JOHN REARDEN
Address:
3939 S ORCHARD ST, TACOMA, WA,
WA State Energy Code:
98466
Contractor:
2012
Name:
MADSEN ELECTRIC
Address:
3939 S ORCHARD ST, TACOMA, WA,
98466
License No:
MADSEE*140P8
Lender:
Name:
Address: , , ,
DESCRIPTION OF WORK:
Permit Number: EL16-0137
Issue Date: 2/12/2016
Permit Expires On: 8/10/2016
Phone: (253) 307-2127
Phone: (253) 383-4546
Expiration Date: 4/30/2016
TURN ON INSPECTION. NEW WP GFI ON DECK. REPAIR OUTLETS BROKEN. GATE CODE KEY 7-1-7-2 UNIT CODE
C9186
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: REMODEL
Fees Collected: $57.33
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:' / Gz/ 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 i a d agree to the conditions attached to this permit.
re:
Print Na
Date: Ahu=�
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
http://wvttiv.Tukwi]aWA.
SITE LOCATION
Electrical Permit No. 1=��(0 (0/37
Project No.
Date Application Accepted:
Date Application Expires: 14X (n
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: / (J /J � i Suite Number. - R Floor:
Tenant Name:
PROPERTY OWNER
Name:
Q.
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address:r7-�—
City: i - State: U Q Zip. 8Cfb
U/
-Phone: 3 37` ) tn2` Fax�� Ci iLe
Email: 2b.Nt%� 11n S ,Qi..e ClJku t t
New Tenant: ❑ .....Yes N. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
-2C
Address:32,39 5Q
OrunasAS T --
City: Cc OkA-
State: Wk Zip. 6
Phone: 53-3a3 ��
Fax: 3 S6 --41 Q of
Contr Reg No. Atee�(/
0 V—Exp Date:.L 3f7
Tukwila Business License No.;
- 0
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): 111- % dV I n SPP C-4 id A - /U e -Q LRR(_�e
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes] No
Type of Use: r u n
Type of work:
❑ New ❑ Addition
❑ Lova Voltage ❑ Generator
Pronerty Served by:
❑ Service Change 4 Remodel
❑ Fire Alarm ❑ Telecommunication
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forte-Applications On Line\2014 Applications\Hlectrical Permit Application Revised 1-1-14.docs
Revised: January 2014
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❑ Tenant Improvement
❑ Temporary Service
Page I 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)
$80.90
❑
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)
$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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
r -1 -
Mailing
WApplicationsTortrs-Applications On Line\2014 ApplicationsMectrical Permit Application Revised 1-1-14.doee
Revised: January 2014
Ith
Date:
s3-yS7 �
State Zip
Page 2 of 2
DESCRIPTIONS
• QUANTITY
PAID
PermitTRAK
$57.33
EL16-0137 Address: 3810 S 158TH ST B8
Apn: 4215000140
$57.33
ELECTRICAL
$54.60
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00 0.00
$54.60
TECHNOLOGY FEE
$2.73
TECHNOLOGY FEE
TOTAL' R7679
R000.322.900.04.00 0.00
$2.73
Date Paid: Friday, February 12, 2016
Paid By: JOHN REARDEN
Pay Method: CREDIT CARD 05692)
Printed: Friday, February 12, 2016 11:09 AM 1 of 1
* SYSTEMS
INSPECTION RECORD -711 1A43
Retain a copy with permit
INSPECTION NO. PERMtT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request line (206) 438-9350
Project: %
Typ�onsc/t+io�
Address:
ro s,
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
�'
441-11 k
Requester: , J
1 7 r CW A
Phone No:
Approved per applicable codes. Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Calt to schedule reinspection.
MADSEN ELECTRIC
Safety & Health
Washington State Department of
Labor & Industries
MADSEN ELECTRIC
Home Tspanol Contact
Page 1 of 3
A -'!.Index Help M.v Secure L&I
Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson
3939 S ORCHARD ST
TACOMA, WA98466
Principals
p
253-383-4546
SHARP, ROCKY, PRESIDENT
PIERCE County
MACDOUGALL, RICHARD, VICE PRESIDENT
NEWTON, DANIEL, VICE PRESIDENT
PETERSON, GREGORY, TREASURER
HAAS,HENRY,AGENT
IRBY, JOSEPH L
(End: 12/29/2003)
SHIVELY, DARREL A
(End: 12/29/2003)
HAAS,HENRY,AGENT
(End: 12/29/2003)
DEVISH, JOE R
(End: 12/30/2003)
Doing business as
MADSEN ELECTRIC
WA UBI No. Business type
278 030 668 Corporation
Parent company Governing persons
CARL T MADSEN INC DANIEL
NEWTON
GREGORY D PETERSON;
RICHARD MACDOUGALL;
ROCKY SHARP;
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.
MADSEE*140P8
Effective — expiration
10/28/1986— 04/30/2016
Designated administrator
...........................
SHARP, TRAVIS R
License type
Electrical Administrator
Bond
.............
TRAVELERS CAS & SURETY CO
Active.
Meets current requirements.
License no.
SHARPTR972DF
$4,000.00
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=278030668&LIC=MADSEE* 140P8&SAW= 2/12/2016