HomeMy WebLinkAboutPermit EL16-0396 - SHARIFFA RESIDENCE - SAFETY INSPECTIONSHARIFFA RESIDENCE
1622145 AVE S
EXPIRED
11/01/16
EL16-0396
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: 9314900120
Permit Number: EL16-0396
Address: 1622145TH AVE S
Issue Date: 5/4/2016
International Residential Code Edition:
Permit Expires On: 10/31/2016
Project Name: SHARIFFA RESIDENCE
2014
Owner:
2012
Name: SABRIE SHARIFFA
2014
Address: 1622145TH AV S, TUKWILA, WA,
2012
98188
2012
Contact Person:
2012
1
Name: JOHN REARDEN
Phone: (253) 307-2127
Address: 3939 S ORCHARD ST, TACOMA, WA,
98466
Date: 0-SOYZ&
Contractor:
Name: MADSEN ELECTRIC
Phone: (253) 383-4546
Address: 3939 S ORCHARD ST, TACOMA, WA,
98466
License No: MADSEE*140P8
Expiration Date: 4/30/2018
Lender:
Name:
Address:
DESCRIPTION OF WORK:
SAFETY INSPECTION
Valuation of single family: $600.00
Fees Collected: $68.25
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE
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 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
1
Permit Center Authorized Signature:
�V�
Date: 0-SOYZ&
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 it and agree to the conditions attached to this permit.
Signatu
Print M
Date:
S_Xo'/�
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 TUKWh A
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukwi]aWA.gov
el
Electrical Permit No.
Project No.
Date Application Accepted: �, 0—y1a,
Date Application Expires: /( �0!2t 106
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 I
King Co Assessor's Tax No.:
Site Address:
Tenant Name: 1
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: r ��
Address: O ` i'CtIt�C�v
City: /� �—/ „ - tA-t A State: Zip: C/
Phone: ��-3p��..Z 1 ax
Email:
6
t
Suite Number:
New Tenant:
Floor:
❑ .....Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
t, ZeC V l e
Address: 393
S C 0, J r�
City: hiq C VV. State: Zip: • (� /
Phone:
❑ Fire Alarm
Contr Reg No.: �4 ,l`
y
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $�X/'
Scope of Work (please provide detailed inormation):
c—+
o r.0 I i A r� \C1 M�..a..w
Will service be altered? ❑ Yes X No
Type of Use:
TVDe of work:
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Property
Served by:
❑
Puget Sound Energy
❑
Seattle City Light
H:\ApplicationsWormc-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.doex
Revised: January 2014
hh
Adding more than 50 amps? ❑ Yes 5No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication Temporary Service
Page I of 2
!7
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.
Date: -9— �1 —�'/
Print Name:' �-i ��� G�C��I� Day Telephone:a5?;, "367'24 2,7
Mailing Address: J 7 �I ®� c� Cl I% ` �AcGft'A- \'4� -' � KLI Coln
City state Zip
H:\Applications\Foam-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNTQUANTITY
PAID
$68.25
EL16-0396 Address: 1622145TH AVE S
Apn: 9314900120
$68.25
ELECTRICAL
$65.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00 0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTAL 1 BY RECEIPT: R8378
R000.322.900.04.00 0.00
$3.25
$68.25
Date Paid: Wednesday, May 04, 2016
Paid By: JOHN REARDEN
Pay Method: CREDIT CARD 075351
Printed: Wednesday, May 04, 2016 1:55 PM 1 of 1rl !
SYSTEMS
r 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: C
64
]Date
t
Address:6 P �
/
Called:
---
Special Instructions:
Date Wanted: a.
Q .m.
Requester:
Phone No: X3 3D7 Li'Ll
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
FP i � �� r
('A`
-Y V w 4
J
e � ✓k Y - l Il
• �. Y
IlkJI
tAJ' kJIF
nip (001 A1, 944 —
TD
U paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
10/3/2016
City of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
JOHN REARDEN
3939 S ORCHARD ST
TACOMA, WA 98466
RE: Permit No. EL16-0396
SHARIFFA RESIDENCE
16221 45TH AVE S
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 1 1/1/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 11/1/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely, r
Bill Rambo
Permit Technician
File No: ELI 6-0396
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 0 Phone 206-431-3670 0 Fax 206-431-3665
MADSEN ELECTRIC
I -Lome Espanol Contact
Safety & Health Claims & Insurance
Washington State Departmentof
kj Labor & Industries
MADSEN ELECTRIC
Owner or tradesperson 3939 S ORCHARD ST
TACOMA, WA 98466
Principals 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
Page 1 of 3
Search L&I
A -Z Index Help My LfiI
Workplace Rights Trades & Licensing
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*140138
Effective — expiration
10/28/1986— 04/30/2018
Designated administrator
SHARP, TRAVISR ................... ........
License type
Electrical Administrator
Bond
Active.
Meets current requirements.
License no.
SHARPTR972DF
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=278030668&LIC=MADSEE* 140P8&SAW= 5/4/2016