HomeMy WebLinkAboutPermit EL16-0712 - PHOU RESIDENCE - 2-STORY GARAGEPHOU GARAGE
11837 44T" AVE S
EXPIRED 02/02/17
EL16-0712
CITY OF TUKW1.A A
Community Development Department
Pet—mil Cerate/'
• 630O Southcenter Blvd., Suite 100
Tukwila, WA 98188
'' ' 1ti�11�v���ir,Tuk«ila.VitA�Qav
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
King Co Assessor's Tax No::
Site Address: Suite Number: Floor:
Tenant Name:`r7G14t! New Tenant: ..... Yes ❑..,No
Phone: 2`010 E . gtt g6 Fax:
Email: Cj�1� j 1 IS 1fh`( ALl,E'j� (,#M
ELECTRICAL :CONTRACTOR INFORMATION
Company Name; 01J:aIZf (Itt
Address: O fT t4f (p'Ctt' 41f.
,
City: Jaf'CN UJ / State: zip;qt
Phone: '1J 1po- '6 $ D • 2l Trax:
Contr Reg No.:kLwt %L �.1:AW Exp Date: 0,1,z -2Ito
Tukwila Business License No:;
Valuation of Project {contractor's bid price}: $ 3 t 0<9 .
Scope:of Work (please provide detailed iriformation)i 41A
Will service be altered? ❑ Yes
❑ No
Adding more than 50 amps?
❑
Yes ❑ No
Type of Use:
Ti+oe of work:
[jjo' New 0 Addition
❑ Service Change
❑ Remodel
❑
Tenant Improvement
❑ Low Voltage ❑ Generator
❑ 'Fire Alarm
❑ Telecommunication
❑
Temporary,Service
Property. Served bv:
❑ Puget Sound Energy. ❑
:Seattle City ,Light
H Applicsiions\Fotms-ApplicationsOnLinct2014ApplicaiionsTicciricalPermihApplicationRevised1-1-14,docx
Raised: January 2014
bh
RESIDENTIAL :.MULTI -FAMILY AND COMMERCIAL
NEW RESIDENTIAL SERVICE:
❑ New single family dwellings .....:...
..... , .!$152.85 Fees are based on the valuation of the electrical contract,
(including an attached garage)
[tiGarages. pools, spas and.outbuildings ,........ $81.9.Q;ea
i ow voftage.Systems
(alarm, fumace thermostat)`..... $59:83;:ea MISCELIMEOUS > EES'
Value of Construct➢an 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'tbe Permit Center to comply with current :fee schedules;
Exp€ratioan of .Plan Review -:Applications for which no. permit is issued within'l80 days following.the date of application shalLezpire by limitation.
The Building Official may grant one extension of time for an additional period.not to exceed 90 days. The;extension shi l`be. iequested.in writing
and justifiable cause demonstrated.
INEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOWTHE.SAME TO BE TRUE UNDER.
PENALTY OF PERJURY BY THE LAWS OF THE S.TATE`OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR_THIS PERMIT;
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Names.
Lti
Mailing Address:,_. �_3 % v -e -
H:Vtl pficationslFoti u -Applications On Ginet2014 Appfic�tionc\Elecirical pcmi"it AppficntToil PcVisw 1-1. W.doCX
Rerisuli 9anuory1014
till ..
Date:
'Day Telephone:: 06, _ RL! O 9-5 9-q
Sti'te
RESIDENTIAL.REMOVEL AND SERVICE CHANGES
[] Temporary service (residential) ., ..............
Tem porary'service (generator}::.
[ Mani facturedlnob;.e home service......... .
(excluding garage or outbuilding)
.,. $65.00
$80:90
$86:25:
❑ Service change or alteration ... ...:... ....:... $81.90
(no:added/altered circuits)
Carnivals
$806Q`
Service:change with addedlaltered';:clrcuits.::;
$81.90
Number of concessions,.,....,;.
$10 8o ea
number of added circuits .,.........: ,...:.
$11:55'Ca
Each ride and generator truck
.......>,..... $14::80 ca
[]
Circuits added/altered;without service
(up to 5 circuits)
❑
Gircuits:added/Otered without service than. ge ..:...
$54.60
(d.or more circuits) :..: ..:................. ... ..:.........
$7.65 ea
❑
Meter/mast repair .
$68:25
Low voltage systems .....,.:.
$59.85'
(alarm, furnace thermostat)
;0F3FT.ECT. V . JANUARY
1 w 2014 E��'�f
TKIMLOGY
Value of Construct➢an 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'tbe Permit Center to comply with current :fee schedules;
Exp€ratioan of .Plan Review -:Applications for which no. permit is issued within'l80 days following.the date of application shalLezpire by limitation.
The Building Official may grant one extension of time for an additional period.not to exceed 90 days. The;extension shi l`be. iequested.in writing
and justifiable cause demonstrated.
INEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOWTHE.SAME TO BE TRUE UNDER.
PENALTY OF PERJURY BY THE LAWS OF THE S.TATE`OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR_THIS PERMIT;
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Names.
Lti
Mailing Address:,_. �_3 % v -e -
H:Vtl pficationslFoti u -Applications On Ginet2014 Appfic�tionc\Elecirical pcmi"it AppficntToil PcVisw 1-1. W.doCX
Rerisuli 9anuory1014
till ..
Date:
'Day Telephone:: 06, _ RL! O 9-5 9-q
Sti'te
Aldrich, Darren L
Home. kspat5ol Contact
Safety & Health
Awk Washington State Department of
"Labor & industries
Aldrich, Darren L
Aldrich, Darren L
WA UBI No.
Claims & Insurance
ROCHESTER, WA 98579
THURSTON County
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Workplace Rights Trades & Licensing
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Administrator Active.
..................................................... .
Meets current requirements.
License specialties
GENERAL
License no.
ALDRIDL861MW
Effective — expiration
07/1612014— 08/2212016
Electrical contractor
ALDRICH ELECTRIC LLC
License type
Electrical Contractor
Active.
Meets current requirements.
License no.
ALDRIEL861M5
License Violations
No license violations during the previous 6 year period.
Continuing education
No continuing education credits have been reported for the next/current renewal.
I Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for
rj Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=&LIC=ALDRIDL861 MW&SAW= 8/2/2016