HomeMy WebLinkAboutPermit EL16-0822 - DELEZA RESIDENCE - PANEL AND REWIRINGDFLEZA RESIDENCE
12240 43 AVE S
EL16-0822
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: 0179000300 Permit Number: EL16-0822
Address: 12240 43RD AVE S Issue Date: 9/8/2016
Permit Expires On: 3/7/2017
Project Name: DELEZA RESIDENCE
Owner:
Name: DELEZA SANDRA 1
Address: 12240 43RD AVE S, SEATTLE, WA,
Lender:
Name:
Address:
Phone: (253) 307-2127
Phone: (253) 383-4546
Expiration Date: 4/30/2018
DESCRIPTION OF WORK:
REPLACE 125A PANEL, REWIRE KITCHEN, DINING ROOM, AND FRONT ROOM DUE TO FIRE.
Valuation of single family: $0.00 Fees Collected: $298.78
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
98178
Contact Person:
2014
Name:
JOHN REARDEN
Address:
3939 S ORCHARD ST, TACOMA, WA,
International Mechanical Code Edition:
98466
Contractor:
2014
Name:
MADSEN ELECTRIC
Address:
3939 S ORCHARD ST, TACOMA, WA,
International Fuel Gas Code:
98466
License No:
MADSEE*140P8
Lender:
Name:
Address:
Phone: (253) 307-2127
Phone: (253) 383-4546
Expiration Date: 4/30/2018
DESCRIPTION OF WORK:
REPLACE 125A PANEL, REWIRE KITCHEN, DINING ROOM, AND FRONT ROOM DUE TO FIRE.
Valuation of single family: $0.00 Fees Collected: $298.78
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2015
National Electrical Code:
2014
International Residential Code Edition:
2015
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
'
Permit Center Authorized Signature:
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.
Sign
Prirr
1
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
hqp://www.Tukwi]aWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires: 'jj �•' �1
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
,/ King Co Assessor's Tax No.:
Site Address: ! C ��` r ! �V -� J ('3r Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
tlY
Address:
S
City: K—r
State: Zip:f
�1!
PhoneJ? 3d``
�XQo7 lO
FaxEmail:
Email:
S.Qor�J,.�►1 vinp� Q►t C.C�IL tLC)
Valuation of Project (contractor's bid price):
Scope of Work (please provide detailed info:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
L�ec
e`
tc
Address: i5O
S
City: e[ State: W A
Zip:
Phone:3`:707 24 27 Fa";..25 5
Contr Reg No. $� tL 1p Date:
Tukwila Business License No.; O
Will service be altered? A Yes ❑ No
Type of Use:
Tvne of work:
CL New ❑ Addition 9 Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served bv:
❑ Puget Sound Energy Seattle City Light
H:\Applio cions\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Adding more than 50 amps? ❑ Yes K No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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
$65.00
(no added/altered circuits)
$80.90
❑ Manufactured/mobile home service ...........................
Service change with added/altered circuits .................
$81.90
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:
Print Natne:
Mailing AddressaY? 3 91. S
HAApplications\Forms-Applications On Linc\2014 ApplicalionsUcctrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
lr/
Date: 9�/ /CEJ
Day Telephone: 3 3 07- )-7
City
Page 2 of 2
DESCRIPTIONS
• QUANTITY
PAID
PermitTRAK
$298.78
EL16-0822 Address: 12240 43RD AVE S
Apn: 0179000300
$298.78
ELECTRICAL
$284.55
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00 0.00
$284.55
TECHNOLOGY FEE
$14.23
TECHNOLOGY FEE
TOTAL' ..
R000.322.900.04.00 0.00
$14.23
$298.78
Date Paid: Thursday, September 08, 2016
Paid By: JOHN REARDEN
Pay Method: CREDIT CARD 09000)
Printed: Thursday, September 08, 2016 10:20 AM 1 of 1
' ?PWSYSTEMS
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
t
Project: Z&aA- wf�.
Type of Inspection:
Address:
Z��Lo �6 AAf-
Date Called:
/ .
Special Instructions:
Date Wanted: a. m.
G Z
Requester:
0
r7!7z 3O 2 -12 -
Approved per applicable codes. Corrections required prior to approval.
u 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) 431-367
Permit Inspection Request Line (206) 438-9350
Project: 0�
pec n:
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.Called:
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Address:
4-V:2 5
Date
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Special Instructions:
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367/ ��77 o
,
Date Wanted: /
l
/ m.
! .p.m
Requester:
_�'
Phone No: 7W3
3A 7,1
'Approved per applicable codes. Corrections required prior to approval.
COMMENTS:{
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U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
` INSPECTION RECORD
E Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
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Project:� n
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Address: Z� 0
Date Called:
Special Instructions:
Date Wanted: a.m.
p.
Requester:
KN �4J
Approved per applicable codes. Corrections required prior to approval.
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
WIN
NO
►�_ L - -'1
ZMEM
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REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MADSEN ELECTRIC
Horne EspaFiol C'oiltact.
Safety & Health Claims & Insurance
Washington State Department of
k,h 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
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Workplace Rights
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, TRAVIS R..........
License type
Electrical Administrator
Bond
TRAVELERS CAS & SURETY CO
Active.
Meets current requirements.
License no.
SHARPTR972DF
$4,000.00
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