HomeMy WebLinkAboutPermit EL17-0175 - TREVOR RESIDENCE - PANEL REPLACEMENTTREVOR RESIDENCE
16218 49 AVE S
EL17-0175
Parcel No:
Address:
Project Name:
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
5379800343 Permit Number: EL17-0175
16218 49TH PL S
TREVOR RESIDENCE
Issue Date: 3/6/2017
Permit Expires On: 9/2/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
GOROG GEORGE
16218 49TH AVE S , SEATTLE, WA,
98188
DMITRIY NEDZELSKIY
14219 20TH PL W , LYNNWOOD, WA,
98087
STAR ELECTRIC SERVICES INC
14219 20TH PL W , LYNWOOD, WA,
98087
STAREES937NA
Phone: (425) 879-9133
Phone: (425) 879-9133
Expiration Date:
DESCRIPTION OF WORK:
PANEL REPLACEMENT
Valuation of single family: $1,800.00
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG
Fees Collected: $90.35
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: HIGHLINE
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
(I/
Permit Center Authorized Signature:0L4t/ I 075-144,
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.
Signature:
Print Name:
LAilizr 2, XI exizaIs �y
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.
Date:
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 TUKir-'A
Community Develop,. .1 Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.>sov
Electrical Pt...nit No. Clirk0 /
ly
Project. No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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: /6 2( /� (/� Suite Number: Floor:
Tenant Name: 1 t '! o I t4/r ` 0 -
PROPERTY OWNER
Name:` nn4 tr/r/y/Al / /,t ' ,
/rI
Address: /b, .n/(1-. & / /49
/ C
3 L - LC
r f� ,I
Name/7/700iG�L A l�J
Address: A. c2/3 i /� 9., „Lit
t
S
City: -t[�uJ /
Stateke/,
Ztp. 7/ft
CONTACT PERSON — person receiving all project
communication
Name:` nn4 tr/r/y/Al / /,t ' ,
/rI
Address: /b, .n/(1-. & / /49
City: &yd2 frZ Gr/' O2p State:„ /1 Zip:gcr0e
Fax:
Phone./7, c= r7 P- 91St'
Email:
� r l reZe r,'c s er U/ce'9-4 icio
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: r
/
e E( c 7 T/C 3erUf &s]
Address:/
/
2\..,,e ,n dE — Z4)
City:
erjdState:
( Zip eeq
Phon
Fax.
Contr eg No.:/uj
� /U ,� `E�x
Date: /2// / 7
Tukwila Business License No.;Q,4,‘
/
Valuation of Project (contractor's bid price): $Q
Scope of Work (please provide detailed information): (}�� / �J� l cebrxerrY only
Will service be altered? g Yes ❑ No Adding more than 50 amps? 0 Yes [No
Type of Use: Y0 u &47
Type of work:
0 New 0 Addition . / Service Change ❑ Remodel
'..❑ Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
O Low voltage systems
(alarm, furnace thermostat) $61.05 ea
,RESIDENTIAL REMODEL AND SERVICE CHANGES
Service change or alteration $83.54
(no added/altered circuits)
O Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
PERMIT APPLICATION NOTES -
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 Nam<A6/97 lL4
Mailing Address:
Date: -
(s f/ (� Day Telephone: �-2r 6P77-` ( s
d'AO-
City tate Zip
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017 •
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
( ACCOUNT
I QUANTITY
PAID
$90.35
EL17-0175 Address: 16218 49TH PL 5
Apn: 5379800343
$90.35
Credit Card Fee
$2.63
Credit Card Fee
R000.369.908.00.00
0.00
$2.63
ELECTRICAL
$83.54
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$83.54
TECHNOLOGY FEE
$4.18
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11014
R000.322.900.04.00
0.00
$4.18
$90.35
Date Paid: Monday, March 06, 2017
Paid By: DMITRIY NEDZELSKIY
Pay Method: CREDIT CARD 07172C
Printed: Monday, March 06, 2017 10:05 AM 1 of 1
CSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project:iietiO
Type -of Inspection:
ii
Address: `` a�
A7
Date Called:
Special Instructions:
Date Wanted:
p m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
OMMENTS:
„00-
Q)(1,/
Inspector:1 v
Datee.7
3/ z
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call. to schedule reinspection.
STAR ELECTRIC SERVICES INC
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STAR ELECTRIC SERVICES INC
Owner or tradesperson
Principals
NEDZELSKIY, DMITRIY V, PRESIDENT
Doing business as
STAR ELECTRIC SERVICES INC
WA UBI No.
• 602 734 410
• 14219 20th PL W
LYNNWOOD, WA 98087
425-879-9133
SNOHOMISH County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
STAREES937NA
Effective — expiration
08/08/2007— 08/08/2017
Designated administrator
NEDZELSKIY, DMITRIY V
License type
Electrical Administrator
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
105464623
Received by L&1
08/09/2010
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EHRAL01330
Issue date
08/10/2015
Violation city
LYNNWOOD
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
NEDZEDV942PR
$4,000.00
Effective date
08/05/2010
Expiration date
Until Canceled
Satisfied
RC W/WAC
19.28.101 RCW
Violation amount
$250.00
or «tit
jrk Help us improve
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STAR ELECTRIC SERVICES INC
post a provisional electrical work permit F
to beginning the electricalltelecommunica
installation or alteration as referenced in WAC
296-46B-901.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
128,326-02
Account is current.
Doing business as
STAR ELECTRIC SERVICES INC
Estimated workers reported
Quarter 4 of Year 2016 "1 to 3 Workers"
L&I account representative
T1 / DESTINY ADAMS (360)902-4873 - Email: ADAF235@Ini.wa.gov
Track this contractor ice`
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Page 2 of 2
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