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Permit EL17-0332 - ANDERSON RESIDNCE - JAWS REPLACEMENT ON METER BASE
ANDERSON RESIDENCE 5016 S WALLACE ST EL17-0332 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 OTCPERMIT 3348400775 Permit Number: 5016 S WALLACE ST Issue Date: Permit Expires On: ANDERSON RESIDNCE EL17-0332 5/3/2017 10/30/2017 Owner: Name: NGUYEN JOSEPH T+MARY H Address: 322 SENECA PL NW , RENTON, WA, 98057 Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JEFF BARTZ Phone: (425) 746-1667 5806 119 AVE SE , BELLEVUE, WA, 98006 BELLEVUE ELECTRIC INC Phone: (425) 746-1667 5806 119 AVE SE, BELLEVUE, WA, 98006 BELLEEI984RT II/ Expiration Date: 12/30/2018 DESCRIPTION OF WORK: REPLACE DAMAGED JAWS ON METER BASE PER SEATTLE CITY LIGHT Valuation of single family: $500.00 Valuation of mf/comm: $0.00 Type of Work: REMODEL Fees Collected: $73.10 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date:. —.\-17 .\-17 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 cond'tions attached to this permit. Signature: Date: 3—/7 Print Name: e Gf frj m C 0,c_e a 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. 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://Www.TulcwilaWA.gov Electrical Permit No. rt- 0337 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 Site Address: 5016 S Wallace St, Tukwila King Co Assessor's Tax No.: Suite Number: Floor: Tenant Name: New Tenant: ElYes ..No PROPERTY OWNER Name: Jeff Bartz Name: Keith Anders o n City: Bellevue State: WA Zip: 98006 Address: 5016 S Wallace St Email: City: Tukwila State: WA Zip: 98178 CONTACT PERSON — person receiving all project communication Name: Jeff Bartz Address: 5806 119th Ave SE City: Bellevue State: WA Zip: 98006 Phone: (425) 746-1667 Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: Bellevue Electric, Inc Address: 5806 119th Ave SE Ste A 396 Cin': Bellevue State: WA Zip: 98006 Phone: (425) 746-1667 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 500 Scope of Work (please provide detailed information): Replace damaged jaws on meter base per Seattle City Light Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes IJ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service 0 Tenant Improvement Property Served by: 0 Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 1 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) ❑ 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) ❑ 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) 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) ❑ Camivals $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*** 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 CONT ' • OR: Signature: Print Name: Mailing Address: 5806 119th Ave SE Ste A 396 Bellevue WA 98006 Day Telephone: Date: 05/03/2017 (425) 476-1667 City H:tApplicationsWonns-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.doca Revised: January 2014 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY PAID $73.10 EL17-0332 Address: 5016 S WALLACE ST Apn: 3348400775 $73.10 ELECTRICAL $69.62 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $69.62 TECHNOLOGY FEE $3.48 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11421 R000.322.900.04.00 0.00 $3.48 $73.10 Date Paid: Wednesday, May 03, 2017 Paid By: BELLEVUE ELECTRIC INC Pay Method: CHECK 9937 Printed: Wednesday, May 03, 2017 3:42 PM 1 of 1 CL SYSTEMS $ P MIT NO. (� INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670' Permit Inspection Request Line (206) 438-9350 Project: /i 1 SOL1 AIC T e gf In iec:/ A;M— Address: 6I ate Called: Special Instructions: �6\ TAJ " Date Wanted:� .m. Requester: Phone No: 1 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Of "601 Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. BELLEVUE ELECTRIC INC Hame Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I A-Z_Index Help Page 1 of 2 • My L&I Workplace Rights Trades & Licensing BELLEVUE ELECTRIC INC Owner or tradesperson Principals BARTZ, JEFF D, PRESIDENT BARTZ, JEFF D, AGENT Doing business as BELLEVUE ELECTRIC INC WA UBI No. 602 249 562 5806 119th Ave SE BELLEVUE, WA 98006 425-746-1667 KING 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. BELLEEI984RT Effective — expiration 12/30/2002-12/30/2018 Designated administrator BARTZ, JEFF D License type Master Electrician Bond DEVELOPERS SURETY & INDEM CO Bond account no. 859156C Received by L&I 12/30/2002 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. BARTZJD964LA $4,000.00 Effective date 11/26/2002 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 855,187-01 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602249562&LIC=BELLEEI984RT&SAW= 5/3/2017 BELLEVUE ELECTRIC INC Doing business as BELLEVUE ELECTRIC INC Estimated workers reported Quarter 1 of Year 2017 "1 to 3 Workers" L&I account representative T2 / KATHY ULRICH (360)902-4829 - Email: WITE235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/petail.aspx?UBI=602249562&LIC=BELLEEI984RT&SAW= 5/3/2017