HomeMy WebLinkAboutPermit EL17-0503 - DOAK HOMES - LOT 7 SINGLE FAMILY RESIDENCEDOAK HOMES -LOT 7
5009 S 122 LN
ELI 7-0503
Parcel No:
Address:
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
0179001862
5009 S 122ND LN
Project Name: DOAK HOMES - LOT 7
ELECTRICAL OTC PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL17-0503
6/30/2017
12/27/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
DOAK HOMES INC
11812 26TH AVE SW , BURIEN, WA,
98146
ANDREY RZHISKIY
30449 103 CT SE , AUBURN, WA,
98092
AFFORDABLE ELECTRICAL LLC
30449 103 CT SE , AUBURN, WA,
98092
AFFOREL842B2
Phone: (253) 249-3268
Phone: (253) 249-3268
Expiration Date: 1/23/2018
DESCRIPTION OF WORK:
NEW SFR
Valuation of single family: $4,500.00
Valuation of mf/comm: $0.00
Type of Work: NEW
Fees Collected: $168.62
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Permit Center Authorized Signature: k.Q I
Date:
m 41
c
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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: /J
Print Name: 4 V1d I ey
H ;,SKr' `f
Date: 06- (D`--(7.
--(/
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 TUK.A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
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:
Tenant Name:
vl n173
go oq l 2 Z igot_ (4,14-e_
W t
PROPERTY OWNER
Company Name: 4,e/chola e , (eCi4i Ctl ( ( c
Name:
boa K
Ho Mes
Contr Reg No.: AfF0 a c<F rT 2gZExp Date: bs _e_139
Address:
?
Phone`: g 5 e7 `Z l"Q �4 ,6 Fax:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: 4,e/chola e , (eCi4i Ctl ( ( c
Name: 4ndkel R z t-, l SK t' y
City: Poi, 6_4 v t1 State: WA Zip: geoce2
Address: 3o (/Cryt /0 j- tc( �)4 tr+ 5 6'
v
Contr Reg No.: AfF0 a c<F rT 2gZExp Date: bs _e_139
City: Au �u Irv\ State: j A Zip: i
' °"L
?
Phone`: g 5 e7 `Z l"Q �4 ,6 Fax:
Email: I cx e—(O t-oC e (2Ch l.1'C E Tivi co. co r+'i
King Co Assessor's Tax No.:
Suite Number:
New Tenant: ❑ Yes
Floor:
.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 4,e/chola e , (eCi4i Ctl ( ( c
Address: 0 rxiq (03 brAau V' _ s'
City: Poi, 6_4 v t1 State: WA Zip: geoce2
Phone: 2S3 2 Vg 3?68Fax:
Contr Reg No.: AfF0 a c<F rT 2gZExp Date: bs _e_139
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ ,G
Scope of Work (please provide detailed information):
Al.tktt C4�'�r/\ (?O0 sq cee,r_
Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes - No
Type of Use:
Type of work:
iew ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy A Seattle City Ligh
W:1Permit CenterWpplications-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)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
O 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:
Signature:
Print Name: .A rt _l U, 1" 'e y
Mailing Address: � r /(71 9
Day Telephone:
L5 F-ct Civ(-fi 4b,41
Date:
2s3 2 C1Ccr 3?60
qeoq
City
W:\Permit Center\Applications-Handouts\Permit Applications \Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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State Zip
Pa OP') ,.f'l
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT 1 QUANTITY
PAID
168.
EL17-0503 Address: 5009 S 122ND LN Apn: 0179001862
168.62
Credit Card Fee
R000.369.908.00.00
0.00
$4.91
$4.91
ELECTRICAL
$155.91
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$155.91
TECHNOLOGY FEE
$7.80
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11837
R000.322.900.04.00
0.00
$7.80
$168.62
Date Paid: Friday, June 30, 2017
Paid By: ANDREY RZHISKIY
Pay Method: CREDIT CARD 172675
Printed: Friday, June 30, 2017 10:31 AM 1 of 1
CAWSYSTEMS
INSPECTION RECORD
Retain a copy with permit C7o'$�j
INSPECTION NO. E MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: toA_tI_ ` ��
,[ rw'�,
Type of Inspection:fi--- ��
Address:
Date Called:
Special Instruction :
Date Wanted:
/C)// v �7
&-_,T1
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
tl0/d/1
7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit17i�J?
INSP CTION N0. PERMIT NO.
CITY OF TUKWLILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Pro}g � ii tees 0,�
Type J� el/ictio
/,
Address:2� �I4
6-F19? S fv� LA
Date Called:
Special Instruons:
Date Wanted: �
7��
a.m:
Requester:
q
Phone No:
proved per applicable codes. EJ Corrections required prior to approval.
OMMENTS:
�r l
Date: 7%/`
REINS',1. 1N FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
AFFORDABLE ELECTRICAL LL
Horne. Espanol Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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AFFORDABLE ELECTRICAL LLC
Owner or tradesperson
Principals
RZHISKIY, ANDREY Y, PARTNER/MEMBER
Rzhiskiy, Andrey, AGENT
Doing business as
AFFORDABLE ELECTRICAL LLC
WA UBI No.
603 573 094
30449 103RD CT SE
AUBURN, WA 98092
253-249-3268
KING County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
.............................................................
Meets current requirements.
License specialties
RESIDENTIAL
License no.
AFFOREL842B2
Effective — expiration
01/22/2016— 01/22/2018
Designated administrator
.................. . .._..................
RZHISKIY, ANDREY
Active.
Meets current requirements.
License type License no.
Electrical Administrator RZHISA*9540W
Bond
Western Surety Co
Bond account no.
71527964
Received by L&I
01/22/2016
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
$4,000.00
Effective date
01/20/2016
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.
139,691-02
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AFFORDABLE :ELECTRICAL LL
Doing business as
AFFORDABLE ELECTRICAL LLC
Estimated workers reported
Quarter 1 of Year 2017 "0" Workers
l&I account contact
T2 / CHRISTOPHER WASSON (360)902-6331 - Email: WASQ235@lni.wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
.......................................................
Contractors not allowed to bid
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
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