HomeMy WebLinkAboutPermit EL17-0856 - GLICK RESIDENCE - WORK SHED AND GARAGE POWERGLICK RESIDENCE
11914 INTERURBAN PL S
ELI 7-0856
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
ELECTRICAL OTC PERMIT
7340600023 Permit Number:
11914 INTERURBAN PL S Issue Date:
Permit Expires On:
Project Name: GLICK RESIDENCE
EL17-0856
10/30/2017
4/28/2018
Owner:
Name:
Address:
GLICK SHOSHANA
11914 INTERURBAN PL S , TUKWILA,
WA, 98168
Contact Person:
Name: FRED SIM
Address: 1522 17TH AVE S , SEATTLE, WA,
98144
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
OHM ELECTRICAL CONTRACTING LLC
1522 17TH AVE S , SEATTLE, WA,
98144
OHMELEC836B3
Phone: (206) 973-9184
Phone: (206) 973-9184
Expiration Date: 1/23/2019
DESCRIPTION OF WORK:
POWER UP WORK SHED AND GARAGE. ADD TWO 20 AMP CIRCUITS
Valuation of single family: $3,000.00
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $58.47
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
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:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2014
2014
2014
2015
(0 -30--i7
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 constru tion oyt ie -performance of work. I am authorized to sign and obtain this
development permit . d ag ee to tre con itions attached to this permit.
Signature:
Print Name:
Date: 0 6) 1 (
This permit shall beco e 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 TUIterIA
Community Development Department
Permit Center
6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.eov
Electrical Permit No. t LI 0 b5"cp
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:
i\am lnbro\0610 PIS
.
PROPERTY
//OWNE `R,� ,� r
Name: c T -L V S ilii' "A -
I Ck I f„ �, u loon p ..,s�
Address: l 1 oil tC
State: WA_ Zip e/ Len
City: lGW\1yG` J
CONTACT PERSON — person receiving all project
communication
Name: FtAA ct rin
Address: c -2_,--a_ i .9--r c
1
City: ge,,n State:, A Zipitg 1i�
(�'—l�C
,tn
Address: C22 tr
1Vj
Tukwila Business License No.;
City: �Nie
State:
Zip: Cj j la
1 �
Phone: 20r „ t / j if `Fax:
lU
Email:41Q
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:�
6 64 .t (� C f�( cad ( ' c d- J tk
Address: c -2_,--a_ i .9--r c
1
City: ge,,n State:, A Zipitg 1i�
(�'—l�C
,tn
Phone: c q l-3. j 1 Fax:
�j''�
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ j 6°6 al -
Scope of Work (pleaseprovide detailed information): f7L?Jer
ucyaL- c
rd 6-7'71-44_67-e-
4-120 'fib 96 4114p circ ,),., -1-s
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change
❑ Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
Puget Sound Energy 0 Seattle City Light
W:\Permit CenterWpplications-Handouts\Permit Applications\Word.Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Adding more than 50 amps? 0 Yes
No
O Remodel Tenant Improvement
O Telecommunication 0 Temporary Service
Paee 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
O Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
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
❑ 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 $1 1.02 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 1 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 -ELECT tAL CO► ' ACTOR:
Signature:
Print Name:
Mailing Address:
G k'-1 c2 n frilk42— ce-cl +fr(L— 4
-
Date:
ee3o.19-
Day Telephoner -20(P "(, q( e' I
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Etectrical Permit Application Revised 1- l-2017.docx
Revised: January 2017
bh
City State
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R12676
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
.. PAID
$58.47
EL17-0856 Address: 11914 INTERURBAN PL S Apn: 7340600023
$58.47
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$55.69
TECHNOLOGY FEE
$2.78
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12676
R000.322.900.04.00 0.00
$2.78
$58.47
Date Paid: Monday, October 30, 2017
Paid By: OHM ELECTRICAL CONTRACTING LLC
Pay Method: CHECK 1069
Printed: Monday, October 30, 2017 9:46 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PEpMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6A -7-a56
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
Project:60 CIV-: g (5 1
Type of Inspection:
iAikfr—
Address:
Date Called:
Special Instruc ions:
Date Wanted:
6::,:n;p.m.
Requester: z
I
Phone No: 22
% /
/A �C/
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
epkta-104,- qOe
Inspector:
Date:
lad.:
REINSPECTION 'FEE REQUIRED. Prior to next inspection, fee mut b
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
2—
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
euTogs-4
PT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
671Project:
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Type of Inspection:
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Address: ((1
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Special Instructions.
55
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12-66
Date Wanted:
J
l
a.,(
p.m.
Requester:
Phone No:
Approved per applicable codes. , Corrections required prior to approval.
COMMENTS:
5:PA-k( G 7,��i L64> Fob
E7( _seilyk-
Inspector:
Date:
ft(il (7
REINSPECTION' FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1 I INSPECTION RECORD 4 LTo
Retain a copy with permit LiAINSPECTION NO. NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit inspection Request Line (206) 438-9350
Project:
Type of Ia
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Address: q
lot
`
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Date Called:
Special Instructions.
500�tJl4
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Date Wanted:Ld.
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p.m.
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
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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.
OHM ELECTRICAL CONTRACTTTTG LLC
Home Espanol Contact:
Safety & Health Claims & Insurance
idiffilik Washington State Department of
kj Labor & Industries
0
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Workplace Rights Trades & Licensing
OHM ELECTRICAL CONTRACTING LLC
Owner or tradesperson
SIM, ALFRED PAUL
Principals
SIM, ALFRED PAUL, PARTNER/MEMBER
Sim, Alfred Paul, AGENT
WA UBI No.
604 077 487
1522 17TH AVE S
SEATTLE, WA 98144
206-973-9184
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
GENERAL
License no.
OHMELEC836B3
Effective — expiration
01/23/2017— 01/23/2019
Designated administrator
Sim, Alfred Paul
License type
Master Electrician
Bond
Travelers Cas and Surety Co of America
Bond account no.
106669611
Received by L&I
01/23/2017
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.
License no.
SIM*AAP857K8
$4,000.00
Effective date
01/23/2017
Expiration date
Until Canceled
Workers' comp
No active workers' comp accounts during the previous 6 year period.
Public Works Strikes and Debarments
Help us improve
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OHM ELECTRICAL CONTRACTING LLC
Verify the contractor is eligible to perform work on:works projects.
Contractor Strikes
.......................................................
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
0
Workplace safety and health
No inspections during the previous 6 year period.
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