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Home My WebLink AboutPermit EL17-0924 - PHILLIPS RESIDENCE - CAN LIGHTS AND KITCHEN CEILING FANPHILLIPS RESIDENCE 14053 33 AVE S ELI 7-0924 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 5537200020 Permit Number: EL17-0924 14053 33RD AVE S PHILLIPS RESIDENCE Issue Date: 11/16/2017 Permit Expires On: 5/15/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: PHILLIPS LINSEY 14053 33RD AVE S , TUKWILA, WA, 98168 LOGAN FREDERICKSON 200 SUZANNE LANE , MOUNT VERNON, WA, 98273 ARROW INSULATION INC PO BOX 1233 , MOUNT VERNON, WA, 98273 ARROWI1855M1 Phone: (425) 686-0002 Phone: (877) 658-9276 Expiration Date: 8/4/2019 DESCRIPTION OF WORK: REPLACE 2 CAN LIGHTS WITH IC RATED VERSIONS, SWAP OUT BATHROOM FAN AND INSTALL KITCHEN CEILING FAN Valuation of single family: $670.00 Valuation of mf/comm: $0.00 Type of Work: REMODEL Fees Collected: $60.22 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 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 Permit Center Authorized Signature: Date: V (r' 7 0 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: L 4-7 ✓CdP%iL%Son Date: 1V/4/20 / 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 ZA CITY OF TUK Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. C I -I `] - 6 _L1 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: /105 3 33rd AVE 5 Tenant Name: /ski); 11.5 L s7 , 5 PROPERTY OWNER Name: LD"etiti ceoi,e1(tci't6avl Address: Name: ph, n i t 5) L til i,e/ Phone: Li 2 5 L$ G_ 0_,0 0 ax: Email: LF(deli c tc,60 vi 0/(01, conStIwo>IT✓11,00i Address: `L! 0 5 3 33Kd AVE 5 g2 73 Phone:206 _ 6 32 `97 7‘Fax: City: T u K ‘Azlr i a.. State: w Zip: 18 148 CONTACT PERSON — person receiving all project communication Name: LD"etiti ceoi,e1(tci't6avl Address: Zip: 182 73 City: ,Ani 7- ve 0�State: iit/fr Phone: Li 2 5 L$ G_ 0_,0 0 ax: Email: LF(deli c tc,60 vi 0/(01, conStIwo>IT✓11,00i King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: D Yes No ELECTRICAL CONTRACTOR INFORMATION Company Name: Arrow. ,L >7 sadi 0✓1 Address: P 0 d o 123 3 City: Mo ,u iL vi em co State: w Zip: g2 73 Phone:206 _ 6 32 `97 7‘Fax: Contr Reg No. :AR R O w I( 38 x D te: 04.1/2,//2, )A Tukwila Business License No.; 13 us _ 0 y g 7 31 2. Valuation of Project (contractor's bid price): $ ' 70 Scope of Work (please provide detailed information): RG(/CG'2 2. ran /:9h y L✓�(1L vl C ��><�P( 1/�/St�N51 S/3c7LG77an r✓1 la avr`✓e y Will service be altered? ❑ Yes d No Adding more than 50 amps? ❑ Yes Er No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change❑ Remodel Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy Elf Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\Word\CIectrical Permit Application Revised 1-1-2017.dacx Revised: January 2017 bh 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 ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ 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) ❑ 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: Signature: Print Name: Fiectle% relecde) Mailing Address: 2 0 0 5u z a n he l a ✓'( Date: 1 ` / /Z/Z0 l 7 /�� Day Telephone: 3� q2 5 - / 8 6 - O 0 o z. /4/du, - IVeien Avt City W:\Permit Center\Applications-Handouts\Permit Applications \Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh State 93273 Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $60.22 EL17-0924 Address: 14053 33RD AVE S Apn: 5537200020 $60.22 Credit Card Fee $1.75 Credit Card Fee R000.369.908.00.00 0.00 $1.75 ELECTRICAL $55.69 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $55.69 TECHNOLOGY FEE $2.78 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.78 0 • •L r . • Date Paid: Thursday, November 16, 2017 Paid By: LOGAN FREDERICKSON Pay Method: CREDIT CARD 08714G Printed: Thursday, November 16, 2017 11:15 AM 1 of 1 SYSTEMS 2 - INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: A P5 • Type of Inspection: 6-, Address: '105 3 33 Date Called: Special Instructions: �4 11K -a40 0002-- Date Wanted: % �a.m� � 2— �•m• Requester: tt Re q Phone No: 2-0(V P57 STD& Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: nspector: 1,( (VideP\Date: /L1/ 7 t'` 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 permit INSPECTION NO. -4/1- RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-36 Project: ri ft- J1 6 R65 - Type of Inspection:6/41.....„ Address: 5-3 33 �,(� ! 4 ((o Date Called: Special Instructions: Date Wanted: t a p.m Requester: — t Phone No: ' 6 Approved per applicable codes. Corrections required prior to approval. COMMENTS: — t o ' 6 (.41E- 2` Date: alt < <7 REINSPECTIgN FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ARROW INSULATION INC c Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of `% Labor & Industries Page 1 of 2 Search L&I A-ZIndex Help My L&I Workplace Rights Trades & Licensing ARROW INSULATION INC Owner or tradesperson Principals BURTON, BENJAMIN, PRESIDENT BURTON, FREI L, TREASURER BURTON, BENJAMIN, AGENT Doing business as ARROW INSULATION INC WA UBI No. 603 047 088 PO BOX 1233 MOUNT VERNON, WA 98273 877-658-9276 SKAGIT County Business type Corporation Governing persons BENJAMIN BURTON FREI BURTON; JAY DEPREE; 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. ARROWII855M1 Effective — expiration 08/04/2015— 08/04/2019 Designated administrator Frederickson, Logan J License type Electrical Administrator Bond ........... Ohio Security Ins Co Bond account no. W150232454 Active. Meets current requirements. License no. FREDELJ831 LW $4,000.00 Received by L&I Effective date 07/20/2015 07/13/2015 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603047088&LIC=ARROWII855M1&SAW= 11/16/2017 ARROW INSULATION INC Workers' comp OI 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 528,035-00 ................................ Doing business as ARROW INSULATION INC Estimated workers reported Quarter 3 of Year 2017 "31 to 50 Workers" L&I account contact T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@lni.wa.gov Track this contractor Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public 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. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 08/05/2013 Inspection no. 316833789 Location 2301 T Avenue Anacortes, WA 98221 Inspection results date 07/23/2013 Inspection no. 316833730 Location 2301 T Ave Anacortes, WA 98221 No violations Violations Page 2 of 2 O 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/Detail.aspx?UBI=603047088&LIC=ARROWII855M1&SAW= 11/16/2017