HomeMy WebLinkAboutPermit EL18-0070 - O'BRIEN RESIDENCE - REPLACE DAMAGED PANEL CONDUCTORS / INSTALL SMOKE DETECTORO'BRIEN RESIDENCE
11807 40T" AVE S
ELI 8-0070
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
7340600243 Permit Number: EL18-0070
11807 40TH AVE S
Project Name: O'BRIEN RESIDENCE
Issue Date: 1/19/2018
Permit Expires On: 7/18/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
O'BRIEN MATTHEW M
11807 40TH AV S , SEATTLE, WA,
98168
ROBERT THOMPSON
18245 121 PL SE , KENT, WA, 98031
THOMPSON ELECTRICAL SRVCS LLC
19245 121 PL , KENT, WA, 98058
THOMPES915BM
Phone: (206) 795-3930
Phone: (206) 795-3930
Expiration Date: 1/14/2019
DESCRIPTION OF WORK:
REPLACE DAMAGED PANEL, REPLACE FLOOD DAMAGED CONDUCTORS, INSTALL SMOKE/CO DETECTOR
Valuation of single family: $15,000.00
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $129.29
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:
2017
2017
2017
2015
Date: t— i 9_1
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 a d agree to the conditions attached to this permit.
Signature:
Print N. ue:
Date: §(1)61‘i
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 and the Washington Cities Electrical Code.
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 T UKWI'. _ .1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L 1 _ OQ 7 Q
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 i 1 «U -7 (-(1 / 7- ' Awe 669
Site Address: 564 -
Tenant Name:
PROPERTY OWNER
Name: r _1� .v 1 1l Il a.x..
Address: l ot a'� 5 ??,10_,
P,
Name:
Phone: a, _7/5- _ �zr,, 'ax:
/a
/ /-Y�.91;41-ELL)►'
Email: �n
44 1 52 -til LA c -C
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: r _1� .v 1 1l Il a.x..
Address: l ot a'� 5 ??,10_,
P,
City: 14.0.."(r_i_ State: V011_ Zip: %-(53/
/
Phone: a, _7/5- _ �zr,, 'ax:
/a
/ /-Y�.91;41-ELL)►'
Email: �n
44 1 52 -til LA c -C
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name.---nu.v"4-4.D
v `3 o v
504 iemt
Address: j, 244 5 17I 24: 0 5
City: 14vo+ State: 04 Zip:('e31
Phone:24z., -7q5 3e.rFax:
Contr Reg No.: 7lom E.D ei,/514xp Date: I —111 J ,1 cf
1
Tukwila Business License No.;
/a^
Valuation of Project (contractor's bid price): $ / 7 tOo f nn
Scope of Work (please provide detailed information): 9�r/k PotvIt .o eA 1/cJtv6.0.1 I� e �� C� 11 ;3> �
Will service be altered? Yes 0 No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change Remodel ❑ Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
Property Served by:
Puget Sound Energy ❑ Seattle City Light
W:\Pcrdtit Center \ Applications -Handouts \Permit Applications \Wori\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)
Servicchange 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 ELECTRIICAL CONTRACTOR:
�� -
Signature: Date:
Print Naa te: 9b -au* 1114>1/1/74.12 t7✓L_
Mailing Address: / ci .2-14 I d- pi.
Day Telephone:._ ob - `0 --
tA) 4 9e03/
W:\Permit Center \Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-20I7.docx
Revised: January 2017
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City
State Zip
Page 2 of 2
•\,
Cash Register Receipt
City of Tukwila
, 1 ,
DESCRIPTIONS
PermitTRAK
ACCOUNT ,
QUANTITY
PAID
$129.29
0.18-0070 Address: 11807 40TH AVE S
Apn: 7340600243
$129.29
Credit Card Fee
$3.77
Credit Card Fee
R000.369.908.00.00
0.00
ELECTRICAL
$119.54
R000,322.101.00.00
0.00
$119.54
TECHNOLOGY FEE
$5.98
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R13486
R000.322.900.04.00
0.00
IIIIIIIEfEll
$129.29
Date Paid: Friday, January 19, 2018
Paid By: ROBERT THOMPSON
Pay Method: CREDIT CARD 035438
Printed: Friday, January 19, 2018 2:05 PM 1 of 1
YSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: (� 7 146 �'- , .
lV/ f �=�
Type of Inspection:
kL�KL-
Address: i ��/lc
Date Called:
Special Instructio 5:
Date Wanted:
q.my(� m.
Requester: f '
P
Phone No:
Zoe 77C;)7,
LJ
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
mit
i/iNfArti
Inspector:
Date: rimiti ty
ins inspection. fee ust
REINSPECTIO 1 FEE REQUIRED. Prior to nextp be
paid at 6300 Southcenter Blvd.. Suite 100. Calf to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: f A .e.0
ef1/41 f('-:3.
Type of Inspection:
Address: c,.. 0 ..• ,
/16 ( 110 AV ,
Date Called:
,-,
Special Instructions.
6/414/1 vit 7-7 i
-Phone
Date Wanted:
t
Ca.m),
P.m.
Requester:
No:
2
77
g? 30
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
0
Inspector:
Date: 01/4_511 is)
REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
THOMPSON ELECTRICAL SRVq--I,LC r
limn(' Espanol Contact:
Washington State Department of
Labor & Industries
Safety & Health Claims & Insurance
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Page 1 of 2
A -Z Indf,tx Hdp My 11.8:1
Workplace Rights Trades & Licensing
THOMPSON ELECTRICAL SRVCS LLC
Owner or tradesperson
Principals
THOMPSON, ROBERT
A, PARTNER/MEMBER
Doing business as
THOMPSON ELECTRICAL SRVCS LLC
WA UBI No
602 887 349
19245 121ST PL SE
KENT, WA 98031
206-795-3930
KING County
Business type
Limited Liability Company
Governing persons
HELEN
FUGICH-THOMPSON
ROBERT THOMPSON;
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.
THOMPES915BM
Effective — expiration
01/14/2009— 01/14/2019
Designated administrator
THOMPSON, ROBERT A
Active.
Meets current requirements.
License type License no.
Electrical Administrator THOMPR*938O0
Bond
CBIC
Bond account no
SI1452
Received by L8,1
01/14/2009
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
01/01/2009
Cancelation date
01/28/2018
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
Help us improve
https://securelni.wa.gov/verify/Detail.aspx?UBI=602887349&LIC=THOMPES915BM&SAW= 1/19/2018
THOMPSON ELECTRICAL SRVCS LLC
L&I Account ID
186,802-00
Doing business as
THOMPSON ELECTRICAL SERVICES L
Estimated workers reported
Quarter 3 of Year 2017 "4 to 6 Workers"
L&I account contact
T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@Ini.wa.gov
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
No inspections during the previous 6 year period.
Page 2 of 2
U Washington State Dept. of Labor & Industries. Lse of this site is subject to the laws of the state of Washington.
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602887349&LIC=THOMPES915BM&SAW= 1 /19/2018