HomeMy WebLinkAboutPermit EL18-0679 - TIM HILL RESIDENCE - REPLACE METER AND SERVICE MASTTIM HILL RESIDENCE
5002 S 114 ST
ELI 8-0679
Parcel No:
Address:
City ofTukwila
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://*mmw.Tukmi|aVVA.0nv
3348401684
5002 S 114TH ST
Project Name: TIM HILL RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL18'0679
Issue Date: 8/3/2018
Permit Expires On: 1/30/I019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
HILL TIMOTHY W+HILL DAVID A
SOOZSl14TH5T,SEATTLE, WA, 98178
JOHN REARDEN
39]9SORCHARD 5T,TACOMA, WA,
98466
MADSEN ELECTRIC
Address: ]939SORCHARD ST,TACOMA, WA,
98466
License No: MADSEE*140P8
Lender:
Name:
Address:
1
Phone: (253) 307-2127
Phone: (253)383-454G
Expiration Date: 4/30/2020
DESCRIPTION OF WORK:
REMOVE EXISTING METER AND SERVICE MAST AND PRELACE WITH NEW. SERVICE WAS HIT BY TREE AND PULLED
FROM HOUSE.
Valuation of single family: $I200l0
Valuation of mf/cornm: $0.00
Type of Work: SERV CHNG
Fees Collected: $75.29
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: NONE
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:
Vat()Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
vyl
Date:
2017
2017
2017
2015
Ailk
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 perrntf d agree to the conditions attached to this permit.
Signature:
Print Nam C`/N.VA "Q b. Li -01,e
Date: 45L 3Cfk
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
rolect No. r E = ma=r
late Application A°cceple l
lateAOApplication
For f%tc use ly) uY. -
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: 5002 S 114th St
Tenant Name: Tim Hill
PROPERTY OWNER , , ,
Name: Tim Hill
Address: 5002 S 114th St
City: Tukwila
State: WA Zip: 98178
CONTACT PERSON
communication ...
Name: John Rearden
Address: 3939 S Orchard St
City: Tacoma
State: WA
Zip: 98466
Phone: (253) 307-2127 Fax: (253) 564-6049
Email: jrearden@madsenelectric.com
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Madsen Electric
Address: 3939 So. Orchard St
City: Tacoma State: WA
Zip: 98466
Phone: (253) 307-2127 Fax: (253)
564-6049
Contr Reg No.:madsee* 140P8 Exp Date: 04/30/2020
Tukwila Business License No.; 0994632
Valuation of Project (contractor's bid price): $ 2,200
Scope of Work (please provide detailed information): Remove existing meter and service mast and replace with new.
Service was hit by tree and pulled from house.
Will service be altered? ❑ Yes m No Adding more than 50 amps? 0 Yes m No
Type of Use:
Type of work:
❑ New 0 Addition m Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy la Seattle City Light
W:\Permit Center Applications -Handouts \Permit Applications \PDF's\Electrical Permit Application Revised 1-I-17.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
❑ Low voltage systems
(alarm, fumace 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
eter/mast repair $69.62
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
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATJON 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:
Signap[ire:- Date: 08/03/2018
Print Nr�"\,v\_ Day Telephone: (253) 307-2127
Mailing Address: 3939 S Orchard St Tacoma WA 98466
W:\Permit CentenApplicznim-HandoutVermit Applications \PDFs\Electri.:al Pernut
Revised: January 2017
bh
on Revised 1-1-17.docx
City
State Zip
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 08/03/2018 12:25:18 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********6411 K
TRAN AMOUNT: $75.29
APPROVAL CD: 08292J
RECORD #: 000
CLERK ID: Rachelle
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
Page 1 of 2
https://classie.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTran... 8/3/2018
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 08/03/2018 12:25:18 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********6411 K
TRAM AMOUNT: $75.29
APPROVAL CD: 08292J
RECORD #: 000
CLERK ID: Rachelle
Thank you!
Customer Copy
https://classic. convergepay.com/V irtualMerchant/transaction.do?dispatchMethod=printTran... 8/3/2018
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I
PAID
$75.29
EL18-0679 Address: 5002 S 114TH ST
Apn: 3348401684
$75.29
Credit Card Fee
$2.19
Credit Card Fee
R000.369.908.00.00
I 0.00
$2.19
ELECTRICAL
$69.62
PERMIT FEE SINGLE FAMILY
I R000.322.101.00.00
I 0.00
$69.62
TECHNOLOGY FEE
$3.48
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15085
R000.322.900.04.00
0.00
$3.48
$75.29
Date Paid: Friday, August 03, 2018
Paid By: JOHN REARDEN
Pay Method: CREDIT CARD 082921
Printed: Friday, August 03, 2018 12:25 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permi
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: 1411,4., g.
Typpe 1pspection: .,<:,_ t .. „...
71tki .....)C34-111 CiC
Address:
002 5 1
5 1-._
Date Called:
Special Instructions:
elt<Sf '4' rt,6-164\
Date Wanted:
. .
Requester:
laff
Phone No: _
25 3• 307
24 a7
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
Inspector:
7
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MADSEN ELECTRIC
Washington State Department of
kj Labor & Industries
c
Hume Espaii()I Contact
Safety & Health Claims & Insurance
LB.earch L&I
A-.7. Index 'tell,
Workplace Rights
MADSEN ELECTRIC
Owner or tradesperson
Principals
SHARP, ROCKY, PRESIDENT
MACDOUGALL, RICHARD, VICE PRESIDENT
NEWTON, DANIEL, VICE PRESIDENT
PETERSON, GREGORY, TREASURER
HAAS, HENRY, AGENT
IRBY, JOSEPH L
(End: 12/2912003)
SHIVELY, DARREL A
(End: 12/29/2003)
HAAS, HENRY, AGENT
(End: 12/29/2003)
DEVISH, JOE R
(End: 12/30/2003)
Doing business as
MADSEN ELECTRIC
WA UBI No
278 030 668
Parent company
CARL T MADSEN INC
3939 S ORCHARD ST
TACOMA, WA 98466
253-383-4546
PIERCE County
Business type
Corporation
Governing persons
RICHARD
MACDOUGALL
DANIEL NEWTON;
ROCKY SHARP;
GREGORY D PETERSON;
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.
MADSEE*140P8
Effective — expiration
10/28/1986— 04/30/2020
Designated administrator
SHARP, TRAVIS R
License type
Electrical Administrator
Active.
Meets current requirements.
License no.
SHARPTR972DF
Page 1 of 3
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MADSEN ELECTRIC
TRAVELERS CAS & SURETY CO
Bond account no.
400NH1607
$4,000.00
Received by L&I Effective date
03/08/1995 03/08/2006
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EALRD00208
Issue date
02/04/2016
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Energizing electrical equipment without an
electrical inspection as referenced in WAC
296-46B-901.
Infraction no.
EALRD00205
Issue date
02/04/2016
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain a valid
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EROJE00221
Issue date
06/10/2014
Violation city
Tacoma
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Satisfied
.........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
_......._.........
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Satisfied
................._
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Nave
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
192,120-00
Doing business as
SOUND ELECTRONICS MADSEN ELECT
Estimated workers reported
Quarter 2 of Year 2018 "Greater than 100 Workers"
Account is current.
Page 2 of 3
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MADSEN ELECTRIC
ec
1_8,1 account contact Too
Ti / LINDSEY BOOTH (360)902-5596 - Email: 235ni.wa.gov
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
08/18/2014
Inspection no.
317399483
Location
7070 Stampede Blvd. NW
Bremerton, WA 98311
Inspection results date
03/17/2014
Inspection no
316969666
Location
923 Commerce St
Tacoma, WA 98402
Violations
Violations
Page 3 of 3
State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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