HomeMy WebLinkAboutPermit EL18-0736 - LACKEY RESIDENCE - 200 AMP PANEL, AND METER CAN REPLACEMENTLACKEY RESIDENCE
4030 S 150 ST
ELI 8-0736
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
0041000261
4030 5 150TH ST
LACKEY RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL18-0736
Issue Date: 8/24/2018
Permit Expires On: 2/20/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MCCULLOUGH GREG A
5612 LAKE WASHINGTON BL#200,
KIRKLAND, WA, 98033
TED MEZGEBU
5906 5 144TH ST, TUKWILA, WA,
98168
TED ELECTRIC CO
5906 S 144TH ST, TUKWILA, WA,
98168-4607
TEDELEC925MQ
111
Phone: (206) 769-3141
Phone:
Expiration Date: 7/18/2020
DESCRIPTION OF WORK:
200 AMP PANEL, AND METER CAN REPLACEMENT
Valuation of single family: $3,600.00
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG
Fees Collected: $90.35
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:
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:
ok
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 a:ree to the conditions attached to this permit.
Signature:
Print Name:
)MV
Date: C/ 8jall 1 8
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 TUKW
Community Develop Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaW A.gov
Electrical Ptt No. &. . 0-0)3i0
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
fl) L lz WA- 438185
Site Address: 1- 0 3 0 s _ ,a -o* S+
Tenant Name: G kN.-
PROPERTY
-
PROPERTY OWNER
1
Name: T� til 225.(21. U •
Address: czi, l7 fo S . ) '_,f S 4_
Name: k ear -l€ S ,( Qc_
-7-0 t.tJi 1,.. /Am.Ziple 16 i
Address:
+030
S. ; E•O.*. S/"
Tukwila Business License No.; 0 I O O 49 1
City: 7i, K1.0► 1 c)State:
ktiP-
Zip:43 g I Q
CONTACT PERSON - person receiving all project
communication
1
Name: T� til 225.(21. U •
Address: czi, l7 fo S . ) '_,f S 4_
City State:
-7-0 t.tJi 1,.. /Am.Ziple 16 i
Phone:c:106_7 ,4,-3141 Fax:
Email: 4...€0/ &la ,IA,,q„%0.v.e.0VN
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑r Yes 0.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Te j C l e f 4irsi L
Address: S'3 O 6 #
s. ).L
Si._
City: TV g.Lt�i 1.3 State: w Ztp:t 8 64
Phone: .204_ 76' -3 14, I Fax:
Contr Reg No.Te Joec A 7.5 mea Exp Date: 0 7_L I _ 2.0
Tukwila Business License No.; 0 I O O 49 1
Valuation of Project (contractor's bid price): $ 3t (0 00. 0
Scope of Work (please provide detailed information):
J•
1
Will service be altered? 124es ❑ No Adding more than 50 amps? 0 Yes ❑ No
Type of Use: S F
Tvpe of work: �,�
❑ New ❑ Addition !� Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy Seattle City Light
W:{Permit CemcrWpplications-Handows\Pennh Applications\Word4Elecuical Permit Application Revised I.I-2017,docx
Revised: January2017
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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, furnace thermostat) $61.05 ea
��RESIDENTIAL REMODEL AND SERVICE CHANGES
gJ 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 EIfECTRICAL CONTRACTOR:
Signature:
Print Name: Te.. 4 m eZ g1L6 v
Mailing Address: ..c/ Ob S . ) 1+I tt` . f
Date: 68)2-41113
Day Telephone: 4-7P5-3144-1.
'~I UY t..9, 1 e Wi �8) 6c
City State Zip
WAPennit CentenApplications-HaMaulsWermit Applicatiens\WordWhetrical Permit Application Revised 1-1-2017.docc
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R15247
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$90.35
EL18-0736 Address: 4030 S 150TH ST
Apn: 0041000261
$90.35
Credit Card Fee
$2.63
Credit Card Fee
R000.369.908.00.00
I
0.00
$2.63
ELECTRICAL
$83.54
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$83.54
TECHNOLOGY FEE
$4.18
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15247
R000.322.900.04.00
0.00
$4.18
$90.35
Date Paid: Friday, August 24, 2018
Paid By: TEWODROS MEXGEBU
Pay Method: CREDIT CARD 035801
Printed: Friday, August 24, 2018 2:00 PM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOJTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 08/24/2018 01:59:42 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3666 K
TRAN AMOUNT: $90.35
APPROVAL CD: 035801
RECORD #: 000
CLERK ID: Bill
Thank you!
Customer Copy
Page 2 of 2
https://classic.convergepay. com/V irtualMerchant/transaction. do?di spatchMethod=printTra... 8/24/2018
INSPECTION RECORD
Retain a copy with permit k7401
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-
Project: I _
LA -04.k
,'"
Type of Inspection:
•""- i
N 41/
Address:
11030
.5 /0 sr
Date Called:
Special Instructions:
OLIA
CiJtf
Date Wanted:
Requester:
Phone No: zof
1,0
0
) /
7-3y
pproved per applicable codes. Corrections required prior to approval.
OMMENTS:
Date:
REINSPECTIOt4 FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
TED ELECTRIC CO
llorne Espanol Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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Workplace Rights Trades.& Licensing
TED ELECTRIC CO
Owner or tradesperson
Principals
TEDWODROS, MEZGEBU Z, OWNER
Doing business as
TED ELECTRIC CO
WA UBI No.
602 844 805
Parent company
TEWODROS ZEWDIE MEZGEBU
5906 S 144TH ST
TUKWILA, WA 98168
206-769-3141
KING County
Business type
Individual
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.
TEDELEC925MQ
Effective — expiration
07/18/2008— 07/18/2020
Designated administrator
MEZGEBU, TEWODROS
Active.
Meets current requirements.
License type License no.
Electrical Administrator MEZGET*922LN
Bond
Wesco Insurance Co
Bond account no.
46WB053025
$4,000.00
Received by L&I Effective date
08/14/2014 08/14/2014
Expiration date
Until Canceled
State Farm Fire & Cas Co
Bond account no.
98G091246
$4,000.00
Received by L&I Effective date
07/18/2008 06/03/2008
Impaired date Expiration date
08/11/2014 Until Canceled
Savings
No savings accounts during the previous 6 year period.
Help us improve
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TED ELECTRIC CO
License Violations
Infraction no.
EBUJD00394
Issue date
04/24/2013
Violation city
TUKWILA
Type of violation
ELECTRICAL CITATION
Description -
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate cf competency or training
certificate to do CIectrical work. Firm
employed Wube .3obena to perform electrical
work while Gobena did not have the proper
license.
Satisfied
................._.
RCW/WAC
19.28.271 RCW
Violation amount
$250.00
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
169,261-00
....................
Doing business as
TED ELECTRIC CO.
Estimated workers reported
N/A
L&I account contact
T2 / KATHY ULRICH (360)902-4829 - Email: WITE235@ini.wa.gov
Account is closed.
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 al:awed to bid
No debarments hi. ie been issued against this contractor.
orkplace ,safety and health
No inspections during the previous 6 year period.
Page 2 of 2
Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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