HomeMy WebLinkAboutPermit EL18-1004 - DOLL RESIDENCE - PROVIDE POWER FOR SEWER CONTROL PUMP AND PANEL (1) CIRCUITDOLL RESIDENCE
4422 S 156 ST
ELI 8-1004
Parcel No:
Address:
Project Name:
City of Tukwila
0
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.Rov
8108600065
4422 S 156TH ST
DOLL RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL18-1004
Issue Date: 11/27/2018
Permit Expires On: 5/26/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
DOLL DAVID AJR
4422 S 156TH ST, TUKWILA, WA,
98188
DAVE HETZEL
718 GRIFFIN AVE PMB#301 ,
ENUMCLAW, WA, 98022
Phone: (253) 632-1345
BIG MOUNTAIN ELECTRIC INC Phone:
30028 SE 392 ST, ENUMCLAW, WA,
98022
BIGMOME91654 Expiration Date:
//1
DESCRIPTION OF WORK:
PROVIDE POWER FOR SEWER CONTROL PUMP AND PANEL (1) CIRCUIT
Valuation of single family: $0.00
Valuation of mf/comm: $0.00
Type of Work: TENANT IMP
Fees Collected: $58.47
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: HIGHLINE
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:
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
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:
Date: I
27//s
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 296-468 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 TUKCA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
-Electr►cal Permit No. 6L -N (001i
Project No.
Date Application Accepted: L1 1 V
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
King Co Assessor's Tax No.:
• Site Address: 9 1:1- S ii 5 \,.,AA,Sk TukW , a Suite Number: Floor:
Tenant Name: DD•V 1 U Lx\k
PROPERTY OWNER
\
Name: oa.v e_ \...‘ e_. 1
Address: 1 \ \, c f t -
;c t' \ p,,,,,_p,,,,,_.c;‘1,,‘,3:30‘.
'w
Name: w1/4,1k
(26 \r
Email:
Da-Qe-C &-GNA-i-Clerk t c, (0,--
Address: LA ‘Art:2_
s I s Oil s
City: uLkw A a
State\»
Zip:
CONTACT PERSON — person receiving all project
communication
\
Name: oa.v e_ \...‘ e_. 1
Address: 1 \ \, c f t -
;c t' \ p,,,,,_p,,,,,_.c;‘1,,‘,3:30‘.
'w
City: E vk kAL, a
State: W 0 Zip:q sta,a
Phone:), 53- 13 Z-13`15Fax:
Email:
Da-Qe-C &-GNA-i-Clerk t c, (0,--
J
New Tenant:
0 Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: IV AIl A�rn - E l e 0-(14. q+
Address: --/) - Altvl Av e P of 301
City: C-I'1LkIM Ci 0.A.ti State: j _ Zip: i Xoa
Phone: 366 _ .8
OZ' i 41%
Contr Reg No.: eccr tio,m e S I L pi Exp Gate: c1 / 2 1
Tukwila Business License No.; 3 u, s__0 q 9 )it,,(..)
Valuation of Project (contractor's bid price): $ ilt�V
Scope of Work (plegse provide detailed information): c)(0) (k_. POUQe r co' S tt..A1Q( C-ovl-Vro'
?L() paha C C..\rt.4-)
Will service be altered? ❑ Yes No Adding more than 50 amps? El Yes No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
W 1Permit Center\Applications-Handouts\Penult Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm)
$155.91
$83.54 ea
$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 se ice chane $55.69
(up to 5 circuits) 1L` rLA.n.i1
❑ 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 CO
ERCIAL
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 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 cxpire 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.
1 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 ELECTRICAL CONTRACTOR:
Signature:
Print Name: S3...(ck ") \ritk-z-t(
Mailing Address:
Date: I I Z 7 P3
/J
Day Telephone: 0— St 2-"``1 LI (A)
(3-0- " poi 30/ frw.wx.cia,tu qcY001
W:1Permit CenteMpplications-Handouts\Permit Apptications\PDF's\Electricat Permit Application Revised 1-1-17.docx
Revised: January 2017
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City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$233.88
EL18-1004 Address: 4422 S 156TH ST
Apn: 8108600065
$58.47
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY
I R000.322.101.00.00
I
0.00
$55.69
TECHNOLOGY FEE
$2.78
TECHNOLOGY FEE
1 R000.322.900.04.00
I
0.00
$2.78
EL18-1005 Address: 4432 S 156TH ST
Apn: 8108600043
$58.47
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
I
0.00
I
$55.69
TECHNOLOGY FEE
$2.78
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$2.78
EL18-1007 Address: 4420 S 156TH' ST
Apn: 8108600062.
$58.47
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY
I R000.322.101.00.00
I
0.00
I
$55.69
TECHNOLOGY FEE
$2.78
TECHNOLOGY FEE
R000.322.900.04.00
I
0.00
I
$2.78
EL18-1008 Address: 15518 44TH PL S
Apn: 8108600041
$58.47
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
I
$55.69
TECHNOLOGY FEE
$2.78
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15904
R000.322.900.04.00
0.00
$2.78
$233.88
Date Paid: Tuesday, November 27, 2018
Paid By: BIG MOUNTAIN ELECTRIC INC
Pay Method: CHECK 3275
Printed: Tuesday, November 27, 2018 11:17 AM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project: 4.)kI
14,
Type of Inspection:
f,/xv
Address:
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. u Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
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. 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: 7\66
UDIA,-- ,
Type . Aia;_ct •
' PIT-Lft
.
,
Address:
11 1 7v2. 3 i Ct7 Sr•
Date Date .• ed:
.
. .
Special Instructions:
6%-)K
Date Wanted:
/2,4)50---
a..mm..
Requester:
Phone No:
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
C l' /
tri,111Nikir coto /'J J6
rPao\l- it
. .
Inspector:
Date:
REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
BIG MOUNTAIN ELECTRIC INC°
Home Espanol Contact
Safety & Health Claims & Insurance
1111111114k Washington State Department of
�►/ Labor & Industries
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FARC!
Workplace Rights Trades & Licensing
BIG MOUNTAIN ELECTRIC INC
Owner or tradesperson
Principals
HETZEL, DAVID M, PRESIDENT
HETZEL, SARAH Y, SECRETARY
HETZEL, SARAH Y, AGENT
Doing business as
BIG MOUNTAIN ELECTRIC INC
WA UBI No.
602 936 459
718 GRIFFIN AVE PMB#301
ENUMCLAW, WA 98022
253-632-1345
KING County
Business type
Corporation
Governing persons
DAVID
M
HETZEL
SARAH Y HETZEL;
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.
BIGMOME91654
Effective — expiration
08/24/2009— 09/21/2019
Designated administrator
Hetzel, David M
License type
Master Electrician
Bond
North American Spec Ins Co
Bond account no.
2217370
Active.
Meets current requirements.
License no.
HETZEDM911JH
$4,000.00
Received by L&I Effective date
07/07/2016 08/09/2016
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Help us improve
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BIG MOUNTAIN ELECTRIC INC,
Workers' comp L..
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
249,346-00
..............................
Doing business as
BIG MOUNTAIN ELECTRIC INC
Estimated workers reported
Quarter 3 of Year 2018 "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
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