HomeMy WebLinkAboutPermit EL19-0519 - MILLER RESIDENCE - FAN SWAP, KNOB AND TUBE REPAIRMILLER RESIDENCE
4629 S 144T" ST
ELI 9-0519
Parcel No:
Address:
City of Tukwila
a
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
0040000495 Permit Number: EL19'0519
4629 S 144TH ST
Project Name: MILLER RESIDENCE
Issue Date: 6/19/2019
Permit Expires On: 12/16/2019
Owner:
Name:
Address:
Contact Person:
Name:
MILLER DOUGLAS WIKE
4G29S144TH5T,TUKYV|UA,WA,
98168
JEREMY SMITH
Address: R]BOX lZ33'MOUNT VERNON, WA,
98273
Contractor:
Name: ARROW INSULATION INC
Address: POBOX l233'MOUNT VERNON, WA,
98273
License No: ARROWI1855M1
Lender;
Name:
Address:
Phone: (206) 682-9276
Phone: (877) 658-9276
Expiration Date: 8/4/2019
DESCRIPTION OF WORK:
FAN SWAP - KNOB AND TUBE REPAIR
Valuation of single family: $3,000.0O
VaIuaton of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $64.89
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila;
IriternatioraI Building Code Edition:
international Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
Da
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 Taws regulating construction or the performance of work. 1 am authorized to sign and obtain this
development permit and a e to the conditions attached to this permit.
Signature: /u0*'
Print Name: —T� Wa~
Date: /- \(3—\9
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
lnspector at each work site,
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: Alt electrical work shalt be in accordance with NFPA 70 NEC, and requirements for electrical installations,
Chapter 296-466 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 ROVGH'|NELE[TR|[AL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWIC.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 1-1 9-0S-11
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
King Co Assessor's Tax No.:
Site Address: 4629 S 144th St, Tukwila, WA 98168 Suite Number:
Tenant Name: Doug Miller
PROPERTY OWNER
person receiving all project
Address: 200 Suzanne Lane _
Name: Doug Miller
Phone: 206.682.9276 Fax: 360.678k974
Contr Reg No.: ARROWI1855M1 Exp Late: 9.30.19
Addres': 4629 S 144th St, Tukwila, WA 98168
Address:
Jeremy Smith
City: jukwila, WA 98168 State: wa
Zip:
98168
CONTACT PERSON —
communication
person receiving all project
Address: 200 Suzanne Lane _
Name:
Phone: 206.682.9276 Fax: 360.678k974
Contr Reg No.: ARROWI1855M1 Exp Late: 9.30.19
Tukwila Business License No.; BUS -0997342
Address:
Jeremy Smith
City:
Mount Vernon
State: WA
Zip:
98273
Phone:
206.682.9276
Fax:
360.678.0974
Email:
jsmith@arrrowconservation.com
Floor:
New Tenant: Yes ..No
ELECTRICAL CONTRACTOR INFORT;IATION
Company Name: Arrow Insulation _.
Address: 200 Suzanne Lane _
City: Mount Vernon State: wa . Zip: 98273
Phone: 206.682.9276 Fax: 360.678k974
Contr Reg No.: ARROWI1855M1 Exp Late: 9.30.19
Tukwila Business License No.; BUS -0997342
Valuation of Project (contractor's bid price): $ 3000
Scope of Work (please provide detailed information):
Fan Swap - Knob and tube repairs.
Will service be altered? El Yes c21 No Adding more than 50 amps? D Yes YE No
Type ofUse:
Type of work:
1:1 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm Ej Telecommunication Tempomry Service
Property Served by_:
CI Puget Sound Energy Seattle City Light
WAPernait Center \Applications-Handouts\Permit Applications \ PDF's \ Electrical Permit Application Revised 1-17-1 9.clacx
Pn(11. 1 nf
RESIDENTIAL
NEW RESIDENTIAL SERVICE
El] New single family dwellings $180.00
(including an attached garage)
Ei Garages, pools, spas and outbuildings $120,00 ea
Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
[21 Service change or alteration $120,00
(no added/altered circuits)
0 Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
[SZ)/ Circuits added/altered without service change $60.00
(up to 5 circuits)
0 Circuits added/altered without service change__ $60.00
(6 or more circuits) $10.00 ea
CI Meter/mast repair $80.00
fl Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fecs are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
ci Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck.., $11.00 ea
***EFFECTIVE JANUARY 1,2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERM IT 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 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 FCR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature.
Print Name: Jeremy Smith
Mailing Address: PO Box
Date: 6/18/19
Day Telephone: 206.682, 276
City
WAPermit Center \Applications -Handouts \Permit Applications1PDFAElectrical Permit Application Revised 1-17- I 9.docx
State Zip
Paw.7 nf/
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$64.89
EL19-0519 Address: 4629 S 144TH ST
Apn: 0040000495
$64.89
Credit Card Fee
$1.89
Credit Card Fee
R000.369.908.00.00
0.00
$1.89
ELECTRICAL
$60.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$60.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17932
R000.322.900.04.00
0.00
$3.00
$64.89
Date Paid: Wednesday, June 19, 2019
Paid By: FREI LARAINE BURTON
Pay Method: CREDIT CARD 00406S
Printed: Wednesday, June 19, 2019 8:01 AM 1 of 1
CRWSYSTEM5
CO TUKWILA ETRAKIT
6200 SOUTHIENTEn BLVD
TUKWILA, WA 98188
206'433'1870
CITY OF TUKWILA
0017340000802374464500
Date: 06/19/2019 07:59:I6 AM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********0691 K
TRAN AMOUNT: $64.89
APPROVAL CD: 004065
RECORD #: 000
CLERK ID: Bill
(CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
Thank you!
Merchant Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PEMiT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
.
.
Type of Inspection:
di
Address:
Date Called:
-
Special Instructio :
r,f014--11)(
KNKt
2p (41 6 if2._ 72_47
( 1 4
Date Wanted:
Requester:
Phone No: j6 0 353 4 6
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
4.
Inspector:
Date:
7
REINSPECTIO1 FEE REQUIRED.'Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ARROW INSULATION INC
Washington State Department of
Labor & Industries
Heine Espanol Contact
Safety & Health Claims & Insurance
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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 OEPREE;
Certifications & Endorsements
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
ARROWI1855M1
Effective — expiration
08/04/2015— 08/04/2019
Bond
Ohio Security Ins Co
Bond account no.
W150232454
Received by L&I
07/20/2015
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
07/13/2015
Expiration date
Until Canceled
Workers' comp
Public Works Requirements
11
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