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HomeMy WebLinkAboutPermit EL07-180 - R HOUSE CONSTRUCTIONR HOUSE CONSTRUCTION 4135 S 130 ST ELO7-1 80 Parcel No.: 7340600846 Address: Suite No: Tenant: Name: R HOUSE CONSTRUCTION Address: 4135 S 130 ST , TUKWILA WA Contact Person: Name: RANDY IVERS Address: 1813 58 ST NE , TACOMA WA DESCRIPTION OF WORK: ELECTRICAL FOR NEW SFR Value of Electrical: $0.00 Type of Fire Protection: Electrical Service provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile The grantin constructio e perfo ,,•'e of wo Signature: Print Name: doc: EL -4/07 4135S130ST permit does not pre Citf Tukwila Owner: Name: R HOUSE CONSTRUCTION INC Address: 2108 N 29 ST , TACOMA WA Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Contractor: Name: j R ELECTRIC CONST DESIGN INC Address: 181358 ST NE , TACOMA WA Contractor License No • JRELECD007D7 SEATTLE CITY LIGHT ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 961 -5286 Phone: 253- 961 -5286 Expiration Date: 04/01/2008 ELO7 -180 06/05/2007 12/02/2007 Fees Collected: $140.00 National Electrical Code Edition: 2005 Date: 0(210,10 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. Date: g 51 - 7 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. EL07 -180 Printed: 06-05 -2007 Parcel No.: 7340600846 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond -Elec 4135S130STTUKW City of 'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us R HOUSE CONSTRUCTION Signature: Print Name: P‘tuth PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 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 WAG. 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. T: 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the perfo, nance of work. Date: '7 7 EL07 -180 ISSUED 06/05/2007 06/05/2007 EL07 - 180 Printed: 06-05 -2007 Site Address: Name: Mailing Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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 ** '1135 13o ,T c cariy Jr,cre.r 3 E -Mail Address: Company Name: 3 AZ. 7 c GGL (�L � L Mailing Address: k� i / J ' /( rJ 1 , OOH � �� 47- /\(-- Contact Person: CA- m >e f S E -Mail Address: Property Served by: ❑ Puget Sound Energy 3 Z -- Seattle City Light H: Applications\Fomu•Applications On Lineal -2007 - Electrical Permit Appliation.doc bh King Co Assessor's Tax No.: Suite Number: New Tenant: City City State City State 0 Floor: ❑ Yes ❑ ..No Tenant Name: ,,�pp�� Property Owners Name: kC 6 Mailing Address: Zip CONTACT- PERSON Who do we contact when your permit is ready to he issued Day Telephone: ($ 5W 5 n( TickcovAck., csua. Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION state ,• Zip Day Telephone: 7-63 /- 5 Fax Number: Z-53 - 15 . 3? -6 V( Contractor Registration Number: _ \ L-� `sv 00 - 7 Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): I._ d L `l Q� �' �( y ❑ No Adding more than 50 amps? ❑ Yes ❑ No Will service be altered? ❑ Yes Type of Use: T .e of work: 1 New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement • Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service 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, furnace thermostat) RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) BUILDING 0 R OR ELEC CAL 1� RACTOR: TallW fi Signature: Print Name: Mailing Address: \ c. '(e (Q--( F l Li V "� c CO w\--. City Date Application Accepted: H: Applications\Forms- Applications On Line43 -2007 - Electrical Permit Application.doc bh $140.00 $75.00 ea $55.00 ea MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea P ERMIT APPLICATION =NOTE 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. Date: g / 5- 7 --) 7 (12 Day Telephone: State Zip Date Application Expires. Staff Initial Page2of2 RECEIPT NO: R07 -01033 Initials: JEM Uses ID: 1165 Payee: J. R. ELECTRIC CONSTRUCTION /DESIGN, INC. SET ID: 0605 SET NAME: R HOUSE CONST SET TRANSACTIONS: Set Member Amount City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http:/lwww.cidukwila.wa.us EL07 -179 140.00 EL07 -180 140.00 TOTAL: 280.00 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 3430 280.00 TOTAL: 280.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - RES Account Code Current Pmts 000.322.101.00.0 280.00 TOTAL: 280.00 Payment Date: 06/05/2007 Total Payment: 280.00 8961 06/05 9710 TOTAL 200.00 Project: Nse e_oiv r Type of Inspection: .-. Address: y /3S s /20 - s r Date Called: Special Instructions: Date Wanted: /UU /e/ a , (.0.g Requester: Phone No: y .1-v 7- /''O INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit ¢OMMENTS: :011 per applicable codes. ❑ Corrections required prior to approval. Inspector 7 ( a 5),//6 Date % / / $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: _ .., a•..,,.,. _ , "_ iT i i:*1�'r ` �'��-�.. v-- : COMMENTS: ( S OAP rZ e iii / 'r41 C / () /6//Il4 C (p,2Ju /4 t�lSS 7v 5 T L to7) Am7 / (F4 ,414 (/9GTW✓{C/Z5 f/) i fC7 jo4) • f1ta ctr_ rr dE &Less /et' - 3 ')/rLS7?9L c- Sc -/2f/) fi & S i/ -.9i° ox) A-FAL/ / c4 A /54 Date Wanted: C_40P OLS C -� � / /le, /7U / /i6 `) / //t C /i /G� w41(-5 ,A /"/) < / /t /J✓G Pr ject: // t�l/, S� GoNS � ' Type of Inspection: / v V Address: 7/3t 5 /.. ?u' Si Date Called: Special Instructions: Date Wanted: /d /3 a.m. p.m. Requester: Phone No: 1 3 El Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION K 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 rrections required prior to approval. InsPfrGL 6.77--g/9//6/74 ' Date: /t2 / %/0 ` ID $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: .+bra �.t •:, *_:. z . < -.. > �. f �u� Project: R House- Co lv.sr Type of Inspection: \/ 7Dv, ztNnr,v - R0u,..,, Address: I //.33 S. )Jo T" sr Date Called: '7-3o- 0'7 Special Instructions: Date Wanted: 7 - 3 0 0'7 a.m p.m. Requester: S9 ?9 Phone No: a. 1 3 - 3'7'7 - aU'7 9 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Inspector Date: h Y r / ?" I '`?-2c.)- o7 CO Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 K tA N . n r f2. c t2 ,-),A xxl> $58.00 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: NSF 2 Type of Inspection: RouAr+ - 1 A✓ _ v Address: ' / /3t S, 13 o ST Date Called: Lo-11-0 Special Instructions: Date Wanted: /D t<; - o7 a.m. P.m. Requester: Phone No: 700,3 INSPECTION NO. 'Inspector • INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 RR'' r _/ s ALDT Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 l< Date: _ 0 S58.00 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: (Date: Project: NsFi. Type of Inspection: S t 12 " Address: L //3S S f 3 0 ST Date Called: - 10 7 Special Instructions: Date Wanted: - /a " 07 a.m. p.m. Requester: Phone N • ( / '7 0o01, INSPECTION NO. CITY TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 00, Tukwila, WA 98188 El Approved per applicable codes. COMMENTS: o K CE !inspecto $5860 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit E J. O'7 - 180 El Corrections required prior to approval. Date: 7'RS1 1- XA/177" /- /off -U Business Owner Information Name Role Effective Date Expiration Date IVERS, RANDY 01/01/1980 IVERS, BARBARA 01/01/1980 IVERS, RANDY AGENT 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License JRELECD007D7 J R ELECTRIC CONST DESIGN INC ELECTRICAL CONTRACTOR 602019099 CORPORATION 1813 58TH ST NE TACOMA PIERCE WA 98422 2539615286 ACTIVE RESIDENTIAL UNUSED 4/1/2000 4/1/2008 JRELE * *022JB IVERSRJ961 JR Master Electrician Information License Name Status IVERSRJ961 JR IVERS, RANDY .1 ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= JRELECD007D7 Page 1 of 2 06/05/2007