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HomeMy WebLinkAboutPermit EL07-235 - REINHOLTZ RESIDENCEREINHOLTZ RESIDENCE 12823 35 AV S ELO7-23 5 Parcel No.: 7359600265 Address: 12823 35 AV S TUKW Suite No: Tenant: Name: REINHOLTZ RESIDENCE Address: 12823 35 AV S , TUKWILA WA Cityf 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 ELECTRICAL PERMIT Owner: Name: REINHOLZ CHARLES R +EUFROSIN Phone: Address: 12823 35TH AVE S , TUKWILA WA Permit Number: ELO7 -235 Issue Date: 06/20/2007 Permit Expires On: 12/17/2007 Contact Person: Name: DAN FRANKLIN Phone: 425 - 268 -3993 Address: 9626 60 ST NE , LAKE STEVENS WA Contractor: Name: CUSTOM -TECH ELECTRIC Phone: Address: 9626 60 ST NE , LAKE STEVENS WA Contractor License No: CUSTOEL936LJ Expiration Date: 06/11/2009 DESCRIPTION OF WORK: SERVICE UPGRADE, OUTSIDE PANEL WITH A SUB PANEL (50 AMP) INSIDE BACK DOOR Value of Electrical: $1,800.00 Type of Fire Protection: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: doc: EL -4/07 Fees Collected: National Electrical Code Edition: $75.00 2005 �1 J Date: 19 X — 7 I hereby 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 perfo/ / trance of work. / I1 authorized to sign and obtain this electrical permit. Signature:A /�,f l � t�.r / �l Date: rilra C) 0 7 Print Name: f n 14 . ( 7 7,-0,4 / / • l'l 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 -235 Printed: 06-20 -2007 Parcel No.: 7359600265 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 12823 35 AV S TUKW 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 REINHOLTZ RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -235 ISSUED 06/20/2007 06/20/2007 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. 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. 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 performance of work. Signature: Z1 .� Print Name: doc: Cond -Elec ( Lio n k---( -J4 Date:: j 7( to FO 0 7 EL07 -235 Printed: 06-20 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us H: Applicadons7omu- Applications On Line41-2007 - Electrical Permit Application.doc bh Electrical Permit No Project No. 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 Address: ( ?4 ).- "5 5Pt Tenant Name: C HKC k `(e,.t `to /rz Property Owners Name: CA arc t< /i. e %n 1lo /P Mailing Address: I A-FA:7 S q Attfre 5 Contact Person: A.-1 11 6 » E -Mail Address: Contractor Registration Number: Cce 570e- L 9 31P King Co Assessor's Tax No.: "715 " 0-11 Suite Number: Floor: New Tenant: El Yes .No Zip L_:fi City Name: (cis�o i - Te c k £lec//'.'G ( 000-i ) Day Telephone: `-7 )-5.. 8 j j 3 ce-4 iv City State Zip E -Mail Address:CO Sin All ` M it-friee : G t lta rik - /. Cufri Fax Number: State CONTACT PERSON 7-Who do we contact when your permit Is :ready to be issue Mailing Address: !ll �V � 5T M /-0 77,r ELECTRICAL CONTRACTOR INFORMATION Company Name: CC( ST — Tee " £(ee f/'. Mailing Address: '(lv 0?..4 U 7i7 ///- Gn 'r1 S w 1 (f /Ccf City State Zip Day Telephone: c/45 -24( -3 ; ) Fax Number: Expiration Date: Valuation of Project (contractor's bid price): $ roc, c, Scope of Work (please provide detailed information): f erl c ,4 f7 9 fah v K *5• ("le f7O/tC a sub pope( (5Q "f-10) -.> :I j it 60c- Will service be altered? Yes ❑ No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Page 1 oft RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea 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 OWNER OR ELECTRICAL CONTRACTOR: Signature. Print Name ( �rn,r H: Applications\Fonns- Applications On Line14-2007 - Electrical Permit Application.doc bh 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 PERMIT 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: )c -f/If° , 0 7 Day Telephone: (/)-- ct 1 7 .-- Mailing Address: ��.��P l 0 7( S7'` /1-'1 L -04- S7 ,-P,-1 L/ 70 ri" sd City State Zip Date Application Accepted: Staff Initials: Date Application Expires: Page 2 of 2 1 Parcel No.: 7359600265 Permit Number: EL07 -235 Address: 12823 35 AV S TUKW Status: PENDING Suite No: Applied Date: 06/20/2007 Applicant: REINHOLTZ RESIDENCE Issue Date: Receipt No.: R07 -01185 Initials: WER User ID: 1655 Payee: CUSTOM TECH ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 5015 75.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - RES 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 RECEIPT Account Code Current Pmts 000.322.101.00.0 75.00 Total: $75.00 Payment Amount: $75.00 Payment Date: 06/20/2007 04:57 PM Balance: $0.00 9577 06/21 9716 TOTAL 75.00 doc: Receipt-06 Printed: 06-20 -2007 Project: L� 4�� Type of Ins pe n: 7- /vYl�/� Address: /� Z 3- 7S - Date Called: Special Instructions: Date Wanted: 0,Y? / 2 !rn: Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: 0/ ,Ces, Id C4_ o tx r1/1)4 N elIC roved per applicable codes. El Corrections required prior to approval. Inspecte/GL ( LJ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. -3670 'Receipt No.: 'Date: irt Project: /Q F //1"#0LZ AeS" Type of Inspection: 2 / 70 - 0 z N-, Address: /2-/2-?P-7 -3 -/ s Date Called: Special Instructions: Date Wanted:( f �^r Requester: Phone No: / INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. - INSPECTION RECORD Retain a copy with permit tLU7_2.3z Corrections required prior to approval. COMMENTS: f )Nn /dA} L 4/1)corsilRA5 c,42 6I/ A 1 /9 CLE f&4 //1)SO //11 Ins pecto t /`G Cu . e ,„ nn ` 01 Dater /; / $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: Business Owner Information Name Role Effective Date Expiration Date FRANKLIN, DANIEL S PARTNER/MEMBER 06 /11/2007 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 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 CUSTOEL936LJ CUSTOM -TECH ELECTRIC LLC ELECTRICAL CONTRACTOR 602691980 LIMITED LIABILITY COMPANY 9626 60TH ST NE LAKE STEVENS SNOHOMISH WA 98258 4252683993 ACTIVE RESIDENTIAL UNUSED 6/11/2007 6/11/2009 ROBINJL961DN Master Electrician Information License Name Status ROBINJL96I DN ROBINSON, JOHN L ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= CUSTOEL936LJ 06/20/2007