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
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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