HomeMy WebLinkAboutPermit EL07-246 - BEYERS RESIDENCEBEYERS RESIDENCE
11616 42 AV S
ELO7-246
Parcel No.: 3347400135
Address: 11616 42 AV S TUKW
Suite No:
Tenant:
Name: BEYERS RESIDENCE
Address: 11616 42 AV S , TUKWILA WA
Owner:
Name: BEYERS CYNDEE +EDWARD L
Address: 11616 42ND AVE S , TUKVVILA WA
Contact Person:
Name: BENJAMIN CARLSON
Address: 2045 E MORTON ST , TACOMA WA
Contractor:
Name: THEBAC ELECTRIC
Address: 2045 E MORTON ST , TACOMA WA
Contractor License No: THEBAE*978KK
DESCRIPTION OF WORK:
200 AMP OVERHEAD SERVICE CHANGE. INSTALL NEW 200 AMP SERVICE IN BASEMENT AND
FEED NEW 100 AMP SUBPANEL IN LOCATION OF EXISTING SERVICE TO CONNECT EXISTING
CIRCUITRY
Value of Electrical: $0.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
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 performance of work. 1 am authorized to sign and obtain this electrical permit.
'� a
Q o _ Date: � r 0 7
Signature: 13 `e/r)._
Print Name: 4 x ( c4 Q Ls 04/
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.
doc: EL -4/07
City..4f 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
Permit Number: EMT-246
Issue Date: 06/25/2007
Permit Expires On: 12/22/2007
Phone:
Phone: 253 - 221 - 9331
Phone:
Expiration Date: 06/25/2009
Fees Collected:
National Electrical Code Edition:
$85.00
2005
Date: to v`& '"V 7
EL07 -246 Printed: 06-25 -2007
Parcel No.: 3347400135
Address: 11616 42 AV S TUKW
Suite No:
Tenant: BEYERS RESIDENCE
1: ** *ELECTRICAL * **
Signature: -&17
doc: Cond -Elec
City of Tukwila
Print Name: 4 /1 , L S G 1'
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
PERMIT CONDITIONS
Permit Number: EL47 - 246
Status: ISSUED
Applied Date: 06/25/2007
Issue Date: 06/25/2007
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.
Date: C - 2 r - 7
EL07 -246 Printed: 06-25 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
SITE LOCATION
King Co Assessor's Tax No.: Z3 0 - O (3 S
Site Address: / t 6 /6. Suite Number:
Tenant Name: C Q /3 New Tenant:
Property Owners Name: C 0
Mailing Address: / / G / 4 41 - - s
CONTACT PERSON - WhO do we contact when your permit is ready to
he issued
Name:
Mailing Address:
E -Mail Address:
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 **
M
ELECTRICAL CONTRACTOR INFORMATION
Company Name: "J,At_C_ C
Mailing Address: a a V 5 .SIT
Contact Person: /I .erY) eG2tt D��
E -Mail Address:
Contractor Registration Number: T//ERA r 1 7 V k«
Valuation of Project (contractor's bid price): $ 3, d O
Scope of Work (please provide detailed information): 0 0
/vr .0 wt./ /
Will service be altered?
Type of Use: — Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget. Sound Energy
Seattle City Light
H: Applicationfforas- Applications On Line\4- 2007 - Electrical Permit Application.doc
bh
ervice Change
❑ Fire Alarm
Electrical Permit No. n �'
Project No:
or office use only
City
Day Telephone:
City
Fax Number:
��. V 'y
City
State Zip
Day Telephone:, .S .3 " 2-2/ - q.3.3 /
Fax Number:
Expiration Date: 4 ' / .2
Adding more than 50 amps? ❑ Yes
❑ Remodel
Floor:
❑ Yes Eo
State
Zip
State Zip
❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
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
added/altered circuits)
ILWervice 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: / n R • 0,e2Jz
Print Name: /3 /� N A - ? h $ etA
Mailing Address: i t .77) zi•
I Date Application Accepted:
H:Wpplications\Forms- Applications On Lin k -2007 - Electrical Permit Application.doc
bh
City
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 constntction 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: l ,,Z . do 7
Day Telephone: -Z JJ -. 21- 9 3 3
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 3347400135
Address: 11616 42 AV S TUICW
Suite No:
Applicant: REVERS RESIDENCE
Receipt No.: R07 -01221
Payee: THEBAC ELECTRIC
TRANSACTION LIST:
Type Method Description
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
Initials: WER Payment Date: 06/25/2007 02:59 PM
User ID: 1655 Balance: $0.00
Amount
Payment Check 1005 85.00
Account Code Current Pmts
000.322.101.00.0 85.00
Total: $85.00
Permit Number: ELO7 -246
Status: APPROVED
Applied Date: 06/25/2007
Issue Date:
Payment Amount: $85.00
9695 06/25 9716 TOTAL 85.00
doc: Receiot -06 Printed: 06-25 -2007
Proiect., _ _ t -_
Type of Inspe6
AcJ� sss,6 1/2 NA Af <
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
40
Y&
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 -3670
proved per applicable codes. Corrections required prior to approval.
OMMENTS:
tic/ —S�2ul«
0/4 - Fi70/.9-i
I InSP !� V a ��C l t ij (
$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:
C :— 6 ,�� N`L t �
�� � SUs
r��
0) C4/141//7 f /Lz XC,
gU)i f/ 21/
Type of Inspection:
Z
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co/W/1)7 71 -T =NX
it ,
f
!_3) MR4 7 - 4 - Co rr 44 (G7 As P X
71),c-.- 3/0
�� T /gC �It1 ,V d77, G
s i
pecial Instructions:
Date Wanted:
( Zl
a•
7' p
Pro t:
t L `` S
l
Type of Inspection:
Z
\,
Ad s:
�� / —' t
it ,
s
Date Called:
s i
pecial Instructions:
Date Wanted:
( Zl
a•
7' p
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit PERMIT
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Sout hcenter Blvd., #100, Tukwila, WA 98188 (206)
Approved per applicable codes.
Corrections required prior to approval.
I nsPecty/L /1 )/9 / j# • r te: 4 / 24 h
$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:
License Information
License
THEBAE *978KK
Licensee Name
THEBAC ELECTRIC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602291404
Ind. Ins. Account Id
0
Business Type
INDIVIDUAL
Address 1
2045 E MORTON ST
Address 2
City
TACOMA
County
PIERCE
State
WA
Zip
98404
Phone
2532219331
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
5/12/2003
Expiration Date
6/25/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
CARLSBA959M8
Business Owner Information
Name
Role
Effective Date
Expiration Date
CARLSON, BENJAMIN A
OWNER
05/12/2003
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.
Master Electrician Information
License
Name
Status
CARLSBA959M8
CARLSON, BEN ANDREW
ACTIVE
Bond Information
Bond I Bond I
https: // fortress .wa.gov /Ini/bbip /printer.aspx ?License= THEBAE *978KK 06/25/2007