HomeMy WebLinkAboutPermit EL09-0143 - CARBOLINEfTO6OTEEI
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Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Value of Electrical:
Type of Fire Protection:
Signature:
Print Name:
Permit Center Authorized Signature:
doc: EL -4/07
CityOf 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
1023049041
12117 EAST MARGINAL WY S TUKW
CARBOLINE
12117 EAST MARGINAL WAYS , TUKWILA WA
TRAVERSO PROP LLC
11025 SE 60TH , BELLEVUE WA
BOB KROESE
119 S MAIN ST SUITE 410 , SEATTLE WA
CEDAR GROVE ELECTRIC INC
1819 CENTRAL AVE S SP 71 , KENT WA
Contractor License No: CEDARGE955BC
DESCRIPTION OF WORK:
INSTALL EMERGENCY LIGHTING AND RELOCATE REZNORS
NRES: $8,500.00
RES: $0.00
UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
ELECTRICAL PERMIT
Fees Collected: $235.60
National Electrical Code Edition: 2005
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 - 624 -3210
Phone: 253 - 373 -0056
Expiration Date: 01/21/2011
EL09 -0143
02/20/2009
08/19/2009
Date:
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 th orm ce of work. I am a • - = _ • to sign and obtain this electrical permit.
Date: < Z ` 6
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.
EL09 -0143 Printed: 02 -20 -2009
Parcel No.: 1023049041
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
12117 EAST MARGINAL WY S TUKW
CARBOLINE
City of Tukwila
Department of Community Development
6300 Soathcenter 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:
Status:
Applied Date:
Issue Date:
EL09 -0143
ISSUED
02/20/2009
02/20/2009
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:
Print Name:
doc: Cond -Elec
rD /-e -v b
Date:
Z -Z v -o ?
EL09 -0143 Printed: 02 -20 -2009
SITE LOCATION
Site Address: IZ/ii 0 4.A f r y ✓y;vEM I /.y 5 % J( ) Suite Number: Floor:
/4r 14 mi
Tenant Name: C l, i ✓ti -4- New Tenant: El Yes ❑..No
Property Owners Name: /7 A- t) e.✓S o f ✓a l L L -
Mailing Address: / /O Z 6 5 G 6 o" i j e //e u u -
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 06 / roeS
Mailing Address:
E -Mail Address:
CITY OF TUKWILAO
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://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 **
/ 5 /! S/ SAP 41 to
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
L
/e/9 Ce.,- 74-4.( ft,/, e 5' -7
w cow' -
Contractor Registration Number:
H:\Applications\Forms- Applications On Line \I -2009 - Electrical Permit Application doc
1
Electrical Permit No. ELOci - o 1 1"{ 3
Project No.
(For office use cnly)
King Co Assessor's Tax No.: 10230 /0 I
Stara
'BOO
Zip
Zo( (,;2-4'-3a (d
Day Telephone:
X0. ,2.1 -I LQ L - Sg 1(:)
City Static Zip
Fax Number:
lLew� r r�vf 900
City State Zip
Day Telephone: Z S3 — 3 3 — <50 S`6
Fax Number: Z 4 3 — 3 7 3 ^v05-2
Expiration Date:
Valuation of Project (contractor's bid price): $p /
Scope of Work (please provide detailed information): aL wf f- 1 E 1 ,24 v� y alp., C. c 7 } ' G 1 -4 ,•t c t
�P b u
i 1 IZP do I• • ✓ f J Q`
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 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ..$145.60
(including an attached garage).
❑ Garages, pools, spas and outbuildings ..$78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat). .$57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added /altered without service change . .. $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
BUILDING OWNER O),� �
ELECTRICAL CONTRACTOR�
Signature:
Print Name:
Mailing Address: / 66ih
H'vApplicationsriorms- Applications On Lin e\ -2009 - Electrical Permit Application.doc
/€ /—
City
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ 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 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 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: Z - Z v -v'j
Day Telephone: F-4n
CUB X807
State 'Lip
I Date Application Accepted:
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 1023049041 Permit Number: EL09 -0143
Address: 12117 EAST MARGINAL WY S TUICW Status: PENDING
Suite No: Applied Date: 02/20/2009
Applicant: CARBOLINE Issue Date:
Receipt No.: R09 -00293
Initials: WER
User ID: 1655
Payee: CEDAR GROVE ELECTRIC
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
TRANSACTION LIST:
Type Method :Jescriptio Amount
Payment Check 3130 235.60
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
RECEIPT
Account Code Current Pmts
000.322.101.00.0 235.60
Total: $235.60
09051C1-1 0103 02/20 /2009 001 101
DCD Permit_ Plus - 6 reral Fund $235.60
Payment Amount: $235.60
Payment Date: 02/20/2009 09:44 AM
Balance: $0.00
doc: Receiot -06 Printed: 02 -20 -2009
Project: r
(joL�d
Type of Inspection:
2100
Address:
rzVl C. P 1 4 1 c
Date Called:
,.,
Special Instru tions:
Date Wanted:
J
03 J27
a.m
p.m.
Requester:
ii
Phone No:
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Inspector: Jf ; 6 Date:
EGo9-0/4'3
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Q.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
[yiApproyed per applicable codes. El Corrections required prior to aparov
COMMENTS:
C okacibill nn�
o3(z
D $60.00 REINSPECTION FEE REtSUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspection: Z490/7903
Date Called: �
7003 — CIALEM °4 ,j
Special Instructions:
O - R,,J4,4 l
D 2 �
]/
a r
p.m.
7_I O0 - rc l c f l i ,, 1 4. 0 ' SOc.S A KELACATO
S
61 f (Mc1 u Li 4 1 Jc,, lb tE otsi
wcA— a 4. (4Tt Clec.ui1
GF Ct REcEP tal KEsillooti
Project: /+ _ /�
Type of Inspection: Z490/7903
Date Called: �
Address I vi
Special Instructions:
Date Wanted:
D 2 �
]/
a r
p.m.
Requester:
Phone No:
coy- o(H3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NC.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Approved per applicable codes.
Corrections required prior to approval.
A erli•Jel (Date:
❑ $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
°
Project: / �
Ti
Type of Inspection:
(J`'
700
Address:
12
.i,
Date Called:
Special Instructions:
Date Wanted:
03/0(
�y
l/ p
Requester:
Phone No:
❑ Approved per applicable codes.
Inspector:
L r �
(� $60.00 REINS
INSPECTION RECORD
Retain a copy with permit
(7o3
INSPECTION NO. PEIT NC.
CITY OF TUKWILA BUILDING DIVISION (Z
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
COMMENTS:
5t)F'OLT L.J l . C a 5
1oA (11L9
Date: 00(1
ECTION FEE REQUIRED. Prior to inspection, fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.: Date:
'
Name
Role
Effective Date
Expiration Date
BATTERSON, J T
AGENT
01/03/2005
Bond
BATTERSON, J T
PRESIDENT
01 /03/2005
Account
Untitled Page
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.
Business and Licensing Information
Name CEDAR GROVE ELECTRIC
INC
Phone 2533730056
Address 1819 CENTRAL AVE S SP
71
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
Bond Information
KENT
WA
98032
KING
Corporation
MASTER ELECTRICIAN INFORMATION
License BATTEJT967C 5
Name BATTERSON, J T
Status ACTIVE
Business Owner Information
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
https: // fortress. wa. gov /lni /bbip/Detail.aspx ?License= CEDARGE955BC
•
602254353
ACTIVE
CEDARGE955BC
ELECTRICAL
CONTRACTOR
1/21/2005
1/21/2011
CEDARGE995DW
BATTEJT967C5
GENERAL
UNUSED
Page 1 of 2
02/20/2009
Bond
Bond
Effective
Expiration
Cancel
Impaired
Bond
Received
Bond
Company
Account
Date
Date
Date
Date
Amount
Date
Name
Number
Untitled Page
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.
Business and Licensing Information
Name CEDAR GROVE ELECTRIC
INC
Phone 2533730056
Address 1819 CENTRAL AVE S SP
71
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
Bond Information
KENT
WA
98032
KING
Corporation
MASTER ELECTRICIAN INFORMATION
License BATTEJT967C 5
Name BATTERSON, J T
Status ACTIVE
Business Owner Information
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
https: // fortress. wa. gov /lni /bbip/Detail.aspx ?License= CEDARGE955BC
•
602254353
ACTIVE
CEDARGE955BC
ELECTRICAL
CONTRACTOR
1/21/2005
1/21/2011
CEDARGE995DW
BATTEJT967C5
GENERAL
UNUSED
Page 1 of 2
02/20/2009