HomeMy WebLinkAboutPermit EL09-0230 - CARBOLINECARBOLINE
12117 EAST MARGI AL
WAY S
ELO9O23O
Parcel No.:
Address:
Suite No:
City* Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 2C6-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
ELECTRICAL PERMIT
1023049041
12117 EAST MARGINAL WY S TUTOR
Permit Number: EL09 -0230
Issue Date: 04/01/2009
Permit Expires On: 09/28/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
CARBOLINE
12117 EAST MARGINAL WY S , TUKWILA WA
TRAVERSO PROP LLC
11025 SE 60TH , BELLEVUE WA
CHRIS OTERO
1815 CENTRAL AV S , KENT WA
CEDAR GROVE ELECTRIC INC
Address: 1819 CENTRAL AVE S SP 71 , KENT WA
Contractor License No: CEDARGE955BC
Phone:
Phone: 253 373 -0056
Phone: 253 - 373 -0056
Expiration Date: 01/21/2011
DESCRIPTION OF WORK:
LOW VOLTAGE FOR FIRE ALARM
Value of Electrical:
Type of Fire Protection:
NRES: $1,000.00
RES: $0.00
N/A
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
2
$92.00
2005
Date:_r L` oI 1 cj
I hereby certify that I have read and ex m red this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied
hether 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. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: r. A v e
Date:4/
This permit shall become nut. 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
EL09 -0230
Printed: 04 -01 -2009
Parcel No.: 1023049041
Address:
Suite No:
Tenant:
0
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
PERMIT CONDITIONS
12117 EAST MARGINAL WY S TUKW
CARBOLINE
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0230
ISSUED
04/01/2009
04/01/2009
1: ** *ELECTRICAL * **
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 electr.cal code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this author.ty 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 wcrk will be complied with, whether specified herein or not.
The granting of this permit dc es 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:
Date:
Print Name: K! 7_� ✓�
doc: Cond -Elec
EL09 -0230 Printed: 04 -01 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa. us
•
Electrical Permit No.
Project No.
(For office iise only)
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 LOCATION
King Co Assessor's Tax No.: /0 25 O41 j in cf /
Site Address: Z 1 17 '../1-64"'"
� J i ✓✓a U-)Y 5 Suite Number: Floor:
Tenant Name: C6 -c bd I' et, New Tenant: ❑ Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is readrh be issued •
•
Name: C ti, CS 0 t-e.--C.) Day Telephone:
Mailing Address: /e / 5 ey, I- /� ' /�t/e 5 S /Ze_ri f
City
E -Mail Address: C O /c—a /425.4_,) . G C'J " - Fax Number:
75-3-3 —oc,
Z
State Zip
"z-C-3 -37 3 -oaS -8
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Ce.G1 4- 6y v u $4- (_
Mailing Address: ) e CT C e vt ;'vs- ( /A- Liz- 5
Contact Person:C ■ <•- C) t N C.D
E -Mail Address: C Lis- O1 o C 1/7/7. $f 2.
Contractor Registration Number:
t,064- 9803 Z
City state Zip
Day Telephone: ZS-3 - 3 -7 3
Fax Number: Z5.-3 — 3 "-7 3 --Gv et
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator 41 Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H: ApplicationsTorms- Applications On Line \1 -2009 - Electrical Permit Application.doc
bh
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, fumace 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)
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.
1 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:( 7,
Day Telephone:
Date:
-( o
Mailing Address:
city
IDate Application Accepted:
State Zip
G oc
,a`)
Date Application Expires:
Staff Initials:
H :'Applicationslrorms- Apphcanons On Lne11- 2009 - Electrical Permit Application. doc
bh
Page 2 of 2
0
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
Parcel No.: 1023049041 Permit Number: EL09 -0230
Address: 12117 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 04/01/2009
Applicant: CARBOLINE Issue Date:
Receipt No.: R09 -00513
Payment Amount: $92.00
Initials: JEM Payment Date: 04/01/2009 12:37 PM
User ID: 1165 Balance: $0.00
Payee: CEDAR GROVE ELECTRIC, INC.
TRANSACTION LIST:
Type Methcd Descriptio Amount
Payment Check 9215 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 92.00
Total: $92.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 04 -01 -2009
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
ao oi3o
PERMITNO.
(206)431 -3670
Project: /' , n,30 \
Type of Inspection: 2i
Address:
Date Called:
Special Instructio s:
Date Wanted:
n 1,1 2.q 4:i.T.
Requester:
Phone No:
I X I Approved per applicable codes. Corrections required prior to approval. /
COMMENTS:
(D&q'sJ) 7ksc'f
Inspector:
Date:
I
"'paid REINSfECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
eceipt No.:
Date:
z
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
6,or-oz3v
Project: `\60 LIN6
Type of Inspection:
2%00
Address: —�
12;17 C.
4c.
Date Called:
- PPAvl�)E KQnl.1CIK. BoA-e D 5 AL 45IDE'
b�d-TA CA$LE5�PP_oTECTi ono
Special Instructions:
I'
NC- C k3 t,t 11442-o./4 14 F gewil Z
Date Wanted:
•,
o Y
06.
a. m.
Requester:
/
R E CA it., Fi rJ licit'( F+ u, 1 tPkenl
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Al '— h,£L{ tl C41..•• QrJ (jOI /11 A 1 I Ctii2A a
,boo rl
- $C t ve2. FA C
- PPAvl�)E KQnl.1CIK. BoA-e D 5 AL 45IDE'
b�d-TA CA$LE5�PP_oTECTi ono
NC- C k3 t,t 11442-o./4 14 F gewil Z
r1 c J4k4 l cA-c_ PQoTCGTI oAI
- £ pL_t TL wo Q.tC C z_tic-T l o^/5 A,Jp
T
/
R E CA it., Fi rJ licit'( F+ u, 1 tPkenl
Inspector.
Date:
DY 4o,
$60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
❑$ p
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Ceceipt No.:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
0230
PERMIT NO.
(206)431 -367,
Project: 61.4(60f 4
•1
Type of Inspection: n /OV
�j
Address: t
izl)r�
¢f
�e n'
t�•'�" '1-
Date Called:
Special Instructs ns:
FA
Date Wanted: //}}
D'{ V3
a
p•m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. e
COMMENTS:
54\1mA-fp
Inspector:
DateOifio2 3707
v
❑ $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION IC"
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
6,07-023o
Project: ��` (��
Type of Inspection:
Poo
/,Jeo1f'ctre
Address:
iiit7 f, 144 .
Date Called:
1451t Ai v‘tr
,_..c
Special Instructiohs:
. f
Date Wanted:
011/o Z..-
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes.
E'd
Corrections required prior to approval. //
COMMENTS:
/,Jeo1f'ctre
r A. fb )((5 To st Tath-«w1 kt
1451t Ai v‘tr
- $45A (Ak) K4Jtk, 04 K.0.1. a')
.6 ~�
'
-
a De C�1/r
Ro%1,-
Inspector: r%� ` r�
(Date. �
o 2 v7
ri $60.00 REINSP'ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licersed by LEtI 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
CEDAR GROVE ELECTRIC
INC
2533730056
1819 CENTRAL AVE S SP
71
KENT
WA
98032
KING
Corporation
UBI No. 602254353
Status ACTIVE
License No. CEDARGE955BC
License Type ELECTRICAL
CONTRACTOR
Effective Date 1/21/2005
Expiration Date 1/21/2011
Suspend Date
Previous License CEDARGE995DW
Next License
Associated
License
Specialty 1 GENERAL
Specialty 2 UNUSED
BATTEJT967C5
MASTER ELECTRICIAN INFORMATION
License BATTE:JT967C5
Name BATTE:RSON, J T
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BATTERSON,J T
AGENT
01/03/2005
Bond
Amount
BATTERSON, J T
PRESIDENT
01/03/2005
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= CEDARGE955BC
04/01/2009