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Home My WebLink AboutPermit EL09-0301 - PENSKEPENSKE 12840 48 AV S ELO9-0301 Parcel No.: Address: Suite No: Cityef 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 0004800018 12840 48 AV S TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL09 -0301 05/13/2009 11/09/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: PENSKE 12840 48 AV S , TUKWILA WA STRANDER LOUISE M PO BOX 88636 , TUKWILA WA GUNNAR PETZOLD PO BOX 6783 , LYNNWOOD WA Contractor: Name: INNOVATIVE ELECTRIC INC Address: PO BOX 6783 , LYNNWOOD WA Contractor License No: INNOVEI055KE Phone: Phone: 425 290 -7803 Phone: 425 290 -7803 Expiration Date: 05/05/2011 DESCRIPTION OF WORK: REPLACE FUEL TANK AND PUMPS; REINSTALL DISPENSERS; AND ADD SUMP SENSORS. Value of Electrical: Type of Fire Protection: NRES: $19,500.00 RES: $0.00 UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie Fees Collected: $416.00 National Electrical Code Edition: 2005 Date: C`lM ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pr construction or performance of work. =m thorized to sign and obtain this electrical permit. Date: - c G. e to give authority to violate or cancel the provisions of any other state or local la regulating Signature: Print Name: C7l /(lX6%l r 7?"-- 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 EL09 -0301 Printed: 05 -13 -2009 Parcel No.: 0004800018 Address: Suite No: Tenant: PENSKE • 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.tii'a.us 12840 48 AV S TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0301 ISSUED 05/13/2009 05/13/2009 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 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. Signatur 4,ee Print Name: 7,A4 R:= Date: doc: Cond -Elec EL09 -0301 Printed: 05 -13 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httal/www.citukwila.wa.us Electrical Permit No. VL0 Project No. (For office use 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 Site Address: (26110 q8Afive. 5- Tenant Name: P A/ str e: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes 0001 tc1 (7 -poll) Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to he issued Name: Gat NN le Pe rzec o Day Telephone: q26 ?d — ? e )3 Mailing Address: P o' box 6 763 t `Ji} iafw17N� W� geo 310 ' eu/ City State Zip E -Mail Address: l Z q M/V/4'R P TNA/aht 171/ -f /t leaser: 4'S'5 3 /96 6- ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: C7v A/A/f Pe T ZOLD Day City Person: Day Telephone: INV VAT eleG tit / C rArC Po- &'k 6783, Cr/elite-420(i `I8'D 36 State Zip / Qs- a40 -76,E E -Mail Addres66' A/A(44e��t/Mp//,q rile-AVOQ/G ,�4l�ti Fax Number: �:ZS - 3 S s iQ �OS Contractor Registration Number:2-W/ OVe- l: c? ( /CV Expiration Date: S - - ZOlt 00 Valuation of Project (contractor's bid price): $ �/ 5 0 D Scgve of Work (please provide detailed information): RCP/free Fie et r/- A/K PO?I./ f tt ri¢L L D i s- p en r c iii i4Ob S'essta,f P Will service be red? ❑ Yes CF E //t11� - No Type of Use: OMR/ =. a ( Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served bv: ❑ Puget Sound Energy 4'Seattle City Light dding more than 50 amps? j44,4 c e,,q- ❑ Service Change ❑ Fire Alarm H:\Applications\Forms- Applications On I-ine I- 2009 - Electrical Permit Application.doc bh ❑ Yes Aff No E4 RRemodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 1 Date Application Accepted: 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) MULT1- 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: 41.0mito P Date: 6/ 3 -0 J e�' �� /, Print Name: & (-1I V A- re r-7491-6 Day Telephonle42s—.9 re Q78v� Mailing Address: Act Boy ,183 �� NMWi 1M4 Z 603k 1J City state Zip ac I Date Application Expires: Staff Initials: Ir\ApplicationslForms- Applications On Lined -2009 - Electrical Permit Application.doc bh Page 2 of 2 • 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 Parcel No.: 0004800018 Address: 12840 48 AV S TUKW Suite No: Applicant: PENSKE RECEIPT Permit Number: EL09 -0301 Status: PENDING Applied Date: 05/13/2009 Issue Date: Receipt No.: R09 -00712 Initials: User ID: Payee: JEM 1165 Payment Amount: $416.00 Payment Date: 05/13/2009 10:59 AM Balance: $0.00 INNOVATIVE ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 12372 416.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 416.00 Total: $416.00 P''Y ,`ANT RECEWED doc: Receiot -06 Printed: 05 -13 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit fLol -030( P RMMIIT NO. (206)431 -3670 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: FeA sa Type of Inspection: /DO Address: 1 zgli A v 4, Date Called: Special Instructions: Date Wanted: 0� er.n. Requester: Phone No: gApproved per applicable codes. Corrections required prior to approval. COMMENTS: �l . Inspector: Date: 06/0c167 ❑ $60.00 REINSFECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1 INSPECTION RECORD (01- p�p i Retain a copy with permit INSPECTION NO. RMIT NO. CITY OF TUKWILA BUILDING DIVISION F- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: po ` CJ V / Type of Inspection: 7oa I Address: r, _� 9 0 t 0 Date Called: Special Instructions: 10'.00 Ck Date Wanted: 0 sh S ap..m. m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 41 . 0\11)0..( .out rTSr 80 E5 ,geructri D/sPc456 AiNfp Inspector: ee / Date: 0S /S 07 ri $60.00 REINSPECTION F ER E QUIRED. 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 licensed by LEtJ 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 INNOVATIVE ELECTRIC INC UBI No. 601581090 Phone 4252907803 Status ACTIVE Address PO BOX 6783 License No. INNOVEI055KE Suite /Apt. License Type ELECTRICAL CONTRACTOR City LYNNWOOD Effective Date 5/5/1995 State WA Expiration Date 5/5/2011 Zip 98036 Suspend Date County SNOHOMISH Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company MASTER ELECTRICIAN INFORMATION License PETZOG*974K7 Name PETZOLD, GUNNAR Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date PETZOLD, GUNNAR HORST Cancel Date 01/01/1980 Bond Amount PETZOLD, DONNA L AGENT 01/01/1980 747922C PETZOLD, DONNA L VICE PRESIDENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 DEVELOPERS SURETY Et INDEM CO 747922C 10/24/2007 Until Cancelled $4,000.00 08/07/2007 2 COLONIAL AM CAS Et SURETY OF LPM406478710/24/2003 Until Cancelled 12/09/2007 $4,000.00 10/13/2003 https://fortress.wa.gov/lni/bbip/Detail.aspx 05/13/2009