HomeMy WebLinkAboutPermit EL09-0649 - MIX RESIDENCEMIX RESIDENCE
14426 57 AV S
ELO9-0649
Cit3* 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.: 3365900570
Address: 14426 57 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0649
Issue Date: 10/20/2009
Permit Expires On: 04/18/2010
Tenant:
Name: MIX RESIDENCE
Address: 14426 57 AV S , TUKWILA WA
Owner:
Name: MIX CORY +ELIZABETH +LANKY +KA Phone:
Address: 14426 57TH AVE S , TUKWILA WA
Contact Person:
Name: MATTHEW MUELLER Phone: 206 527 -4422 X 9946
Address: 9510 STORE AV N , SEATTLE WA
Contractor:
Name: EHSLLC
Address: 9510 STONE AV N , SEATTLE WA
Contractor License No: EHSLLC *033BC
Phone: 206 - 527 -4422
Expiration Date:
DESCRIPTION OF WORK:
REWIRING BASEMENT AS PART OF CREATING FINISHED SPACE (8 CIRCUITS)
Value of Electrical: NRES: $5,700.00 Fees Collected: $81.20
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: /V 2) v/
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 • oe t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t e • • aPce f work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: 10/2u/0 c'1
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 -0649 Printed: 10 -20 -2009
Parcel No.:
Address:
Suite No:
Tenant:
•
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.u.s
3365900570
14426 57 AV S TUKW
MIX RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0649
ISSUED
10/15/2009
10/20/2009
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.
Signature:
Print Name:
Pqr Icer
Date:
i0720/0q
doc: Cond -Elec
EL09 -0649 Printed: 10 -20 -2009
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. W° — 141
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
?'(y Z
Site Address: pp,, �� ,o S 7T 4, L
lu S•
Tenant Name: /%�
Property Owners Name: Co r 141
Mailing Address: (y 4Z S 71 a / . 5.
King Co Assessor's Tax No.: V 1O — CiS1
Suite Number: i\f//} Floor:
New Tenant: El Yes
T��w�la
City
U/1
State
Zoc
9Slc Q
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
,--r (mew M„tl
Mailing Address: l.$) O S Th a c- Ave /q.
E -Mail Address: Plot. TT" (11 g I NsLL� - we•-■
CCDay Telephone:
City
Fax Number:
_CZ
1Bio3
State
ZoG sz7-
Zip
S Yz_
ELECTRICAL CONTRACTOR INFORMATION
Company Name: p r
Mailing Address: 7 5-/ 0 ST0,4 �- )4 ✓C t
EH 5
Contact Person: / Y I aT 1" �, 1'4 �.--
Alta nn, 0-- C1451_ - c.00
E -Mail Address:
LLL
Contractor Registration Number: l : i45LLg)F 0c33.5 c-
Sty.ry -fe- (y4 78103
City State Zip
Day Telephone: ?.f,C SZ 7 -yy z
Zc 5Z 7- Sq2.3
/3/i (
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $ S 7
Scope of Work (please provide detailed information): O2__ �w r
o� Cr y-�� 4 5p e.
e✓wl rl r- ct s /D a r ;
Will service be alte ed? ❑ Yes C81, No
Type of Use: e-5 4 e vt T-%a
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes a, No
❑ Service Change
❑ Fire Alarm
H \Applications \Forms - Applications On Line \4 -2007 - Electrical Permit Application doc
bh
Remodel ❑ 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
(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)
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 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 I{AVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY TI -IE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
�✓1 Trt��✓ MVe-A
Mailing Address: (3,5"--/o
IDate Application Accepted:
Date: (07° 1
Day Telephone: ZOC S"- Z 7- t`%LZL
City
(,4 /-9/(13
State Zip
H \Applications \Forms - Applications On Line \4-2007 - Electncal Permit Application doc
bh
Date Application Expires: (r J I Iv Staff Initials:
Page 2 of 2
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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.: 3365900570
Address: 14426 57 AV S TUKW
Suite No:
Applicant: MIX RESIDENCE
RECEIPT
Permit Number: EL09 -0649
Status: APPROVED
Applied Date: 10/15/2009
Issue Date:
Receipt No.: R09 -01633
Initials: BLH
User ID: ADMIN
Payment Amount: $81.20
Payment Date: 10/20/2009 12:22 PM
Balance: $0.00
Payee: EHS ELECTRICAL CONTRACTORS LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 80123 81.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 81.20
Total: $81.20
PAYMENT
RECEIVED
doc: Receiot -06
Printed: 10 -20 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
64- 01
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: vhe (des .
Type of Inspection:
Address: / 1112 l Z
464
Date Called:
Special Instructions.
Date Wanted: ,
2 7
c.m:
Requester:
Phone No:
xjApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
coacutivAb ttlA%
0 I 1, ,)/14../.
Inspector:
Date: O 2.1 it 0
❑ $60.00 REINSPECfION 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
"u0
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION &
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
Proje
1 H(5 ,
Type of Inspection: n -oo
df�[I
Addre �26 5
57 iij
Date Called:
Special Ins ructions:
Date Wanted: a.m.
Requester:
Phone No:
EiApproved per applicable codes. 1 Corrections required prior to approval. /
COMMENTS:
Up vpAeL, Sc.,<- 41,i
I S
5ParRic Goyeb5 LAC-0
eaCi gtct WIC t> - FI
DQSt4 roar TW& N44
Inspector: de
Date: 0112/5100
ri $60.00 REINSI'ECTION FEE REQUIRED. Prior to inspection, must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PE MIT NO.
(206)431 -3(6
Project: 'x
Type of Inspection: 7oo3
v
Address:
Date Called:
Special Instructions:
Date Wanted:
1 �
a.w„
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
O.K%
- (Ai
I **
Jo7-Abb
1 n c•444/ CooAlrok
MO enevc4.4 ROQ O &p RILL Lr
br 45r^IK.
-) 6 - RD U% tAJ C'k.
45
a JI rb at AcU
i &i.
Ins pector 13 ! W
Date:
I IV/
❑ $60.00 REINS f'�ECTION FEE REQUIRED. Prior to inspection, fee Enust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
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Page 1 of 2
Electrical Contractor
A business licensed 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
E H 5 LLC UBI No. 601755865
2065274422 Status ACTIVE
9510 STONE AVE N License No. EHSLL * *033BC
License Type ELECTRICAL CONTRACTOR
SEATTLE Effective Date 1/3/1997
WA Expiration Date 1/3/2011
98103 Suspend Date
KING Specialty 1 GENERAL
Limited Liability Company Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License WHETZR*964LS
Name WHETZEL, RICK
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
FRAWLEY, JOHN
AGENT
01/01/1980
Bond
Amount
WHETZEL, JEFFERY L
PARTNER /MEMBER
01/01/1980
0405973
WHETZEL, RICK L
PARTNER /MEMBER
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
INTERNATIONAL
FIDELITY INS
CO
0405973
01/01/2006
Until
Cancelled
$4,000.0012/27/2005
2
FIRST
NATIONAL INS
6282027
01/01/2005
Until
Cancelled
02/24/2006
$4,000.0010/21/2004
https: // fortress .wa.gov /lni/bbip/Detail.aspx
10/20/2009