HomeMy WebLinkAboutPermit EL09-0786 - NELSON RESIDENCENELSON GARAGE
13729 45 AV S
ELO9-0786
City,f Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa. us
Parcel No.: 7347600225
Address: 13729 45 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0786
Issue Date: 12/10/2009
Permit Expires On: 06/08/2010
Tenant:
Name: NELSON RESIDENCE
Address: 13729 45 AV S , TUKWILA WA
Owner:
Name: NELSON JEFFREY S +MARTIN JOA
Address: 13729 45TH AVE S , TUKWILA WA
Contact Person:
Name: JIM FRUETEL
Address: 9510 STONE AVENUE N , SEATTLE WA
Contractor:
Name: E H S LLC
Address: 9510 STONE AV N , SEATTLE WA
Contractor License No: EHSLL * *033BC
Phone:
Phone: 206 - 396 -9496
Phone: 206 527 -4422
Expiration Date: 01/03/2011
DESCRIPTION OF WORK:
INSTALL 20 A CIRCUIT FROM RESIDENCE TO DETACHED GARAGE AND INSTALL (2) LIGHTS,
(2) SWITCHES, AND (2) GFCI RECEPTACLES
Value of Electrical: NRES: $300.00 Fees Collected: $52.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: /
I hereby certify that I have read and
governing this work will be complied
Date:
abolol)
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting
construction
Signature:
Print Name:
is permit does not
performance of
res e to give authority to violate or cancel the provisions of any other state or local laws regulating
rk. I am aptho ed to sign and obtain this electrical permit.
4(44 Fv(AL- 1'C - -7
Date: ` 2 — ( i )
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 -0786 Printed: 12 -10 -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.us
7347600225
13729 45 AV S TUICW
NELSON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0786
ISSUED
12/10/2009
12/10/2009
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 art 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 regulat construction or the performance of work.
Signature:
Print Name:
J M Frtect61
Date: /Z-- /v d
doc: Cond -Elec
EL09 -0786 Printed: 12 -10 -2009
CITY OF TUKWIN
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No.
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
King Co Assessor's Tax No.:
Site Address: 13729 AV -0t/r1 Suite Number: X Floor:
New Tenant: ❑ Yes 0..No
Tenant Name: _J FP No g')/ N)
Property Owners Name: IEFF-
Mailing Address: ` 3) 7 of z V.6 CA c/8/0
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: J i M FifLi F f L
Mailing Address:
Zip
Day Telephone: 2O6 - 3%— 17 ek
E -Mail Address: '
City
State
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
C(S1 D 517W
Contact Person: m V 1l mu
E -Mail Address: ( +n1
Contractor Registration Number:
AuSiuLte 4)0H -4 I IA4 9'/O3
State Zip
Day Telephone: S 27 "4'F Z
Fax Number: 2— ' 2-- r t9 L-1—Z 3
Expiration Date:
City Zc4
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
. C,iwi sc
Il v2 �'
Will service be altered? ❑ Yes No
Adding more than 50 amps? ❑ Yes P31 No
Type of Use:
Type of work:
ifik New ❑ Addition ❑ Service Change VI Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:Upplicatrons \Farms - Applications On Line \4 -2007 - Electncal Permit Applicanon.doc
bb
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 -
IDate Application Accepted:
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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY TIIE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
foci -Avg 1'1
1210 O'
Date: 21 i c
Day Telephone: 'l 7tc' —52-1 72
WA 6i 03
State Zip
City
Date Application Expires:
Staff initials:
H: Applications\Porms- Apphcat ons On Line\4 -2007 - Elecmcal Permit Apphcation.doc
bh
Page 2 of 2
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City of Tukwila
0
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.tulcwila.wa.us
Parcel No.: 7347600225
Address: 13729 45 AV S TUKIAT
Suite No:
Applicant: NELSON RESIDENCE
RECEIPT
Permit Number: EL09 -0786
Status: PENDING
Applied Date: 12/10/2009
Issue Date:
Receipt No.: R09 -01974
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $50.00
Payment Date: 12/10/2009 09:07 AM
Balance: $2.00
EHS ELECTRICAL CONTRACTORS, LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 080449 50.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 50.00
Total: $50.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 12 -10 -2009
•
City of Tukwila
O
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.: 7347600225
Address: 13729 45 AV S TUKW
Suite No:
Applicant: NELSON RESIDENCE
RECEIPT
Permit Number: EL09 -0786
Status: PENDING
Applied Date: 12/10/2009
Issue Date:
Receipt No.: R09 -01975
Payment Amount: $2.00
Initials: JEM Payment Date: 12/10/2009 09:08 AM
User ID: 1165 Balance: $0.00
Payee: JIM FRUETEL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
2.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 2.00
Total: $2.00
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 12 -10 -2009
INSPECTION RECORD �p
Retain a copy with permit 'Q 0P
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 4 s Rek...7 .......
Type of Inspeio
/AA //
Address:
1312�7eiV.
Date Called:
—�
Special Instructio :
Date Wanted:
(I
cryfile
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
OMMENTS:
Inspector:
X.
k�!/y Date: ,z/ 1/07
LJ $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
r
Receipt No.:
Date:
Untitled Page
•
0
Page 1 of 2
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
E H S 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
12/10/2009