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HomeMy WebLinkAboutPermit EL08-0041 - ELBRECHT RESIDENCEELBRECHT RESIDENCE 15621 44 AV S ELO8-04 1 Citylif 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.: 8108600145 Address: 15621 44 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -041 Issue Date: 01/11/2008 Permit Expires On: 07/09/2008 Tenant: Name: ELBRECHT RESIDENCE Address: 15621 44 AV S , TUKWILA WA Owner: Name: ELBRECHT SCOTT Address: 15621 44TH AVE S , TUKWILA WA Contact Person: Name: DEBBIE BUNTTING Address: 13359 NE 16 ST , BELLEVUE WA Contractor: Name: LANDER ELECTRIC SERVICE LLC Address: 13359 NE 16 ST , BELLEVUE WA Contractor License No: LANDEES991BC Phone: Phone: 425 - 562 -1771 Phone: 425 - 562 -1771 Expiration Date: 01/03/2009 DESCRIPTION OF WORK: REPLACE 125 AMP PANEL Value of Electrical: $2,500.00 Fees Collected: $75.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 1- l t - o g I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perf. r$',i ante of work. I am authorized to sign and obtain this electrical permit. Signature: / Date: s-7//7- L Print Name: /A 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 EL08 -041 Printed: 01 -11 -2008 Parcel No.: 8108600145 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 15621 44 AV S TUKW ELBRECHT RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -041 ISSUED 01/11/2008 01/11/2008 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 WAG. 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 m 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. Date: /« doc: Cond -Elec EL08 -041 Printed: 01 -11 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htthe/ /wives. ci. tukwlla. wa. us Electrical Permit No. Lo 9- Q Li I 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 45 622. i 414 Y5- A-0-e_ S_ King Co Assessor's Tax No.: id 0100 14 Site Address: c ,a,14 D— 04 G Suite Number: Floor: Tenant Name: New Tenant: ❑ Yes ❑..No Zip Property Owners Name: ..S-0.0÷1- &r' (`i - Mailing Address: S 7L City LL State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City E -Mail Address: Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: LO na,-/-Lir -CM - Sad o e-'. ay Lt-1 -j C Mailing Address: 1 3cq �L- 1 t // 0 41-S/ vJA-- C l City State Zip Contact Person: iL_ Day Telephone: 42 S 5CA' 2 / 7 7 / E -Mail Address: • Fax Number: 2/,`-S go z 206 Co Contractor Registration Number: 14-rli S C l /3C-, Expiration Date: 7- 7 Valuation of Project (contractor's bid price): $ .2-JUJ Scope of Work (please provide detailed information): UULi I L� Will service be altered'? ❑ Yes 12 No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Additionrvice Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro a rved b : Puget Sound Energy ❑ Seattle City Light li `•Appbcaunns■Fmms- Applicahnns On L n 4 -21417 - Ileclncal Permit Appl¢annn dnc nn 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 ESIDENTIAI, REMODEL AND SERVICE CIIAN ail 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 ca ❑ 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 garagc 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 he 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 I3uilding 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 HER1:13Y CERTIFY TIIAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 13E TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF '111E STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Debb-(dituttb* D(0,816 att-1- , Mailing Address: 13 ?'i )&_7 1 Date Application Accepted: Date: 1 -1 U- D 0 Day Telephone: f 5 p)• / 7 7 / City State Zip Date Application Expires: StafTlnitials: II Apphrahoms'Forms- Apphcamons On I.1ne14-2017 - Electrical Permit Application dnc hh Page 2 of 2 1 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.: 8108600145 Address: 15621 44 AV S TUKW Suite No: Applicant: ELBRECHT RESIDENCE RECEIPT Permit Number: EL08 -041 Status: PENDING Applied Date: 01/11/2008 Issue Date: Receipt No.: R08 -00095 Payment Amount: $75.00 Initials: WER Payment Date: 01/11/2008 08:55 AM User ID: 1655 Balance: $0.00 Payee: LANDER ELECTRIC SERVICE TRANSACTION LIST: Type Method Description Amount Payment Check 3346 75.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 75.00 Total: $75.00 7138 01/11 4710 TOTAL 75.00 doc: Receiot -06 Printed: 01 -11 -2008 INSPECTION RECORD Retain a copy with permit (LC - C PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1J1 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36'0 IN ECTION NO. Pr ect: i /2fc T u S Type of Inspection: 70-6 2 Address: tS4 2,/— VII !At Date Called: Special Instructions: Date Wanted: j .21/5' a.m p Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. OMMENTS: Ins p r G r i v /i171a Date i A r D $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electricf or Plumber License Detail Washington State Department of Labor and Industries 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. License Information License LANDEES991BC Licensee Name LANDER ELECTRIC SERVICE LLC Licensee Type ELECTRICAL CONTRACTOR UBI 602087340 Ind. Ins. Account Id PARTNER/MEMBER Business Type LIMITED LIABILITY COMPANY Address 1 13359 NE 16TH ST Address 2 City BELLEVUE County KING State WA Zip 98005 Phone 4255621771 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/3/2001 Expiration Date 1/3/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License JESSEJE970MA Master Electrician Information License JESSEJE970MA Name JESSEN, JAMES E Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date WKG INC AGENT 01/01/1980 JESSEN, JEFFREY PARTNER/MEMBER 01/01/1980 JESSEN, JAMES PARTNER/MEMBER 01/01/1980 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= LANDEES991BC 01/11/2008