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Home My WebLink AboutPermit EL08-1164 - HART RESIDENCEHART RESIDENCE 13215 40 AV S ELO8-1 164 Parcel No.: Address: Suite No: Citlakf 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 7340600900 13215 40 AV S TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -1164 08/27/2008 02/23/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: HART RESIDENCE 13215 40 AV S , TUKWILA WA HART MADOLIN F 13215 40TH AVE S , TUKWILA WA STEVE KEITHLY 827 S DIRECTOR ST , SEATTLE WA KEITHLY ELECTRIC CO 827 S DIRECTOR ST , SEATTLE WA Contractor License No: KEITHEC 101 BJ Phone: Phone: 206 763 -6875 Phone: 26 723 -3418 Expiration Date: 01/11/2010 DESCRIPTION OF WORK: UPGRADE SERVICE TO 200 AMP AND REWIRE OPEN WALLS Value of Electrical: Type of Fire Protection: $0.00 Fees Collected: National Electrical Code Edition: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and $195.00 2005 Date: tl U1(11'10i ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 pe • ._ :. ce of w• • -'I thoriz t• ign and obtain this electrical permit. Date: F- 7 477 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 -1164 Printed: 08 -27 -2008 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 7340600900 1321540AVSTUI[W HART RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1164 ISSUED 08/27/2008 08/27/2008 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 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: Date: F - --o8 Print Name: 1C11 t ar, rd s E k doc: Cond -Elec EL08 -1164 Printed: 08-27 -2008 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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: 13 )-1.5 'tor" /! V. 5-- Tenant Name: Property Owners Name: Mailing Address: M6J 61-111) H,AR T 3/9 tie King Co Assessor's Tax No.: l "1t0 Ott vV Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: E -Mail Address: City Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: I: I T E if-em Mailing Address: D7 S - D fR&Tio D Sr, Contact Person: S rEYE KJ /r//i t E -Mail Address: Sl' l/Fda/TNtyt:,ltem AGO Contractor Registration Number: fCEfTI/ &LId)BS arr11-4 1149_ 95/oc City /State Zip Day Telephone: L1Q1 703 075 Fax Number: olg 6 76* sk Expiration Date: Valuation of Project (contractor's bid price): $ TIfIE 4 mil-I6i<iRL Scope of Work (please provide detailed information): - R6440 o f6a. ul14J5' () e Rani' W R ✓roc to 000 ,2MP.S . Will service be altered? K Yes ❑ No Adding more than 50 amps? isy Yes , No Type of Use: R F5!t2 WIt Type of work: ❑ New ❑ Addition S Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light HAAppllcat onsWorms- Applications On L n&4 -2007 - Electncal Permit Application doc bh 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) lEls Service change with added/altered circuits $75.00 r}. 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. I 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 TIIE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: S T,E dE k g % Ti71 Mailing Address: O 7 s. Plotro/e $ T. Day Telephone: Sc frI City Date: 01-06 763 state 7-4 075 feeg Date Application Accepted: Date Application Expires: Staff initials: 11 UpphrationsWorms- Applications On IJnet4 -2007 - rlectncal Permit Application doe bh Pagc2of2 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.: 7340600900 Address: 13215 40 AV S TUKW Suite No: Applicant: HART RESIDENCE RECEIPT Permit Number: EL08 -1164 Status: APPROVED Applied Date: 08/27/2008 Issue Date: Receipt No.: 1108 -03061 Initials: JEM User ID: 1165 Payment Amount: $140.00 Payment Date: 08/27/2008 08:34 AM Balance: $0.00 Payee: KEITHLEY ELECTRIC COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11010 140.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 140.00 Total: $140.00 doc: Receiot -06 Printed: 08-27 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI ON 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (Log-11‘,1 PERMIT NO. (206)431 -3670 Project: liT Rts - Type of Inspection: 2 ! OD \ Address: 13215 1104V-5. Date Called: Special Instructions: Date Wanted: lo�r� / m Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: 0 V,. Inspector: :1;;i 664162‘ !Date: , Y /oil 3 /O $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Z INSPECTION RECORD (LOT-10 Retain a copy with permit INSPECTION NO. PiaMrT NO. CITY OF TUKWILA BUILDING DIVISION ,VD`' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: T iZE , Type of Inspection: 7103 Address: i3215 '/0 *K. -S. Date Called: CoVek MA, tiiAto fC Al ?ma. Special Inst uctions: Date Wanted: j (/ a („ p.m. Requester: Phone No: ElApproved per applicable codes. Ei Corrections required prior to approval. COMMENTS: V4- D. ek. - AR, E l p ( W 4/A-5 Cb C-g, iti* CoVek MA, tiiAto fC Al ?ma. - alt. C.4 iJ\ Co 1.10Tt. - scIPLI 0 3¢im2 simdt - ribv6 t4oT To Co i)> f o,IP Inspector: t(1\ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 01/m/A Receipt No.: IDate: �ti INSPECTION NO. INSPECTION RECORD Retain a copy with permit t()8- I I (a PERMIT NO. CITY OF TUKWILA BUILDING DIVISION kt. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Project: 1 Type of Inspection: 1D03/7:0 2 Address: 132 l $ 90a. 5 • Date Called: Special Instructions: Date Wanted: q d a (a.m. PIT, Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: n102' MP ( &sT HksTCA 3C2RucT-j i49D k1MA A+JD CEIUAJ(� I 5eigtitce Inspector: ,i/), 64) !Date: �9 0 /0O El $60.00 REINSPECTION 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 licensed by LW 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 KEITHLY ELECTRIC CO 2067233418 827 S DIRECTOR ST SEATTLE WA 98108 KING CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License KEITHEC339R9 Next License Associated License KEITHDM963DZ Specialty 1 GENERAL Specialty 2 UNUSED 601218771 ACTIVE KEITHEC101 BJ ELECTRICAL CONTRACTOR 1/11/1990 1/11/2010 MASTER ELECTRICIAN INFORMATION License KEITHDM963DZ Name KEITHLY, DANIEL M Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date KEITHLY, DANIEL Impaired Date 01/01/1980 Received Date KEITHLY, ROBERT KEITHE001727 01/01/1980 Until Released Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 KEITHE001727 01/10/1990 Until Released Bond $4,000.00 https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= KEITHEC 101BJ 08/27/2008