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Home My WebLink AboutPermit EL08-0851 - DONALDSON RESIDENCEDONALDSON RESIDIFNCE 13216 34 AV S ELO8-85 1 CitAf 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.: 7358600040 Address: 13216 34 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -851 Issue Date: 06/26/2008 Permit Expires On: 12/23/2008 Tenant: Name: DONALDSON RESIDENCE Address: 13216 34 AV S , TUKWILA WA Owner: Name: DONALDSON MR +MRS Phone: Address: 13216 34TH AVE S , TUKVVILA WA Contact Person: Name: KEN HOLSTAD Phone: 206 - 510 -3945 Address: 21715 W LOST LAKE RD , SNOHOMISH WA Contractor: Name: GATEWOOD ELECTRIC INC Phone: 206 - 526 -0471 Address: 21715 W LOST LAKE RD , SNOHOMISH WA Contractor License No: GATEWEI055DM Expiration Date: 05/14/2009 DESCRIPTION OF WORK: NEW 200A SERVICE, ONE 40A BRANCH CIRCUIT AND ONE 60A BRANCH CIRCUIT. Value of Electrical: $0.00 Fees Collected: $95.00 Type of Fire Protection: NONE National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: (I- (ill —.t=) 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 p orm. • e . w.rk. I am authorized to sign and obtain this electrical permit. Signature: ior �� r Date: d /at/6 g Print Name: k'' I /Q S! 4,D , ,DA e P f 1),N 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 -851 Printed: 06-26 -2008 Parcel No.: 7358600040 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 1321634AVSTUKW DONALDSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -851 ISSUED 06/25/2008 06/26/2008 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: 02 Print Name: Well Wei c. S rI+,t (PRe s C O-Q-1 r doc: Cond -Elec EL08 -851 Printed: 06-26 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us Electrical Permit No. W b 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: / .5 `( Ave Co Suite Number: Floor: Tenant Name: ->QMgS ri/- A v PriAt A g 1)5 (21 i1/4i New Tenant: ❑ Yes ❑..No Property Owners Name: U j% Mailing Address: 1 302 /t, 3,-/ r A /% ✓G So City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: let= fi 0 t-3 TA Day Telephone: a d 6 CI 0 11 L Mailing Address: E -Mail Address: City Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: of re w o do EL e c-r/ c L Al C a./ 715 ktl L os r tLA rK e 1Q c7 KF kki f%LST4A Siva Horhr s ri [,c1 9S,19 6 City State Zip Day Telephone: -oL 5 /0 54 s Fax Number: Expiration Date: E -Mail Address: KeAI. )4.c L.574 n L 1,04 t L e Contractor Registration Number: G /Q T E. W ET b SS D M Valuation of Project (contractor's bid price): $ 251 5-0 Scope of Work (please provide detailed information): (ale ul 25bA- Se R VI c E. 4,/eyx 6RtNcF-/ C Cu /T d -0.A/E 60 /4 ,RNcra C/Rcu.it Will service be altered? [ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition � Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H \Applications \Forms - Applications On Line \4 -2007 - Electrical 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) I, 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 1 RAVE 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: r Print Name: �F —M NaLS TA- D / PR P.5. p -e1Q7 Mailing Address: ki% /asr is 64Ke /4 4D Date Application Accepted: Date: qa sic) 6 Day Telephone: a O G 5-10 3 Q y nhldhlOrti5 r-i City Vi 4 y ya-T L State Zip Date Application Expires: Staff Initials: H `ApplicauonslFomu- Applications On Lane'A•2007 • Electncal Pernat 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.: 7358600040 Address: 13216 34 AV S TUKW Suite No: Applicant: DONALDSON RESIDENCE RECEIPT Permit Number: EL08 -851 Status: APPROVED Applied Date: 06/25/2008 Issue Date: Receipt No.: R08 -02307 Payment Amount: $95.00 Initials: BLS Payment Date: 06/26/2008 08:29 AM User ID: ADMIN Balance: $0.00 Payee: GATEWOOD ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6178 95.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 95.00 Total: $95.00 4153 06/26 0711 TOTAL 95.00 doc: Receiot -06 Printed: 06-26 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (Co ''-g sf PERMIT NO. (206)431 -3670 Project 01 / !� �l rKA Type of Inspection: Date Called: /00�[Zi Address: r32l( 34 of • $ • Special Instructions: A Date Wanted: OZ.- a.m. p:m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 5001LE r c .K. Inspector: (Date: of Joi Oct ❑ $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: Look Up a Contractor, Electrician or Plumber License Detail 411 III 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 GATEWEI055DM Licensee Name GATEWOOD ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 601587309 Ind. Ins. Account Id Business Type CORPORATION Address 1 21715 W LOST LAKE RD Address 2 City SNOHOMISH County SNOHOMISH State WA Zip 98296 Phone 2065260471 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/14/1995 Expiration Date 5/14/2009 Suspend Date Separation Date Parent Company Previous License GATEWEC077RB Next License Associated License HOLSTKH958KS Master Electrician Information License HOLSTKH958KS Name HOLSTAD, KENNETH H Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date HOLSTAD, KENNETH H 01/01/1980 MILLER, BONNIE J 01/01/1980 HOLSTAD, KENNETH H AGENT 01/01/1980 Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= GATEWEI055DM 06/25/2008