HomeMy WebLinkAboutPermit EL11-0001 - NISTOR RESIDENCENISTOR RESIDENCE
11828 44 AV S
EL1 1 -0001
Parcel No.:
Address:
Tenant Name:
City 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
3347401000
11828 44 AV S TUKW
NISTOR RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0001
Issue Date: 01/03/2011
Permit Expires On: 07/02/2011
Owner:
Name: CASON PAMELA
Address: 9226 NE 148TH CT #K102 , BOTHELL WA 98011
Contact Person:
Name: TODD BJORKLUND Phone: 206 - 937 -3654
Address: 919 SW 150 ST - STE 1 , BURIEN WA 98166
Contractor:
Name: C & R ELECTRIC INC.
Address: 919 SW 150 ST , SEATTLE WA 98166
Contractor License No: CRELEI *415DW
Phone: 206 937 -3654
Expiration Date: 03/31/2012
DESCRIPTION OF WORK:
100 AMP PANEL CHANGE & REWIRE KNOB & TUBE CIRCUITS
Value of Electrical Work: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $152.85
National Electrical Code Edition: 2008
Date: 1 3� I (l
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 performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature of ��� / Date: d3 / /
Print Name: <iCt d l� �J or k L ( -_(°
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 -9/09
EL11 -0001 Printed: 01 -03 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0001
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL11-0001 Printed: 01 -03 -2011
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. t L 4 4 000 l
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
Site Address:
l%r r `/y /elv-c
King Co Assessor's Tax No.: 331{7 4L2 �Oi2V
Tenant Name:
Suite Number:
Property Owners Name: C OS vn .�c.c, /rr+ S'e •r
Mailing Address: 6,0o. AIE 63 fz--4
New Tenant:
Floor:
❑ Yes ❑..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: l t5 c3
Mailing Address: 9/9 5 t- /S7)1'15_5'6,, S?c%ti
E -Mail Address: +Od r e lecfnz • n-J
Day Telephone: dle, -937- 3 G 5V/
/541 rte . U/,F} R /l/(o
City State Zip
Fax Number: - 93,)- - f5-3J
ELECTRICAL CONTRACTOR INFORMATION
Company Name: C 4 R
Mailing Address: 919 SO /SV -.13 St S-ie A
Contact Person:
ic)ci4
E -Mail Address: -Focil be ere c'ff' • C net
Contractor Registration Number: C Z& 1 G .T
f;e
City
State Zip
Day Telephone: 43C/Z. - 3 7- 36 sY
Fax Number: dello. - 9 2.1- es-3
Expiration Date: 3 /311 do I�
Uo
Valuation of Project (contractor's bid price): $ £ 1?-901 .
Scope of Work (please provide detailed information):
/ o v ,. , paw., J
Will service be altered? ❑ Yes IX No Adding more than 50 amps? ❑ Yes ®, No
e
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served bv:
❑ Puget Sound Energy
Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
Pi Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile hone service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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 HAVE 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:
Print Name:
/6.8J
Mailing Address:9/ 9 S 54r A-
r
Date: d3/1
Day Telephone: 2 'Z 9 37- 36, cY
/34ef ft.4".
City
A✓4— P/- // L
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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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: ht4x//www.ci.tukwila.wa.us
Parcel No.: 3347401000
Address: 11828 44 AV S TUKW
Suite No:
Applicant: NISTOR RESIDENCE
RECEIPT
Permit Number: EL11 -0001
Status: PENDING
Applied Date: 01/03/2011
Issue Date:
Receipt No.: R11 -00001 Payment Amount: $152.85
Initials: WER Payment Date: 01/03/2011 10:29 AM
User ID: 1655 Balance: $0.00
Payee: C & R ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 31540 152.85
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 152.85
Total: $152.85
doc: Receiot -06 Printed: 01 -03 -2011
INSPEQTION NO.
INSPECTION RECORD
Retain a copy with permit
euk000i
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 �-
Project:
Al
Type of Inspection:
poo
.
Address: 070 ilv4ii.
Date Called:
Special Instructions:
Date Wanted:
07
a:m
Requester:
Phone No:
•
Approved per applicable codes. Corrections required prior to approval r
Date: Di
COMMENTS:
eo r t 0 4 5 I t
/27/11
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO PERMIT NO
CITY OF TUKWILA BUILDING DIVISION -
4 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206Y13670
Permit Inspection Request Line (206) 431 -2451
Project: (5
Type of Inspection: p _ `
Address: i
Date Called:
Special Instructions :'
Date Wanted:
• j
Requester:
Phone No:
. ID Approved per applicable codes.
€3.r.
Corrections - required prior to approval.
COMMENTS:
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646vokll) 6usL,.J
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Inspector:
Date: 0,1,4A!
ityjREINSPECTION FEE REQUIRED. Prior to next. inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
y
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a+ copy with permit
tan- D
PERMIT NO.
47-
•
(206)431 -3670
Project: n
N, 5-70A. ,yc .'3
Type of Inspection:
a I d o
Address:
/m 2 Wr- ',./f4,
S
Date Called:
--1 ./..011-ii
Special Instructions:
Date Wanted:
J ',V /I/
a.m.
p.m.
Requester:
Phone No:
EIApproved per applicable codes.
Corrections required prior to approval. ,
COMMENTS:
�j�%Si�d @7 /J.✓ /94'671A -eel\
,.ee 42t5 IC/jr-3 170
6Seh
Inspector:
-nn", sdra
Date:
i asp i/
17$60.00 ' INSPECTION 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
INSPECTION NO PERMIT NO3
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 •
E�II =�uul
Project: f � �R
Type of Inspection:
61 a°
Address: J �Q If / A�
f�
Date Called:
Special Instructions:
Date Wanted:
r�
a:m.
Requester:
Phone No:
• • EI Approved per applicable codes.
Corrections required prior to approval: 7
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rAhRe - 41465444 -sy6404(
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4rI(
Inspecto r: r tIte, � 1t�
n REINSPECTION FEE REQUIRED. Prior to next inspection: fee must be
• paid at 6300 Southcenter Blvd:. Suite 100. Call to schedule reinspection:
Contractors or Tradespeople Prr er Friendly Page
•
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
C & R ELECTRIC INC
2069373654
919 Sw 150Th St #A
Burien
WA
98166
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600316021
Active
CRELEI'415DW
Electrical Contractor
3/16/1959
3/31/2012
General
Unused
Master Electrician INFORMATION
License GARTIW'973OW
Name GARTIN, WAYNE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GARTIN, CECIL W
Cancel Date
01/01/1980
Bond Amount Received Date
GARTIN, MARC S
CBIC
01/01/1980
05/29/1986
GARTIN, REVA M
8/28/2009
01/01/1980
$4,000.0005/29/1986
HECKER & FIELBERG PS
Agent
01/26/1979
9/26/2008
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount Received Date
2
CBIC
618511
05/29/1986
Until Cancelled
8/28/2009
19.28.101 RCW
$4,000.0005/29/1986
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EJONV00753
7/2/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EULMD00333
8/28/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EKNUM00210
9/26/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
S250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 01/03/2011