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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 bh 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 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: 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: r gotsii) weritt, 'mac in! Avmc_ uSr►+ 646vokll) 6usL,.J r • 144164" A= 5 rAMAke P ) �3 14,96er thi DI k0 , a4 Rita > ec Wine ei iNi Cthiek. Decr- AveT eltrAis .� tap c tferkilioix (Ai rat tie1/40t/9 t 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 R . -'% in - C004 R.cl*. ucze �/ Maur" gi(ewiktp les tte r of 5144 rAhRe - 41465444 -sy6404( Cam.- u/ t Gov 10t AraseS5 76 uharA 616J4bmI4 Cothgcria 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