HomeMy WebLinkAboutPermit EL11-0407 - FIRST SAVINGS BANK NW - HOUSEFIRST SAVINGS BANK
NW -HOUSE
3415 S 140 ST
EL1 1 -0407
Parcel No.:
Address:
Tenant Name:
CityOf 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
ELECTRICAL PERMIT
1523049311
3415 S 140 ST TUKW
FIRST SAVINGS BANK NW - HOUSE
Permit Number: EL11 -0407
Issue Date: 05 /10/2011
Permit Expires On: 11/06/2011
Owner:
Name: FIRST SAVINGS BANK NORTHWES
Address: 201 WELLS AVE S , RENTON WA 98055
Contact Person:
Name: TODD BJORKLUND Phone: 206 937 -3654
Address: 919 SW 150 ST, STE A , 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:
REPAIR ELECTRICAL CORRECTIONS LEFT BY INSPECTOR FOR WORK DONE UNDER DIFFERENT
PERMITS (SEE PERMITS ). SCOPE OF WORK INCLUDES ADDING (2) OUTLETS IN KITCHEN
ISLAND, REPLACING BREAKERS IN PANEL, AND REPAIRING SWITCHES THAT DO NOT WORK.
Value of Electrical Work: NRES:
$0.00 Fees Collected:
RES: $0.00
Type of Fire Protection: SMOKE DETECTORS
Electrical Service Provided by:
SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read an <
governing this work will be compli
ex
d wit
$54.60
National Electrical Code Edition: 2008
Date: MI t 0([
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not • es e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of wo am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature: `?o " '•
Print Name: D ( ,,i0 /-< L- '---cl
Date: ,s---/,04,
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 -0407 Printed: 05 -10 -2011
• e
PERMIT CONDITIONS
Permit No. EL 11 -0407
* *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 -0407 Printed: 05 -10 -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.
Project No.
&U\— ■ otto`I
tt—ox)
(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: 3415 S 140TH ST
King Co Assessor's Tax No.:
Suite Number:
Tenant Name: NV 67A V 1Nk( 0)/) )V-
Property Owners Name:
Mailing Address:
City
12-1201-i --4k 311
Floor:
New Tenant:
❑ Yes ❑ ..No
State
Zip
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:
Mailing Address:
C & R ELECTRIC, INC
919 SW 150TH ST., STE A
BURIEN WA 98166
Contact Person: C & R ELECTRIC, INC
E -Mail Address:
toddb @crelectric.net
Contractor Registration Number: CRELEI *415DW
City State
Day Telephone: (206) 937 -3654
Fax Number: (206) 932 -8538
Zip
Expiration Date: 03/31/2012
Valuation of Project (contractor's bid price): $ 1,055
Scope of Work (please provide detailed information): Repair electrical corrections left by inspector for work done under
a different permit. (Add 2 outlets in kitchen island, replace breakers in panel, repair switches that don't work).
Will service be altered? ❑ Yes
Type of Use: Residential
t: `cal
o1P
m No Adding more than 50 amps? ❑ Yes
m No
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
m Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010- Electrical Permit Appiication.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)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
m 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 bane service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
IDate Application Accepted:
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: / b cid Jo-, IL-'
Mailing Address: 9/ 9 Si—) /SD 4 S4-. S)
Date:
Day Telephone: c2ti , 93 7— 3 y
City
4z4
State
Zip
Date Application Expires:
Staff Initials: I-
//1/''
H:\Applications \Forms - Applications On Line\2010 Applications \7-2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Parcel No.:
Address:
Suite No:
Applicant:
City ofTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http:/lwww.ci.tulcwila.wa.us
1523049311
3415 S 140 ST TUKW
FIRST SAVINGS BANK NW - HOUSE
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL11 -0407
ISSUED
05/10/2011
05/10/2011
Receipt No.: R11 -00935
Initials:
User ID:
Payee:
JEM
1165
Payment Amount:
Payment Date:
Balance:
$54.60
05 /10/2011 08:44 AM
$0.00
TODD BJORKLUND
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02567B
ACCOUNT ITEM LIST:
Description
54.60
Account Code
Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00
Total: $54.60
54.60
rinn• Dnnnin� !1R Dri n4nd• AR 1 !1 1/111
INSPECTION NO.
INSPECTION RECORD 4'0Vo7
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 14-
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project: " s ', Js 4,f
Type of Inspection:
Gov
Address: 3Y/ C 5 .' 'Y0 5i
Date Called:
Special Instructions:
Date Wanted:
r j
f
e:,
Phone No:
pr,1 Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
w
Inspector:
Date:
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 .—a0
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 12'-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project v541 0 ���•
�, � N++
Type of Inspection:
2/
Address:
-
Date Called:
Sp( cial Instructions:
Date Wanted:
//20
Ca;:rtlPm:
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
Aa64-61 FIAM R,i9
Inspector:
Date:
• .1
•
•
•
•
`•1
•
•
•
•
•
ri "—I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be '
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection2y :• :.: •
•
Contractors or Tradespeople Peer Friendly Page
1
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 C Et R ELECTRIC INC UBI No. 600316021
Phone 2069373654 Status Active
Address 919 Sw 150Th St #A License No. CRELEI'415DW
Suite /Apt. License Type Electrical Contractor
City Burien Effective Date 3/16/1959
State WA Expiration Date 3/31/2012
Zip 98166 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License GARTIW *9730W
Name GARTIN, WAYNE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GARTIN, CECIL W
Violation Amount
01/01/1980
7/2/2008
GARTIN, MARC 5
ELECTRICAL CITATION
01/01/1980
$250.00
GARTIN, REVA M
8/28/2009
01/01/1980
ELECTRICAL CITATION
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
$4,000.00
05/29/1986
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
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 05/10/2011