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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