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HomeMy WebLinkAboutPermit EL11-0559 - KIEHLBAUCH RESIDENCEKIEHLBAUCH RESIDENCE 15630 47 AV S EL1 1 -0559 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: / /wwwci.tukwila.wa.us 8108600802 15630 47 AV S TUKW KIEHLBAUCH RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0559 06/24/2011 12/21/2011 Owner: Name: KIEHLBAUCH JOSEPH A +MARILYN Address: 15630 47TH AVE S , TUKWILA WA 98188 Contact Person: Name: JIM ELLISON Phone: 206 - 853 -1049 Address: 4110 19 AV SW , SEATTLE WA 98106 Contractor: Name: ELLISON ELECTRIC LLC Address: 12924 199 DR SE , MONROE WA 98272 Contractor License No: ELLISEL908DZ Phone: 206 - 853 -1049 Expiration Date: 03/10/2012 DESCRIPTION OF WORK: REPAIR CUT ROMEX BY KITCHEN SINK, RUN DEDICATED 20 AMP COMPUTER CIRCUIT. ALSO RUN 2 EACH CATS / 1 CABLE Value of Electrical Work: NRES: $0.00 RES: $750.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $54.60 National Electrical Code Edition: 2008 Date: 6- >4-1 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 thEp rforman of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this pe Signature: Print NartCe: /(/_ 'LG ( S&4/ Date: 6— ? Y zu // 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 EL1 1-0559 Printed: 06 -24 -2011 o • PERMIT CONDITIONS Permit No. EL11 -0559 * *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 -0559 Printed: 06 -24 -2011 CITY OF TUKWIIII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. al -- 0 SS/ 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: / Sf -'U 7 ' [ 7LL 41)&-- ' Suite Number: ZSco%%, &&k -h4-dc Li Tenant Name: Property Owners Name: - 45- 4 goo 06o—d go z Floor: New Tenant: ❑ Yes [�. No Mailing Address: / S4 3 G City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: ("Ii `L LL /S 04/ Mailing Address: 477/6 /9 4 i/k: S cc) se?- E -Mail Address: 1--741- et //1.,4 T./AA- <-9 (.& 40 < < CoAn Day Telephone: 70 (p — Fs 3'- /4 V 4)4- %i?"/ u 4 City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: ' LC/ S'oX/ Ltecqic /46- , WO /114 47/C seJ F' Contact Person: V //_(k �ZGL /SUS E -Mail Address: /' 4)//te // g-744 S9 (41(x. C'0XA Contractor Registration Number: C /fX q00/02 // . 9S /OCP City State Zip Day Telephone: 6 Fcg-?— /05/9 Fax Number: Expiration Date: 3---/6 "' Zo / Z Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): gtd4,oi/t CU i //,GktC-y ,'Y ,L ;le �t--, S /'i�' /�u�t /(/ e / i /)-Cf /t,C/e .91-cf,4 �a' S/ / C�3L t 7Sv Will service be altered? ❑ Yes [krNo Adding more than 50 amps? ❑ Yes [� Type of Use: Type of work: / ❑ New ❑ Addition ❑ Service Change 1::A4emodel ❑ Tenant Improvement o` ge ❑ Generator ❑ Fire Alarm [Telecommunication ❑ Temporary Service Property Served by: ( ❑ Puget Sound Energy o ❑ Seattle City Light \Applications\Porms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 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 "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 home 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. I 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 1 AM AUTI- IORIZED TO APPLY FOR THIS PERMIT. BUILDING 1 R OR ELECTRICAL CONTRACTOR: Signatu Print :!me: (S (//E'S C - raisuk1' ailing Address: (W /0 /!K ,2 - s &) Day Telephone: Date: -2V Ou// City State Zip Date Application Accepted: Date Application Expires: Staff Initials: 1.1:1Applications\Forms- Applications On Line12010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 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.TukwilaWA.gov Parcel No.: 8108600802 Address: 15630 47 AV S TUKW Suite No: Applicant: KIEHLBAUCH RESIDENCE RECEIPT Permit Number: EL11 -0559 Status: PENDING Applied Date: 06/24/2011 Issue Date: Receipt No.: R11 -01299 Payment Amount: $54.60 Initials: WER Payment Date: 06/24/2011 09:30 AM User ID: 1655 Balance: $0.00 Payee: ELLISON ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 012928 ACCOUNT ITEM LIST: Description 54.60 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 54.60 Total: $54.60 doc: Receiot -06 Printed: 06 -24 -2011 r INSPECTION NO. INSPECTION-RECORD Retain a copy with permit 6u[o55 MIT NO. CITY OF TUKWILA BUILDING DIVISION .6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: Date Called: Special Instructions: • iilw . , p 11 tj E (� �J T� Date Wanted:. //II 6" p.m. Requester: Phone No: • proved per applicable codes. Corrections required prior to approval. 'tOMMENTS: pikt'cr 45 tlivL>( Inspector: Date: off ft /It., ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. r. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 vy (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Eul -oss1 Project: Type of Inspection: �/� Address: ' I :i tD Date Called Special Instructions: Date Wanted:. a.m. Requester: i to R0.4-- o-c• Phone No: Appioved per applicable codes. Corrections required prior to approval. COMMENTS: - _• 1 4<. (W R 1 eJC`10. Ca A (0/' �P'rAG�..t �- i to R0.4-- o-c• To 6g tetsi-64) uJ n sr - I • rtititt. 94(.40- sco-ova. i IAiD i eo N" ei4w(r. - . . - .--,A, i_ , .. ..„ Inspector: 'Date: 24 it ri REINSPECTION EE REQUIRED. prior to next inspection. fee must be paid at 4300 Southcenter Blvd., Suite 100. Call to schedule reinspection. RC. —.,. 's a ry _- • INSPECTION RECORD • Retain a copy with permit i INSPECTION NO. al -DiT • P RMIT NO: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 , (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Kfleolosorkt1 kie5 Type of Inspection: 703 Address: 15-430 47 Date Called: Special Instructions: [� i ( e-4101**' 1 /t tOIk Date Wanted: 6 7, a p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Min corerS\ L/M,,s wry 5d t f Inspector: Date: / n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • City of Tukwila 1 Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JIM ELLISON 411019 AV SW SEATTLE WA 98106 RE: Permit No. EL11 -0559 KIEHLBAUCH RESIDENCE 15630 47 AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/24/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/24/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Bill Rambo Permit Technician File: Permit File No. ELI 1-0559 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Peer Friendly Page Electrical Contractor A business licensed by LW 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 ELLISON ELECTRIC LLC 2068531049 12924 199Th Dr Se Monroe WA 982728796 Snohomish Limited Liability Partnership UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602410514 Active ELLISEL908DZ Electrical Contractor 3/10/2010 3/10/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ELLISEL965MW ELLISON ELECTRIC LLC Electrical Contractor Residential Unused 7/16/2004 7/21/2010 Re Licensed Master Electrician INFORMATION License ELLISJC91608 Name ELLISON, JAMES CURTIS Status Active Business Owner Information Name Role Effective Date Expiration Date ELLISON, JAMES C Partner /Member 03/10/2010 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 1 American Contractors Indem CO 100103449 11/05/2009 Until Cancelled $4,000.00 03/09/2010 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 06/24/2011