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
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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
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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: 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
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rtititt. 94(.40- sco-ova. i
IAiD i
eo N" ei4w(r.
- . .
-
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,
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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