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Permit EL11-1068 - DITCH WITCH
DITCH WITCH 12900 48 AV S EL1 1 -1068 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: / /www.TukwilaWA.gov Parcel No.: 0004800005 Address: 12900 48 AV S TUKW Project Name: DITCH WITCH ELECTRICAL PERMIT Permit Number: EL11 -1068 Issue Date: 11/30/2011 Permit Expires On: 05/28/2012 Owner: Name: STRANDER FAMILY L L C II Address: PO BOX 88636 , TUKWILA WA Contact Person: Name: DEAN CAHOON Address: PO BOX 417 , AMBOY WA Contractor: Name: NORTHSIDE ELECTRIC IN Address: PO BOX 417 , AMBOY WA Contractor License No: NORTHEI913DQ Phone: 360 - 901 -5632 Phone: 360- 686 -0800 Expiration Date: DESCRIPTION OF WORK: LIGHTING RETRO OF OUTSIDE WALL PACKS, POLE LIGHTS AND WAREHOUSE LIGHTS Value of Electrical: NRES: $3,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY N GHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: /, Date: I hereby certify that I have read and examin= • this p t 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. $136.50 2008 ( The granting constructs Signatur Print Name: does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating k. I am authorized to sign and obtain this electrical permit. Date: )f—O—I 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 -4/10 EL11 -1068 Printed: 11 -30 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -1068 * *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 -4/10 EL11 -1068 Printed: 11 -30 -2011 CITY OF TUKWIi Community Developmt .9epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:Pwww.Tukw ilaWA.gov 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 Address: 7-700 QO -/ 41 41/E ,J1- k Tenant Name: PR( *1 Name: Address: Ir.bl.'' City: State: Zip: Valuation of Project (contractor's bid price): $ 3vt9t.) King Co Assessor's Tax No.: Suite Number: ii 1 Floor: New Tenant: Yes ❑ .. No Company Name: 11 6ktt ri ,C , Name: 6L A. 4 I _ _ ^ l City: N „' ^ State: Zip: 1& Q I (19,0/ Address: I 60 w1 7 Contr Reg No.: Exp Date: NIoul, "°113 n� 3-1k_ 203 City: ( 6 4 Stater Zip: %60 i Phone:---36 0 40/_ 502. Fax: 36o 62,6_64 a0 Email:./ ac9 ^ x',94, WIJn. • 4„, Valuation of Project (contractor's bid price): $ 3vt9t.) King Co Assessor's Tax No.: Suite Number: ii 1 Floor: New Tenant: Yes ❑ .. No Scope of Work (please provide detailed information): L./ 114My pok Gil hfs ■f- L{1L?'•.-12- 1 J y La [o )/a (91/4 > 1 k_ vt,No [ I Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ .Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11 .docx Revised. August 2011 bh ►1 ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 Company Name: 11 6ktt ri ,C , Address: e 0;01,_ 14( 7 City: N „' ^ State: Zip: 1& Q I (19,0/ Phone: ?/ _��tlll ll 36 32 Fax: 360 .•:6,cgdo Contr Reg No.: Exp Date: NIoul, "°113 n� 3-1k_ 203 Tukwila Business License No.; Scope of Work (please provide detailed information): L./ 114My pok Gil hfs ■f- L{1L?'•.-12- 1 J y La [o )/a (91/4 > 1 k_ vt,No [ I Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ .Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11 .docx Revised. August 2011 bh ►1 ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 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 ❑ 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 PE A��T^IyONi}}NO' ASS 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 AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW ` ' O ELECTRICAL CONTRACTOR: Sign•s�� f Print Name: tam 5 6,[4,6\ Mailing Address: P•e 1 so f "P 7 H:1Applications\Forms- Applications On Line1201 I Applications\Electrical Permit Application Revised 8.9- 11.docx Revised: August 2011 bh Day Telephone: AnA\ON City Date: //— 3o r /1 `36cD qo/ -5632 tAA g601 State Zip Page 2 of 2 0 0 1"--- w City of Tukwila yDepartment of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.Qov Parcel No.: 0004800005 Address: 12900 48 AV S TUKW Suite No: Applicant: DITCH WITCH RECEIPT Permit Number: EL11 -1068 Status: PENDING Applied Date: 11/30/2011 Issue Date: Receipt No.: R11 -02590 Payment Amount: $136.50 Initials: TLS Payment Date: 11/30/2011 01:54 PM User ID: 1670 Balance: $0.00 Payee: DEAN CAHOON NORTHSIDE ELECT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 318547 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 11 -30 -2011 s. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 1z- 8 (206) 431 -36 Project: 1—C14. Type of Inspection: Address: 12100 tot g 4. Date Called: Special Instructions: Date Wanted:. dr_m_n.(V Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: de*te-ormis YKDE Inspector: Date: a t LI REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. F {r: 3 INSPECTION RECORD J / Retain a copy with permit f INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: Drr• (..t4 tAiliCA Type of Inspection: 2,00 (i)1146,f ‘001e4 65k GtZov•lfl,S +Ai Address: AV- ai; 9oo 7 Date Called: d J ..� 411 S Special Instructions: 6(11.4f1V i I Wb 1 Date Wanted:. d� m: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. - COMMENTS: (i)1146,f ‘001e4 65k GtZov•lfl,S +Ai — R o'l/ d J ..� 411 S (.r^ _ t c S To 1 , x-ry f / � Inspector: `r J 11 Date: ®t�v� I� t REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit /00 ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 :�, (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: � pi r c . r ujt G+ Type of Inspection: 4Z /©o FoRi fr IftcTi od Address: a (j(J ° If 41/. Date Called: .-r Special Instru ions: Date Wanted:. /1 a ap.m: Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. ' COMMENTS: ?Oh< P61of Acal5 lb 0/4m FoRi fr IftcTi od -- P&1 of E ooA t FL.9 A-i Sc- 4r Ste# atib (44oPy Inspector: L1/16044t1 . REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: /Z i i I - 6. INSPECTION RECORD Retain a copy with permit "1O PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 • Permit Inspection Request Line (206) 431 -2451 INSPECTION NO. Project: D 141 rcti �'1 Type of Inspection: , . So4'T .II?0 ZOO Address: id Date Called: Special Instruc ions: i • Date Wanted:. / m.. p. Requester: Phone No: EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: . • • 411* Lis'Slr4 C 'Aro ofsi Pot, ug,t ` v4/00A. P , mr40 JcJo . , . So4'T .II?0 ' A Dior t T - sikttpt PCc 5 To L110-113 i 1444t 1 e4r1 IT RAJ 61* Inspector: i Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter 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 NORTHSIDE ELECTRIC INC 3609015632 Po Box 417 Amboy WA 98601 Clark Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602303591 Active NORTHEI913DQ Electrical Contractor 3/18/2009 3/18/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHEI973M2 NORTHSIDE ELECTRIC INC Electrical Contractor General Unused 7/14/2003 7/25/2009 Out Of Business Electrical Administrator INFORMATION License CAHOODJ011CF Name CAHOON, DEAN J Status Active Business Owner Information Name Role Effective Date Expiration Date CAHOON, DEAN Agent 03/18/2009 12/20/2010 CAHOON, DEAN J President 03/18/2009 $250.00 CAHOON, HEIDI Vice President 03/18/2009 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 DEVELOPERS SURETY & INDEM CO 359007C 03/18/2009 Until Cancelled $4,000.00 03/18/2009 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 EUPTG00469 12/20/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 11/30/2011