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Home My WebLink AboutPermit EL12-0112 - DOAK HOMESDOAK HOMES 5021 S 122 IN EL12-01 12 City oikukwila 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.: 0179001864 Address: 5021 S 122 LN TUKW Project Name: DOAK HOMES ELECTRICAL PERMIT Permit Number: EL12 -0112 Issue Date: 02/08/2012 Permit Expires On: 08/06/2012 Owner: Name: DOAK HOMES INC Address: 11812 26TH AVE SW , BURIEN WA Contact Person: Name: JAY ROSANDER Phone: 425 - 282 -4971 Address: 16806 113 LN SE , RENTON WA Contractor: Name: CUSTOM ELECTRICAL SERVICESLLC Address: 16806 113 LN SE , RENTON WA Contractor License No: CUSTOES893J2 Phone: 425 - 780 -1537 Expiration Date: 04/22/2013 DESCRIPTION OF WORK: TEMPORARY POWER POLE Value of Electrical: NRES: $0.00 RES: $75.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $63.00 2008 fi■^ Date: U 2 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 pe do =. resume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio ��'�=- • • rm. e • ork. I am authorized to sign and obtain this electrical permit. Signature: �i'►� Date: Z 1 Print Name: S-N 0 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 EL12 -0112 Printed: 02 -08 -2012 1111 PERMIT CONDITIONS Permit No. EL12-01 12 * *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 EL12 -0112 Printed: 02 -08 -2012 CITY OF TUKWIei Community Developm epartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov L..1, 0 I 1 Electrical Pe t No. 1)- _ 2 - Project No Date A AccePtP • Date (Foi 0ffice 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: c OQ g. (22 Tenant Name: DO Pt id- t•-'t PROPERTY Name: Address: City: State: Zip: :CONTACI itP ''--1 person : eceiwiiig all '13141G1."-;!, communleatipily7,,,,„, Name: l'Ac_ (1-43SA-Npaa--- \-/ Address: City: State: Zip: Pho (t,.) go (s--,y7 Fax: Email: a, (6romLE-crp---(clits fr4 King Co Assessor's Tax No.: Suite Number: LCT 9 Floor: New Tenant: c< Yes 0.. No 'FRA. Company Name: C1-» -4 1...€ c-r-(2 titk_ iv( Address: ( (3 SoG II 'M.,t‘ LN -e NIT-c. IJ City: State:Lit 19 Zip: Ct 62„, PhoneQtts) 1,8,22_ 4co k Fax:Qtts) 2.7 & ,...c--9 44 Contr Reg No.:cticTossc.(532Exp Date: 4 King Co Assessor's Tax No.: Suite Number: LCT 9 Floor: New Tenant: c< Yes 0.. No 'FRA. Company Name: C1-» -4 1...€ c-r-(2 titk_ iv( Address: ( (3 SoG II 'M.,t‘ LN -e NIT-c. IJ City: State:Lit 19 Zip: Ct 62„, PhoneQtts) 1,8,22_ 4co k Fax:Qtts) 2.7 & ,...c--9 44 Contr Reg No.:cticTossc.(532Exp Date: 4 Tukwila Business License No.; TriE &f Valuation of Project (contractor's bid price): 115UEF-1, -$1 Scope of Work (please provide detailed information): c.) A-t.ne e Pow Will service be altered? 0 Yes fl No Type of Use: Type of work: New 0 Addition 0 Low Voltage 0 Generator Pro by: Puget Sound Energy 0 Seattle City Light Adding more than 50 amps? E] Yes No 0 Service Change El Fire Alarm H:\kppIications\FormsApplications On Line \ 2011 Applications'Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 0 Remodel 0 Telecommunication o Tenant Improvement Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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) ANN 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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER 0 CAL CONTRACTOR: Signature: Print Name: Mailing Address: RY V-oS(4no C(z-- H: \Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised August 2011 bh Day Telephone. city Date: " 1 Z Y2SD 7 80 ( 3-1 `t $off State Zip 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.aov Parcel No.: 0179001864 Address: 5021 S 122 LN TUKW Suite No: Applicant: DOAK HOMES RECEIPT Permit Number: EL12 -0112 Status: PENDING Applied Date: 02/08/2012 Issue Date: Receipt No.: R12 -00559 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 02/08/2012 02:36 PM Balance: $0.00 Payee: CUSTOM ELECTRIC SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1275 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 02 -08 -2012 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 ‘2.. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: 727/21 Address: -ui- f 5 ' /22, tAl • Date Called: Special Instructions: Date Wanted:. �? a-m. m. Requester: 1 Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: —102 504/(c1 rAiA„ Inspector:,,,i`` Date: 0210/i REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Printer 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 CUSTOM ELECTRICAL SERVICES LLC 4257801537 16806 113Th Ln Se Renton WA 98055 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602924637 Active CUSTOES893J2 Electrical Contractor 4/22/2011 4/22/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status RICCOES916LB RICCON ELECTRICAL SERVICES LLC Electrical Contractor General Unused 6/2/2009 6/2/2011 Out Of Business Business Owner Information Name Role Effective Date Expiration Date ROSANDER, JAY Partner /Member 04/22/2011 RICHTER, JEFF Partner /Member 04/22/2011 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 Travelers Cas & Surety Co 105274344 04/06/2011 Until Cancelled $4,000.00 04/22/2011 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 02/08/2012