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Permit EL12-0201 - LEMONS RESIDENCE
LEMONS RESIDENCE 14438 57 AV S EL1 2-0201 City okukwila 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.: 3365900550 Address: 14438 57 AV S TUKW Project Name: LEMONS RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0201 Issue Date: 03/01/2012 Permit Expires On: 08/28/2012 Owner: Name: WELLS FARGO BANK NA Address: 1 HOME CAMPUS , DES MOINES IA Contact Person: Name: JOHN NIELSON Phone: 425 - 293 -2126 Address: PO BOX 286 , NORTH LAKEWOOD WA Contractor: Name: COMMUNITY ELECTRIC LLC Address: PO BOX 286 , NORTH LAKEWOOD WA Contractor License No: COMMUEL954CM Phone: 360 - 652 -2742 Expiration Date: 02/18/2013 DESCRIPTION OF WORK: 125 AMP SERVICE CHANGE AND METER Value of Electrical: NRES: $0.00 Fees Collected: $81.90 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: 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 the pe'• rman of work..I .: authorized to sign and obtain this electrical permit. Signature: Date: . Print Name: (S0&1 % e(soly 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 EL 12 -0201 Printed: 03 -01 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0201 * *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: Arty 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 -0201 Printed: 03 -01 -2012 CITY OF m TUKWIiie Community Developme partment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 littp://www.TukwilaWA.gov Electrical Pelit Project No. Date Application Accepted:'' Date Apphcation Expires u.se anlV) . 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: t S' 57 Th ave. So-ii Tenant Name: 576 ye. Le. irtO PROPERTY OIVNAR' Name: Address: City: State: Zip: CoWTA, -, als, ' -0 ioitet , Name: --,— t )r)ii 14 Ni.etc0/\c Address- 'F, 0 /30K- Zg .N, 1.4,4-,ADQ/ Ci tY: State: Zip:61(2 a K1 ity 70 M Phone:40,c —293-2/7‘ Fax: Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: fl Yes LI.. No EtAcTOrC ,C ,.‘ 4INVO Alt ' Company Name: c— o Pi killlii7) gtec7r/L 1-1--(— Address . • /0/ 2 . N, l_ettewod, ce4 City State; (fix Zip: iy2sy A. Ptii 70AI Phone:/•&— 2126 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 0 0 Scope of Work (please provide detailed information): 1),S Aix-r service C4retty e Will service be altered? 0 Yes EVNC; Adding more than 50 amps? ID Yes El No Type of Use: Type of work: O New 0 Addition 11"<rvice Change 0 Remodel 0 Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy 0 Seattle City Light R 0 T)V HAApplications\Fams-Applications On Line \20 I 1 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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 R' 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 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 OR ELECTRICAL CONTRACTOR: Signature: 5k) C' e tfby7G1 Date: S's-/ — / 2_ Print Name: Day Telephone: ciares Mailing Address: City H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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.gov Parcel No.: 3365900550 Address: 14438 57 AV S TUKW Suite No: Applicant: LEMONS RESIDENCE RECEIPT Permit Number: EL12 -0201 Status: PENDING Applied Date: 03/01/2012 Issue Date: Receipt No.: R12 -00870 Initials: WER User ID: 1655 Payment Amount: $81.90 Payment Date: 03/01/2012 11:41 AM Balance: $0.00 Payee: JOHN NIELSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 005252 ACCOUNT ITEM LIST: Description 81.90 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 81.90 Total: $81.90 doc: Receiot -06 Printed: 03 -01 -2012 INSPECTION NO. INSPECTION RECORD fIIIZQI Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 14(206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: G Type of Inspection: ,r Address: iii3 / 57 At- Date Called: Special Instructtio s: Date Wanted:. a.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: (t.et-cria4 e Inspector: Date: 04 (2.0/11,.... 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 Odligor PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12., (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: it„ OA S ke5 • Type of Inspection: 21e� 6(114 s P bpi i t r- ei e Address: /1/1/ � 'gam �e ° Date Called: P ibyt.._ fiLoitx5x0d/At.ID i1'ctfikovAlif Special Instructions: Lc.c?SE 2(c(Prtt 51 ZoIG Ito(/' St SP f-a-S Date Wanted:. ca3:./ten Requester: /Pp �, s( -c Phone No: '° ilJuTi tr3 €1.. CRuirr e. aws sa timl)i F f ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: '' 'D 6(114 s P bpi i t r- ei e ka£ ' e t/ A4 - nP©'6ii t4,r -cf r# a4 S tt K. 6rc-1 r 9c4W-19 Koti c LiNoNK ,sips C Q(-t 01 "'S P ibyt.._ fiLoitx5x0d/At.ID i1'ctfikovAlif -- rf ''JC. 62412\ P j Lc.c?SE 2(c(Prtt 51 ZoIG Ito(/' St SP f-a-S uti. Si) alt. GJ ADS ?l% scutml + or Acct/kl . -- 46i i 44S i -1.. 4-nail a ll ;� t Qc) t Ts To /Pp �, s( -c mar iStixt< Pprilk. - W .44- ftbc( '° ilJuTi tr3 €1.. CRuirr e. aws sa timl)i F f Inspector: !Date: ill REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD .r% Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 12., (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 ktZ-dio Project: /(A/5 • `A Type of Inspection: . __.,,�. ��j 7 Address: tJ„j� i.�i Date Called: Special Instructions: Date Wanted:. 4? m. p' Requester: Phone No: ' 14Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: Li;4.k 1;)1(4AX toP4 ice, 1 [ N Sf-K\hce Inspector: <7/(17-Arridtg\ Date: vii, ,c /f 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 6124001 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: Ctrs, _ i . r Type of Inspec 'on: o 7003 Address: !. , Pi 5 Sl Al. Date Called: ( LLD.t ,I bo 'Ia i 3111 i Special Instructions: Date Wanted: . ;tg m. (pmm. Requester: Phone No: — (tuskiirt6Air at0J11> Q.c okh P JApproved per applicable codes. Corrections required prior to approval. COMMENTS: f00, eatit•fl1 .-- ii.) 46.(L. A i w lm'1 C Feer elr it it J ..5 ( LLD.t ,I bo 'Ia i 3111 or (.4J . c (. \1&4p its.) j kC-ti.i1 2.4 ` ., t . 4,...1. ,. , — (tuskiirt6Air at0J11> Q.c okh P ktc.x> ,$eCtila bsfk 7b05 --- ot/ o rn1 Inspector: Date: ©K rgfj1' REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per 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 COMMUNITY ELECTRIC LLC 3606522742 Po Box 286 North Lakewood WA 98259 Snohomish Limited Liability Company UBI No. 602464874 Status Active License No. COMMUEL954CM License Type Electrical Contractor Effective Date 2/14/2005 Expiration Date 2/18/2013 Suspend Date Specialty 1 General Specialty 2 Unused Master Electrician INFORMATION License NIELSJR963NZ Name NIELSON, JOHN R Status Active Business Owner Information Name Role Effective Date Expiration Date NIELSON, SUZETTE Agent 02/14/2005 Bond Amount NIELSON, JOHN R Partner /Member 02/14/2005 100109799 SHERMAN, WILLIAM Partner /Member 02/14/2005 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 American Contractors Indem CO 100109799 02/14/2010 Until Cancelled $4,000.0001/14/2010 1 COLONIAL AM CAS & SURETY OF MARYLAND LPM4067997 02/14/2005 Until Cancelled 02/18/2010 $4,000.0002/14/2005 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 03/01/2012