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Permit EL12-0474 - CONTINENTAL WESTERN
C ONTINENTAL WESTERN 1232 ANDOVER PK W EL1 2-0474 City deTukwila 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.: 3523049074 Address: 1232 ANDOVER PK W TUKW Project Name: CONTINENTAL WESTERN ELECTRICAL PERMIT Permit Number: EL12 -0474 Issue Date: 05/22/2012 Permit Expires On: 11/18/2012 Owner: Name: CWC REALTY LLC Address: 2855 MILLER ST , SAN LEANDRO CA Contact Person: Name: ERIK SORENSEN Address: PO BOX 1238 , EDMONDS WA Contractor: Name: EWING ELECTRIC INC Address: PO BOX 1238 , EDMONDS WA Contractor License No: EWINGEI533BC Phone: 425 776 -3773 Phone: 425 778 -3773 Expiration Date: 07/31/2012 DESCRIPTION OF WORK: ADDING 31 ADDITIONAL FIXTURES Value of Electrical: NRES: $14,603.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature :( I hereby certify that I have read and exam governing this work will be complie wit' $350.50 2008 Date: 0 fined this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. The granting of t • er •% oes not pres - to = authority to violate or cancel the provisions of any other state or local laws regulating construction • - p: of ,'7 a . • metro,:. ed to sign and obtain this electrical permit. AL. Signature: Print Name: Date: 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 -0474 Printed: 05 -22 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0474 * *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 -0474 Printed: 05 -22 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov ao(o - Y.31-3197° U2- -c1 Project No. Date Application Accepted: (9 j I2.i 11.2-. Date Application Expires: (For office use only) Electrical Permit No. 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 Site Address: I 3,2 Apidover Paik W ,sf- Tenant Name: CO144:41. 4I T7,i / wQ,s e�w PROPERTY OWNER Name: Er•i k. So✓piNSp_..' . Address: Po Box 123s Name: Phone: qZS' 7761,3%%3 Fax: q2,5—„770,37// Email: Qf orZvt.Sen%I Qt4JI4190-..1 QC�fr7 c . Cobv‘ Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Er•i k. So✓piNSp_..' . Address: Po Box 123s City: atviloyvts State: wm Zip :9 go20 Phone: qZS' 7761,3%%3 Fax: q2,5—„770,37// Email: Qf orZvt.Sen%I Qt4JI4190-..1 QC�fr7 c . Cobv‘ King Co Assessor's Tax No.: !_!701"1 ^ 10114 Suite Number: Floor: New Tenant: ❑ Yes [it „No ELECTRICAL CONTRACTOR INFORMATION Company Name: Ew t%4 Et P�r G G . Address: Po Box ia38 City: Eolitnoyids State: WA Ziplgia20 Phone: WjS- 77$.3773 Fax:9035 "7760 -371 l Contr Reg No.EWINGEI5338C Exp Date: 7/31 ,10 42 Tukwila Business License No.: et col .9.1.7 Valuation of Project (contractor's bid price): $ / 7 , ( 03. OD Scope of Work (please provide detailed information): Adcli .31 addl./76144C Adore -s Will service be altered? ❑ Yes RI No Adding more than 50 amps? ❑ Yes No Type of Use: Tyne of work: ❑ New IN Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ ,Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro Served b : Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2011 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 $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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: -75/20/7/ Print Name: Ert:k- SO Day Telephone: LiZSr 776 -3773 Mailing Address: Po Box I? g eh*, brldS Gt)A 980,20 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 RECEIPT Parcel No.: 3523049074 Permit Number: EL12 -0474 Address: 1232 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 05/22/2012 Applicant: CONTINENTAL WESTERN Issue Date: Receipt No.: R12 -01646 Initials: User ID: JEM 1165 Payment Amount: $350.50 Payment Date: 05/22/2012 12:05 PM Balance: $0.00 Payee: EWING ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18749 350.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 350.50 Total: $350.50 doc: Receipt -06 Printed: 05 -22 -2012 INSPECTION. RECORD , 11 �,/ �+ Retain a copy with permit °-� 1 -- t 7 1 INSPECTION N0. -z_ PERMIT NO. ' :CITY OF TUKWILA BUILDING - DIVISION 6300 SouthcenterBIvd:, #100, Tukwila. WA 98188 ' !- (206) 431 -3 Permit Inspection . Request Line (206) 431 -2451 • Project : - 1 Type of Inspection: / ©o Phone No: Approved per applicable codes. a Corrections required prior to approval. idit COMMENTS: ./ Date: 04, 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 yw with permit 64- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 �. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 . Project: � �%i�� Type of Inspection: 4100 Address: 1232 4� Date Called: Special Instructions: Date Wanted:. / /iy Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: tcatetalC, otoiNt itt-amteb rok Oft c I, re0 6/6Reitisl ULicf'i,d eirtnicr. P t-- A -2- Inspector: Date: 0(v 11 it �~ n 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 EWING ELECTRIC INC 4257783773 Po Box 1238 Edmonds WA 98020 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 312002176 Active EWINGEI533BC Electrical Contractor 1/3/1947 7/31/2012 General Unused Master Electrician INFORMATION License SORENEC973RE Name SORENSEN, ERIK C Status Active Business Owner Information Name Role Effective Date Expiration Date SORENSEN, PAUL C Cancel Date 01/01/1980 Bond Amount SORENSEN, DONNA M 3 01/01/1980 929543106 EWING, SAM JR Agent 01/01/1980 EWING, SAM JR President 01/01/1980 SAFECO INS CO OF AMERICA 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 3 Western Surety Co 929543106 01/01/2012 Until Cancelled $4,000.00 12/30/2011 2 SAFECO INS CO OF AMERICA 5265538 06/11/1986 Until Cancelled $4,000.0006/11/1986 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 ECHAE00469 10/28/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 05/22/2012