HomeMy WebLinkAboutPermit EL12-0530 - BROWN RESIDENCEBROWN RESIDENCE
14722 58 AV S
EL1 2-0530
City oftukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 8687800120
Address: 14722 58 AV S TUKW
Project Name: BROWN RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0530
Issue Date: 06/11/2012
Permit Expires On: 12/08/2012
Owner:
Name: BROWN DAVID M
Address: 14722 58TH AVE S , TUKWILLA WA
Contact Person:
Name: CHUCK MEYER
Address: PO BOX 127 , MILTON WA
Contractor:
Name: CM ELECTRIC LLC
Address: PO BOX 127 , MILTON WA
Contractor License No: CMELEEL944KP
Phone: 253 - 266 -1391
Phone: 253 931 -0402
Expiration Date: 05/17/2014
DESCRIPTION OF WORK:
ALTERED 200 AMP SERVICE, ADD 6 NEW CIRCUITS, ADD GENERATOR INPUT OUTLET, ADD
1201 20V 30 AMP RV OUTLET
Value of Electrical:
NRES: $0.00
RES: $2,600.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$162.75
National Electrical Code Edition: 2008
Date: 1.0..r i-
1 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 rformance of work. I am authorized to sign and obtain this electrical permit.
Signature: Date:
Print Name: (31141-L-J
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 -0530 Printed: 06 -11 -2012
•
PERMIT CONDITIONS
Permit No. EL 12 -0530
* *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
EL 12 -0530 Printed: 06 -11 -2012
CITY OF TUKWIlim4
Community Developme. Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.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: 1 L1 7 Z 7 P.
Tenant Name: v 1
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Company Name: (
Name: I ,A v: a
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Address: }7)0 s J� l Z •-_)
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State:
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Name: L'1 v
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Address:
City: Li
State: w A Zip: (:)6,-;s5,,
Phone: Fax: 74-3y
Email:
LE< e_ .(_LL �� Co,MC:47f
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ( No
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Company Name: (
Address: }7)0 s J� l Z •-_)
City: State:
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Zip
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Phone: .25 3 g7 y ,t o , Fax:
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Contr Reg No./( £ L }, yyl4
xp Date:
5--:.
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Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ Z \L D.)
Scope of Work (please provide detailed information): (\ 1_ t. A
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Pt 00 Iv tv1 iJ 6 Q S A o f 1 04__ Mme (4.'0 t.
Will service be altered? .1}---Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition - Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage cig.._ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
_ Puget Sound Energy ❑ Seattle City Light
H:\ Applications\Forms - Applications On Line\201 1 Applications\Electrical Permit Application Revised 8- 9- 11.docx --9g0
Revised: August 2011
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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)
A-- Servicechange 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:
/7
Signature: `— Date:
i%
Print Name: C. �1- 1. (r s 41 t _. Day Telephone:
Mailing Address: j) IS x \ Z 7 M L- t-o fj
City
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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2 3
State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.ov
Parcel No.: 8687800120
Address: 14722 58 AV S TUKW
Suite No:
Applicant: BROWN RESIDENCE
RECEIPT
Permit Number: EL12 -0530
Status: PENDING
Applied Date: 06/11/2012
Issue Date:
Receipt No.: R12 -01830
Initials:
User ID:
WER
1655
Payment Amount: $152.85
Payment Date: 06/11/2012 09:58 AM
Balance: $0.00
Payee: CM ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6961 152.85
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 152.85
Total: $152.85
doc: Receipt -06 Printed: 06 -11 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6(2 -o530
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
{I:. ;x_(206) 431 -3670
Project: /4 0 •
Type of Inspection:
V(
Address. / �� 5� id-
Date Called:
Special Instructions:
Date Wanted:.
6 r
a.
Requester:
Phone No:
IX IApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
(i'S- ° te)4,J(c.t
Inspector:
Date:
�
ty '
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 Pester Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
CM ELECTRIC LLC
2538741199
Po Box 127
Milton
WA
98354
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602611551
Active
CMELEEL944KP
Electrical Contractor
5/17/2006
5/17/2014
General
Unused
Electrical Administrator INFORMATION
License MEYERCJ949KP
Name MEYER, CHARLES JR
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MEYER, CHARLES JR H
Agent
05/17/2006
MEYER, CHARLES JR
Partner /Member
05/17/2006
NOEL, MICHAEL
Partner /Member
05/17/2006
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
CBIC
SG7354
05/15/2006
Until Cancelled
$4,000.00
05/17/2006
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
ESHA000522
10/11/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/11/2012