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HomeMy WebLinkAboutPermit EL12-0550 - SORVIG RESIDENCESORVIG RESIDENCE 15266 SLINWOOD BL EL1 2-0550 Parcel No.: Address: City 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 8141400640 15266 SUNWOOD BL TUKW Project Name: SORVIG RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0550 Issue Date: 06/18/2012 Permit Expires On: 12/15/2012 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: SORVIG ROBERT 15266 SUNWOOD BLVD #D22 , TUKWILA WA D MICHAEL WILLIAMS Phone: 253 - 732 -8483 PO BOX 127 , EATONVILLE WA C & W ELECTRIC LLC Phone: 253 - 732 -8483 PO BOX 127 , EATONVILLE WA Contractor License No: CWELEL *990CF Expiration Date: 02/09/2013 DESCRIPTION OF WORK: UNIT D -22, INSTALL WALL HEATERS & RECESS LIGHTS AFTER WATER DAMAGE Value of Electrical: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $54.60 2008 J,,QL-- Date: tO e 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 perfor ; - of „ k. I am authorized to sign and obtain this electrical permit. Signature: Date: .4./2- /Z Print Name: /� .,, -1 F7 %� /�i'j 5 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 -0550 Printed: 06 -18 -2012 40. PERMIT CONDITIONS Permit No. EL12 -0550 * *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 -0550 Printed: 06 -18 -2012 CITY OF TUKW,! Community Developm Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htip: /'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 ** King Co Assessor's Tax No.: Site Address: /. .z 696 51)/1-1a)00148/C/ j)- 2z- Suite Number: Floor: Tenant Name: $hi Uij New Tenant: ❑ Yes ❑.. No Name: 2), QJ //iii 717 Address: <> 47 x /a? City:�1/4 �i/�jr// Sta Phone: Fax: a �3 2J2 X69 F32- 74/ /.5- CaSf. /c/P f Email: Company Name: 6,� � �=!7t/P Name: So, ug Address: ,/ /SD, 66 .Suxi ovea -9 al z)- zz ,66)/ City /L State: 9Zip f8 Name: 2), QJ //iii 717 Address: <> 47 x /a? City:�1/4 �i/�jr// Sta Phone: Fax: a �3 2J2 X69 F32- 74/ /.5- CaSf. /c/P f Email: Company Name: 6,� � �=!7t/P lc LCc Address: ,0,467K / 2 7 City :z/471O97Jo., /e �/ i 9 45 Phone: Fax: Contr Reg No.: f/ �•u/P /Pl�9�iot�.. Exp Date: 2 ,, /3 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 2 7c) CU • Scope of Work (please provide detailed information): / (% LJ Jam. / I A S A)(06 e5 Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes Rio Type of Use: T pe of work: ❑ New ❑ Addition ❑ Service Change 2r-R-emodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ 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 0 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) 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: Date: /, , / 2 Print Name(Jr "/' e-v` A e / ( /7,-i9, 5 Day Telephone: E? 5 3 %3Z Mailing Address: /-9()0,...k / 2 7 H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City 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.Tukwila WA.aov Parcel No.: 8141400640 Address: 15266 SUNWOOD BL TUKW Suite No: Applicant: SORVIG RESIDENCE RECEIPT Permit Number: EL12 -0550 Status: PENDING Applied Date: 06/18/2012 Issue Date: Receipt No.: R12 -01894 Initials: User ID: Payee: WER 1655 Payment Amount: $54.60 Payment Date: 06/18/2012 10:42 AM Balance: $0.00 DAVID WILLIAMS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 03945G ACCOUNT ITEM LIST: Description 54.60 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 54.60 Total: $54.60 doc: Receipt -06 Printed: 06 -18 -2012 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: . j grs • Type of Inspection: Address: �r / 12!h £Alt4o00 Date Called: !--, Special Instructions: MOO Date Wanted:. if a:m Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. / COMMENTS: Ptrssi Ad— Inspector: Date: Of ( f n 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 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 14, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ‘5°‘k \ ��. Type of Inspection: A Address: I (.i dA/A )o Date Called: ...e.-. — Special Instructions: Cet00 Date Wanted:. � a.m. � ( p.n�r Requester: Phone No: Z53 7/7 06gii Approved per applicable codes. Corrections required prior to approval. COMMENTS: 60,0aDA15 14-1>t -� • Mt Inspector: Date: n REINSPECTION FEE REQUIRED. Prior to next inspectio • fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION-RECORD Retain a copy with permit PERMIT NO. TUKWILA BUILDING DIVISION 6300 Southcenter CITY OF 1., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: J C 0kvit (• Type of Inspection: 7,00 p - gtook .A. 8, (-1,wiskr-6-) co- kel- Address: 15214 4 uJa Date Called: ,. ' Special Instructions: doo b-2.2_, Date Wanted:. J 6/17 a.m. .. Requester: r Phone No: Approved per applicable codes. Corrections required prior to approval. 7 COMMENTS: jj , goia`t AI Dfl(16 /4C-,1 ! PA,JLi -�, 1Ip - gtook .A. 8, (-1,wiskr-6-) co- kel- t.) 441.4_, "l0 6A1-144.00 1 Inspector: d6tc1 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Contractors or Tradespeople *ter 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 C & W ELECTRIC LLC 2537328483 Po Box 127 Eatonville WA 983280127 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602089668 Active CWELEL'990CF Electrical Contractor 2/6/2001 2/9/2013 General Unused iated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CWELEC *5760N C & W ELECTRIC CO Electrical Contractor General Unused 9/15/1943 3/31/2002 Archived Master Electrician INFORMATION License WILLIDM973KA Name WILLIAMS, DAVID M Status Active Business Owner Information Name Role Effective Date Expiration Date WILLIAMS, DAVID M Partner /Member 02/06/2001 WILLIAMS, MONICA M Partner /Member 02/16/2011 WILLIAMS, DAVID A Partner /Member 02/06/2001 02/16/2011 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 a SUR CO OF AM 103400386 02/01/2002 Until Cancelled $4,000.00 02/07/2001 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 06/18/2012