HomeMy WebLinkAboutPermit EL12-0942 - REGENCY CLEANERSREGENCY CLEANERS
950 ANDOVER PK E
EL1 2-0942
City ATukwila
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.: 2623049105
Address: 950 ANDOVER PK E TUKW
Project Name: REGENCY CLEANERS
ELECTRICAL PERMIT
Permit Number: EL12 -0942
Issue Date: 10/05/2012
Permit Expires On: 04/03/2013
Owner:
Name: EAST WEST BANK
Address: 9300 FLAIR DR #5TH FLR , EL MONTE CA 91731
Contact Person:
Name: JAY ROSANDER
Address: 16806 113 LN SE , RENTON WA , 98055
Contractor:
Name: CUSTOM ELECTRICAL SERVICESLLC
Address: 16806 113 LN SE , RENTON WA 98055
Contractor License No: CUSTOES893J2
Phone: 425 - 780 -1537
Phone: 425 - 780 -1537
Expiration Date: 04/22/2013
DESCRIPTION OF WORK:
EXTEND CIRCUIT FROM BOILER (CHECKING)
Value of Electrical: NRES: $150.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND NERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$63.00
2008
I hereby certify that I have read and examined this •(rmit and know the same to be true and correct. All provisions of law and or inances
governing this work will be complied with, w ther specified herein or not.
The granting of this permit does
construction or a p- orman -
Signature:
give authority to violate or cancel the provisions of any other state or local laws regulating
uthorized to sign and obtain this electrical permit.
Print Name:
S A-NO
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 -0942 Printed: 10 -05 -2012
PERMIT CONDITIONS •
Permit No. EL 12 -0942
* *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 -0942 Printed: 10 -05 -2012
CITY OF TUK �A
Community Develop Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /w\vw.TukwllaWA.2ov
Electrical rt No
Project No
Date Application Accepted::! - _
Date Application Expires
(For ofce;:de only)
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: a ,4 4 Dz ktE/
King Co Assessor's Tax No.:
Tenant Name:
-- GE iQc y e A - .:.(E %LS
PROPERTY OWNiER '
Name: ` Vj S ta'i'l V 1✓ YL-
Address: 1! 0 (/ 4 SE-
/
Name: 1,L-
Phone: (, f 2� -7 5),(S"4-tax:
Email: "y P COTD M e C t ci L� C
� A ,
Address: q �O
[
,�Y�
c
City:``
1 v 4...a.1 i l� �t'
State:
Zip:
CONTACT PERSON =person receiving all project
commumcati�o`n ='_'
Name: ` Vj S ta'i'l V 1✓ YL-
Address: 1! 0 (/ 4 SE-
/
City: State: ' t ,/1 Zip: q F
�`bNrCID N) V !7 ( v
Phone: (, f 2� -7 5),(S"4-tax:
Email: "y P COTD M e C t ci L� C
� A ,
Suite Number: �9 Floor:
New Tenant: ❑ Yes . No
ELECTRICAL CONTRACTOR INFORMATION
q�
Company Name: cos TO d Ai E.. Le. c ri i (Al_ _
lS�E�-
Address: 10 VO G 1(3 T '- 1 i.1
City: � State: 1 ) 6.. Zip: 7 gal=
Phone: tLS" 13 (S37Fax:
Contr Reg No.: CUSTuE,S gC/31.xp Date: 4 4.2_113
L `i
Tukwila Business License No.;�/
TLC: L.6-144
•
Valuation of Project (contractor's bid price): $ / e D /�
Scope of Work (please provide detailed information): /ATS PEcT we t2'K poke ` c,-7-74E- `�--f,
Will service be altered? ❑ Yes KNo Adding more than 50 amps? ❑ Yes Zr No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel X Tenant Improvement
❑ Low Voltage ❑ Generator ' ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
Puget Sound Energy ❑ Seattle City Light
H:\Applications \Forms - Applications On Line\201 1 Applicauons\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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 RIC L CONTRACTOR:
Signature:
Print Name:
Mailing Address:
04I 3 ,D
Date: la r") / Z
Da Telephone:
A- 9 ?0 .%5-
14 cep iv
City
H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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State Zip
Page 2 of 2
r--`
w City of Tukwila
�Z 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.eov
Parcel No.: 2623049105
Address: 950 ANDOVER PK E TUKW
Suite No:
Applicant: REGENCY CLEANERS
RECEIPT
•
Permit Number: EL12 -0942
Status: PENDING
Applied Date: 10/05/2012
Issue Date:
Receipt No.: R12 -02791
Initials: TLS
User ID: 1670
Payment Amount: $63.00
Payment Date: 10/05/2012 02:39 PM
Balance: $0.00
Payee: CUSTOM ELECTRICAL SERVICES LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1354 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 10 -05 -2012
INSPECTIONRECORD �!�
Retain a copy with permit €
INSPECTION NO: - PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
.6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 R'
Project
- ( 4. tfrt
Type of Inspection:
/Dc)
Address..
C
Date Called:
Special- Instructions
Date Wanted:.
ro (0
p.m.
Requester:
L
Phone No:
Approved per applicable codes. JCorrections required prior to approval.
COMMENTS:
rz2.J into
66)( ft,c;NINfirs kfrizA t, .<pp.4c.E 15 d� r�l )
4.20046 Sc- elciAJ
" `;,J rfz,.t ,J( rok !Icy ° A4131 &
160.
56c4106-
Date: 10110 fit_
F-7 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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451 °
6,11-07y
Project: , . i 164 Ca./146o
Type of Inspection:
Address: 15_6 /,,
�i
Date Called:
Special Instructions:
Date Wanted::
1 1?
p.m.
Requester:
I i
Phone No:
IApproved per applicable codes. O Corrections required prior to approval. ('
COMMENTS:
(J 6 0145 1
i
f
Inspector:
Date:
lihq/12/
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 Peter 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
Electrical Administrator INFORMATION
License ROSANJ`917KR
Name ROSANDER, JAN EARL
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROSANDER, JAN EARL
Partner /Member
04/22/2011
6/26/2012
RICHTER, JEFF
Partner /Member
04/22/2011
$250.00
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ECHAE00851
6/26/2012
19.28.271 RCW
ELECTRICAL CITATION
Not satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/05/2012