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Home My WebLink AboutPermit EL17-0496 - DATE RESIDENCE - CIRCUIT AND BELL BOXDATE RESIDENCE 4103 S 130 ST ELI 7-0496 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 7340600821 4103 S 130TH ST DATE RESIDENCE ELECTRICAL OTC PERMIT Permit Number: EL17-0496 Issue Date: 6/26/2017 Permit Expires On: 12/23/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: DATE BRIAN + VICKIE 4103 S 130TH , SEATTLE, WA, 98168 ASHLEY BERNKLAU 3716 AUBURN WAY N #102 , AUBURN, WA, 98002 CUSTOM ELECTRICAL SERVICES LLC 16806 113TH LN SE , RENTON, WA, 98055 CUSTOES893J2 Phone: (253) 951-4910 Phone: (425) 780-1537 Expiration Date: 4/22/2019 DESCRIPTION OF WORK: ADDING 1 CIRCUIT AND ONE BELL BOX Valuation of single family: $1,800.00 Valuation of mf/comm: $0.00 Type of Work: ADDITION Fees Collected: $60.22 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: r1 I hearby 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 performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: �( Print Name: OS h\e\ \ Date: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKICA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov talk Electrical Permit No. IiV I l Project No. Date Application Accepted: Date Application Expires: (For office use 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: l IO3 S• 130-\"' ET Tenant Name: PROPERTY OWNER Name: GSh \f' \ 1 ) 0 Sh Name: Address: 3-1 \ Cn,D-i, xp Date: l I I r Contr Reg Noait5 �G 3 ` f L (k)City• Address: \ OS 5 13O -‘, 5-r City; rU\(v,„ \ Email: State:�c, VW. zip; ; qv 1 ln(31 CONTACT PERSON — person receiving all project communication Name: GSh \f' \ 1 ) 0 Sh City: toe Zipq a C1�binJ V� Address: 3-1 \ Cn,D-i, xp Date: l I I r Contr Reg Noait5 �G 3 ` f L (k)City• State: � o;. Zi �b Pho4)5 aa. y c1-1 \ Fax: Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes No ELECTRICAL CONTRACTOR INFORMATION Company Name: Cush- m E \es. 1Ca S t/, C42 -A Address: 3-1 1 e Cw v In wcw�J by • 1 1 Q City: toe Zipq a C1�binJ V� Phone: - a,o q C1-rf x: xp Date: l I I r Contr Reg Noait5 �G 3 ` f L Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): a0.(1;/‘.G\ \ \ V"U U) - Gn(r CAN t4:WL. Will service be altered? ❑ Yes 4,11.1L Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New zerLdition 0 Service Change 0 Remodel 0 Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications \Word\Electrical Permit Application Revised 1-I-2017.docx Revised: January 2017 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) $155.91 $83.54 ea $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) Service change with added/altered circuits $83.54 number of added circuits $12.00 ea Circuits added/altered without service change $55.69 (up to 5 circuits) ‘fx/ ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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: �Q ) Print Name:C. ,�� Y�f�lrl 7t Day Telephone: LO S - S L4 67'1 Mailing Address: DateLX4 / City W:\Permit Center\Applications-Handouts\Permit Applications \ Word \Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh State Zip Pao". F� DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT QUANTITY I PAID 0. EL17-0496 Address: 4103 S 130TH ST Apn: 7340600821 0 Credit Card Fee $1.75 Credit Card Fee R000.369.908.00.00 0.00 $1.75 ELECTRICAL PERMIT FEE SINGLE FAMILY TECHNOLOGY FEE R000.322.101.00.00 0.00 $55.69 $55.69 $2.78 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11808 R000.322.900.04.00 0.00 $2.78 $60.22 Date Paid: Monday, June 26, 2017 Paid By: ASHLEY BERNKLAU Pay Method: CREDIT CARD 053913 Printed: Monday, June 26, 2017 10:40 AM 1 of 1 CRWSYSTEMS 2 INSPECTION RECORD Retain a copy with permitC1'47-191* INSPECTION NO. MIO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: glll...---777 Ty f I sp�ction:�� At/ / G�1� Addres /3E) sr. Date ailed: Special Inst cti ns: Date Wanted: 6,(22g . . Requester: Phone No: L12-5-212- in 7 I 1Approved per applicable codes. OLJ Corrections required prior to approval. MMENTS: 01(1 16;:hv Inspector: ,X66,1Jet\ Date: 06/2/g /17 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 PE MIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: R_, D'r� Type of ection: 0044 !� 60.n Address: 1(Co3J./, sr. Date Calle : Ins ructions: 1 Cial � Date Wanted: 2.7Special a.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 60441e4,5vit, 64-Jdor rap i-1415 i/J01%( �.f+LoNdc PWCL'tv* mi ! Inspector: c6 d Date: 0672;2/0 2/ REINSPECT! N FEE REQUIRE . Prior to next inspection, fee must be paid at 6300 outhcenter Blvd., Suite 100. Call to schedule reinspection. CUSTOM ELECTRICAL SERVICtLLC Home. Espanol Contact Safety & Health Claims & Insurance CliII) Washington State Department of Labor & Industries Search L&I Page 1 of 5 SEARCH A -Z Index Help My Li'l Workplace Rights Trades & Licensing CUSTOM ELECTRICAL SERVICES LLC Owner or tradesperson Principals ROSANDER, JAN EARL, PARTNER/MEMBER RICHTER, JEFF, PARTNER/MEMBER Doing business as CUSTOM ELECTRICAL SERVICES LLC WA UBI No. 602 924 637 3716 Auburn Way N AUBURN, WA 98002 425-282-4971 KING County Business type Limited Liability Company Governing persons JAY ROSANDER JEFF LOUIS RICHTER; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. CUSTOES893J2 Effective — expiration 04/22/2011— 04/22/2019 Desi nated administrator Rosander, Jan Earl License type Electrical Administrator Bond Travelers Cas and Surety Co of America Bond account no. 105274344 Active. Meets current requirements. Active. Meets current requirements. License no. ROSANJ'917KR $4,000.00 Received by L&I Effective date 02/04/2013 04/06/2011 Expiration date Until Canceled Travelers Cas & Surety Co Bond account no. 105274344 $4,000.00 Received by L&I Effective date Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 06/26/2017 CUSTOM ELECTRICAL SERVICW LLC 04/22/2011 04/06/2011 Impaired date Expiration date 01/28/2013 Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EMABQ04476 Issue date 06/15/2016 Violation city Auburn Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE DAYS OF ELECTRICAL VIOLATIONS Infraction no. ELYOD01051 Issue date 05/26/2016 Violation city Auburn Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE VIOLATIONS Infraction no. ELYOD01052 Issue date 05/26/2016 Violation city Auburn Type of violation ELECTRICAL CITATION Description Obtaining an electrical work permit for an unlicensed electrical contractor (See also WAC 296-46B-901). Infraction no. ESMYR00289 Issue date 08/11/2015 Violation city RENTON Type of violation ELECTRICAL Ci': ATION Description Failing to get an inspection or obtain an electrical/teleco,,imunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Satisfied ...................... RCW/WAC 19.28.161 RCW Violation amount $3,325.00 Satisfied RCWNUAC 19.28.161 RCW Violation amount $1,225.00 Satisfied ........ ........ _ RCW/WAC 19.28.101 RCW Violation amount $175.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $500.00 0 Page 2 of 5 Help us improve https://secureJni.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 06/26/2017