HomeMy WebLinkAboutPermit EL18-0488 - FOLSOM RESIDENCE - WIRE CAN LIGHTS, OUTLETS & SWITCHES, BATHROOM FAN, SMOKE DETECTORS ETCFOLSOM RESIDENCE
14751 62 AVE S
ELI 8-0488
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.eov
3597000092
14751 62ND AVE S
FOLSOM RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL18-0488
Issue Date: 5/29/2018
Permit Expires On: 12/2/2018
Owner:
Name:
Address:
FOLSOM LESLIE A
14751 62ND AVE S ,TUKWILA, WA,
98168
Contact Person:
Name: TODD BJORKLUND
Address: 919 SW 150 ST SUITE A , BURIEN, WA,
98166
Contractor:
Name: C & R ELECTRIC INC
Address: 919 SW 150TH ST STE A, BURIEN, WA,
98166
License No: CRELEI'415DW
Lender:
Name:
Address:
Phone: (206) 937-3654
Phone: (206) 937-3654
Expiration Date: 3/31/2020
DESCRIPTION OF WORK:
WIRE CAN LIGHTS, OUTLETS, AND SWITCHES, BATHROOM FAN, REFER AND MICROWAVE, SMOKE DETECTORS,
WASHER AND DRYER
REVISION #1: ADD 100 AMP SUBPANEL AND INSTALL (1) 20 AMP HEAT PUMP CIRCUIT
Valuation of single family: $3,300.00
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $216.55
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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:
2017
2017
2017
2015
Permit Center Authorized Signature:
Date:
I hearby certify that 1 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: act i�J yr k
Date: - 4o) -
This
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 and the Washington Cities Electrical Code.
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
Parcel No:
Address:
Project Name:
City of Tukwila
a
Department of Community Development
63OnSuuthcenterBoulevard, Suite #1OO
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206'438'9350
Web site: htto://m*mm.TmkmNmVVA.mov
ELECTRICAL OTC PERMIT
3597000092 Permit Number:
14751 62ND AVE S Issue Date:
Permit Expres On:
FOLSOM RESIDENCE
EL18-O488
5/29/2018
11/25/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
FOLSOM LESLIE A
147G1G2NDAVE S,TUKVV|UA,WA,
98168
TODD8JORKLUND
919 SW 150 ST SUITE A'VUPVEN'WA,
98166
C & R ELECTRIC INC
9l9SVV15OTM3TSTEA,BURIEN'WA,
98166
[R[L[|~415DVV
'''
Phone: (206) 937-3654
Phone: (206) 937-3654
Expiration Date: 3/31/2020
DESCRIPTION OF WORK:
WIRE CAN LIGHTS, OUTLETS, AND SWITCHES, BATHROOM FAN, REFER AND MICROWAVE, SMOKE DETECTORS,
WASHER AND DRYER
Valuation of single family: $3,300.0
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $118.14
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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 FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
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.
Signatu "
Print Name: /Gd ij` kt�r�
Date: Si //
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 and the Washington Cities Electrical Code.
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
in
Electrical Permit Na. 1 )
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
o
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: / y 75/ S
Tenant Name:
PROPERTY OWNER
Company Name: C it c 6 c c
Name: 6,s/a e
f r v I Sa
Phone:„,.../29 , 43 7 3IrSi� ._ Fax:
Address: /L/ 74
6,at,� n c
City: •
AI
State:
-04
Zip:
94-J LP
CONTACT PERSON — person receiving all project
communication
Company Name: C it c 6 c c
Name: --7-^
/� �SCc KL C`
City:/1 State: Zip:
%J�� 21146
7
Phone:„,.../29 , 43 7 3IrSi� ._ Fax:
Address J 51.1) /9) - 51/-)
Tukwila Business License No.; 397o 31
City: �cf ;--r.,----State:
Zip:
1-/6.6
Phone: Fax:
Email:
47. to C re le c-ir , c_
. re
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: C it c 6 c c
Address: gig 5.0 /Slye, ..1 ,21. t .�
City:/1 State: Zip:
%J�� 21146
7
Phone:„,.../29 , 43 7 3IrSi� ._ Fax:
Contr Reg No.:Exp Date:3/3 1 ao
Tukwila Business License No.; 397o 31
Valuation of Project (contractor's bid price): $ X34 6CO
Scope of Work (please provide detailed information): C) i r--( (j5 / 0-111. / 4- SL.) ,4 -
YJ l R r -re-+- 4- ri ► P co w e+.-1,4 S N, Oke Clativ.r r t � a Aor- •
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes (T No
Type of Use:
Type of work:
❑ New q Addition 0 Service Change igt Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
WI \Permit Center \Applications-Handouts\Permit Applications\PDF's\Electrical Permit Application Revised 1-1-17 docx
Revised. January 2017
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Page 1 of 2
Oft
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
O 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)
121 Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
O 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) 582.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $ 11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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:
Signatur
Print Name:
/
/ Phar I< %
Mailing Address: 9/9 Su /c 54.1 A
W:\Petnut Center\Applications-Handouts` Permit Apphcahons\PDF'stEtectncat Permit
Revised January 2017
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Date: /c
Day Telephone: .249 ' 9 3)
on Revised 1-1.17. docx
City
eV 4 State
9CP/L 6
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R14767
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
$98.41
EL18-0488 Address: 1475162ND AVE S
Apn: 3597000092
$98.41
Credit Card Fee
$2.87
Credit Card Fee
R000.369.908.00.00
0.00
$2.87
ELECTRICAL
$95.54
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00 0.00
$95.54
TOTAL FEES PAID BY RECEIPT: R14767
$98.41
Date Paid: Thursday, June 21, 2018
Paid By: TODD BJORKLUND
Pay Method: CREDIT CARD 01047G
Printed: Thursday, June 21, 2018 11:45 AM 1 of 1
CRWSYSTEMS
e)
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 06/21/2018 11:44:18 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********5970 K
TRAN AMOUNT: $98.41
APPROVAL CD: 01047G
RECORD #: 000
CLERK ID: Bill
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
Page 1 of 2
https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 6/21/2018
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY PAID
118.14
EL18-0488 Address: 14751 62ND AVE S Apn: 3597000092
118.14
Credit Card Fee
Credit Card Fee
R000.369.908.00.00
0.00
$3.44
$3.44
ELECTRICAL
$109.24
PERMIT FEE SINGLE FAMILY
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14596
R000.322.101.00.00
R000.322.900.04.00
0.00
0.00
$109.24
$5.46
$118.14
Date Paid: Tuesday, May 29, 2018
Paid By: TODD BJORKLUND
Pay Method: CREDIT CARD 04037G
Printed: Tuesday, May 29, 2018 11:21 AM 1 of 1
SYSTEMS
INSPECTION RECORD
NSPECTION NO. Retain a copy with permit ktY—Dg
PERMIT O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-36
Project:
h(._50
gtcs
1-1.
Type of Inspection:
Address: „.
i't hl
._
Date Called:
Special Instructions:
Date Wanted: a.
.m.
7
Requester:
Phone No:
2-51 Al 43o
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-
Inspector:
Date:
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 N�
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd_, #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
L-60/ So e •
a of spection:
a /Ai
G2.f et
Address: G
fel 1 6Z— end472,2_,.
Date Called:
Special Instructions:
pv 1" I✓
pUrIP
Date Wanted:
a4m.
m.
Requester:
Phone No:
ASI
lack per applicable codes. Corrections required prior to approval.
COMMENTS:
5-0
Adp /4-6-r-Pdre
✓ � `_ / /� Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
INSPE TION NO.
INSPECTION RECORD�,,)9��
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:
Address:
/SI'j S62— -
Date Called:
Special Instructiont:
Date Wanted: I ,, �a.n
f/ ) (a.m..
Requester:
-7-0-4b
Phone No:
16,gi1A sli
0
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
L A, -- Kodh44-
ovc3io6 66-p coo i41)
Inspector: \i
1,(0
n REINSPECT! FEE REQUIRE . Prior to next inspection. fee rriust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
c
Date:
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # 1 after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name:
Project Address:
Contact Person:
117 5'1 lob
5•
014-1
Phone Number: Alo ' 9 37 3 , S"Y
Summary of Revision:
./ ei a .-Y..i /ov s ' al-.
Af-).,i hem Qccpip d; r
CITY OF TUKWILA
PERMIT CEN.TFR
Sheet Number(s):
"Cloud" or highlight all areas of revision includin: revision
Received at the City of Tukwila Permit Center by:
[—Entered in TRAKiT on
WAPernut Center \Tenglates\Forms \Revision submittal Farmdoc
Revised. August 2015
C & R ELECTRIC INC
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Washington State Department of
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Workplace Rights
C & R ELECTRIC INC
Owner or tradesperson
GARTIN, CECIL W
Principals
GARTIN, CECIL W
GARTIN, MARC S
GARTIN, REVA M
HECKER & FIELBERG PS, AGENT
WA UBI No
600 316 021
919 SW 150TH ST #A
BURIEN, WA 98166
206-937-3654
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
CRELEr415DW
Effective — expiration
03/16/1959— 03/31/2020
Designated administrator
GARTIN, WAYNE
License type
Master Electrician
Bond
CBIC
Active.
Meets current requirements.
License no.
GARTIW*9730W
$4,000.00
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600316021&LIC=CRELEI*415DW&SAW=
05/29/2018
C & R ELECTRIC INC
Bond account no.
618511
ANN
Received by L&I Effective date
05/29/1986 05/29/1986
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EHOSD00366
Issue date
11/17/2014
Violation city
BURIEN
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications 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
RCWANAC
19/8.101 RCW
Violation amount
$1,000.00
Page 2 of 3
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
218,892-00
Account is current.
Doing business as
C & R ELECTRIC INC
Estimated workers reported
Quarter 1 of Year 2018 "7 to 10 Workers"
L&I account contact
T2 / LINDA ALGUIRE (360)902-4678 - Email: POTH235@lni.wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Help us improve
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C & R ELECTRIC INC
Page 3 of 3
CO Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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