HomeMy WebLinkAboutPermit EL19-0465 - DELTA MASONIC HALL - RUN (2) 40 AMP CIRCUITS FOR HEAT PUMPSDELTA MASONIC HALL
13034 41ST AVE S
ELI 9-0465
Parcel No:
Address:
City of Tukwila
t of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: %O6'438'935O
Web site: http://www.TukwilaWA.gov
7341600050
13034 41ST AVE S
Project Name: DELTA MASONIC HALL
ELECTRICAL OTC PERMIT
Permit Number: EL19'0465
Issue Date: 6/3/2019
Permit Expires On: 1I/30/2019
Owner:
Name:
Address:
Contact Person:
Name:
DELTA MASONIC HALL
130344l5TAVE 9]'SEATTLE, WA,
98168
TODD BJORKLUND
Address: 919 SW 150 ST SUITE A'UUK|EN'WA,
98166
Contractor:
Name:
C & R ELECTRIC INC
Address: 919 SW l5OTH5TST[A,DUR|EN'WA,
98166
License No: [RELE|~415OvV
Lender:
Name:
Address:
'''
Phone: (206) 937-3654
Phone: (206) 937-3654
Expiration Date: 3/31/2020
DESCRIPTION OF WORK:
RUN (2) 40 AMP CIRCUITS FOR HEAT PUMPS
Valuation of single family: $0i00
Valuation of mf/comm: $3,30O.00
Type of Work: TENANT IMP
Fees Collected; $178.48
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:
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.
Signature:
Print Name:
Date: 4,4/( F
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
Electrical Permit
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
King Co Assessor's Tax No.:
Site Address: / 30314 q1 s� S • Suite Number: Floor:
Tenant Name: brA in.. 011c,.. s C Za.,y47 e New Tenant:
PROPERTY OWNER
Name: _7 _i ` B P (L LA,— cb
Address: 1 /g 5 l^-)
Name: e-1 .
flAG1.54NAL,
State: ��A�Y� Z4 166
" �J
Phone: 917 3�
Address:
120y
y 15 73v-
5
City:
r
Zip
r.1,
I(...V
_.--State:
.C(•lA.
kw
CONTACT PERSON — person receiving all project
communication
Name: _7 _i ` B P (L LA,— cb
Address: 1 /g 5 l^-)
19Y
City: ,ra.r '4—
State: ��A�Y� Z4 166
" �J
Phone: 917 3�
Fax:
Email:
❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:tl �
�ISyi 1 ,�,
1� =4Ajf
City: /1 ��n� State Zip:,,, ,
Gr
Phone: Fax:v-`�37-34'SY
Contr Reg No.: C, RELeA.`14art, Exp Date: ,
j 3r 12d
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 3 OD
Scope of Work (please rovide detailed information):
, u,". 0 c4-rc2&: r- 4e4ifitot1"--p s
Will service be altered? U Yes
Type of Use: Car'Vkt4 4'
No Adding more than 50 amps? Q Yes —No
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Service Change
❑ Fire Alarm
Seattle City Light
W:\Permit Center \Applications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised I-17-19.docx
❑ Remodel
❑ Telecommunication
A. Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single fancily dwellings $180.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
❑ Service change with added/altered circuits $100.00
number of added circuits._ .... .....„....$10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10,00 ea
O Meter/mast repair $80.00
❑ Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck .............. $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
I ECHNOLOGY 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 TIIIS 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: /( 77
Print Narne:
Mailing Address: / /9 Sit) / V ' 5 1 Sit ,4
,
W:Wermit Center\Applications-HandoutssPermit Applications\PDFs\Electricat Permit Application Revised 1-17-19. docx
Date:
Day Telephone: 24, -937 3lvSy
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
PermitTRAK
1 ACCOUNT
1 QUANTITY 1' PAID
$178.48
EL19-0465 Address: 13034 41ST AVE S
Apn: 7341600050
$178.48
Credit Card Fee
$5.20
Credit Card Fee
R000.369.908.00.00
0.00
$5.20
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000,322.101.00.00
0.00
$165.03
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17782
R000.322.900,04.00
0.00
1111111111111
$178.48
Date Paid: Monday, June 03, 2019
Paid By: TODD BJORKLUND
Pay Method: CREDIT CARD 09145G
Printed: Monday, June 03, 2019 11:59 AM 1 of 1
CRWS YS TEM S
CO0
TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433 -1870
CITY OF TUKWILA
0017340000802374464500
Date: 00/03/2019 I1:58:28 AM
CREDIT CARD SALE
VISA
CARD NUMBER: ^*********5970 K
TRAN AMOUNT: $178.48
APPROVAL CO: 09145G
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
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
P *,-,
Ai
.4111i
Type of sp c on:
Addres :
Date Called:
Special ns
2
uc
"1O
ns:
I44
Date Wanted:
.
•
Requester:
Phone No:
2Z-
•
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
pecTor.
Date:
0
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
k Washington State Department of
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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
206-937-3664
KING County
Business type
Corporation
Certifications & Endorsements
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.
CRELEI*415DW
Effective — expiration
03/16/1959— 03/31/2020
Designated administrator
GARTIN, WAYNE
Active.
Meets current requirements.
License type License no.
Master Electrician GARTIVV*9730VV
Bond
CBIC
Bond account no.
618511
$4,000.00
Received by L&I Effective date
05/29/1986 05/29/1986
Expiration date
Until Canceled
BayIng.s.
No savings accounts during the previous 6 year period.
License Violations
Infraction no,
EHOSD00366
Issue date
11/17/2014
Violation city
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
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