HomeMy WebLinkAboutPermit EL07-183 - NGO RESIDENCENGO RESIDENCE
12234 48 AV S
ELO7-1 83
Parcel No.: 0179001405
Address: 12234 48 AV S TUKW
Suite No:
Tenant:
Name: NGO RESIDENCE
Address: 12234 48 AV S , TUKWILA WA
Cityf 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.ci.tukwila.wa.us
Owner:
Name: ABDULMALIK ABDULNASER M Phone:
Address: 3316 ORCAS , SEATTLE WA
Contact Person:
Name: ANTHONY W. LACKEY, SR. Phone: 253 228 -4255
Address: 10207 184 AV E , BONNEY LAKE WA
Contractor:
Name: AMERICO ELECTRIC
Address: 10207 184 AV E , BONNEY LAKE WA
Contractor License No: AMERIE*951JR
DESCRIPTION OF WORK:
NEW SERVICE AND LOW VOLTAGE FOR NEW 4000 SF SFR
Value of Electrical: $14,000.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
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
construction or the performance of work. I am a rized to sign and obtain this electrical permit.
Signature:
Print Name:
doc: EL -4/07
e authority to violate or cancel the provisions of any other state or local laws regulating
ELECTRICAL PERMIT
Permit Number: EL07 -183
Issue Date: 06/06/2007
Permit Expires On: 12/03/2007
Phone: 253 332 -3477
Expiration Date: 04/19/2009
Fees Collected:
National Electrical Code Edition:
$195.00
2005
Date: Q - - 0 7
Date: 6 — G o
This permit shall become null and (oid 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.
EL07 -183 Printed: 06-06 -2007
Parcel No.: 0179001405
Address: 12234 48 AV S TUKW
Suite No:
Tenant: NGO RESIDENCE
1: ** *ELECTRICAL * **
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.ci.tukwila.wa.us
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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 a ority to violate or cancel the provision of any other work or local
laws regulating construction or the performance of w
Signature:
Print Name:
doc: Cond -Elec
(A/
PERMIT CONDITIONS
Permit Number: ELM-183
Status: ISSUED
Applied Date: 06/06/2007
Issue Date: 06/06/2007
/ ' Date: J / f'¢ --
r
EL07 -183 Printed: 06-06 -2007
/J King Co Assessor's Tax No.:
Site Address: I );.3c1 tib l Ave- S Suite Number:
Tenant Name: a t e C Q. c- (Pt
Property Owners Name: J ri (i
Mailing Address:
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Al/
Mailing Address:
E -Mail Address:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: 0- )07 -
Contact Person: Yt
E -Mail Address:
Contractor Registration Number:
Valuation of Project (contractor's bid price): $ 1 i t ( a) . 00
Scope of Wor
c5i
Will service be al ered? ID Yes o
Type of Use: + t
Type of work:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Property Served by:
❑ Puget Sound Energy
i lZr Seattle City Light
✓i ecA r« ecc)
lee4,
(pleas il information): y(�d L]
eas pro d detailed � e m orma t ion )
: Q�
.i. f 1 a- e lJJ
New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
H:\ Applications\Ponns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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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 **
`b -41 )rct . 1fi
(,✓, (42 y
c1,4 e-e,vk
Electrical Permit No.
Project No.
or office use only)
City
Day Telephone:0 3 ) 7� — ( 05 - 5 —
33 644
City
Fax Number(
City
Day Te ephone:
Fax Number( t l>
Expiration Date: 0
Floor:
New Tenant: g Yes ❑..No
1-_ 4e(4)
CM-1
f a/,
3 gaf3 tj) 3
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State
C CU Ur �'� ✓
Adding more than 50 amps? .Yes
Zip
❑ No
G1 t el
Page 1 of 2
RESIDENTIAL
14 -"STE
W RESIDENTIAL SERVICE
New single family dwellings $140.00
(including an attached garage)
Garages, pools, spas and outbuildings $75.00 ea
Low voltage systems
(alarm, furnace thermostat) , $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONT ' R:
Signature:
Print Name:
Mailing Address:
I Date Application Accepted:
H:Wpplications\Fonns- Applications On Line\4 -2007 - Electrical Permit Application.doc
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MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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.
Date: 3044__ cab ( (J 3
ay Telephone: — 3 es (4 )5.'5
C ty AQ� ( .E— � 9:6
State
Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R07 -01044
Payee: AMERICO ELECTRIC
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - RES
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.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0179001405 Permit Number: EL07 -183
Address: 12234 48 AV S TUKW Status: APPROVED
Suite No: Applied Date: 06/06/2007
Applicant: NGO RESIDENCE Issue Date:
Initials: WER Payment Date: 06/06/2007 10:59 AM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 195.00
Account Code Current Pmts
000.322.101.00.0 195.00
Total: $195.00
Payment Amount: $ 195.00
9004 06/06 9716 TOTAL 195.00
doc: Receipt -06 Printed: 06-06 -2007
COMMENTS:
Type of Inspec "on:
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Special Instructions:
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Type of Inspec "on:
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Date Called:
Special Instructions:
Date Wanted: N
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Cape
p.m.
Requester:
Phone No:
INS1ECTIO14 RECORD
Retain a copy with permit
INSPECTION NO. PE IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 -3670
proved per applicable codes. ❑ Corrections required prior to approval.
Inspe eurr.:4 �41/ 64
J /L.L
Date
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
Date:
COMMENTS:
,
l �161cr 0:a -/ k,i,z fir Ff'or4T ftiT7 y /S
//h T y 6Fcf /ti 61/RA4
7 , 4 I,((T PHNFL i)LT IS f Gr✓i f4/1
f(Lv,r4 Fi r o ci/ZGUrr .4/ l4l�..4{5 -
4).< Mc - Ifi-.G- .ScI ,, k In) Got/J/(
3 tui17J i y Sy5Ff w/,/,tic tior cap -i,44 -
) MA.. PG/} 7C t), ti_ /y ' &&,t)$ TM/LS //9 7, /
1.140brt y paw
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1 - 0 C-4 7 c NoT,I/ i) .7 6F aunt /b 46 ce 0A Si '
9 'f crrpka -$ (t \�A ct/2 -/ TMs' f's7
Q` i ficcess t /Z
5) AavF/i To A/ W c
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Project:
U Es
/
Type of Insp n:_ _ 0
v � �U
Address:
Date Called:
Special Instructions:
Date Wanted: l�
/ /
Ca_m
P.m.
Requester:
Phone No:
•
2-
El Approved per applicable codes.
407-/o3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PEJIT NO.
CITY OF TUKWILA BUILDING DIVISION 1<
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
orrections required prior to approval.
Inspe /a &iiiJ','I//i I
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
Pr_ o j � 5 t 0 /J
( Address: c
Type of Insp ion:
3Y — 1-f
1,‘
Date Called:
Special Instructions:
Date Wanted: �
a.m.
Requester:
Phone No:
/
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
tO 3
PE;
0
(2.6)431 -367
COMMENTS:
CY -- V6 f/ - �4
O/ - . 5C4 / / C �.
KA proved per applicable codes. Corrections required prior to approval.
Inspec7GG "Zi/fi/e69 C7 (�� / f
Date:
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
License Information
License
AMERIE *951JR
Licensee Name
AMERICO ELECTRIC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601794242
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
10207 184TH AVE E
Address 2
City
BONNEY LAKE
County
PIERCE
State
WA
Zip
98391
Phone
2533323477
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
4/19/2005
Expiration Date
4/19/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
LACKE *S961LG
Business Owner Information
Name
Role
Effective Date
Expiration Date
LACKEY, ANTHONY W SR
OWNER
04 /19/2005
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
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.
Electrical Administrator Information
License
Name
Status
LACKE *S961 LG
LACKEY, ANTHONY W SR
ACTIVE
Bond Information
I Bond
I Bond
https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= AMERIE *951 JR 06/06/2007