HomeMy WebLinkAboutPermit EL09-0391 - SOUND TRANSITSOUND TRANSIT
14150 MACADAM RD S
ELO9-0391
CitAf 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
Parcel No.: 1523049180
Address: 44i3MACADAM RD S TUKW
Suite No: 101 ,
ELECTRICAL PERMIT
Permit Number: EL09 -0391
Issue Date: 06/25/2009
Permit Expires On: 12/22/2009
Tenant:
Name: SOUND TRANSIT )
Address: -Hen-MACADAM RD S , TUKWILA WA
iktiq
Owner:
Name: SREY CHANTHY +THLANG KONG +OU
Address: 14233 MACADAM RD S , TUKWILA WA
Contact Person:
Name: PATTY FULLER
Address: 37101 12 AV S , FEDERAL WAY WA
Contractor:
Name: FULLER ELECTRIC CO
Address: 37107 12 AV S , FEDERAL WAY WA
Contractor License No: FULLEEI027BK
Phone:
Phone: 253 661 -7181
Phone:
Expiration Date: 01/12/2010
DESCRIPTION OF WORK:
INSTALL 100 AMP SERVICE
Value of Electrical: NRES: $4,000.00 Fees Collected: $150.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date: 0(117C 1V-1
I hereby certify that I have read and e - ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 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 electrical permit.
Signature:
Print Name:
Pdf y f / /er
Date: 6- aa5-Q7
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 -4/07
EL09 -0391 Printed: 06 -25 -2009
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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
PERMIT CONDITIONS
Parcel No.: 1523049180
Address:
Suite No:
Tenant:
14233 MACADAM RD S TUKW
SOUND TRANSIT (ACROSS ST FROM ADDRESS)
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0391
ISSUED
06/25/2009
06/25/2009
1: ** *ELECTRICAL * **
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 authority to violate or cancel the provision of any other work or local
laws regulating construction or the performance of work.
Signature:
Print Name:
r6/17 itt1)22_
PJ4
Date: Ej ? S `o
doc: Cond -Elec
EL09 -0391 Printed: 06 -25 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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
cLOWG7C7 �� Uk C (t11i?
(, �/ ,p Kin Co Assessor's Tax No.:
Site Address: % 7 a 3 S 4 G A"` q �s / Suite Number:
Tenant Name:
So c{ n c1 Tine i f
Property Owners Name: 5 O Ct n d %c n S, 7L
Mailing Address: <I 0 / $ O At 5171-
+cv o4u °
New Tenant:
Floor:
❑ Yes ❑..No
w,9 9k
/6
City
State Zip
CONTACT PERSON
-:Who do`we contact when yoor'perrmifis'rea y to; b'e:issue
Name:
Mailing Address:
3 ^- 7 /v ') )%+" /9,/e So
E -Mail Address: P`'� J L1..1( e/` 6 A /. (Or)-1
Day Telephone: AS 3 -- 6 U /- 7/a
Fed erw z-,-/j9 2 <F0
City State Zip
Fax Number: a.S3 6 t< I - 6 9S
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
ft //e1 E/43 ,'c c-
3-7 / o) j - /94.e S o
Contact Person: P c T ,,
E -Mail Address: Peat-rt -t.// e ✓ ot AC/ .
Contractor Registration Number: f Yet", o A.) ,8 K
tide. -cd' Gva.7 1_ 9 9 Po cr3
City State Zip
Day Telephone: a-S3 2/ 2
Fax Number: �S 3 6 l- 6 7S
Expiration Date: /r /Z -a O/U
00
Valuation of Project (contractor's bid price): $ ~I, O CO
Scope of Work (please provide detailed information): / 00 f1,--,..10 Se(.V
Will service be altered? ,NJ Yes ❑ No
Type of Use:
Type of work:
ti New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:\Applications\Forms- Applications On Line \I - 2009 - Electrical Permit Applicanon doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) ..... $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ 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 -
IDate Application Accepted:
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: C�/�`f i��'/ `
Print Name:
Date: -ils n 9
Day Telephone: 2. S3 —G 6 /- 2/ 3-
"7/3- 1
Mailing Address:
Zip
PJ(11249
City
Date Application Expires:
State
Staff Initials:
H:V.pphcanonsTorms- Applications On Gne11 -2009 - Electrical Permit Application. doc
bh
Page 2 of 2
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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.: 1523049180 Permit Number: EL09 -0391
Address: 14233 MACADAM RD S TUKW Status: PENDING
Suite No: Applied Date: 06/25/2009
Applicant: SOUND TRANSIT (ACROSS ST FROM ADDRESS) Issue Date:
Receipt No.: R09 -00977
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $150.00
Payment Date: 06/25/2009 12:34 PM
Balance: $0.00
FULLER ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1217 150.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 150.00
Total: $150.00
doc: Receiot -06 Printed: 06 -25 -2009
INSPECTION RECORD
Retain a copy with permit
fc07_03i
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 14
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
INSPECTION NO.
Project: (J�,9 -^ _ rsr
^LKV
Type of Inspection: ,
/00
Address: ,(So in' 8•
S •
Date Called:
Special Instructions:
Date Wanted:
b? 10
:m:
Requester:
Phone No:
Or- /
Approved per applicable codes. El Corrections required prior to approval. l
COMMENTS:
OK
Inspector: r orliNkAt
rrf
Date: 07 ZO o y
❑ $60.00 REII1SPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
t(iol,0391
INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION 14'
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-3 7
Project: 5 OJT Tcl C J 1
Type of Inspection:
00
v
Address: 4&s
•
Date Called:
Special Instructions:
(, W w tz n+ ( I 4:2.-
Date Wanted:
®7 r I 49
p.m
Requester:
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval. f
COMMENTS:
Cl-055+ DaDei CI Tv; U I
Date: 01
Inspector: l � f„ i
$60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee rm be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
�P
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
fUJ( D3j I
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Project: �IJA
Type of Inspection:
��i
Address:
/ I /5o �y 4.5.
Date Called:
Special Instructions:
Date Wanted:
O� %�A
I/7
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
o.
3/j ' 001 T eAcK, JA &(
A 5$ okD -rr) 444177
Inspector:
tic
Date: o Z9 O9
Ir f
ri $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Untitled Page
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wl
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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 FULLER ELECTRIC INC UBI No. 601840365
Phone 2536617181 Status ACTIVE
Address 37107 12TH AVE S License No. FULLEEI027BK
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City FEDERAL WAY Effective Date 1/12/1998
State WA Expiration Date 1/12/2010
Zip 98003 Suspend Date
County KING Specialty 1 GENERAL
Business Type Corporation Specialty 2 UNUSED
Parent Company
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FULLEE'088NEFULLER
ELECTRIC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
8/5/1992
8/5/1998
ARCHIVED
FULLEE*105NL
FULLER
ELECTRIC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
8/13/1990
8/13/1992
ARCHIVED
ADMINISTRATOR INFORMATION
License FULLEPA035NZ
Name FULLER, PATRICIA ANN
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
FULLER, GREGORY C
01/01/1980
FULLER, PATRICIA ANN
01/01/1980
5 C Et B SERVICES INC
AGENT
01/01/1980
https: // fortress .wa.gov /lni/bbip /Detai1.aspx
06/25/2009