HomeMy WebLinkAboutPermit EL08-0934 - GOOD SHEPARDGOOD SHEPARD
14220 INTERURBAN AV S
ELO8-934
CitAbf 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.: 3365901881
Address: 14220 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -934
Issue Date: 07/09/2008
Permit Expires On: 01/05/2009
Tenant:
Name: GOOD SHEPARD
Address: 14220 INTERURBAN AV S , TUKVVILA WA
Owner:
Name: DBSI FAIRWAY LLC 519999 Phone:
Address: C/O DDRS TAX DEPT , 12426 W EXPLORER DR #100
Contact Person:
Name: CLIFF WINFREY Phone: 425 - 454 -3665
Address: 18133 68 AVS NE D -120 , REDMOND WA
Contractor:
Name: PRIDE ELECTRIC INC Phone: 425 454 -3665
Address: 3984 150 AV NE , REDMOND WA
Contractor License No: PRIDEEI077DR Expiration Date: 03/19/2009
DESCRIPTION OF WORK:
INSTALL OUTLETS AND LIGHT SWITCHES
Value of Electrical: $1,200.00 Fees Collected: $104.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: -7-9-08
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 give authority to violate or cancel the provisions of any other state cr local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature: ,‘�4\i Date: D\ - 1
Print Name: \ \( ,\ S --C ti\
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
EL08 -934 Printed: 07 -09 -2008
•
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
Parcel No.: 3365901881
Address: 14220 INTERURBAN AV S TUKW
Suite No:
Tenant: GOOD SHEPARD
PERMIT CONDITIONS
Permit Number: EL08 -934
Status: ISSUED
Applied Date: 07/09/2008
Issue Date: 07/09/2008
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: �i \ Date:
Print Name:
doc: Cond -Elec
EL08 -934 Printed: 07 -09 -2008
CITY OF TUKWIL4 S
Community Developmirepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Petit No. E Lot- q 314
Project No.
(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.: 33 iP s4 0 (a i
Site Address: \\--\1.b--b (lye; SN Suite Number: S (b Floor:
Tenant Name: S V\12.._%\\M\
Property Owners Name: -fl��� v \e
Mailing Address: \L\, (1- )--b fi` v,
New Tenant: frj .... Yes
❑ ..No
City State Zip
CONTACT PERSON - Who do we contact when your permi
is ready to be issued
Name: c \t \NI a ►Ze.,�
Mailing Address: \3T L \ A \'a,)
E -Mail Address: a\@ Q Z■ Cb
Day Telephone:
City
tate Zip
Fax Number: y3,V Li()) - Qp
ELECTRICAL CONTRACTOR INFORMATION
Company Name: �i �', Z■
Mailing Address: \.%Q � �\ R" A-kb
Contact Person: e- \1\S ;tJ �( �
E -Mail Address: cW,a��� p, �; fie, e \ems, �(1M
Contractor Registration Number: W Q )) /61k,
City
State Zip
Day Telephone: 95S • U' \\ -13`.S
Fax Number: L9S-1-\())`)-•
Expiration Date: t - b°)
Valuation of Project (contractor's bid price): $ rs
Scope of Work (please provide detailed information): (-`\ p■ (t')1(r\ 1 1 14T(I S
Will service be altered? ❑ Yes Kj No Adding more than 50 amps? ❑ Yes 14 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change J`fi' Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
ej Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc
❑ Tenant Improvement
❑ Telecommunication ❑ Temrorary Service
Page 1 of 2
RESIDENTIAL
NEW 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
p Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULSMLLY 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.
1 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:
Print Name: C'\\,:\ •� eAk `\I\
Mailing Address: ' '• k
7'1 ti
Date: 1
Day Telephone: "... " - •, .
City
State
Zip
Date Application Accepted: Date Application Expires:
Staff Initials:
H:Upplications\Forms- Applications On Line\4 -2007 - Electrical Permit Application doe
Page 2 of 2
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.: 3365901881 Permit Number: EL08 -934
Address: 14220 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 07/09/2008
Applicant: GOOD SHEPARD Issue Date:
Receipt No.: R08 -02470
Initials: WER
User ID: 1655
Payment Amount: $104.00
Payment Date: 07/09/2008 08:32 AM
Balance: $0.00
Payee: PRIDE ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6114 104.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 104.00
Total: $104.00
4605 07/09 9711 TOTAL 10400
doc: Receiot -06 Printed: 07 -09 -2008
INSPECTION RECORD
Retain a copy with permit
V/14 91
PERMIT NO.
0- (206)431-
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project:
6bV6 Siff/W-6
Type of Inspection:
(3/0-0
Address:
/nine
/•�' V
E
to Called:
Special Instructions:
Date Wanted:
2
a.m.
p.m.
Requester:
Phone No:
pproved per applicable codes. ❑ Corrections required prior to approval. Jf
COMMENTS:
0l4 - / 414 [-
Insp
'- /-3)(/ 7-f/ /9/j 1/
Date z/(/
El$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
a.rm- °_tom. ..arse. - _.a er xx ,.u.sMak.. a a• •moo. •,e„d es• - nn:..,.a.b@. •.e
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
tiog-93q
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: L�Oo+� � 1
�
Type of Inspection:
/003
Address:
LIo 10R$
1
Date Called:
r
Special Instructions:
Date Wanted:
� ft �a.mp.mRequester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
P 1/0414,
Inspector:
&viva(
Date: )1 k
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
(Date:
Untitled Page
•
•
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.
PRIDE ELECTRIC INC
Business and Licensing Information
Name PRIDE ELECTRIC INC UBI No. 601451700
Phone 4254543665 Status ACTIVE
Address 18133 NE 68TH ST D120 License No. PRIDEEI077DR
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City REDMOND Effective Date 3/19/1993
State WA Expiration Date 3/19/2009
Zip 98052 Suspend Date
County KING Separation Date
Business Type CORPORATION Previous License
Parent Company Next License
Associated License GOAD *CJ955DG
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License GOAD *CJ955DG
Name GOAD, CHRISTOPHER J
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
GOAD, CHRISTOPHER J
AGENT
03/15/2005
GOAD, CHRISTOPHER J
PRESIDENT
03/15/2005
GOAD, KIRK A
SECRETARY
03/15/2005
GOAD, ROBERT L
VICE PRESIDENT
03/15/2005
SEELEY, ROBERT M
AGENT
01/01/1980
03/15/2005
SEELEY, ROBERT M
PRESIDENT
01/01/1980
03/15/2005
SEELEY, KAROLYN J
SECRETARY
01/01/1980
03/15/2005
https: / /fortress.wa. gov /lni/bbip/ Detail. aspx ?Li cense= PRIDEEI077DR
07/09/2008