HomeMy WebLinkAboutPermit EL07-057 - ADAMS RESIDENCEADAMS RESIDENCE
4920 S 107 ST
ELO7-057
Parcel No.: 5476800201
Address: 4920 S 107 ST TUKW
Suite No:
Tenant:
Name: ADAMS RESIDENCE
Address: 4920 S 107 ST , TUKWILA WA
DESCRIPTION OF WORK:
INSTALL 3 NEW OUTLEI5.
Value of Electrical: $0.00
Type of Fire Protection: NONE
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Signature:
Cit3jf 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
ELECTRICAL PERMIT
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Owner:
Name: KENT WILFRED Phone:
Address: 4920 S 107TH ST , TUKWILA WA
Permit Number: EL07 -057
Issue Date: 04/24/2007
Permit Expires On: 10/21/2007
Contact Person:
Name: BRANDI ADAMS Phone: 206- 619 -6418
Address: 4920 S 107 ST , TUKWILA WA
Contractor:
Name: BRIGHT STREET CONSTRUCTION INC Phone: 206 782 -0153
Address: PO BOX 17373 , SEATTLE WA
Contractor License No: BRIGHTSC992R8 Expiration Date: 12/28/2007
Fees Collected:
National Electrical Code Edition:
$75.00
2005
Date: 1 4
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 or local laws regulating
construction or perform ce work. I a orized to sign and obtain this electrical permit.
Date:
Print Name: r C4r d v L - f4v' `'►'' ,
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 EL07 -057 Printed: 04 -24 -2007
Parcel No.: 5476800201
Address: 4920 S 107 ST TUICW
Suite No:
Tenant: ADAMS RESIDENCE
1: ** *ELECTRICAL * **
d
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
oilimPost
Permit Number: EL07 -057
Status: ISSUED
Applied Date: 04/24/2007
Issue Date: 04/24/2007
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: [\CJ I / h� Ill /YES
Date: H-01-1-f `0
doc: Cond -Elec EL07 -057 Printed: 04 -24 -2007
Site Address:
Tenant Name: • a I
Property Owners Name: • rOorld
Mailing Address: f 4A <,
Company Name:
Mailing Address:
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Will service be altered? ❑ Yes Yr No
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Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
S ❑ uget Sound Energy
eattle City Light
H: 1ApplicationsWonna- Applications On Iina\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 **
SITE LOCATION
King Co Assessor's Tax No.: 9 1'1069 - 0201
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
kanS /lAdt (O A^i\ 5�
10`1+ _ —rtAx. State 8814 Zip
CONTACT PERSON Who do we contact when Your permit is ready to be'issued
Name: eorc\ I AdeknnS Day Telephone: A:%'t! 40 i 0 41
Mailing Address: 1. 4V D S • v "' t.t C t A 1114 OA 1 g ri 0
City state Zip
E -Mail Address: � 1 Ma/VISE Aare,/ C-6/Y1 Fax Number: 900 —`1
State
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ 6 ' OD
Scope of Work (please provide detailed information):
npA.J
■ NO• Ocri—rgt9
❑ Service Change Remodel
❑ Fire Alarm ❑ Telecommunication
Zip
Adding more than 50 amps? ❑ Yes Et-
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDE
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
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
PERMIT APPLICATION, NOTE
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: ��ao ^,
Print Name: 'f Qh l 7"IfiAMS
Mailing Address: 44 4 a0 S ) 0 r r S` 1
Date Application Expires: /0 ..14„..07
Date Application Accepted: 4 44 _
H :WpplicationsWorms- Applications On Line\4.2007 - Electrical Permit Appliation.doc
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MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
Day Telephone:
Cit
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
Date: 4 — e? -4`(
State Zip
Staff Initials:
Page 2 of 2
Receipt No.: R07 -00657
Payee: BRANDI ADAMS
TRANSACTION LIST:
Type Method Description
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.: 5476800201 Permit Number: EL07 -057
Address: 4920 S 107 ST TUKW Status: PENDING
Suite No: Applied Date: 04/24/2007
Applicant: ADAMS RESIDENCE Issue Date:
Initials: BLS Payment Date: 04/24/2007 01:39 PM
User ID: ADMIN Balance: 50.00
Amount
Payment Cash 75.00
Account Code Current Pmts
000.322.101.00.0 75.00
Total: $75.00
Payment Amount: $75.00
7466 04/24 9716 TOTAL 75.00
doc: Receiot -06 Printed: 04 -24 -2007
Project: 6'-�. `
'9 As �J
Type of Inspection:
��y
/C/ CJ
A dress:
I IV•0 - A .? —
Date Called:
_
Special Instructions:
Date Wanted: w
�
(
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3
pproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspec V S' 1/ z 6,4/4/04 I Date) 2 /
$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:
Special Instructions:
Type of Inspection:
Date Called:
Requester:
Phone No:
INSPECTION RECORD Ir
Retain a copy with permit !t 07_0s7
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3.71
Project:
A pproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
I /D/7
ri $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:
10 -08 -2007
BRANDI ADAMS
4920 S 107 ST
TUKWILA WA 98178
RE: Permit No. EL07 -057
4920 S 107 ST TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code; every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be In writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 10/22/2007 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall
Permit Technician
xc: Permit File No. ELO7 -057
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
BRIGHSC992R8
Licensee Name
BRIGHT STREET CONSTRUCTION INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
602167400
Ind. Ins. Account Id
#1
Business Type
CORPORATION
Address 1
PO BOX 17373
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98127
Phone
2067820153
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
12/28/2001
Expiration Date
12/28/2007
Suspend Date
Separation Date
Parent Company
Previous License
BRIGHSC072JE
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
TRAVELERS
CAS &
SURETY CO
103662509
01/01/2002
Until
Cancelled
$12,000.00
12/28/2001
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOSUND, MARTIN E
PRESIDENT
12/28/2001
JOSUND, KIM E
SECRETARY
12/28/2001
Look Up a Contractor, Electrici ar Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BRIGHSC992R8 04/24/2007