HomeMy WebLinkAboutPermit EL07-109 - TUKWILA ESTATES - BUILDING ATUKWILA ESTATES
BLDG A
15110 MACADAM RD S
ELO7-109
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
DESCRIPTION OF WORK:
INSTALL 100 WATT METAL HELLIGHT AT ENTRY OF EACH TENANT
Value of Electrical:
Type of Fire Protection:
Electrical Service provided by:
Print Name:
doc: EL -4/07
Ci,f 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
7661600150
15110 MACADAM RD S TUKW
TUKWILA ESTATES, BLDG p
15110 MACADAM RD S , TUKWILA WA
TUKWILA ESTATE LLC
PO BOX 5941 , BELLEVUE WA
NIKOLAY GORBUN
PO BOX 934 , MILTON WA
SUPREME ELECTRIC LLC
Address: PO BOX 786 , MILTON WA
Contractor License No: SUPREEL946O6
$1,975.00
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
11/ >aa &t
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 332 -8399
Phone: 253 332 -8399
Expiration Date: 09/26/2008
Fees Collected:
National Electrical Code Edition:
EL07 -109
05/10/2007
11/06/2007
$104.00
2005
Date: 6 I to 10-
fin this permit and know the same to be true and correct. All provisions of law and ordinances
4 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 pe . ce of work. I am authorized to sign and obtain this electrical permit.
Signature: j Date: -/
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.
EL07 -109 Printed: 05-10 -2007
Parcel No.: 7661600150
Address:
Suite No:
Tenant:
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
15110 MACADAM RD S TUKW
TUIKWILA ESTATES, BLDG
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -109
ISSUED
05/10/2007
05/10/2007
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 -4613 WAC.
S: 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 pre - time to give authority to violate or cancel the provision of any other work or local
laws regulating construction or the ormance of work.
Signature:
Print Name:
doc: Cond -Elec
/t/7" 607toktil
Date: C//43/-
EL07 - 109 Printed: 05-10 -2007
King Co
if /// SIX /a PV/ APL S •p,/Jj
Tenant Name: . van Gk / 71
Site Address:
Mailing Address: `� pay
E-mail Address: i'/,St ie- V /MI/ & 771
Name:
ELECTRICAL' CONTRACTOR INFORMA'T'IO
Mailing Address: ? 0. 15ox 7.0)6
Contact Person: C 6cz
E -Mail Address: 41 SL it � // z /�. C07/1
Contractor Registration Number: 5C/PR E 6
Company Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
H:Uppliurions\Forms- Appliations 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 **
ssor's Tax No.: 1(J Ctt,l'D -- O K t'
ite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
Property Owners Name: /✓4S -1 a Ate 2 eat S f ,CWC )1 c'✓!
Mailing Address: 65v 64, Via GJa / 1/�' 3906 , e//e /!/z L W 92 OD 4 /
City State Zip
o we caatact when your permit u rsi Eo fie >Ssue
Day Telephone: Z - S32 — C 3 y 9 "
City
Fax Number:
City State Zip
Day Telephone: 25 332 -9-399'
Fax Number:
Expiration Date: 9/ 6/0 g
shah c ;2
er�'y ez.e Aug/ , i i a c/c1 an ..ea 6t
&Pi 9L 3s%
State Zip
A 30
Will service be altered? ❑ Yes igl. No Adding more than 50 amps? ❑ Yes (- No
Type of Use:
Type of work:
❑ New O Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
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
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
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:
Print Nam
Mailing Address:
H:IApplicationatForm4- Applications On Lin041-2007 - Electrical Permit Appliation.doe
bh
Fees are based on the valuation of the electrical contract.
❑ 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
Day Telephone:
City
MULTI-FAMILY AND COMMERCIAL
MISCELLANEOUS FEES
Date: S /
State
Zip
I Date Application Accepted: 054 v o f o —
Date Application Expires:
Staff Initial
Page 2 of 2
Doc: RECSETS -06
RECEIPT NO: R07 -00798
User ID: 1165
Payee: SUPREME ELECTRIC LLC
SET TRANSACTIONS:
Set Member Amount
ACCOUNT ITEM LIST:
Description
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
SET RECEIPT
Initials: JEM Payment Date: 05/10/2007
Total Payment: 208.00
SET ID: S000000759 SET NAME: Tmp set /Initialized Activities
EL07 -109 104.00
EL07 -110 104.00
TOTAL: 208.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 997 208.00
TOTAL: 208.00
ELECTRICAL PERMIT - RES
Account Code Current Pmts
000.322.101.00.0 208.00
TOTAL: 208.00
8074 05/10 9710 TOTAL 208.00
Project: /
TV/LW/L e 7.S
Type of Inspection:
Address: ,
P7/0 ritACneN &__S
Date Called:
Special Instructions:
Date Wanted:
/1/
a.m.
P.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
/o2
OMMENTS:
OX - cmily c__
proved per applicable codes. Corrections required prior to approval.
Inspector 0. 7 . 3 5 7/2 8 / 9 (oli
Date. /f)
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:
0/-f4ot/6/-/-//11
\-)
Address:
fi , l A ,e.
8 hOM Ain kt/I 5
(y_00.64. „, , c...c...4- - ss- 7o c,
L XJ/VS/OA/ A/A)6 /Fa 1 /Al2 1 .e Y /S 77 14-
F/y71/A4( 7v VE y /0/11.4//t/
Date Wanted /
7 ‘t
a.m.
p.m.
Requester:
Phone No:
VeR: 6 4 st72, ael.5
Type of Inspection:
7003
\-)
Address:
fi , l A ,e.
8 hOM Ain kt/I 5
Date Called:
Special Instructions:
Ra6 A
Date Wanted /
7 ‘t
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit VW7 7
INSPECTION NO. PER1j O.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-37
V pproved per applicable codes. Corrections required prior to approval.
InspectR 12, .rr/zmycH
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must, be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule re10 9on.
Receipt No.:
Date:
License Information
License
SUPREEL94606
Licensee Name
SUPREME ELECTRIC LLC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602642027
Ind. Ins. Account Id
PARTNER/MEMBER
Business Type
LIMITED LIABILITY COMPANY
Address 1
PO BOX 786
Address 2
City
MILTON
County
PIERCE
State
WA
Zip
98354
Phone
2533328399
Status
ACTIVE
Specialty 1
RESIDENTIAL
Specialty 2
UNUSED
Effective Date
9/26/2006
Expiration Date
9/26/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
GALIAP *941MU
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
GORBUN, NIKOLAY
JR
PARTNER/MEMBER
09/26/2006
GALIANT, PAVEL
PARTNER/MEMBER
09/26/2006
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
1
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
GALIAP *941 MU
GALIANT, PAVEL
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SUPREEL946O6 05/10/2007