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HomeMy WebLinkAboutPermit EL07-173 - OLYMPIC HOT TUBOLYMPIC HOT TUB 12818 GATEWAY DR EL07 -173 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: DESCRIPTION OF WORK: ADD (1) 20A CIRCUIT AND (1) 50A CIRCUIT Value of Electrical: Type of Fire Protection: Electrical Service provided by: doc: EL - 4/07 2716000050 12818 GATEWAY DR TUKW 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 OLYMPIC HOT TUB 12818 GATEWAY DR , TUKWILA WA AMB INSTITUTIONAL ALLIANCE Phone: C/O MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY STE 301 BEE MONTENEGRO Phone: 253 -336 -7823 11407 SE 326 PL , AUBURN WA JUICE COMPANY INC, THE Phone: 253 333 -7823 11414 SE 326 PL , AUBURN WA Contractor License No: JUICECI933BP $1,800.00 Permit Center Authorized Signature: ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Expiration Date: 01/17/2009 ELOT -173 06/04/2007 12/01/2007 Fees Collected: $104.00 National Electrical Code Edition: 2005 Date: lD 1 -1-07 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 - performance of work. I am authorized to sign and obtain this electrical permit. Date: CS/- Print Name: CJ7iiiw 4. / 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 -173 Printed: 06-04 -2007 Parcel No.: 2716000050 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond - Elec OLYMPIC HOT TUB 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 12818 GATEWAY DR TUKW 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. PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: Date: 49- - 7 �� ELO7 -173 ISSUED 06/04/2007 06/04/2007 EL07 -173 Printed: 06-04 -2007 CITY OF TUKWIL'' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Site Address: OS \,S C Tenant Name: Property Owners Name: C Mailing Address: 50//11\-0-- Tub A v - Tr above- Name: e, f rvb- 1- �P,Pq'c - O of Ge c 30(01 Q Mailing Address: E -Mail Address: Will service be altered? ❑ Yes t 0 1 c ci t e a Type of Use: Tvpe of work: ❑ New ❑ Low Voltage ❑ Property Served by: ❑ Puget Sound Energy Seattle City Light Addition Generator H:\Applications\Forn a- Applications On Line \4 2007 - Electrical Permit Applicatiot.doc m ❑ Service Change ❑ Fire Alarm ❑ No Adding more than 50 amps? � �s Electrical Permit No. L Vi 3 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 Prints' SITE LOCATION King Co Assessor's Tax No.: )-- 0 D - ©ems, V Suite Number: New Tenant: City Floor: ❑ Yes ❑ ..No State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: �-33) 333 -- )g a-5 It la 9 $09cD, City I State Fax Number: S3) ( 3 bct3S ELECTRICAL CONTRACTOR INFORMATION Company Name: 7 71.& v.-C. (• c2.ryi 01=411 Mailing Address: 1 t y (off` t Contact Person:_D_Prt) C) 6YZ�-PJA2 0� rc) E -Mail Address: � Contractor Registration Number: , to tC Gt C ?JJR P Valuation of Project (contractor's bid price): $ I Scope of Work (please provide detailed information): t () Gcn-a p � t ruki a-vl (mt. 50 64 2„...„, CA.,A „h..; t City State Zip Day Telephone: as3) 5 , oiE) \3 Fax Number: c� . 3_) 333 '0c) 3S Expiration Date: ,g,] Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/altered circuits 575.00 number of added circuits 510.00 ea ❑ Circuits added/altered without service change 550.00 (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) FUILDING OWNER OR ELECTRICAL CONTRACTOR: dl Signature: /4 .' „Ate _ y� Print Name: / , . _ // i i / �1 Mailing Address: �(f U ft� I Date Application Accepted: ( P H:Upplicatia s\Forma- Applications On Line4-7007 - Electrical Permit Application.dac bh MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) 575.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions 510.00 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: W nDay� Telephone: aS 3" 4 3 itY (n) - qfo?- S tate Zip Date Application Expires: � )_1 Staff Initials: (/ A Q I 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.: 2716000050 Permit Number: EL07 -173 Address: 12818 GATEWAY DR TUKW Status: APPROVED Suite No: Applied Date: 06/04/2007 Applicant: OLYMPIC HOT TUB Issue Date: Receipt No.: R07 -01009 Initials: WER Payment Date: 06/04/2007 10:43 AM User ID: 1655 Balance: $0.00 Payee: THE JUICE COMPANY TRANSACTION LIST: Type Method Description Amount Payment Check 2562 104.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 104.00 Total: $104.00 Payment Amount: $104.00 8897 06/04 9716 TOTAL 104.00 doc: Receiot -06 Printed: 06 -04 -2007 Project: 01 Y/fp/ liar 72/4 Type of Inspection: /0-0 \.] Address: / 0 G� 7hi \/ b Date Called: Special Instructions: Date Wanted: �/ � 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 607-./ 73 *proved per applicable codes. COMMENTS: 0/ F /A',q El Corrections required prior to approval. (Inspector: A Date / / 7 J $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: ".'r_'.1F:4r �:;r�g�� Y.' ,� et■c. << wk. 1 L wke IWSE GATLwA( 9 q ga g r " (' ‘tc, J kt License Information Name License JUICECI933BP Expiration Date Licensee Name JUICE COMPANY INC, THE 01/16/2007 Licensee Type ELECTRICAL CONTRACTOR \ UBI 602660912 Ind. Ins. Account Id 10443800 Business Type CORPORATION Address 1 11414 SE 326TH PL Address 2 City AUBURN County KING State WA Zip 980924803 Phone 2533337823 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/17/2007 Expiration Date 1/17/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License MONTED *956MA Business Owner Information Name Role Effective Date Expiration Date MONTENEGRO, CHRISTY AGENT 01/16/2007 MONTENEGRO, DAVID A PRESIDENT 01/16/2007 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 MONTED *956MA MONTENEGRO, DAVID A ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= JUICECI933BP 06/04/2007