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Home My WebLink AboutPermit EL07-214 - REHABITAT NORTHWESTREHABITAT NORTHWEST S 14OST&4SAVS ELO7-214 Parcel No.: 3229200090 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: URBAN ELECTRIC Address: 14720 59 AV S , TUKWILA WA Contractor License No: URBANE *948BL DESCRIPTION OF WORK: TEMP POWER POLE (OFF OF S 140 ST) Value of Electrical: Type of Fire Protection: National Electrical Code Edition: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing work will be compile The grantin constructi Signature: Print Name: doc: EL -4/07 REHABITAT NORTHWEST S 140ST &45AVS, TUKWILAWA PEDERSEN RICHARD S +DONNA M PO BOX 1518 , MARYSVILLE WA DAVID MONTOYA 14720 59 AV S , TUKWILA WA ex - wi Cityif 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 $0.00 Fees Collected: Ro r ELECTRICAL PERMIT 4\0 Permit Number: EL07 -214 Issue Date: 06/14/2007 Permit Expires On: 12/11/2007 Phone: Phone: 206 883 -7937 Phone: 425 387 -7130 Expiration Date: 01/13/2008 $58.00 2005 Date: al ittik ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. s permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating ormance of w• - - thorized to sign and obtain this electrical permit. Date: L 1/G "7 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 -214 Printed: 06-14 -2007 Parcel No.: 3229200090 Address: Suite No: Tenant: REHABITAT NORTHWEST 1: ** *ELECTRICAL * ** doc: Cond -Stec 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 av� M oNzoy PERMIT CONDITIONS Permit Number: ELM Status: ISSUED Applied Date: 06/14/2007 Issue Date: 06/14/2007 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 regulatinIkonstruction or the performance of work. Signature: �a:�� Date: WiLiA 7 Print Name: EL07 -214 Printed: 06-14 -2007 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 ** Name: " PAN/ I,7 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httc://www.ci.tukwila.wa.us No 4vYs■c.Iktr p,tRx3S Site Address: C os CM O sl" - 1 -1T t - F- Av 25 • Tenant Name: Property Owners Name: e-E1kAr6 trAl' IS - 11.1C_• Mailing Address: Nl 0 KTby14 Company Name: U R-QA:N t L-Ec r K-1C- 5o. office use only) Co Assessor's Tax No.: ! ?L — OM 0 Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No City State CONTACT PERSON 'VVbo do We `contact when your permit is ready to be issue Day Telephone:( 1 5G) 88 3- 79 3 ? Mailing Address: 11 City E -Mail Address: dCY for b (e■ Lurbar. C- -.C.oW Fax Number: Valuation of Project (contractor's bid price): $ I SD - Scope of Work (please provide detailed information): 'VP -rim(J ?,.)Q,r OA— State Zip 388 -3 to Zip ELECTRICAL CONTRACTOR INFORMATION Tv V-3..) \a w A ` t8 1(a City Mailing Address: 1 1 -172_0 Sq A J Contact Person: P c a c ‘ e Lb o t s - V C -0 /1 Day Telephone: ( -0 (o J ?S 3- 79 3? E -Mail Address: � YhpY∎ - t (a _ U,rlOaan "�e-ck C_.Col+1n Fax Number: (-G) 3 88 -. 3 I Lo Contractor Registration Number: f 15Pa•1WV 3 Expiration Date: j / l 3 /O ?� State Zip Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Temporary Service Property Served by: ❑ Puget Sound Energy [Seattle City Light H:\Applications\Forms- Applications On Lineal -2007 - Electrical Permit Appliation.doc Page 1 of 2 bh 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) PE RMIT °APP N C' 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 no t 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 ER E ECTRICAL CONTRACTOR: Signature: Print Name: A-Mr &t Kt P-41'0y19 Mailing Address: •!✓d Fiat. i--E r — I Date Application Accepted: at 11(-11 H:WpplicationsTorms- Applications On line44-2007 - Electrical Permit Application.doe bh Fees are based on the valuation of the electrical contract. T mporary 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: (o, E8 3 79 3 - 7 City Nos MULTI- FAMILY AND COMMERCIAL MISCELLANEOUS FEES Date: G State Date Application Expires: Zip Page 2 of 2 Parcel No.: 3229200090 Address: Suite No: Applicant: REHABITAT NORTHWEST Receipt No.: R07 -01131 Initials: JEM User ID: 1165 Payee: URBAN ELECTRIC 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 TRANSACTION LIST: Type Method Description Amount Payment Check 1623 58.00 Account Code Current Pmts 000.322.101.00.0 58.00 Total: $58.00 Permit Number: EL07 -214 Status: PENDING Applied Date: 06/14/2007 Issue Date: Payment Amount: $58.00 Payment Date: 06/14/2007 12:38 PM Balance: 50.00 9336 06/14 9716 TOTAL 58.00 don: Receipt -06 Printed: 06-14 -2007 Project: Pt Hh'Q /) T It/ I.J Type of Inspection: -. 7 Addre w i 1gv f Siyv�' Sr Date Called: Special Instructions: 7 fe /' / isth ' - /U fl / I/0 7 Y ) Date Wanted: / (.,// a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 proved per applicable codes. INSPECTION RECORD Retain a copy with permit ft -2 4' PER (206)431 -3670 Corrections required prior to approval. COMMENTS: 0 V ic Z. I eg uf " g ?/h C/ -/ ( $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: License Information License URBANE *948BL Licensee Name URBAN ELECTRIC Licensee Type ELECTRICAL CONTRACTOR UBI 602548602 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 14720 59TH AVE S Address 2 City TUKWILA County KING State WA Zip 98168 Phone 4253877130 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/13/2006 Expiration Date 1/13/2008 Suspend Date Separation Date Parent Company MOCHI CORPORATION Previous License Next License Associated License CHIN *JH967K0 Business Owner Information Name Role Effective Date Expiration Date CHIN, JEFFREY H AGENT 01/13/2006 CHIN, JEFFREY H PRESIDENT 01/13/2006 CHIN, JEFFREY H SECRETARY 01/13/2006 MONTOYA, DAVID C TREASURER 01/13/2006 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. Master Electrician Information License Name Status CHIN *JH967K0 CHIN, JEFFREY H ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= URBANE *948BL 06/14/2007