HomeMy WebLinkAboutPermit EL07-415 - PEDERSON HOMES - LOT 2PEDERSON, LOT 2
4238 S 150 ST
ELO7-415
Parcel No.: 0042000096
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
4242 S 150 ST TUKW
PEDERSON LOT 2
4238 S 150 ST , TUKWILA WA
GREEN WILLIAM D
20901 SE 7TH ST , SAMMAMISH WA
CHRIS SLOAN
19012 29 AV E , TACOMA WA
Contractor:
Name: CREATIVE HEATING INC
Address: 19012 29 AV E , TACOMA WA
Contractor License No: CREATHI002DA
DESCRIPTION OF WORK:
RUN T-STAT WIRE
Value of Electrical: $50.00
Electrical Service provided by:
Permit Center Authorized Signature:
Signature:
Print Name:
Citysf 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
SEATTLE CITY LIGHT
/
ELECTRICAL PERMIT
Fees Collected:
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 846 -8646
Phone: 253 531 -8383
Expiration Date: 03/01/2008
Type of Fire Protection: National Electrical Code Edition:
ELOT -415
08/22/2007
02/18/2008
Date:
$55.00
2005
I hereby certify that I have read and a ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied , whether specified herein or not.
The granting of this permit d • es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe i cep • rk. I am authorized to sign and obtain this electrical permit.
Date: a
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 -415 Printed: 08 -22 -2007
Parcel No.: 0042000096
Address: 4242 S 150 ST TUICW
Suite No:
Tenant: PEDERSON LOT 2
1: ** *ELECTRICAL * **
Signature:
doc: Cond -Elec
City of Tukwila
Print Name: / e-`; g
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
Permit Number: EL07 - 415
Status: ISSUED
Applied Date: 08/22/2007
Issue Date: 08/22/2007
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.
'
Date: � ZZ— 07
EL07 -415 Printed: 08-22 -2007
nursuar AU9USI 10 corm J -J/ rI•
CITY OF TUKWILA
Comm 1ty Development Department
Permit Center
6300Southeer)terBlvd, Suite 100
Tukwila, WA 88188
pUD ://rvww. ri. lui: r.•rla.:lve. us,
/Mr —ice IN
LOCATION
y2g2 Ring Co Assessor's Tax No.:
Addre S 1 SD ") .S4 10 ki Number: Floor:
mast Name- �r New Tenant: 0 Yea CI ..No
Property Owners Name• i -4 ddb►
mailing Addrea , �aSL
a )11 4,9 1z ? 1o S) 1�es
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Nance
Mailing Address: , �a
.V -Mail 11 h:Q
Will service be altered?
Type of Use.
Tree of work:
❑ New
1 ..a Low Voltage
fperr r Served by:
❑ Puget Sound
r [-3
"Seattle City I..Ight
ELECTRICAL PERMIT APPLICATION
Applications and plans Rust be Clete in order to be for plan review.
Applications will Dottie accepted through the mail or by fax_
**Please Prints*
❑ Yes .E3 No
❑ Addition
❑ Generator
♦.I IIIS J/VQI I P V
F LECrRICAL CONTRACTOR IN
Company Name. a° C_ tjt.
itlAn a wev'� + 4vo amie., Oa ::.41141. @teainl!1.P 4 Argtiesagerisc
w
TION
D Setvice Mange
❑ Fire Alarm
Electrical Permit No. 0104" -- f (C
Project No.
(For office use only)
tadA. rN n+r C 1R
Day Teti n 0 4 45 iV
�✓ r -&C p %i')
�=
F ax Nu mber �/ O T �O 7P / Ll
Meiling Address:
Content Perrern: 9.4 „C „f/D C
E.Maiil Address_
Contractor Registration Number: ek. 0.
Valuation f Project (contracto+'s bid pricck f _J-4000 J
.
Scope of Work (please provide detailed tolbnnation):( u
City Se
Day Telephone:.
Fax Number:
Expiration tratc . 31 'f),
•
zy
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant improvement
p Telecommunication ❑ Temporary Service
Pape 1 al
p numody, rtuyuw. IV, Lou r
RESIDENTIAL
NEW RESIDENTIAL sEit VICE
n Now single family dwollings S140.00
(including an attached gamgc)
13 Onragcs, pools. spas and ausbniftlings ca
Low vokagc systems
(alma, furnace thermostat)
RESIDENTIAL REMQDEL ,NI) SERVICE CHANGES
Service change or alteration $75.00
(no addixYaltered circuits)
Service change with addodhdtclui
number or *Idea circuits S10.00 ea
Ckettits adtictlialtered without osrvice change ...—.150.00
(up to 5 ciseuib)
Circuits added/altered without :orrice change ....
(6 or too= $7.00 ea
Low voltage systans f55.00
(alarm, furnace thermostat)
F P - E111VIIT APPLICATION NOTES -
Value of Co nstructio. -. In all cases, a value of constructiou mount should be coned by the applicant This' figure will be reviewed and is subject
to possible revision by the Pecntft Ceram*, comply with swyeat the solvolotas.
Expirativa Girl= Review -Applications for which no permit is issued within ISO days following the date of application shall expire by limitation.
The Building Official may rant one ward= or time for an additional period anew exceed 90 days. The asmusion shall be requested in writing
and jant:Gable cause Arumutstranad.
I HEREBY (=WY IHAT I HAVE READ AND EXAMINED TILTS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY T-IE LAWS OF THE STATE OF WASUINGION, AND I AM AI TrHORIZED TO APPLY FOR Ting PERMIT.
BUILDIMMVNER OR PIRA :TRICAT. CONTRACTOR:
Signature \
•
Print Nam= Q.: L IA (co Day Telephone: sktd
Mailing Address: Wt va, Aci" tgak -- 101- 4 0 04
Sow.
Dote Application Accepted: pcbt71101.... Date Aprlicatioa amigo
Staff bitials: E r s _ L ____ , I
tlAppik.a..4ftass Apprsori.. Irrelil.lt - %ma Ipplirmaisaw
VI IN ...V ..0111.0011.0 or.1010 • III
P401;11-1(AMILY N1) (XPMMMCtL
Fees are basal on the valuation of the electric:id contract.
MISCELIANEYJIIS FEES
fl
o Temponny senricc (residudial) $58.00
TemPoraty service (generator) $75.00
El Manufactured/mobile home scrvitt MAO
(oadetFeg lataCe or outhuildine)
_ Number of eertecv.ions $10.00 ca
le-0/
Page 2 of
RECEIPT NO: R07 -01764
Initials: JEM
User ID: 1165
Payee: PEDERSON'S CLASSIC HOME, INC.
SET ID: 0822 SET NAME: PEDERSON
SET TRANSACTIONS:
Set Member Amount
EL07 -414 55.00
EL07 -415 55.00
EL07 -416 55.00
EL07 -417 55.00
TOTAL: 220.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 4690 220.00
TOTAL: 220.00
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
ELECTRICAL PERMIT - RES
SET RECEIPT
Account Code
000.322.101.00.0
TOTAL:
Payment Date: 08/22/2007
Total Payment: 220.00
Current Pmts
220.00
1 .5 18/22 5710
220.00
TrITM 220=00
coect:
P /44625 ' 0/
Type of Inspection:
\...)
ddress: ,..
a , Date
1 /1-92- 3/4
Called:
Special Instructions:
Date Wanted:
a.m.
P.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspe Date:
/6 u- IfLLL
-o7-
PERMIT NO. )0v
(206)431- 6 0
rffre proved per applicable codes. E1 Corrections required prior to approval.
COMMENTS:
f $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
IDate:
Project: �
.' ,/'J K s Go T
Type of Inspection
/�)�
7O
\ �
Address:
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4 5
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
OMMENTS:
o,( '(4/6 _
roved per applicable codes.
I In5Pect L ) / �1 I4.�3�7i // IDate / /? ,,/7 /(/
E1 $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:
407-ytri
❑ Corrections required prior to approval.
c�-
License Information
License
CREATHI002DA
Licensee Name
CREATIVE HEATING INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601575175
Ind. Ins. Account Id
AGENT
Business Type
CORPORATION
Address 1
19012 29TH AVE E
Address 2
City
TACOMA
County
PIERCE
State
WA
Zip
98445
Phone
2535318383
Status
ACTIVE
Specialty 1
HVAC/RFRG LTD ENERGY
Specialty 2
UNUSED
Effective Date
3/1/2000
Expiration Date
3/1/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SLOANSL966CS
Business Owner Information
Name
Role
Effective Date
Expiration Date
SLOAN, CHRISTINE L
01/01/1980
SLOAN, CHRISTINE L
AGENT
01/01/1980
Look Up a Contractor, Electri-'an 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
SLOANSL966CS
SLOAN, SCOTT L
ACTIVE
I Bond Information
httos: // fortress .wa.eov /lni/bbiD /Drinter.asox ?License= CREATHI002DA 08/22/2007