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HomeMy WebLinkAboutPermit EL07-419 - HABITAT FOR HUMANITYHABITAT FOR HUMANITY 12230 43 AV S ELO7-419 Parcel No.: 0179000270 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 12230 43 AV S TUKW Contractor: Name: BOWIE ELECTRIC SERVICE Address: 2232 NW MARKET #1 , SEATTLE WA Contractor License No: BOWIEES024DE DESCRIPTION OF WORK: INSTALL (1) 100 AMP TEMPORARY POWER POLE Value of Electrical: $1,000.00 Fees Collected: $58.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Signature: HABITAT FOR HUMANITY 12230 43 AV S , TUKWILA WA CITY OF TUKWILA 6200 SOUTHCENTER BLVD , TUKWILA WA ARNE ANDERSON 2232 NW MARKET ST #1 , SEATTLE WA Print Name: otlo 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 ELECTRICAL PERMIT Permit Number: EL07 -419 Issue Date: 08/22/2007 Permit Expires On: 02/18/2008 Phone: Phone: 206 - 789 -6500 Phone: 206 -789 -6500 Expiration Date: 03/05/2008 Date: B-)_)_--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 au ority to violate or cancel the provisions of any other state or local laws regulating construction or the perforr nc 'p work. I am autho ' - d to sign and obtain this electrical permit. Date: F /22/b7 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 -419 Printed: 08-22 -2007 Parcel No.: 0179000270 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 12230 43 AV S TUKW 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 HABITAT FOR HUMANITY PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL07 -419 ISSUED 08/22/2007 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 »pork. Signature: te Date: 0- o � 7 Print Name: eg /Aye- 4 >ie- doc: Cond - Elec EL07 -419 Printed: 08 -22 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us 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 Address: 1 3 Ave- s, Tenant Name: }4 4bi 44 Morn.¢Kif Property Owners Name: r Mailing Address: 1.434' Lary( Ave. S. CONTACT PERSON ' Wbo do we contact when your permit is ready to be issued Name: A t n e noteiksoct e Mailing Address: 2 2 31 Al I() 14 4.ur( ek Si:- it- I E -Mail Address: ar`vto1 cQ e 209l44 e SC( ce- • CO VIA ELECTRICAL CONTRACTOR INFORMATION Company Name: gOW i e gl et.iv`fx. 1/4-e_ 4- u he--1 Mailing Address: 2Z 3 14 w l'te v4 " J1. it I Contact Person: AP n ei E -Mail Address: C rviol d e.bol,Ji eSeyvtCe- Contractor Registration Number:8Wi e- e5 O 24 cl Valuation of Project (contractor's bid price): $ ) & / DQ Scope of Work (please provide detailed information): ' h St' 1 l P rawer' p olP� Will service be altered? IS—Yes ❑ No Type of Use: If rv% p Otl-4 �'-( Cn►StJ ' u al" Pow ea Type of work: I ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H: AppliationsWorns- Applications On IineW -2007 - Electrical Permit Appliation.doc bh Electrical Permit No. Project No. or office use only) Co Assessor's Tax No.: 0 \1 cj l)© '- ( »7 C) Suite Number: Floor: New Tenant: RI Yes ❑ .. No TX kw471 1 IP/ U) City w4 State Id° kfly O -'( Zip Day Telephone: 2 -7 ?- 65o State Zip Fax Number: 20I, -i g l -- b6 Sir ` 3- 98101 City State Zip Day Telephone: 201)-7 k4 6s Fax Number: 2017 - 70- 6511 Expiration Date: b. --0.5- 2o0 g Adding more than 50 amps? g_ Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) 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) BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: f r►.oi ,r A ,,aews.,t. Mailing Address: 213Z /j'IJ Met,rk'de.3. • I Date Application Accepted: H: Applications\Fonns- Applications On Line\4 -2007 - Electrical Permit Applicabon.doc bh $140.00 $75.00 ea $55.00 ea S -l'l MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. 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 PERMIT APPLICATION -NOT 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: 8-.2 2 - 0 7 Day Telephone: a e 6 -7 gel_ 6 6 w ig- Vto z City State Date Application Expires: Staff Initials: Zip Page 2 of 2 Parcel No.: 0179000270 Address: 12230 43 AV S TUKW Suite No: Applicant: HABITAT FOR HUMANITY Payee: BOWIE ELECTRIC SERVICE 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 Receipt No.: R07 -01769 Payment Amount: 358.00 Initials: WER Payment Date: 08/22/2007 10:13 AM User ID: 1655 Balance: 30.00 TRANSACTION LIST: Type Method Description Amount Payment Check 12601 58.00 Account Code Current Pmts 000.322.101.00.0 58.00 Total: $58.00 Permit Number: EL07 - 419 Status: PENDING Applied Date: 08/22/2007 Issue Date: 1907 08/22 9710 TOTAL 50.00 doc: Receipt -06 Printed: 08 -22 -2007 Project: Me/777 T M 0, , / ?Y Type of Inspection: 7O 2 \J Address: /ZQ A Date Called: Special Instructions: Date Wanted: ,.. � ii a:m Requester: Phone No: INSPECTION RECORD Retain a copy with permit 14° 7 - W? INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION E 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -347 OMMENTS: �� per applicable codes. Corrections required prior to approval. Ins pe /`L (/ytireF /Z /i /G.# IDat/ A).2 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: Business Owner Information Name Role Effective Date Expiration Date HOEFER, BLAKE T 01/01/1980 HOEFER, JENNIFER 01/01/1980 DAHL, JOHN AGENT 01/01/1980 Electrical Administrator Information License Name Status HOEFEBT023PC HOEFER, BLAKE T ACTIVE Look Up a Contractor, Electrician or Plumber License Detail 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. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License BOWIEES024DE BOWIE ELECTRIC SRVC & SPLY INC ELECTRICAL CONTRACTOR 601835946 CORPORATION 2232 NW MARKET 1 SEATTLE KING WA 98107 2067896500 ACTIVE GENERAL UNUSED 3/5/1998 3/5/2008 BOWIEEI653BD HOEFEBT023PC Page 1 of 2 https: // fortress. wa. gov /Ini/bbip /printer.aspx ?License= BOWIEES024DE 08/22/2007 F525- 052 - 000'(8/97) DEPARTMENT OF LABOR AND INDUSTRIES LICENSED AS PROVIDED BY LAW AS ELEC CONTR GENERAL LICENSE ## EC01 BOWIEES024DE EFFECTIVE DATE BOWIE ELECTRIC SRVC 2232 NW MARKET 1 SEATTLE WA 98107 EXP..DATE< 03/05/2008 03/05/1998 & SPLY INC