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Permit EL07-541 - GREEN RESIDENCE - LOT 2
GREEN RESIDENCE LOT 2 4242 S 150 ST ELO7-54 1 Parcel No.: 0042000096 Address: Suite No: Signature: Tenant: Name: Address: Owner: doc: EL -4/07 Name: Address: Contact Person: Name: Address: 4242 S 150 ST TUKW DESCRIPTION OF WORK: WIRE NEW RESIDENCE Permit Center Authorized Signature: Print Name: / ' Kt/ 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 GREEN RESIDENCE, LOT 2 42442 2 150 ST , TUKVVILA WA GREEN WILLIAM D 20901 SE 7TH ST , SAMMAMISH WA RANDY TALL 35916 249 AV SE , ENUMCLAW WA Contractor: Name: TALL'S ELECTRIC INC Address: 35916 249 AV S , ENUMCLAW WA Contractor License No: TALLSEI169NL flow - Value of Electrical: Type of Fire Protection: Electrical Service provided by: SEATTLE CITY LIGHT mcj. aA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 709 -0997 Phone: 253 -709 -0997 Expiration Date: 09/30/2009 ELO7 -541 09/25/2007 03/23/2008 Fees Collected: $140.00 National Electrical Code Edition: 2005 Date: U t 17 / 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 p - . oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the ! y ; authorized to sign and obtain this electrical permit. Date: Z , -0 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 -541 Printed: 09 -25 -2007 Parcel No.: 0042000096 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: doc: Cond -Elec 4242 S 150 ST TUKW City of Tukwila Print Name: ,/iir 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 GREEN RESIDENCE, LOT 2 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -541 ISSUED 09/25/2007 09/25/2007 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. Dater EL07 - 541 Printed: 09 -25 -2007 Site Address: 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 ** t(2_ S / s SD Suite Number: � ��// New Tenant: ❑ Yes ❑ ..No Property Owners Name: eeee / S 0 --+ C- %l /( /11,1-P -" Mailing Address: Tenant Name: CONTACT• Who we contact when your permit reatiiy to be i Name: Mailing Address: State E -Mail Address: TA <'S i ' Company Name: Mailing Address: 59/6 Z Contact Person: A 6 Qy E -Mail Address: &TA LC- / e /fif. S!'1/ Pz -∎ Contractor Registration Number: 7 C_ c S / 6 9 Il ./t d a Valuation of Project (contractor's bid price): $ t'7 0 0 Scope of Work (please provide detailed information): 1-t /7/2-e Will service be altered? ❑ Yes No Type of Use: Type of work: JNew ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light II1Applications\Fotn s. Applications On Line14 -2007 - Electrical Permit Application.doc bh (For office use only) King Co Assessor's Tax No.: City City a 2OU ccp State Floor: Day Telephone: Expiration Date: "/ - 3 0 - Zoc9 9 1 Zip Zip Fax Number: Adding more than 50 amps? Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service -? City State Zip Day Telephone: ZS3 70 f 4 P9 7 Fax Number:366 era-S 3 a 6 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) Signature: Print Name: Mailing Address: 3c/ I Date Application Accepted: H:Upplications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc 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) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Date: / -- Z S & 7 Day Telephone: z- '70c © 9f 7 Zip Date Application Expires: Staff Initials: Page 2 of 2 Doc: RECSETS -06 RECEIPT NO: R07 -02080 Initials: User ID: JEM 1165 Payee: TALL'S ELECTRIC, INC. 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 Payment Date: 09/25/2007 Total Payment: 280.00 SET ID: 0925 SET NAME: TALL'S ELECTRIC INC EL07 -540 140.00 EL07 -541 140.00 TOTAL: 280.00 TRANSACTION LIST: Type Method Description Amount Payment Check 5200 280.00 TOTAL: 280.00 ELECTRICAL PERMIT - RES Account Code Current Pmts 000.322.101.00.0 280.00 TOTAL: 280.00 222 099/25 9710 TOTA1 i. w 9710 TOT A1 Project, i e • / 1/41 12....< Aar 1- Type of Inspection: A dress* ...- q2— AMR' Sy Date Called: Special Instructions: Date Wanted:2 / , 7 c p.m. Requester: Phone No: 16407-51-// PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ‘ 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670 INSPECTION NO. INSPECTION RECORD Retain a copy with permit OMMENTS: pproved per applicable codes. Corrections required prior to approval. 1 "s7 . / 7 rte.-7/7 hge $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: COMMENTS: / OAE 2CO/141/467 Fa, AE. fff .2.) 2 /90 niiL 6� /4) /st-gA 1-,.€1.6,s ,vl) u F lelr /fit, Fait �' /c.A0 PA IoW) N c 745 2/o 2 %/lAtifii` a x 4 Tti 77/ P '2olll /9cc ss' f'xx AimU/hic71/ReA _ GG o SF r L /Cl/T Al i4/ / Rcri a "(0 /1 i'Y Tj,'c h'4tailAY ANA /ivs /,dE e../,e,ser :Q.rnmo /k- M7r 7M M) "44,4 a'r$ /lam SO,riw EiMGdMS - GG►2 xcr eokA /416- J sire c7z'/L f04 -x4c -r /OC 77 Ai Pi/ef,)fi yf eL fi J5 v /77f G(/ /fAGi _ Project: Type of Inspection: 7y� Date / �i /sue S/ Called: Special Instructions: Date Wanted: i Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit f- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 El Approved per applicable codes. corrections required prior to approval. k z 6,tieo-i" (Date: RA 7/ $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: Project: /J / -' � /A / , t !/,r 2 Type of Inspection: / / fI�ti� / C / 7 .. _7 Address: w -yz S /s Date Called: Special Instructions: Date Wanted: /o / 9 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 i ft0 PERMIT NO. (206)431 -37 COMMENTS: Ok— o / — /oiJ --m) roved per applicable codes. ['Corrections required prior to approval. I lnsPector 2 G/l I El $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: 0 ..5 ^ _ .('t+ ± ..nom ,.. �,.er Business Owner Information Name Role Effective Date Expiration Date TALL, RANDALL C 01/01/1980 TALL, RANDALL C AGENT 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 14 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 TALLSEI169NL TALL'S ELECTRIC INC ELECTRICAL CONTRACTOR 600521865 CORPORATION 35916 249TH AVE SE ENUMCLAW KING WA 98022 2537090997 ACTIVE GENERAL UNUSED 8/13/1984 9/30/2009 SUPEREC324LA TALL *RC9710J Master Electrician Information License Name Status TALL *RC9710J TALL, RANDALL C ACTIVE Bond Information 4;r https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= TALLSEI169NL 09/25/2007