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HomeMy WebLinkAboutPermit EL07-568 - REHABITAT NORTHWEST - LOT 3REHABITAT NORTHWEST LOT 3 3205 S 132 LN Parcel No.: 1523049307 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: DESCRIPTION OF WORK: ELECTRICAL FOR NEW SFR Value of Electrical: Type of Fire Protection: doc: EL -4/07 3205 S 132 LN TUICW Contractor: Name: URBAN ELECTRIC Address: 14720 59 AV S , TUKWILA WA Contractor License No: URBANE*948BL Electrical Service provided by: Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Print Name: DA<N1 17 Citof Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite 11100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us REHABITAT NORTHWEST, LOT 3 3205 S 132 LN , TUKWILA WA REHABITAT NORTHWEST INC 5639 16TH AVE SW , SEATTLE WA DAVID MONTOYA PO BOX 69093 , TUKWILA WA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 883 -7937 Phone: 425 387 -7130 Expiration Date: 01/13/2008 $0.00 Fees Collected: National Electrical Code Edition: SEATTLE CITY LIGHT EL07 -568 EL07 -568 10/08/2007 04/05/2008 Date: $140.00 2005 Pk ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting . oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction o of wo I am authorized to sign and obtain this electrical permit. Signature: BAl.satt Date: L 0/ IV0 IP M nr - t rort- 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. Printed: 10 -08 -2007 Parcel No.: 1523049307 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 3205 S 132 LN 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 REHABITAT NORTHWEST, LOT 3 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -568 ISSUED 10/08/2007 10/08/2007 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 regula . . construction or the performance of work. 11 1 ,E Signature: 1� A &vF , Print Name: doc: Cond -Elec iWtt" MaN71)14 Date: EL07 -568 Printed: 10 -08 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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** L05 S. 1.14, 1 37,vAd *twit - Our 3� Site Address: Tenant Name: Property Owners Name: f e/ 1O 1 l t N V\ Mailing Address: , 0 W Q.1 I S W Cealne, aay CONTACT .PERSON Who. do we contact when yonr permIt is ready to be Issu Name: C t V i d A A V i l th p D a y Telephone: )'X (.J t t 3 4 - M a i l i n g Address: P- • ! P n &A 0 3 Ttj L •wi I & 1/1 1 kI U Cary 473411.6 E-Mail Address: d 141 MI - 11•/ a (u ri v - - i ti L. *Fax Number. - 010 • 6 ELECTRICAL CONTRACTORINFORM& Company Name: Urb r\ E k Mailing Address: p O. SO-A b Q 013 Tu 62A/i -1 t o Contact Person: Da vI Gt k11.71,1 E-Mail Address: Fax Number. 2-cit 3q 1 Contractor Registration Number: UP J 4R P1— Expiration Date: - 7 7 • n� Valuation of Project (contractor's bid price): $ tY t (WO V Scope of Work (please provide detailed information): VAC t/1( (.tfYl StYu c 4i tiY) property Served by: ❑ Puget Sound Energy v Er Seattle City Light IMAppliemooslF«en- Appliadon. O. tineMd007 E .euieal Permit Applwionaoe hi King Co Assessor's Tax No.: IC 2 - 2 - ZV' Suite Number. Floor: New Tenant: ❑ Yes ❑..No UI/r— 9C61D( Sate ti Zip 481(4 city ectati zip Day Telephone: aO iQ 3 No Adding more than 50 amps? ❑ Yes ❑ No Will service be altered? ❑ Yes Type of Use: Type of work: /[J New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ Remodel ❑ Tenant Improvement Page 1 oft RESIDENTIAL NEW RESIDENTIAL. SERV« ! id New single family dwellings 8140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 855.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/altered circuits 875.00 number of added circuits 810.00 ea ❑ Circuits added/altered without service change 850.00 (up to 5 circuits) ❑ Circuits added/altered without service change 550.00 (6 or more circuits) 57.00 ea ❑ Meter/mast repair 565.00 ❑ Low voltage systems 855.00 (alarm, furnace thermostat) Signature: VAAMnAill Print Name: V.P' 1 11/1, Mailing Address: V. Q .. Bat to i o q Date Application Accepted: { 01 o1 f 1 Date Application Expires: HAAPPlicahonammts-Applirmitarts aa t;neua007. taecmc,l Permit woyuearima,c b MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. JVIISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) 575.00 ❑ Manufactured/mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals 575.00 Number of concessions 510.00 ea 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Date: l " I Day Telephone: 4/19 X CkY State ZIP 1 Staff Initials: Page 2 of 2 Receipt No.: R07 -02191 Initials: JEM User ID: 1165 Payee: URBAN ELECTRIC TRANSACTION LIST: Type Method Description 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 Parcel No.: 1523049307 Permit Number: ELM-568 Address: 3205 S 132 LN TUKW Status: APPROVED Suite No: Applied Date: 10/08/2007 Applicant: REHABITAT NORTHWEST, LOT 3 Issue Date: Amount Payment Check 1851 140.00 Account Code Current Pmts 000.322.101.00.0 140.00 Total: $ 140.00 Payment Amount: $ 140.00 Payment Date: 10/08/2007 10:19 AM Balance: $0.00 3701 /08 9710 TOTAL 44r doer Rarrint -(1R Printari 10 -0R -2007 Project: (i7lae Vr ill/W Type of Inspectiqn: Address: No 32t S AP Ai Date Called: Special Instructions: Date Wanted: //2 Cf a.m. p.m. Requester: Phone No: 40 7-1W INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F.. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 OMMfNTS: proved per applicable codes. El Corrections required prior to approval. insn'ator: 6ei&k 1V2g $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: Rible/Pyr "4") " 3 Type of Inspec t i n o ,/ : /a&' \..) /dAs i ...... _ ss 437.2 /03 ‘0,) Date Called: Special Instructions: Date Wanted: / a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 COMMENTS: Aqti1/41/771-/fi 7y /1 oic /*Ai 9<72 C6M/) GApv or of A/NES Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431- rrections required prior to approval. El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Insper Date: G7444/9//611 I /bs/oir 'Receipt No.: 'Date: Prro / cc c tt n K / A/ �� Type of Inspection: \J 70 A ddress` r SAOr 613_2N) 4-a Date Called: Special Instructions: Date Wanted: , / /Ar Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. P NO Or N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 E ipproved per applicable codes. El Corrections required prior to approval. COMMENTS: 0A.06/ n / /F/ 5 po r 4A5779 t) l inspectovn / �1 ,qt/v# Date: / f/ 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: LS COMMENTS: Type of Inspection: 1 7190 '', EAFC'7Rlr'AL -Z Pre ? /uN RFaaFS'Te Special Instructions: vST NRu I N f N., AZ.DI? r Phone No: 883 -'7 _5_s . 4w D vs7 �L,t=C7i ? /CA! /�72) -7 r T 7 )51 7/ ii..../ 1'6V .1 // . / L k l . e s / . t b r ? C 3 . 5 1 e. e dS 7gr..8 /1/vi) _ 1:1FC7/ ? /(AZ / y►l Cr 1 5 t2 /v iTt Project: - fiI NA91 7A H) L v? 3 Type of Inspection: 1 7190 '', Address: ( -Vn3 S. /.3c7 1.-Al Date Called: /0 - 3o- U'7 Special Instructions: Date Wanted: A Ta m /D -30 017 p.m. Requester: Phone No: 883 -'7 F bo'7 -SG g INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Approved per applicable codes. ® Corrections required prior to approval. (Da te: Y -Pf � I j0 3v � $58.00 R NSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: COMMENTS: • N W i of Type of Inspection: Address: / k ,i 4 .),,,,> --< ef c-7-\ JA., A -77 - -- -7- a ___s kJ/ e ...r Date Wanted: A _ a Requester: • 999, / 4 ( Aie, A U j ar - 7.0)/7-,;frA4 : i 0 r (...,?,.. zi7C_ /(}/- _cir e .er• Project: fir crA7" • N W i of Type of Inspection: Address: J 3 ' i Al Date Called: /1 I G 7 Special Instructions: _ Date Wanted: A _ a Requester: • 999, Phone No: g.g. ? — 9,3S INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 'Inspector: C INSPECTION RECORD Retain a copy with permit Date: N 0 71 / 7.—) e' PERMIT NO. (206)431-3670 El Approved per applicable codes. E Corrections required prior to approval. $58.00 REI PECT1ON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: Date; Pr j ct: 1,Aa/ T NW 44 3 Type of Inspection: x7 ,- ) Address Date Called: Special Instructions: Date Wanted: /, /� l/ m Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION v 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 0 proved per applicable codes. Ei Corrections required prior to approval. COMMENTS: ()X V6/-/ /4) Inspector art/Z691/6ll IDat : /0/07 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: EL!!!d_ n'.v.:a:ay:z;.3.,� ° - _ -:.r" _ *�� - 5 •:C.4i�._^' '�. `.�. -. ,L �.. _ __ ,�sa:.a '-:.. ?:,..._ LICENSED AS PROVIDED BY LAW AS ELEC CONTR GENERAL LICENSE # EXP. DATE ECO1 URBANE *948BL 01/13/2008 EFFECTIVE DATE 01/13/2006 URBAN ELECTRIC .4720 59TH AVE S JIJKWILA. WA 98168 lature ed by DEPARTMENT OF LABOR AND INDUSTRIES