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HomeMy WebLinkAboutPermit EL07-589 - REHABITAT NORTHWESTREHABITAT NORTHWEST 13332 32 AV S ELO7-589 Parcel No.: 1523049306 Address: 13332 32 AV S TUKW Suite No: Tenant: Name: REHABITAT NORTHWEST Address: 13332 32 AV S , TUKWILA WA Owner: Name: REHABITAT NORTHWEST INC Phone: Address: 5639 16TH AVE SW , SEATTLE WA Contact Person: Name: DAVID MONTOYA Phone: 206 - 883 -7937 Address: P 0 BOX 69093 , TUKWILA WA Contractor: Name: URBAN ELECTRIC Phone: 425 387 -7130 Address: 14720 59 AV S , TUKWILA WA Contractor License No: URBANE*948BL Expiration Date: 01/13/2008 DESCRIPTION OF WORK: ELECTRICAL WIRING FOR NEW SFR Value of Electrical: $6,000.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: 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 authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. I j � Signature: & Date: 'b t 4L . O l _ Print Name: Muvi doc: EL -4/07 City ../f 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 Fees Collected: Permit Number: EL07 -589 Issue Date: 10/16/2007 Permit Expires On: 04/13/2008 $140.00 Date: 101 (0 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 -589 Printed: 10 -16 -2007 Parcel No.: 1523049306 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond - Elec 1333232 AVSTUBW 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 PERMIT CONDITIONS Print Name: Permit Number: Status: Applied Date: Issue Date: ELO7 -589 ISSUED 10/16/2007 10/16/2007 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 perndt 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. Signature: Date: EL07 -589 Printed: 10 -16 -2007 sew 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 Prints Site Address: i 3 ✓ 3aV1 d Ave__ S Suite Number. Tenant Name: New Tenant: Property Owners Name: Re1/100 1 tat IV -W Mailing Address: 8690 I W , PIA I ne t, I W ELECTRICAL CON'IRACTO t INFORNIA King Co Assessor's Tax No.: 1 5,-). 30 G 30 eat-1 aty Name: v 101 / tUy q - wl t Dayy Telephone: " 9 °69* o Mailing Address: P 0 . ROX 6c109 -7 �Q 3 I uie / a V� I a p �tp g City Ftk Zip E-Mail Address: d i i 1 ll3'1 /UZ1 A iParloai 1- eI eC.h ��C . arm Fax Number. � ' 3 - 39 I <, State Company Name: M OCt) i Corp d &ex II rbay) 0s°C' YI C / Mailing Address: PO- ant M ` ^ � i 6Q09 3 �llo I /I -i i IAA g8 g 7 ow Contact Person: Da kid Day Telephone: 20(0 � g3 . :7 q 3 E -Mail Address:4 )0i f Ur ✓ 7 — e CC-*Yi (- (2»Vl Fax Number. aO(.0 - 3ff' 9/ (0 Contractor Registration Number 11 R2F3fNVE 4 - 44 g $ i Expiration Date: 1 -/a . O g Valuation of Project (contractor's bid price): $ ePt ©O 0 Scope of Work (please provide detailed information): CI eft3 at- I vv Sf g. Floor. ❑ Yes ❑..No 9 V06 Zip Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Tvpe of work: g i New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service property Served bv: ❑ Puget Sound Energy 5 Seattle City Light HAAppliaaaaslFams-Appliaaims Oa lino -tar/ - P3eco al Permit App tc iioo.doe Page 1 of 2 bb Slav RESIDENTIAL N W RESIDENTIAL SERV ❑ New single family dwellings S140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/altered circuits 575.00 number of added circuits 510.00 ea ❑ Circuits added/altered without service change 550.00 (up to 5 circuits) ❑ Circuits added/altered without service change 550.00 (6 or mom circuits) 57.00 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems 555.00 (alarm, furnace thermostat) � vApplie.tio n enn..Appl canoes Os r;oe+0.2007 • E3.caica Admit Appl doe MULTI FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) 575.00 ❑ Manufactured/mobile home service $80.00 (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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: VAA/1 .A11/1 Date: )0 ID. ( If — Print Name: Kul I/t L I GL yy� ,may Day Telephone: �'D` i'�"a q7-14 • Mailing Address: o • 13t) (D Q �(-{ bew I la. UA . C{ SC /e 0 City State zit) Date Application Accepted: Date Application Expires: I Staff Initials: 1 Page 2of2 Parcel No.: 1523049306 Address: 13332 32 AV S TUKW Suite No: Applicant: REHABITAT NORTHWEST Receipt No.: R07 -02262 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 Initials: WER Payment Date: 10/16/2007 01:05 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 1873 140.00 Account Code Current Pmts 000.322.101.00.0 140.00 Total: $140.00 Permit Number: EL07 -589 Status: PENDING Applied Date: 10/16/2007 Issue Date: Payment Amount: $140.00 412 10/16 7 TOTAL 140=00 doc: Receipt -06 Printed: 10 -16 -2007 Project: ) Type of Inspection: Address: Date Called: Special Instructions: s ... 435 , Date Wanted: a Requester: Phone No: INSPECTION RECORD Retain a copy with permit su s INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION \ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 proved per applicable codes. Corrections required prior to approval. COMMENTS: f ////9 Inspe /4 w //1/4„/" Date: / r/ 0 $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: 0 &,4/ MootlA 40)( /A) tact yAl6e4 s7 - XH A/4)0//// Azzotvej `- (2,) 1--U c_44(42 RxialtA Div cor,1 0 fl Aicae,7 ot044 ra 7)7/cAn4141/(/Noo,6 ,4 AlEc_ 72 10, afe)() 6 6wfof-c-Y Atc1/Ag//eA /9/14 /A/s -(1 (AVM mow 1-0addr A0A A XIMACW ./i2 (virr a fie.9.1) c el AiScOP/V - ,72/E, Project: AM4/ 92 7 / Type of Inspection: Address: ,- D te Called: a,. 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 R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670 El Approved per applicable codes. orrections required prior to approval. Iinspe /41._ 7 IDatV,/ EJ $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: 3 Project: &Me/27r / °"N Type of Inspection: 20 \ 1-- Ad d re s s: — 2 - - ° vic,5 Date Called: Special Instructions: Date Wanted: f (4 Requester: Phone No: 5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431-367O C MMENTS: 1x cM I/ I 16 P2/94X// c._/41Lor,‹ 7147i //zi roved per applicable codes. Corrections required prior to approval. lnsper 61/7 r7k EJ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 7 'Receipt No.: 'Date: COMMENTS: Type of Inspection: 27",)3 ioCC Address: 13J3& I ''= 71 7 e Special Instructions: Date Wanted: 1Z (1 - ' 7 a.m. p.m. Requester: 9 99 2 Phone No: 2 IA) 'AI p./.4 /41/ 7" / AI 5 Pte Ay (_i -- ..1 5 Rz icie ( I I ,q1- - ,77: - 77c.),‘, A I-7 - t?l f;• gi-5 7 Pi ? 1, , ,,,I,L) Project: "CNA A IT A Type of Inspection: Address: 13J3& I ''= 71 Date Called: /D ' o 9 Special Instructions: Date Wanted: 1Z (1 - ' 7 a.m. p.m. Requester: 9 99 2 Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 Ei Approved per applicable codes. Corrections required prior to approval. 1 tnspect 9r 'Date: E7Wr \ 7" I / 92 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: • COMMENTS: N& 4>1 , / . SIP A , S ? 0 — 4 , ,yr 5 Date Called: /) - / -1) J Special Instructions: '/ 1 % r�. Ar - Tin /�.SAI (�R.T'J) 0/' A/JN))//y-d, Phone No: 8•3 179 ,,, /v74t e -rir A-- T,, 4 JA 7.1=7 P, P / ,`kk 3 / _77 S / 7i., • r /r W 1.4 1 , Jl (//v 6 17,7..t riD Poh nrr Dur +.•,4. Tr 1 ..- SA1rr -r.P A.i PI) s 7 t/. rA$ Q--- A 7) ?�'S Project: RruA on - AT N& 4>1 Type of Inspection: '700 2 Address: ) 333,2 3 ,yr 5 Date Called: /) - / -1) J Special Instructions: Date Wanted: a.m. / / - / _ 0 '7 . AT p.m. Requester: 9 99 9 Phone No: 8•3 179 / INSPECTION NO. 0 Approved per applicable codes. J tnsPectoQ INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING, DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 a PERMIT NO. (206)431 -3670 Corrections required prior to approval. Date: le 7 - i7N.t7T //-/ -U El $58.00 EINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: `Date: /1.f5��� W Type of Inspection: Address: _�� �„� � � Date Called: Special Instructions: Date Wanted: / / )�/ 7 a,m,. Requester: Phone No: INSPECTION RECORD • Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 9 ' - 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 C d MMENTS: r)/ f2()W(.7/ - /A/ 'Inspector: 64 /,1.1 Date: /UA�/�2 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.: IDate: oved per applicable codes. Corrections required prior to approval. ,I 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 11 ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= URBANE *948BL 10/16/2007