HomeMy WebLinkAboutPermit EL07-595 - GAVRILENKO RESIDENCEGAVRILENKO RESIDENCE
3813 S 116 ST
ELO7-595
Parcel No.: 0733000155
Address: 3813 S 116 ST TUKW
Suite No:
Tenant:
Name: GAVRILENKO RESIDENCE
Address: 3813 S 116TH ST , TUKWILA WA
Contractor:
Name: NORTH ELECTRO SERVICE
Address: 14914 LARCH WY , LYNNWOOD WA
Contractor License No: NORTHES969L5
DESCRIPTION OF WORK:
PANEL CHANGE
Value of Electrical: $0.00
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signor
Print Name:
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:
Owner:
Name: GAVRILENKO EUGENE A +GAVRILE Phone:
Address: 3813 S 116TH ST , TUKWILA WA
Permit Number: EL07 -595
Issue Date: 10/18/2007
Permit Expires On: 04/15/2008
Contact Person:
Name: KRASIMIR DRAGANOV Phone: 206 778 -9505
Address: 14914 LARCH WY , LYNNWOOD WA
Phone: 206 778 -9505
Expiration Date: 06/25/2008
Type of Fire Protection: National Electrical Code Edition: 2005
$75.00
Date: 10111)10
I hereby certify that I have read an • ex ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli • 'th, 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 th pelf. ce of work. I am authorized to sign and obtain this electrical permit.
Signature: L �'
Date: ( /o e9
This permit shall become mill 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 -595 Printed: 10 -18 -2007
Parcel No.: 0733000155
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
3813S116ST
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
GAVRILENKO RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL47 -595
ISSUED
10/18/2007
10/18/2007
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.
doc: Cond -Elec
EL07 -595 Printed: 10 -18 -2007
Tenant Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wwwci.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 LOCATION
Site Address: 35 / i/4
Property Owners Name: 14 ,eJ 5 4- CA- i, ,2I L e,vx o
Mailing Address: 3 8 /3 S // C
King Co Assessor's Tax No.: °"1S 00 — 01
Suite Number:
City
Floor:
New Tenant: ❑ Yes ['..No
w4—
State
98/ 6'8
Zip
CONTACT PERSON 2 Who do we contact when your permit is ready tie issue
Name: Xe AV D Y
Mailing Address:
E -Mail Address:
Valuation of Project (contractor's bid price):
Scope of Work (please provide detailed information): //,t- /VC' G
HAApplications \Forma - Applications On Lineal -2007 -Electrical Permit Application.doc
bh
Day Telephone: X0 772 -95
City
S
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: IV 9R % * ' L �C / Iz 7 c S E,e v1 C /
Mailing Address: 14 9 / � LA ,eC XV X Lj/7 WOO cl WA' PdDd7
/ rn State Zip
Contact Person: ie � _T�Y/Z DiA �A-Are l/ Day Telephone: f 4 tc 7? cc" 93
E -Mail Address: Fax Number:
Contractor Registration Number: ///Of / A s 9G fi 5 Expiration Date:44f,X8 9.R
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes p' No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
® Seattle City Light 7
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
I tA 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)
I Date Application Accepted:
Signatur-
Print Name: / j-5j,4 ,L? DQ.: -„.9' j (A9 y
Mailing Address:
H:Wpplications\Fonns- 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) S58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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 0 : ELECTRICAL CONTRACTOR:
Date: /
Day Telephone: g0 6 776 - rr',,f7D (�
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 0733000155 Permit Number: EL07 -595
Address: 3813 S 116 ST TUKW Status: APPROVED
Suite No: Applied Date: 10/18/2007
Applicant: GAVRILENKO RESIDENCE Issue Date:
Receipt No.: R07 -02287
Initials: JEM Payment Date: 10/18/2007 12:49 PM
User ID: 1165 Balance: $0.00
Payee: NORTH ELECTRO SERVICE
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
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 75.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - RES
Account Code Current Pmts
000.322.101.00.0 75.00
Total: $75.00
Payment Amount: $75.00
doc: Receiot -06 Printed: 10- 18-2007
Project:
( /9 VA —0 O , t S
Type of Inspect
Z
1 1
v
AdA77 ...s. /j rii_c -/
Date Called:
Special Instructions:
Date Wanted:
/
Ve
Requester:
Phone No:
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 -3070
COMMENTS:
proved per applicable codes. ® Corrections required prior to approval.
Inspector: l 'Date: / / t.
$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:
License Information
License
NORTHES969L5
{
Licensee Name
NORTH ELECTRO SERVICE
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602407265 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
INDIVIDUAL
Address 1
14914 LARCH WAY
Address 2
City
LYNNWOOD
County
SNOHOMISH
I
! State
WA
Zip
98087
Phone
2067789505
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
6/25/2004
Expiration Date
6/25/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
DRAGAK "961 C7
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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.
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= NORTHES969L5 10/18/2007