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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 Look Up a Contractor, Electrician or Plumber License Detail Search Home ` Safety Claims & Insurance F Workplace Rights Trades & Licensing t Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version Topic Index ( Contact Info Page 1 of 2 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