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HomeMy WebLinkAboutPermit EL07-741 - REHABITAT NORTHWEST - LOT 5REHABITAT NW, LOT 5 3203 S 132 LN ELO7-74 1 Parcel No.: 1523049309 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 3203 S 132 LN TUKW REHABITAT NORTHWEST, LOT 5 3203 S 132 LN , TUKWILA WA REHABITAT NORTHWEST INC 5639 16TH AVE SW , SEATTLE WA DAVID MONTOYA PO BOX 69093 , TUKWILA WA Contractor: Name: URBAN ELECTRIC Address: 14720 59 AV S , TUKWILA WA Contractor License No: URBANE*948BL DESCRIPTION OF WORK: NEW SFR: ELECTRICAL WIRING AND TRIM Value of Electrical: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied The granting construction Signature: Print Name: doc: EL -4/07 r ep 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 ELECTRICAL PERMIT $0.00 Fees Collected: Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 883 -7937 Phone: 425 387 -7130 Expiration Date: 01/13/2008 Type of Fire Protection: National Electrical Code Edition: EL07 -741 EL07 -741 12/04/2007 06/01/2008 Date: 121 ai 117 $140.00 2005 ed this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating f work. I am authorized to sign and obtain this electrical permit. Date: (2/ /U7 Qv t K ° 1- cr). /"J4 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: 12 -04 -2007 Parcel No.: 1523049309 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond -Elec 3203 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 5 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: Date: I2 y/"? EL07 -741 ISSUED 12/04/2007 12/04/2007 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 TO - 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. T: 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. 4. \ EL07 -741 Printed: 12 -04 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.W8.US 2 A King Co Assessor's Tax No.: Site Address: 3 3 S. 1310'0 lane 1UkW i 1 a Suite Number. Tenant Name: RelnatOi I t N. W. Property Owners Name: Re Ina iDi to } N • W • Mailing Address: 3(p0 W Ma 1:11 na 1 wet. S W . e H1 IAA 6 1 9)100 city CONTACT `VVi o do we co ntact hen our permit is ready ta, be issued Name: David M ntoyA Day Telephone: W ( ( 63 . 4 q g 3 Mailin Address: t' 50\t- W •0' UUaC �/L � l� /� • `i�1t city E-Mail Address: l croiN a ( I A 1(IDQ rl — C(GG�YI G . ( -67/vl Company Name: (A rO C. f •Electri G Mailing Address: 4'O • B oX (c! 013 Tu l-w i t Wk a D / �D g Contact Person: O aVl d M O t6-I E -Mail Address: (.11M,17YLtU1. Gt . PALV ID a n - 1 reL h- G Contractor Registration Numbe .A a `N E 6i We, L Valuation of Project (contractor's bid price): $ W 0 " " Scope of Work (please provide detailed information): MA Ca, w I V1 R J Property Served by: ❑ Puget Sound Energy Seattle City Light x Appiica ions Faau- Appsariaa Oa Lae4.2007 - Eecmc l Panait AppIiatioadoe ii, 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 New Tenant: tc22olt - -1. Floor: ❑ Yes ❑..No State Zip State Fax Number. 20 (i) 5g% - 5e1 1(n Zip city state zip Day Telephone: '-°Ce • g 3 " 3 • u)W■ Fax Number. 9- tc) • 5t-g, 311(p Expiration Date: 1 3 0v Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: Ej New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL S ERVIC ,Qf New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings S75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration S75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits 510.00 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) S7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) Ngeof 1 Date Application Accepted: 124 04 I . -y� _ I Date Application Expo: HAAppliwioasToma- Appliat on Unei4 -2007 —arid Pe mit Appiiwtioa.aoo MULTI-FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) S58.00 ❑ Temporary service (generator) S75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals.. $75.00 Number of concessions S10.00 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 TIES 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: - Date: 1? • 3‘ Print Name: ¥.. al( Day Telephone: WO `t • q Tip 9, Mailing Address: V (3 Th k-W ( I.Q. 1A/A- elm City State Zip Staff Initials: .. .r Page 2 of 2 Receipt No.: R07 -02649 Initials: JEM User ID: 1165 Payee: URBAN ELECTRIC ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR 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.: 1523049309 Permit Number: ELO7 -741 Address: 3203 S 132 LN TUKW Status: APPROVED Suite No: Applied Date: 12/04/2007 Applicant: REHABITAT NORTHWEST, LOT 5 Issue Date: TRANSACTION LIST: Type Method Description Amount Payment Check 1991 140.00 Account Code Current Pmts 000.322.101.00.0 140.00 Total: $140.00 Payment Amount: $140.00 Payment Date: 12/04/2007 10:42 AM Balance: $0.00 5665 12/04 9710 TOTAL 140.00 doc: Receiot -06 Printed: 12 -04 -2007 Project: Type of Inspection 00 Address: 5 4.7; fr r 1i Date Called: Special Instructions: Date Wanted: v/� e Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 EGo7 +'l PERMIT NO. (206)431 -36 M M ENTS: 0/4- 1 / /ie 1 lnspect ved per applicable codes. ❑ Corrections required prior to approval. /1 fia / EMN/61/ (Date: ,l ! 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: Project: Type of Inspection: AcjrAs 7 sa.2 ,VD ozA) Date Called: Special Instructions: Date Wanted: V/ ( k m Requester: Phone No: y INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 COMMENTS: ooti4 dN AT c‘oo c.1)AN 77 WiN T) .0 A/ o sten,//r/ 4 4.6.1 /9-4 Aequffe6s" 44c- I/ 9 7 El Approved per applicable codes. INSPECTION RECORD Retain a copy with permit fl • 2W PERMIT NO. (206)431-3670 W rrections required prior to approval. I ns I Datewo $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: CO, COMMENTS: NLJ JOTS Type of Inspection: /DO / / ire cD -r c 1.t— /14 -c ,> .3t- JO,?v ,4 /// 1.4311)-11 to l r-2 y . N r s0 ✓z t Flo pi Oa 4,. r od— E , Special Instructions: Date Wanted: o ? - .2S -08 c/ NBeb 9 o esv.l Q I? A rI C H e, WC., I T N ell )1 7 o S t Are i / P.I u 'Td c 7cn) Project: REHA f7, 7 NLJ JOTS Type of Inspection: /DO Address: 3.2 s. J32'—' .tom Date Called: a -aS -oB Special Instructions: Date Wanted: o ? - .2S -08 r a ,fn� m. Requester: Phone No: EB.3 - '7 13g INSPEC ION 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 ❑ Approved per applicable codes. ® Corrections required prior to approval. 'Inspector El $58.00 INSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Date: ,c i2 Y st3r'PN07 I 02-.26 40 17L// Pr ject: Type of Inspection: \ Address: 32u3 S l72 =° A/ Date Called: Special Instructions: Date Wanted: / > / ,c Requester: Phone No: INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 OMMENTS: rI1L�L�l11IG�` pproved per applicable codes. JJ Corrections required prior to approval. Inspect armfim/cf.i Date /S� / $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: INSPECTION RECORD Retain a copy with permit Date: 7y1 (206)431 -367` Pfirt:, 11 NA/ irso Type of Inspection: 707)' Nj Address: Vo3 5 /3,-- 'Special ...r) — Id Date Called: Instructions: Date Wanted: ,1 / /2-77 a.m. P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3 0 PERMIT NO. MMENTS: CI( — sics/W/cf proved per applicable codes. InspeW: g 6/17 El Corrections required prior to approval. Date: /2-bA JJ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. r eceipt No.: 'Date: 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 *JH967KO 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 H ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= URBANE *948BL 12/04/2007