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