HomeMy WebLinkAboutPermit EL09-0042 - HEATHERWOOD APARTMENTS - BUILDING E #104HEATHERWOOD APTS
BLDG E #104
5821 S 152 ST
ELO9-0042
Parcel No.:
Address:
Suite No:
Tenant:
Name: HEATHERWOOD -BLDG E #104
Address: 5821 S 152 ST , TUKWILA WA
Owner:
Name:
Address:
5821 S 152 ST TUKW
Contact Person:
Name: CLINT KING
Address: PO BOX 44415 , TACOMA WA
Contractor:
Name: A/C ELECTRICAL INC
Address: PO BOX 44465 , TACOMA WA
Contractor License No: ACELEEI961JF
Permit Center Authorized Signature:
Signature:
Print Name:
doc: EL -4/07
Citylif 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
DESCRIPTION OF WORK:
TRIM ONLY: PLUGS, SWITCHES, LIGHT FIXTURES, AND SITE LIGHTING
Value of Electrical: NRES: $750.00 Fees Collected: $80.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
ELECTRICAL PERMIT
Permit Number: EL09 -0042
Issue Date: 01/21/2009
Permit Expires On: 07/20/2009
Phone:
Phone: 253 255 -6810
Phone: 253 - 820 -8612
Expiration Date: 04/07/2010
Date: 1',d -0ci
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 erform e of work. I am authorized to sign and obtain this electrical permit.
Date: / /? / /OS
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.
EL09 -0042 Printed: 01 -21 -2009
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
5821 S 152 ST 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
HEATHERWOOD -BLDG E #104
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0042
ISSUED
01/21/2009
01/21/2009
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.
Signature:
Print Name: C /(;11 /4 izy,
doc: Cond -Elec
Date: //
EL09 -0042 Printed: 01 -21 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http.11www.eLtukwila.wa.us
Tenant Name: NA - re,i4 r. / s
Name: 011:14 i4;1
Company Name:
Mailing Address: f! S+yy
Electrical Permit No.
Project No.
(For office use only)
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 **
5Sal
Site Address: / /5.74 Si t
Property Owners Name: ' T ii kt, ReJ LLC C/0 Stth rco Re,' r/r. /
Mailing Address: 15 41-A Aue N . a S(..)t k lRa l eIIv p
City
King Co Assessor's Tax No.:
Suite Number: Floor: )O y
New Tenant: ❑ Yes ❑ .. No
CJc.
State
9S06 7
Zip
CONTACT PERSON —Who do we contact when your permit is:ready to be issued
Mailing Address: I 0. i;c y4qCS
E -Mail Address: 2h- Q e lec,lr,c4 /, h e. c'c' s,
ABC e/,P ca(n'ci/ 2hc:
Day Telephone: a 53.. -ss-• 6 810
c hNys
State Zip
535- 15
'Te( (eri., c
City
Fax Number:
Teieb c�
City
(.JS
State
Contact Person: (' (� n f K, i19 Day Telephone: Q 5 3 .- C 6 alp
E -Mail Address: Fax Number: 0253 535 )692
Contractor Registration Number: A C E L E E y 61 T F Expiration Date: I'/ 7/ :2 /6
9ftiy
Zip
Valuation of Project (contractor's bid price): $ 11 750.00
Scope of Work (please provide detailed information): 'Tri'm pit,9$ Ste,, :/c%, L.�kf r 41Jnr. . S
Will service be altered? ❑ Yes 2 No Adding more than 50 amps? ❑ Yes 2, No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change [XI Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
aj Puget Sound Energy
❑ Seattle City Light
1
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added /altered circuits)
El Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added /altered without service change $52.00
(up to 5 circuits)
❑ Circuits added /altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Print Name: C I i f
•
Mailing Address: R 0. Bev Ski y65 'lr4Cesr.ie
•
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
IT,:APP .:ICATION: N
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.
Signature: / — Date: f /2 //t
C
Day Telephone: 2S 3 - p755 68 0
City
State
Zip
I Date Application Accepted:
o f
Date Application Expires:
Staff Initials:
D....e 9..i1
RECEIPT NO: R09 -00111
Initials: W ER
Payee: A/C ELECTRICAL, INC.
SET TRANSACTIONS:
Set Member
EL09 -0038
EL09 -0039
EL09 -0040
EL09 -0041
EL09 -0043
EL09 -0044
EL09 -0045
EL09 -0046
EL09 -0047
EL09 -0048
EL09 -0049
EL09 -0050
EL09 -0051
EL09 -0052
EL09 -0053
EL09 -0054
EL09 -0056
EL09 -0057
EL09 -0058
EL09 -0059
EL09 -0060
EL09 -0061
EL09 -0062
EL09 -0063
TOTAL:
ACCOUNT ITEM LIST:
City of Tukwilar
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: htp : //www. ci. tukwila. wa. us
Amount
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
80.00
150.00
80.00
80.00
80.00
80.00
SET RECEIPT
Payment Date: 01/21/2009
User ID: 1655 Total Payment: 2,070.00
SET ID: S000001165 SET NAME: HEATHERWOOD
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3697 2,070.00
TOTAL: 2,070.00
Project: P I C . ri
a:9 00, r
7
Type of Inspection: 2
Oo
Address:
Date Called:
Special Instructions:
Date Wanted:
02 2-�
C P.m:
(P.m:,
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
eld07
INSPECTION NO. POINT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
0 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
0-14,
Inspector:
Date: 02 1 2 _ 7 1 0 7
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspection:
7 !c0
— I 1 55146\ ?Jet (tom,
- 1 5T.
— geillgcl AA 4 e J
— -- 1 - 1(A-1 - 6.1 Locy.Jurr5 AT WA
Special Instructions:
(i.-ex C onfikI o
Date Wanted:
- LIVID Root PW1\ RC .5 5P
5
To 5 cJW
ttiii
Phone No:
C f O (
Project 0001 1 o
Type of Inspection:
7 !c0
Address:
CRzI
- 1 5T.
Date Called:
Special Instructions:
Date Wanted:
Bpi/ Z
(
p.m.
Requester:
ttiii
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION la
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
601-Dotal
PERMIT NO.
CA Corrections required prior to approval.
Inspector £' 6JF.JY\
Date:
49 Z
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee nist be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
.
Name
Role
Effective Date
Expiration Date
KING, CLINTON J
AGENT
03/24/2004
ESCALANTE, ANDREW L
PRESIDENT
03/24/2004
KING, CLINTON J
SECRETARY
03/24/2004
KING, CLINTON J
TREASURER
03/24/2004
KING, CLINTON J
VICE PRESIDENT
03/24/2004
Untitled Page
•
Electrical Contractor
A business licensed by LFtI 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
A/C ELECTRICAL INC
2538208612
PO BOX 44465
TACOMA
WA
98444
PIERCE
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License ACELE * *985NB
Next License
Associated License KING *CJ979LP
Specialty 1 GENERAL
Specialty 2 UNUSED
602352127
ACTIVE
ACELEEI961 JF
ELECTRICAL CONTRACTOR
4/6/2004
4/7/2010
MASTER ELECTRICIAN INFORMATION
License KING *CJ979LP
Name KING, CLINTON J
Status ACTIVE
Business Owner Information
Bond Information
Bond
Bond
Company
Bond
Account
Effective
Expiration
Cancel
a
Impaired
Bond
Page 1 of 2
Received
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= ACELEEI961 JF 01/21/2009