HomeMy WebLinkAboutPermit EL09-0057 - HEATHERWOOD APARTMENTS - BUILDING D #203HEATHERWOOD APTS
BLDG D #203
5821 S 152 ST
ELO9-0057
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Value of Electrical:
Type of Fire Protection:
Electrical Service provided by:
Permit Center Authorized Signature
I hereby certify that I have read an
governing this work will be complie
Signature:
doc: EL -4/07
5821 S 152 ST TUKW
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
HEATHERWOOD APTS - BLDG D #203
5821 S 152 ST , TUKWILA WA
CLINT KING
PO BOX 44415 , TACOMA WA
A/C ELECTRICAL INC
PO BOX 44465 , TACOMA WA
Contractor License No: ACELEEI961JF
DESCRIPTION OF WORK:
TRIM ONLY, PLUGS, SWITCHES, LIGHT FIXTURES, SITE LIGHTING
NRES: $750.00
RES: $0.00
UNKNOWN
PUGET SOUND ENERGY
ELECTRICAL PERMIT
EL09 -0057
Fees Collected:
Permit Number: EL09 -0057
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
National Electrical Code Edition:
$80.00
2005
Date: DI( Zd
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, 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 p of work. I am authorized to sign and obtain this electrical permit.
Date: 1 /21
Print Name:
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: 01 -21 -2009
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
5821 S 152 ST TUKW
HEATHERWOOD APTS - BLDG D #203
C .1 14 t
•
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
PERMIT CONDITIONS
•
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0057
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.
Date: JJ2/ /D 1
EL09 -0057 Printed: 01 -21 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
5 Sal
Site Address: / 'Sa,,d SF 7akwt'l4
Tenant Name: NA 'T,e is r, / 5
Property Owners Name: '7 Icec LLC C/O
Mailing Address: Rem> f 5 Eti Au Al. e . Sut k iffe
Name: C /in•f Kr iv
Mailing Address: I Ftv
y�/cl IS
E -Mail Address: .-2)14 0 Ile. e leec e4 /1 ti C.
Company Name: /i /t El,ed.r / 3hc.
Mailing Address: Pa x '/Vt IS
Contact Person: C k nt Kt
E -Mail Address:
Contractor Registration Number: AC E. L E E 254.1
Valuation of Project (contractor's bid price):
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
S 1 7
13e 11v P
City
T ebw.cr
City
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**
King Co Assessor's Tax No.:
Suite Number: [�
New Tenant:
Soil to, ReS, t /tit /rU /
Day Telephone:
City
Fax Number:
Floor:
❑ Yes
CJc.
State
Wei 924
State
Zip
Q5 - 3- 535- 1 SSQ
(4)ti
State
Day Telephone: 02 S5 6 Slp
Fax Number: x253 5'35-- )
Expiration Date: 4/ 7 / 26 /6
aa3
.. No
98067
Zip
9 9YR
Zip
Scope of Work (please provide detailed information): "Tr•,;,,., n.k y r iu y s, 4'2 4v.e s '
I .
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 21, No
Type of Use:
[:g Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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)
❑ 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:
Signature:
Print Name: C kh f /4
I Date Application Accepted:
Mailing Address: R 0. 13AL 4 1 4, 1 y6 r4cassiq
We
'i34 en
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
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.
Date: / /Z//
Day Telephone: 25 ?SS' '210
City State
Date Application Expires:
Staff Initials:
Zip
D....e 1 ..4" 7
RECEIPT NO: R09 -00111
Initials: WER
Payee: A/C ELECTRICAL, INC.
SET TRANSACTIONS:
Set Member Amount
EL09 -0038 80.00
EL09 -0039 80.00
EL09 -0040 80.00
EL09 -0041 80.00
EL09 -0042 80.00
EL09 -0043 80.00
EL09 -0044 80.00
EL09 -0045 80.00
EL09 -0046 80.00
EL09 -0047 80.00
EL09 -0048 80.00
EL09 -0049 80.00
EL09 -0050 80.00
EL09 -0051 80.00
EL09 -0052 80.00
ELO"9 -0053 80.00
EL09 -0054 80.00
EL09 -0056 80.00
FL' 9M0:0:501 80.00
EL09 -0058 80.00
EL09 -0059 80.00
EL09 -0060 150.00
EL09 -0061 80.00
EL09 -0062 80.00
EL09 -0063 80.00
TOTAL: 80.00
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: htt, : //www. ci. tukwila. wa. us
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
Projec :
ik'One1i\k$09 1)1°3
Type of Inspection: a/00
Address:
Date Called:
Special Instructions:
Date Wanted:
03 /02_
p.m-
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMI 0057
t
(206)431 -3670
XI Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
K Aitvt
Inspector:
03lo2r O1
El $60.00 REINS ECTION FEE RE IRED. Prior to inspection, ee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Receipt No.:
Date:
Proje
X203
T ype of Inspection:
z/00
Address: 1
Date Called:
Special Instructions:
Date Wanted:
0
z3
. rry
m.
Requester:
Phone No:
I
INSPECTION RECORD
Retain a copy with permit
6
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION K-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
of EA
Inspector: !
Date: o 3 Ai
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:
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
Bond Information
Bond
Bond
Company
Bond
Account
•
Electrical Contractor
A business licensed by LEtI 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
ACELEEI961JF
ELECTRICAL CONTRACTOR
4/6/2004
4/7/2010
MASTER ELECTRICIAN INFORMATION
License KING *CJ979LP
Name KING, CLINTON J
Status ACTIVE
Business Owner Information
Effective
Expiration
Cancel
•
Impaired
Bond
Page 1 of 2
Received
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= ACELEEI961 JF 01/21/2009