HomeMy WebLinkAboutPermit EL09-0133 - EXPERIENCE HENDRIXEXPERIENCE HEN RIX
14501 INTERUY2BAN AV S
ELO9-O 133
Parcel No.: 3365901390
Address: 14501 INTERURBAN AV S TUKW
Suite No:
Tenant:
Name: EXPERIENCE HENDRIX
Address: 14501 INTERURBAN AV S , TUKWILA WA
Owner:
Name: RED HOUSE PROPERTIES LLC Phone:
Address: PO BOX 88070 , SEATTLE WA
Contact Person:
Name: MICHAEL ROSS Phone: 206 -878 -2866
Address: 23444 30 AVE S , KENT WA
Contractor:
Name: SOUTHGATE ELECTRIC INC Phone:
Address: 23444 30 AV S STE 101 , KENT WA
Contractor License No: SOUTHEI366P1 Expiration Date: 08/30/2009
DESCRIPTION OF WORK:
REPLACE (9) INCANDESCENT EXIT SIGNS WITH (9) LED EXIT SIGNS
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
Permit Center Authorized Signature:
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, whet - ' -pecified herein or not.
The granting of this permit does not pre - o give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perforrgapce of authorized to sign and obtain this electrical permit.
Signature:
Print Name:
doc: EL -4/07
Cityif 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
Permit Number: EL09 -0133
Issue Date: 02/18/2009
Permit Expires On: 08/17/2009
LJ L-J2 Date: t e' 0 I
Date: Z • M -6 7
4 24
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 -0133 Printed: 02 -18 -2009
Parcel No.: 3365901390
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
•
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
14501 INTERURBAN AV S TUKW
EXPERIENCE HENDRIX
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0133
ISSUED
02/18/2009
02/18/2009
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 ork.
Signature:
doc: Cond -Elec
Print Name: e //be l f Rva j c
Date: 2-AR
r B r
EL09 -0133 Printed: 02 -18 -2009
SITE LOCATION
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
King Co Assessor's Tax No.: 33( -- 13 i 0
Site Address: 1 y 5O [ 1,i-re—Ku ez / Aso 5 t Suite Number: Floor:
Tenant Name: . eg e- PE - 21214C 41 4 fl>. ■ x New Tenant: ❑ Yes
Property Owners Name: ZXPE(Z1Er4CE 1.4 -D1 (2 - t
Mailing Address: JLSS0 ",,,`7T112_-.1.A.&4n/ 40E- 5 I
CONTACT PERSON -- Who do we contact when your permit is ready to be issued
Name: PhatekiLt ¶ZOS5
Mailing Address: .2 3LP -)LI 307 1-f /L) S
E -Mail Address: 01 tCocp.A sot- 4t at'}e_)4 C . C -c)r1•1
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SO Lt7 - 1;. �. : .G t
Mailing Address: 23y4 30 1 AF E •
Contact Person: VOA OIL c .L\ SZa SS
E -Mail Address:
Contractor Registration Number: .,pc c4-L@ 1 t(p(o? 1
Valuation of Project (contractor's bid price): $ ! SD • 00
c-r S I J 'S STN (`) Lc;. c - r —
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes 12( No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H \Applications \Forms - Applications On Line 1-2009 - Electrical Permit Application.doc
Electrical Permit No.
E LO '1- 0133
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 **
City
Remodel
❑ Telecommunication
State
Vc. ! 17e ;s ec -�•1T
LtrJS
Wok 9V/68
State Zip
Day Telephone: 020(0 "' 878 - 92 Kelp
WA 9 �o3a
City State Zip
Fax Number: ,2O(o - 8"7 8 Fro
1C�.rr 1.1114 93'03,2
City
Zip
0
Day Telephone: 02 - gr? e2 SID Co
Fax Number: 0 2O6 - '73 F3 8'O
Expiration Date: $13c) /ZO /
Adding more than 50 amps? ❑ Yes tg No
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
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)
PERMIT APPLICATION NOTES -
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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICA ONTRACTOR:
Signature:
Print Name:
Mailing Address:
ni 4f1 r
Date Application Expires:
I Date Application Accepted:
PC fc J
z3 ct q L 3c'` Ad e.- S
H.1Applications\Forms- Application On Line11-2009 - Electrical Permit Application doc
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
Date: Z 18 - o 5'
Day Telephone: Zd g A - 2 8 6 (o
//
City
State
Staff Initials:
Zip
Page 2 of 2
Parcel No.: 3365901390
Address: 14501 INTERURBAN AV S TUKW
Suite No:
Applicant: EXPERIENCE HENDRIX
Payee: SOUTHGATE ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 61392 80.00
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
Permit Number: EL09 -0133
Status: PENDING
Applied Date: 02/18/2009
Issue Date:
Receipt No.: R09 -00275 Payment Amount: $80.00
Initials: WER Payment Date: 02/18/2009 01:12 PM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.101.00.0 80.00
Total: $80.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 02 -18 -2009
Proje •
t
tiCAID RV.
Type of Inspection:
7-/oo
Addr ss:
t 'fSO1 14r
►
Date Called:
�,
Special nstructions:
Date Wanted:
11 /
V; Z
m.
m
Requester:
r
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
( i4 - Dc33
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Q—
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
v.
Approved per applicable codes. El Corrections required prior to approval.
Inspector: 11 � A 1
Date: 0; 1
El $60.00 REINSI'ECTION 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
STEIGERS, HERBERT C
01/01/1980
PASCHOS, CHRIS
01/01/1980
PSACHOS, CHRIS
AGENT
01/01/1980
PSACHOS, BARBARA
SECRETARY
01/01/1980
08/03/2001
Untitled Page
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 SOUTHGATE ELECTRIC
INC
Phone 2068782866
Address 23444 30TH AVE S STE
101
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
KENT
WA
98032
KING
Corporation
ADMINISTRATOR INFORMATION
License BRENNPJ066RC
Name BRENNAN, PATRICK JOSEPH
Status ACTIVE
Business Owner Information
• •
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= SOUTHEI366P 1
578089488
ACTIVE
SOUTHEI366P1
ELECTRICAL
CONTRACTOR
10/21/1964
8/30/2009
BRENNPJ066RC
GENERAL
UNUSED
Page 1 of 3
02/18/2009