HomeMy WebLinkAboutPermit EL09-0140 - GILL RESIDENCEGILL RESIDENCE
4039 S 158 ST
ELO9-0 140
Parcel No.: 8108600681
Address: 4039 S 158 ST TUKW
Suite No:
Tenant:
Name: GILL RESIDENCE
Address: 4039 S 158 ST , TUKWILA WA
Contractor:
Name: FIVE STAR ELECTRIC LLC
Address: 8032 S J ST , TACOMA WA
Contractor License No: FIVESSE946RF
Value of Electrical: NRES: $2,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
doc: EL -4/07
Pty
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
ELECTRICAL PERMIT
Owner:
Name: BANK OF NEW YORK Phone:
Address: 400 COUNTRYWIDE WAY , SIMI VALLEY CA
Contact Person:
Name: ALEX GUTVORONSKY Phone: 253 - 732 -7654
Address: 8032 S J ST , TACOMA WA
DESCRIPTION OF WORK:
SERVICE CHANGE (200 AMP OVERHEAD) AND REWIRE KITCHEN WITH 2 NEW CIRCUUITS
Fees Collected:
Permit Number: EL09 -0140
Issue Date: 02/19/2009
Permit Expires On: 08/18/2009
Phone: 253 732 -7654
Expiration Date: 12/06/2010
National Electrical Code Edition: 2005
$100
Date: d`'_( 4
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 performance of work. I am authop ed to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
This permit shall become null and void if thl 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 inspectio
EL09 -0140 Printed: 02 -19 -2009
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
8108600681
4039 S 158 ST TUKW
GILL RESIDENCE
•
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 -0140
ISSUED
02/19/2009
02/19/2009
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:
doc: Cond -Elec
v 0•"1; , `t S �t7
Date: - /Y- 0 5
EL09 -0140 Printed: 02 -19 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
SITE LOCATION
Site Address:
Tenant Name:
14o3q S. /$g+Li £1
Plar►484 r PA JA ( 6•7/
Property Owners Name:
Mailing Address:
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: f4 L 2.}'. CI /4,41 d v A, K 5) rGy
Mailing Address: ;�03 Z_ .C. t St 4
E -Mail Address: Q ICW5�� ati g,44 • ( • GO wt
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
fiVL S let r
$ 032 S, J St.
Ce-x
E -Mail Address: ate.lx Z2(
Contractor Registration Number,
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:Wpplications \Forms - Applications On Line \t -2009 - Electrical Permit Application.doc
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 **
4 1I. c.o
Electrical Permit No. E i_() I LI 0
Project No.
(For office use only)
King Co Assessor's Tax No.: 10 S (oO O[DS 1
Suite Number:
New Tenant:
City
tat-D.44 g.
City
Remodel
Telecommunication
Floor:
❑ Yes 3.. No
State Zip
Day Telephone: L 2 5 ?) 7 3 Z' 7dSti
(.4) if 9??Vo
State Zip
Fax Number: C zS3) S33 -DV/
1 41 14 98 il08
City
Day Telephone: 025`3) 7SL- 7&'
Fax Number: ( 5 3) G3 $ -033 /
Expiration Date: / Z //
State Zip
4
Valuation of Project (contractor's bid price): $ „$I Z. 3 0
Scope of Work (please provide detailed information): S.er✓)C.e_ '[ a. vi QC_ ( ?.00 4 :le R� d),
`c.e & r e l�G� �Gt1t.e1 L 2 yr e,� c.. (4410'3)
(J
Will service be altered? [7p Yes ❑ No Adding more than 50 amps? ❑ Yes / X No
Type of Use:
Type of work:
❑ New ❑ Addition 0 Service Change
❑ Low Voltage ❑ Generator 11 Fire Alarm ❑
❑ 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
2 _ 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:
H:1ApplicalionatForms- Applications 0r Line' -2009 • Electr cal 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
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 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: Da te:
Print Name: /i Goy 4 /t) //Sky Day Telephone: 1z :?) 732
Mailing Address:
Cit State Zip
I Date Application Accepted:
Date Application Expires:
Staff Initials:
1
Page 2 of 2
Parcel No.: 8108600681
Address: 4039 S 158 ST TUKW
Suite No:
Applicant: GILL RESIDENCE
Receipt No.: R09 -00939
Initials: WER
User ID: 1655
Payee:
NAVDEEP GILL
TRANSACTION LIST:
Type Method
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
Payment Check
Authorization No.
ELECTRICAL PERMIT - RES
•
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
Descriptio Amount
3639 60.00
Account Code
RECEIPT
000.322.101.00.0
Total: $60.00
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: $60.00
EL09 -0140
ISSUED
02/19/2009
02/19/2009
Payment Date: 06/22/2009 03:56 PM
Balance: $0.00
Current Pmts
60.00
PAYMET
RECEIVED
Printed: 06 -22 -2009
Parcel No.: 8108600681
Address: 4039 S 158 ST TUKW
Suite No:
Applicant: GILL RESIDENCE
Receipt No.: R09 -00285
Initials: WER
User ID: 1655
Payee: FIVE STAR ELECTRIC
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
ELECTRICAL PERMIT - RES
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2519 100.00
RECEIPT
Account Code Current Pmts
000.322.101.00.0 100.00
Total: $100.00
0905101-1 0009 02/20 001 101
DOD Per. Plus - General Fund $1110.00
Permit Number: EL09 -0140
Status: PENDING
Applied Date: 02/19/2009
Issue Date:
Payment Amount: $100.00
Payment Date: 02/19/2009 10:08 AM
Balance: $0.00
Printed: 02 -19 -2009
Project: / — kt5 r
Type of Inspectio L IDO
Address:
03
S. /51? ST
Date Called:
Special Instruction
CAW I's 111'
:
^. Prl or
Date Wanted:
p6 [
C: . m.,
'
Requester:
Phone No:
tb PE 01140
MIT NO.
CITY OF TUKWILA BUILDING DIVISION (�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36170
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
0 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
R�c.T ron4S Ma
D $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:
TQ(AR/04 our
— SbI12C IA/ ATr► �
RC 5 ?orr / STA1L e5
- oPt4 A-1k SPLll5 AT BA CAC Poi4c4
o4
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- ivaxit, 3 i/k 4 RoJA) l CoQ e .
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To Acc-SS ATTIC_
04' ( �1
644:
Requester:
Project: oiLL... l ��`
c �
Type of Inspection: 2_
v
Address:
`( �
15N 5r.
Date Called:
Special Instructi
s:
Date Wanted:
04' ( �1
644:
Requester:
Phone No:
❑ Approved per applicable codes.
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
Er, 0
INSPECTION NO. PEWIT NO.
CITY OF TUKWILA BUILDING DIVISION 1
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Date:
Corrections required prior to approval.
Ind .. _ . � . 04 + o
$60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee m be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
COMMENTS:
Type of Inspection:
Aft.oJE C,JLtAJt (J 5JPfoelV f
wtta 14 ►iks .x'1
- Apb) flo'll- R>CLL`-eTAC L zauti n.4
(AJ LE vi (Zaol
- Rottey IA) A`fc. To & P.o &L 7
. <i P off` '
AAP r9 .
,
Pk° itcrep FRn P1Stc D 6
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o/J6 its) gAcK tc(potaX9. 6(c4 titorEcre)
t/ 1J f Tla' In1 J S E Q J C ovfik
W
a:m
Project: / /
Type of Inspection:
Addres s : X031 S .15`8 5r.
Date Called:
Special Instructi ns:
CO/ 10 el I.‘. P, pf
Date Wanted:
O�
W
a:m
Requester:
Phone No:
INSPECTION NO.
0 Approved per applicable codes.
nspector:
Receipt No.:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION OP--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
LW - ONO
PE MIT NO.
54 Corrections required prior to approval.
Date: O &H O
Date:
Project: / �, J k(5.
Type of Inspection:
� 3
\._
Address:
Date Called:
Special Instructidns:
Date Wanted:
o/2
4:
Requester:
Phone No:
INSPECTION RECORD 6,00/,o(Lio
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
$60.00 REINS FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
!
Project: ` �f�
Type of Insp ect ion:
Address:
q o 7 5 5 .
, 7
5
Special Instructs i ns:
Date Wanted:
O _ /
//
a
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
6,J1zf
(5ek
L0 a pt9
Date:
Project: 6 iv/ r
Type of Inspection: 760
Address:
c1031 S. /Sg Sr
Date Called:
--�
Special Instructions:
Date Wanted:
0720
c: 1D t ,.
p.m.
Requester:
Phone No:
1
t1,0 0110
PE�MIT NO.
CITY OF TUKWILA BUILDING DIVISION P-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
144,
J
he at.c” . LA-1) RUJ i Qi Tz hfSPEa
tlASr�� R DA L-IJ6
❑ $60.00 REINSPECTION FEE REQ RED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
CBIC
SH0364
11/14/2006
Until
Cancelled
$4,000.00
12/06/2006
Name
Role
Effective Date
Expiration Date
GUYVORONSKY, ALEKSEY G
PARTNER /MEMBER
12/06/2006
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
ADMINISTRATOR INFORMATION
License GUYVOA *946MM
Name GUYVORONSKY, ALEKSEY
Status ACTIVE
Business Owner Information
Bond Information
TACOMA
WA
98408
PIERCE
Limited Liability
Company
• •
FIVE STAR ELECTRIC LLC
2537327654
8032 SOUTH J ST
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 =Fl V ESSE946RF
602490063
ACTIVE
FIVESSE946RF
ELECTRICAL
CONTRACTOR
12/6/2006
12/8/2010
GUYVOA *946MM
GENERAL
UNUSED
Page 1 of 1
02/19/2009