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HomeMy WebLinkAboutPermit EL09-0223 - ALEXANDER RESIDENCEALEXANDER RESI ENCE 14216 58 AV S EL09M223 Parcel No.: 3365901090 Address: Suite No: 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 14216 58 AV S TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL09 -0223 03/30/2009 09/26/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor ALEXANDER RESIDENCE 14216 58TH AVE S , TUKWILA WA ALEXANDER JOEL 14216 53TH AVE S , TUKWILA WA DEANNA SIMMONS PO BOX 39300 , LAKEWOOD WA BRINKS HOME SECURITY INC 9316 LAKEVIEW AV SW , LAKEWOOD WA License No: BRINKHS148LE Phone: Phone: 253 582 -0800 Phone: 253 - 582 -0800 Expiration Date: 03/31/2010 DESCRIPTION OF INTRUSION ALARM WORK: Value of Electrical: Type of Fire Protection: NRES: $300.00 RES: $0.30 N/A Electrical Service provided by: PSE Permit Center Authorized Signature: Fees Collected: $57.00 National Electrical Code Edition: 2005 Date: O *901 I hereby certify that I have read and ekamined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th) 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/he performance of wprk. 1 am authorized to sign and obtain this electrical permit. / t Signature: Print Name: cwt / v l C k�LS Date: 5 /3 e/D 9- 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. doc: EL -4/07 EL09 -0223 Printed: 03 -30 -2009 Parcel No.: 3365901090 Address: Suite No: Tenant: 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 1421658AVSTUKW ALEXANDER RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0223 ISSUED 03/30/2009 03/30/2009 1: ** *ELECTRICAL * ** 2: A copy of the electrical wcrk 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 electr.cal code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this author..ty are therefore not valid. 7: Any change in the scope o! 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. Signati e• Print Name: / r 47 �J i C-14-071(> Date: 3/30/D? doc: Cond -Elec EL09 -0223 Printed: 03 -30 -2009 41)9d ‘9.// CITY OF TUKWILA Community Development Department Permi' Center 6300 ,Southcenter 81 ✓d., Suite 100 Tukwila, WA 98188 http : / /MMww. ci. tukwila wa. us (5,2e) Ya 800 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 ** • Electrical Permit No. t�/�%� Project No. (For office use only) SITE LOCATION Site Address: '47 Tenant Name: Property Owners Name: //� Mailing Address: iy /4, Jai Pevnaler ng Co Assessor's Tax No.: Suite Number: New Tenant: ❑ Yes ❑..No 4// f /' 356-96r--/D90 Floor: City State Zip i:CONTACT-PER SON -Who do we contact: when- your -. permit‘is ready to' be issued. Name: Mailing Address: E -Mail Address: Day Telephone: City Fax Number: State Zip ELEC TRICAT,.CONTRACTOR:INFORMATION Company Name: / //7 X 716/27e- ..:),(7:61.1./ 4 /� Mailing Address: i' 0 , �I . 2_ ,() 41.�ItiziLI)I7Ol"L �/� % >� 9t'' A City ��%% state r�zip Contact Person:. � 2/%� 1� ?/ ?D%7� Day Telephone: v7 �` ' 2 �f" — �CI � E -Mail Address ././7,77-A2/2 /?" At j%7,11 • L°i/ Fax Number: 4n .2:7—F,--- ()999 Contractor Registration Number: llt //% , %� /4,1 C ---- Expiration Date: Valuation of Project (contractor's bid price): $ ✓D�/ Scope of Work (please provide detailed information): 00 Will service be altered? ❑ Yes Type of Use: No Adding more than 50 amps? ❑ Yes iv No Type of work: ❑ New ❑ Addition /5‹ Low Voltage ❑ Generator Property Served y: Puget Sound Encrgy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm !I: UpplicnnontPomis- Appbcehons I In 1,04-2007 - Eleonai !'eimil AppLrelion.doc bh ❑ Remodel ❑ Tenant improvement ❑ Telecommunication ❑ Temporary Service Page l oft / • RESIDENTIAL N1; \ \' RESIDENTIAL. SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outhuildines $75.00 ea ❑ Low voltage systens (alarm, furnace thermostat) $55.00 en RESIDENTIAL 2EMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added /altered circuits) • Service change wi.h added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added /altered without service change $50.00 (up to 5 circuits) O Circuits added /altered without service change $50.00 (6 or more ci-cuits) $7.00 ea ❑ Meter /mast repair $65.00 AZ© Low voltage systens $55.00 (alarm, fuma:e thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea PERMLT: APPLI CATI ON NOTE S 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 foliowirs the date of application shall expire by limitation. The Building Official it ay grant one extension of time for an additional period not to exceed 90 days. The extension shall he requested in writing and justifiable cause demonstrated. I HEREBY CERTI 7Y THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO BE TRUE UNDER PENALTY OF PERIL RY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: 1 Signature:__ /7/7O ✓//7:7/776,7 -7 7 Print Name: .a/7/7a Mailing Address: [/ • 4.7A Date Application Accep :ed: /12 y) Day Telephone: 4.a 1 Lw w/9 Date: City State 9g9tr Date Application Expires: Staff Initials: 11:\Applu ntions\ronm- Applrcu ,r• On 1.ine \4.7007 - Elenrir al Pernul Application doe bh Page 2 of 2 • 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 Parcel No.: 3365901090 Address: 14216 58 AV S TUKW Suite No: Applicant: ALEXANDER RESIDENCE RECEIPT Permit Number: EL09 -0223 Status: PENDING Applied Date: 03/30/2009 Issue Date: Receipt No.: R09 -00496 Initials: User ID: Payee: JEM 1165 Payment Amount: $57.00 Payment Date: 03/30/2009 11:06 AM Balance: $0.00 BRINK'S HOME SECURITY INC. TRANSACTION LIST: Type Methcd Deecriptio Amount Payment Check 1000344 57.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 57.00 Total: $57.00 doc: Receipt -06 Printed: 03 -30 -2009 INSPECTION RECORD 7� Retain a copy with permit D'�^'` INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 Project: ' act' `s Type of Inspection: 2-/ Address: /'")/ M lid' , t Date Called: Special Instructions: Date Wanted: D Lp9 a.m. p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: V,. Y -inlay Inspector: dr ex:A ' r Date: by 4 D� ri $60.00 REINSI'ECTION FEE REQUIRED. Prior to inspection,, ee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Untitled Page • Page 1 of 2 Electrical Contractor A business licensed by L&l 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 1-ave 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 BRINKS HOME SECURITY INC 2535820800 PO BOX 39300 LAKEWOOD WA 98496 PIERCE Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 600545354 ACTIVE BRINKHS148LE ELECTRICAL CONTRACTOR 6/5/1986 3/31/2010 BRINKHS159CL GOAKEHC979R2 LIMITED ENERGY UNUSED ADMINISTRATOR INFORMATION License GOAKEHC979R2 Name GOAKEY, HOWARD C JR Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM AGENT 06/05/1986 ALLEN, ROBERT B PRESIDENT 01/08/2002 CAGE, CHRIS B SECRETARY 06/05/1986 YEVICH, STEPHEN C TREASURER 01/08/2002 NEACE, STEVEN E VICE PRESIDENT 01/08/2002 MICHEL, PETER A VICE PRESIDENT 01/01/1980 01/08/2002 SCHLICHTER, PAUL M VICE PRESIDENT 01/01/1980 01/08/2002 JOHNSON, KEITH .J VICE PRESIDENT 01/01/1980 01/08/2002 Bond Information Bond https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License =BR INKHS 148LE 03/30/2009