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Home My WebLink AboutPermit EL09-0266 - ROBERGE RESIDENCEROBERGE RESIDENCE 13760 56 AV S SUITE H301 ELO9-0266 Parcel No.: 0003000001 Address: Suite No: CitAaf 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 13760 56 AV S TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL09 -0266 04/22/2009 10/19/2009 Tenant: Name: Address: Owner: Name: Address: : ROBERGE RESIDENCE 13760 56 AV S, STE H301 , TUKWILA WA NORTHLAND FINANCIAL CO %CYNTHIA PIETERS , 3500 W 80TH ST Contact Person: Name: JOHN ROBERGE Address: 13760 56 AV S #H301 , TUKWILA WA Contractor: Name: Address: Contractor License No: Phone: Phone: 425 466 -1145 Phone: Expiration Date: DESCRIPTION OF WORK: SAFETY INSPECTION Value of Electrical: NRES: $5.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: $60.00 National Electrical Code Edition: 2005 Date: 04112404) 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 pres construction or th erfor - e -f work. e to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. u Signature: / Date: 1/ t i/ O q Print Name: f otb-s2 re: 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 -0266 Printed: 04 -22 -2009 Parcel No.: 0003000001 Address: Suite No: Tenant: ID • 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 13760 56 AV S TUKW ROBERGE RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0266 ISSUED 04/22/2009 04/22/2009 1: ** *ELECTRICAL * ** 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: A. R o. t7,1.oi Date: 1.1/2 ?,/ 04 doc: Cond -Elec EL09 -0266 Printed: 04 -22 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Www.citukwila.wa.us Electrical Permit No. '" oat 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 ** SITE LOCATION King Co Assessor's Tax No.: 000 col rtf Site Address: ! ;1 (0 0 S6 44` S ourN Suite Number: H 3O( Floor: 3 Tenant Name: J ON a l ' O •RGTL New Tenant: ❑ Yes Property Owners Name: F.-OCT-0k ! -QC.11-1•1 S LIEN t Q (, ; Mailing Address: 13-7 bO S6! Or" c T`t-I 1/ kr H 30 ( rvK J tt,✓} W4 al c(6 City State Zip CONTACT PERSON - Who do we contact when ••your permit is'ready to be issued •- Name: �o\ n -t 1?0$C2Gc Mailing Address: 1 31 b 0 S 61Y Asi S. 1--1 3 01 E -Mail Address: �\ RO$CR&Egg Dl • c c 4WD Day Telephone: �42 S' 6 6 — ((KS "Ii./ Kid ► t-vt w f} ' 8168 City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): 'k t ( 1,I4C7(7a-f-v0 Will service be altered? ❑ Yes p'% Adding more than 50 amps? ❑ Yes Et—No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 12 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Nr Seattle City Light H:1Applications \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc bh 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) MULTI- FAM1LY 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. 1 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. BUILDING OWNE : OR EL . TRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Jd µ r4 R 0 e,GR & Day Telephone: 13-760 S6 n4 Sour4 H Sol TurL,,\t.s Date: Li/22r (79 ('-(z.') 466- (I`iS" W" 9t5l 6 s IDate Application Accepted: 22v5 City State Zip Date Application Expires: Staff Initials: H.',Appli cations1Fomu- Apphations On Lane11 -2009 • Electrical Permit Application.doc 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 RECEIPT Parcel No.: 0003000001 Permit Number: EL09 -0266 Address: 13760 56 AV S TUKW Status: APPROVED Suite No: Applied Date: 04/22/2009 Applicant: ROBERGE RESIDENCE Issue Date: Receipt No.: R09 -00618 Initials: User ID: Payee: JEM 1165 Payment Amount: $60.00 Payment Date: 04/22/2009 04:36 PM Balance: $0.00 JOHN A ROBERGE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9119 60.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 60.00 Total: $60.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -22 -2009 INSPECTION RECORD Retain a copy with permit 0.01-0Z07 INSPECTION NO. JJ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION v2-- 6300 Southcenter Blvd., #106, Tukwila, WA 98188 (206)431 -3670 Project: lJ (At K(.5 Type of Inspection: ^/ /CO Address: 137(0 5i) Ail. Date Called: --- Special Instructions: OVAOVA/ I . Pz LA / Date Wanted: Oy 23 a . Requester: Phone No: SApproved per applicable codes. El Corrections required prior to approval. COMMENTS: 0. 620U-1- Inspector: Jrti Date: o �1 /23(o 9 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: