HomeMy WebLinkAboutPermit EL09-0433 - VNNM 200901This record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL09 -0433
VN N M 200901
1402143 Id Avenue South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
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intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
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the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
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Personal Information —
expiration dates, or bank or other financial
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disclosure pursuant to RCW 42.56.230(5),
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VNNM
14021 43 AV S
EL09 -0433
Parcel No.:
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
7348200085
14021 43 AV S TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0433
Issue Date: 07/22/2009
Permit Expires On: 01/18/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
VNNM 200901
14021 43 AVE S , TUKWILA WA
NALIVAYKO VALDIMIR N
5211 S 170TH LN , SEATAC WA
VADIM STRYZHEUS
13337 SE 227 PL , KENT WA
Contractor:
Name: OMEGA ELECTRIC
Address: 13337 SE 227 PL , KENT WA
Contractor License No: OMEGAE *962JF
Phone:
Phone: 206 - 778 -1166
Phone: 206 778 -1144
Expiration Date: 04/06/2010
DESCRIPTION OF WORK:
HIGH AND LOW VOLTAGE WIRING FOR SINGLE FAMILY RESIDENCE INCLUDING THERMOSTAT,
PHONE AND CABLE
Value of Electrical:
Type of Fire Protection:
NRES: $0.00
RES: $6,400.00
UNKNOWN
Electrical Service provided by:
SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$202.60
2005
Date: -7`D-.a-O [
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 n presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p7rfo acre work am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
07--/2 2/0 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 -0433
Printed: 07 -22 -2009
Parcel No.:
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite 11100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
7348200085
14021 43 AV S TUKW
VNNM 200901
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0433
ISSUED
07/22/2009
07/22/2009
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:
V Co(
V fk ct t ( wl �1 v �� y► ��t c f'
Date: 7/2 2 /D
doc: Cond -Elec
EL09 -0433 Printed: 07 -22 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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
Site Address:
(L1Q 2.1 43 AVI^ .S
King Co Assessor's Tax No.: % 3 j — W g 5-
Tenant Name:
Property Owners Name: V/ o d »� ✓
Suite Number:
.)-D0g01
livoicIo
New Tenant:
Floor:
❑ Yes ❑ ..No
Mailing Address:
City
Name:
Vet d(�vfri
Mailing Address: 1 3 337 S E 22' g/ 4
E -Mail Address: a VCt O ►tt V)i
yot h00 _Cot'
Day Telephone: Z D 6
Kg ie
City
Fax Number: 2 S 3
State
Zip
--77( -(f crci
a/11 vo z
State Zip
- 639-7000P
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Dv�ct n /(ecdirt4C
13 SE 22 dh PL
Mailing Address: 1 %
Contact Person: V ct wl
E -Mail Address: C2 V Ol d l u i"1 ei Q ho 0 s CO v►,
Contractor Registration Number:
Ken df
City
Day Telephone: 206
g'19.0 ef
State Zip
774,- / /4y
Fax Number: Z S 3 "
639 -700/
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
16' On
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ No Adding more than 50 amps? ❑ Yes ❑ No
New
❑ Low Voltage
Property Served by:
❑ Puget Sound Energy
Seattle City Light
❑ Addition
❑ Generator
❑ Service Change
❑ Fire Alarm
H:\Applications\Form s- Applications On Line \I -2009 - Electrical Permit Application.doc
bh
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
tei New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
Low voltage systems
(alarm, furnace thermostat)
$145.60
$78.00 ea
$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 - 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 (Allan 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
etc' ►v�'I vcd-2 het.43
Mailing Address: / 3 3 SE 7276" (L
Date: (f1
Day Telephone: `2-6 6-? re-/( 4 Cr
City State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H \ApplrcafionsTorms. Applications On Lrne11-2009 - 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
Parcel No.: 7348200085
Address: 14021 43 AV S TUKW
Suite No:
Applicant: VNNM 200901
RECEIPT
Permit Number: EL09 -0433
Status: PENDING
Applied Date: 07/22/2009
Issue Date:
Receipt No.: R09 -01144
Initials:
User ID:
WER
1655
Payment Amount: $202.60
Payment Date: 07/22/2009 02:06 PM
Balance: $0.00
Payee: VADIM STRYZHEUS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 00538C
ACCOUNT ITEM LIST:
Description
202.60
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 202.60
Total: $202.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 07 -22 -2009
NSPECTION 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
, 17,)
I
ttol-o1(3
Project: .111 200101
Type of Inspection: ;100
Address: /g021 Y3
Date Called:
^,
Special Instructions:
Date Wanted:
/072-,
ea...
Requester:
Phone No:
K Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
C9r0411045 ivriX
o
Inspector: &IJA)
Date: I 03/07
El $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee mu t be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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
rz
ao9 -oV33
Project: jAw ti 20070 (
Type of Inspection:
�00
- esoggt( Co NtKS 126-Quuke oDrtt +- 5(4.6415
Address: MoZt 1/3 e ,
Ail 6
Date Called:
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MJI) -U - NT r
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Special Instructions:
Ck/� ' . P2tOts
Date Wanted:
i0
��
a.m:
Requester:
Phone No:
nApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
- SPA 6 OitlaP A4D CoJ 1 PLE o& t SPo5A -
- Co klac,PL ,J v6 t461 ‹. is 4/1
- esoggt( Co NtKS 126-Quuke oDrtt +- 5(4.6415
-1914t4E4 GrthJAI> plzcAc( r4 ria--PLAct 6511
- ROM% PDLA-LIP $.1.J. qcEP 4 -f. FO &
MJI) -U - NT r
- C -FBI okn r Rew t t»J tibistik 6Att-o y
449 ftoni`r Pb ui4
Inspector:
6c-Agmi
Date: 14zioli
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:
INSPEL ION NO.
INSPECTION RECORD
Retain a copy with permit
itu9 -0133
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 48188
PERMIT O.
(206)431 -3670
Project', 41 2 'O 1
Type of Inspection: 7 a3 /7
Address:
)L/ Z; Y3 Av.
Date Called:
1/
Special Instructions:
Date Wanted:
07/i5
a
p.m.
Requester:
Phone No:
INApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
• • ' r Lot
9.14 5fialcX
Inspector:
Date: 07/22)/07
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:
Untitled Page
•
•
Page 1 of 1
Electrical Contractor
A business licensed by LEtl 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
OMEGA ELECTRIC
2067781144
13337 SE 227TH PL
KENT
WA
98042
KING
Individual
UBI No.
Status
License No.
602383988
ACTIVE
OMEGAE *962JF
License Type ELECTRICAL CONTRACTOR
Effective Date 4/6/2004
Expiration Date 4/6/2010
Suspend Date
Specialty 1 RESIDENTIAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License STRYZVV957K4
Name STRYZHEUS, VADIM V
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
STRYZHEUS, VADIM
OWNER
04/06/2004
Received
Date
Assignment of Savings Information
Savings
Assignment of
Savings Account
Number
Effective
Date
Release
Date
Assignment
Type
Impaired
Date
Amount
Received
Date
1
04/01/2004
Until
Released
Bond
$4,000.004/6/2004
Infraction / Citation Information
Infration /Citation
Date
RCW Code
Type
Status
Violation
Amount
ECOPK01425
2/3/200719.28.101
RCW
ELECTRICAL
CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Detail.aspx
07/22/2009