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HomeMy WebLinkAboutPermit EL09-0802 - GONZALEZ RESIDENCEGONZALES RESIDENCE 13264 38 AV S ELO9-0802 Citygf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 -431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 7340600920 Address: 13264 38 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0802 Issue Date: 12/15/2009 Permit Expires On: 06/13/2010 Tenant: Name: GONZALES RESIDENCE Address: 13264 38 AV S , TUKWILA WA Owner: Name: GONZALEZ SIDNEY P Phone: Address: 13264 38TH AVE S , SEATTLE WA Contact Person: Name: DAVID MONTOYA Phone: 206 - 883 -7937 Address: 6402 S 144 ST #3 , TUKWILA WA Contractor: Name: URBAN ELECTRIC Address: 14720 59 AV S , TUKWILA WA Contractor License No: URBANE *948BL Phone: 425 387 -7130 Expiration Date: 01/13/2010 DESCRIPTION OF WORK: TEMPORARY POWER POLE Value of Electrical: NRES: $0.00 Fees Collected: $60.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: I� D 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 authorized to sign and obtain this electrical permit. Date: 12-(5-01 This permit shall become null and void if`ti{e 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 -0802 Printed: 12 -15 -2009 Parcel No.: 7340600920 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 13264 38 AV S TUKW GONZALES RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0802 ISSUED 12/15/2009 12/15/2009 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: � ' . V� Date: l 15 O61 Print Name: doc: Cond -Elec EL09 -0802 Printed: 12 -15 -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 No. t t._oCj- -0 g0 Z.. 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 ���,/� p., �C�n King Co Assessor's Tax No.: Site Address: 1320 (1 . • 5 Suite Number: Tenant Name: eta /1W ac7, Property Owners Name: Si try Z ei Mailing Address:6(.1/ e--- Floor: New Tenant: ❑ Yes 0 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: &402- 9 . i nn E- Mail Address:KMOVt1 f �Ulr Vl ELECTRICAL CONTRACTOR INFORMATION t City - e (e L l C • COVV/Fax Number: 20(0 j 1 U V1 'a vl ay Telephone: 9. State Zip • 356 3q1 Company Name: M ( i C2 C /1 moo— LI r,C(t) He -1YI ,i C (/ ) p Mailing Address: 60.51-0/- I `T-i S ' ✓ Tv6 < 1 a t - B / & M City State Zi Contact Person:t vl d I v t 0�-1 & Day Telephone: q2L) '6g 3. -7�) 3 E -Mail Address: A WLD y( Gt. I' - aC '1 L, (.61/1 . Fax Number: 2 D �J " 38e. ✓�f t 0 Contractor Registration Numb1 - 4d-� 13 L Expiration Date: g p Valuation of Project (contractor's bid price): $ ll 0 Scope of Work (please provide detailed information): if IV? � iO Lei -5& Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Temporary Service ❑ Tenant Improvement Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H \Applications \Forms - Applications On Line \I -2009 - Electrical Permit Appltcanon.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $145.60 $78.00 ea $57.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 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 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Date: (1/17I0"I Day Telephone: 2 f - ta LU* getUub City state Zip Date Application Accepted: Date Application Expires: Staff Initials: H.'\Applmanens\Farms- Applications On Lne,I-2009 - Electrical Permit Apphcabon.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.: 7340600920 Address: 13264 38 AV S TUKW Suite No: Applicant: GONZALES RESIDENCE RECEIPT Permit Number: EL09 -0802 Status: PENDING Applied Date: 12/15/2009 Issue Date: Receipt No.: R09 -02003 Initials: WER User ID: 1655 Payment Amount: $60.00 Payment Date: 12/15/2009 02:41 PM Balance: $0.00 Payee: MOCHI CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2805 60.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 60.00 Total: $60.00 PAYMENT RECEIVED Hon. Rar.Pint -OR P ri n tprl 17- 18- 2(1(14 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 ad'- oloZ Proj t:O `2 - t ' R` l • Type of Inspection: 2100 Addreo 313, Date Called: 1 Special Instructions: Date Wanted: /2116, a r Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 _K. 64tc(c‘17.._( Date: iz114 4/0/ U $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: Untitled Page • Page 1 of 1 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 URBAN ELECTRIC 2067749768 6402 S. 144th St. Suite TUKWILA WA 98168 KING Corporation MOCHI CORPORATION UBI No. 602548602 Status ACTIVE #3 License No. URBANE*948BL License Type ELECTRICAL CONTRACTOR Effective Date 1/13/2006 Expiration Date 1/13/2010 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED MASTER ELECTRICIAN INFORMATION License CHIN*JH967K0 Name CHIN, JEFFREY H Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date CHIN, JEFFREY H AGENT 01/13/2006 Bond Amount CHIN, JEFFREY H PRESIDENT 01/13/2006 YLI260056 CHIN, JEFFREY H SECRETARY 01/13/2006 MONTOYA, DAVID C TREASURER 01/13/2006 MONTOYA, DAVID C VICE PRESIDENT 01/13/2006 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 OLD REPUBLIC SURETY CO YLI260056 01/13/2006 ncelled Cancelled $4,000.00 01/13/2006 https: // fortress .wa.gov /lni/bbip /Detail.aspx 12/15/2009