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
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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
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Page 2 of 2
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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