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HomeMy WebLinkAboutPermit EL08-0972 - REHABITAT NORTHWESTREHABITAT NORTHWEST 4606 S 139 ST ELO8-972 Cityllf 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.: 3229200091 Address: 4606 S 139 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -0972 Issue Date: 07/14/2008 Permit Expires On: 01/10/2009 Tenant: Name: REHABITAT NORTHWEST Address: 4606 S 139 ST , TUKWILA WA Owner: Name: REHABITAT NORTHWEST INC Phone: Address: 3601 WEST MARGINAL WAY S , SEATTLE WA Contact Person: Name: VINCE ROSCELLI Phone: 253 - 312 -0825 Address: 11925 43 ST CT E , EDGEWOOD WA Contractor: Name: EDGEWOOD ELECTRIC INC Phone: Address: 11925 43 ST CT E , EDGEWOOD WA Contractor License No: EDGEWEI950CW Expiration Date: 02/16/2009 DESCRIPTION OF WORK: WIRE NEW 2600 SQ FT SINGLE FAMILY RESIDENCE AND NEW SERVICE Value of Electrical: $7,500.00 Fees Collected: $140.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: „Qt c9J, Date: 1-1-0 (/ 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 ermit doe not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t erform of work. I am authorized to sign and obtain this electrical permit. Signature: Date: /6//0i Print Print Name: 0.? vi (/` 4.75 CR 7/ 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 EL08 -0972 Printed: 07 -14 -2008 Parcel No.: 3229200091 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 4606 S 139 ST TUKW REHABITAT NORTHWEST PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -0972 ISSUED 07/14/2008 07/14/2008 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: rid Date: 74C/ 0 8 doc: Cond -Elec EL08 -0972 Printed: 07 -14 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us Electrical Permit No. ELO 097 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.: 3)- 2-Q - Odq 1 Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No Site Address: L/60 (' S /3 9 H.t Tenant Name: �` Property Owners Name: �e �G bt 7 if r V ►D✓ 1 K (:�°J F Mailing Address: 360l f, s t Nar /- (A14 geoffl, City State zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: t// &1(C P0(/' Mailing Address: // q Z c '/.3ed St- f E U leoscd, GOL4Cuy r E -Mail Address: Day Telephone: 2,s---? 3/z O 8. ar & a -/ £J'1 9f37 Z City State Zip Fax Number: ZS3 qg7 5-O/ > ELECTRICAL CONTRACTOR INFORMATION Company Name: E—of Wcoc/ E/ec- ty/ c- Mailing Address: //5 z S jJ y3,J Contact Person: 1/ /y CZ %COsL t // E -Mail Address: Y• Contractor Registration Number: e y(AJ / Li), 91? 7z City State Zip Day Telephone: 2-c? / Z O ' 2 Sl Fax Number: Z C3 • ? 5- 7 • /S^ F EG„..1 £ �. 7 5-06-14) Expiration Date: Valuation of Project (contractor's bid price): $ ! (0 v Scope of Work (please provide detailed information): W' 2.6-0t) (1C 4i L1O Reed SevoCe Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: T"' New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H.Wpplications\Fonns- Applications On Line\4 -2007 - Electncal Pernut Application.doc bh Page 1 of 2 • • RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) .................. $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace 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 PERMIT APPLICATION NOTES — 1 Date Application Accepted: 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: /� � v Print Name: 6�r <<i/ a / o C) c. e // Mailing Address: /7512 S— y3■1 S f" C f- Date: 7/1/y,G Day Telephone: 2S 3 732 7 S ff r2 7Z pty rye State Zip Staff Initials: Date Application Expires: H 'Jtpphcanons\Forms•Appbcations On tane14•2007. 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.: 3229200091 Permit Number: EL08 -0972 Address: 4606 S 139 ST TUKW Status: PENDING Suite No: Applied Date: 07/14/2008 Applicant: REHABITAT NORTHWEST Issue Date: Receipt No.: R08 -02554 Initials: WER User ID: 1632 Payment Amount: $140.00 Payment Date: 07/14/2008 03:01 PM Balance: $0.00 Payee: EDGEWOOD ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 140.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 140.00 Total: $140.00 4767 07/14 ='711 TOTAL 140.00 doc: Receipt -06 Printed: 07 -14 -2008 INSPECTION NO. INSPECTION RECORD �`���� Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 Project: 614461 TAT Lod- Type of Inspection: 2-100 Address: L14041 3•i31 5T- Date Called: Special Instructions: Date Wanted: / 2 m. p.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: K /61J Pet. Inspector: 664Airis Date: iZ /DS Jai El $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: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION • IR 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: - !! REN�31T�r� •W • Type of Inspection: �, ` �00Z Address: �Go19 5. i3? sr. Date Called: Special instructions: Date Wanted: 9�i� a. m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. / COMMENTS: 5t-K,Au-_-, Inspector: &J,J1 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: d ill: it Qlg Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit 01- act12 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION It- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Vi(N46fTAT d•lA). Type of Inspection: 7 °03 Address: 11(06 S. !31 s1 Date Called: f ,--........ Special Instructions: Date Wanted: 7 a.m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. CO lMENTS: f 4 10- ■ ' k) kg IA - fc,k) d t 6 AO r"R.Oty Vw&. 'ta L., aktwop go D5 Inspector: Date: o-i Ji s Jog 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: ti Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by L&tI 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. EDGEWOOD ELECTRIC INC Business and Licensing Information Name EDGEWOOD ELECTRIC INC Phone 2539875013 Address 11925 43RD ST CT E Suite /Apt. City State Zip County Business Type Parent Company EDGEWOOD WA 98372 PIERCE CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Separation Date Previous License Next License Associated License Specialty 1 Specialty 2 602471300 ACTIVE EDGEWEI950CW ELECTRICAL CONTRACTOR 2/16/2005 2/16/2009 ROSCED *971 MM RESIDENTIAL UNUSED MASTER ELECTRICIAN INFORMATION License ROSCED *971MM Name ROSCELLI, DAVID Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date PEARSON, LEONARD AGENT 02/16/2005 PEARSON, LEONARD PRESIDENT 02/16/2005 https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= EDGEWEI950C W 07/14/2008