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
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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
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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