HomeMy WebLinkAboutPermit EL08-0100 - TVATVA
1101 ANDOVER PK W
ELO8-100
Cityylk 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.: 8836500110
Address: 1101 ANDOVER PK W TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -100
Issue Date: 01/31/2008
Permit Expires On: 07/29/2008
Tenant:
Name: TVA
Address: 1101 ANDOVER PK W , TUKWILA WA
Owner:
Name: G -FORE ASSOCIATES LLC Phone:
Address: 5906 MONT BLANC PL NW , ISSAQUAH WA
Contact Person:
Name: BRAD SHOPE Phone: 253 859 -2000
Address: 4826 B ST NW #101 , AUBURN WA
Contractor:
Name: KIRBY ELECTRIC INC
Address: 4826 B ST NW, STE 101 , AUBURN WA
Contractor License No: KIRBYEI077BN
Phone: 253 859 -2000
Expiration Date: 01/13/2009
DESCRIPTION OF WORK:
INSTALL (2) OUTLETS
Value of Electrical: $400.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$66.00
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied
Date: 61 [CJ. 1'0/
red this permit and know the same to be true and correct. All provisions of law and ordinances
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 pr tbe_performance of work. I am authorized to sign and obtain this electrical permit.
Signature: i Date: -( 37- or
Print Name: f L.
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 -100
Printed: 01 -31 -2008
•
City of Tukwila
4t.
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.: 8836500110
Address: 1101 ANDOVER PK W TUKW
Suite No:
Tenant: TVA
PERMIT CONDITIONS
Permit Number: EL08 -100
Status: ISSUED
Applied Date: 01/31/2008
Issue Date: 01/31/2008
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.
N
Signature: Date: )/-0Y-
Print ame:j
doc: Cond -Elec
EL08 -100 Printed: 01 -31 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Site Address:
Tenant Name:
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 **
1 w
1-\04-
: < r- P -k
King Co Assessor's Tax No.: !i (49 c'" 0(L ()
Suite Number:
Property Owners Name:
Mailing Address:
New Tenant:
Floor:
❑ Yes
kN0
CONTACT PE
S L - .
Mailing Address: Il. `I) -2-1 6 j Y .t '. - 1 c, 1
Name:
E -Mail Address:
City
Day Telephone:
City
Fax Number:
State
23-3 — .35
State
Zip
Zip
ELECT
Company Name:
Mailing Address:
171 p: tec-trcc.
ws)_c rpt N,'
-#401
Contact Person: S �. 02, S
E -Mail Address:
Contractor Registration Number: /1( 6 l ,E / 0 71/3 At
Av6.: ry
City
Day Telephone:
Fax Number:
1.A.fre1/4.,
State
Zip
Expiration Date:
-t3 07
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New Addition ❑ Service Change ❑ Remodel
❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm
❑ Telecommunication ❑ Temporary Service
Pro ed b :
Puget Sound Energy
❑ Seattle City Light
H: ApplicationsU+orms- Applications On Line14-2007 - Electrical Permit Application.doc
bh
Page 1 of2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ 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)
PERMIT APPLICATION NOTES,:-
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
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: -/ci C
o4
Date: �3 I �6 r
22 Day Telephone: 2.13 ` kJ-7- Z• od
Mailing Address: q QZ 6 P ST Al_ Li STe /0' /lawn( 4614
City state
f Date Application Accepted: bit
Voo
Zip
7t1(1)-2)
Date Application Expires:
H: Applications\Fonns- Applications On Line\4 -2007 - Electrical Permit Application.doc
bh
Stafflnitials: /"...._
Page 2 of 2
r
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 06)431 -3670
Projgcty. A
Type of Inspection:
2%
Ad`d�re'sls/:
/%
)
Date Called:
Special Instructions:
Date Wanted:
/�
a.m.
p.m.
Requester: j
Phone No:
roved per applicable codes. El Corrections required prior to approval.
OMMENTS:
01- c6 /L z4'' -- - 4 2
(1)/Z-F/A)/)(„
Ins7171L 47-1-V07/7411
Date:, /y /0
$58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
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:/lwww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R08 -00267
Initials: JEM
User ID: 1640
Payee: KIRBY ELECTRIC, INC.
Payment Date: 01/31/2008
Total Payment: 190.00
SET ID: 0131 SET NAME: KIRBY ELECTRIC
SET TRANSACTIONS:
Set Member Amount
EL08 -100 66.00
EL08 -101 124.00
TOTAL: 190.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 507167 190.00
TOTAL: 190.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 190.00
TOTAL: 190.00
7898 01/31 0710 TOTAL 190000