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HomeMy WebLinkAboutPermit EL08-1100 - REHABITAT NORTHWEST - LOT 6This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL08 -1100 Rehabitat Northwest 4606 South 139th Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 8 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. REHABITAT NORTHWEST 4606 S 139 ST CANCELLED OS -11 -08 ELO8-1 100 CRAW 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 -1100 Issue Date: 08/08/2008 Permit Expires On: 02/04/2009 Tenant: Name: REHABITAT NORTHWEST LOT 6 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: WIRING FOR NEW 2800 SFR Value of Electrical: $9,500.00 Type of Fire Protection: Electrical Service provided by: SEATTLE C1TY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $140.00 2005 Date: 0 9 -00 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 pe t does n• resume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the ce ��• rk. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Off.(// Date: 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 -1100 Printed: 08-08 -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 LOT 6 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1100 ISSUED 08/08/2008 08/08/2008 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: ocP p�sce l/, Date: , /V0k doc: Cond -Elec EL08 -1100 Printed: 08 -08 -2008 • 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. CLO $- \ t Q o 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.: Site Address: `7& 06 1391-1, .SJree r fc � .,i,lu Suite Number: Tenant Name: p I Property Owners Name: ge. ulAlj I. it, `I- Mailing Address: 36, 6/ CA) MO v.91 h c4 / LJa/ 5 IA) 3-6,A //4. W 4- 98 /Q City State Zip 3z3, 53.o - 00g 1 New Tenant: Floor: ❑ Yes ❑ .. No CONTACT PERSON - Who do we contact when your permit is ready to: be issued Name: L/ it cr POS(C1 /'. Mailing Address: ��9z 93..J sfree f ✓T" r E -Mail Address: U. RoSLea -r & (01-60.2_1-- Ne/- Day Telephone: 25-"3- ?) 2- - O ZS EcQyeW l/f/d- 9„1-37e try State Zip Fax Number: 2 ' 9S 7 - ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Fvc e wool red r,L 1/92c y3 Nj Sk Cr r s'" 37z City State e 9z) Zip Contact Person: I,,/i4L � 3 t P. Day Telephone: Z S p / 2 — OR2-5— E -Mail Address: (/, K C stE Lt 1 & C 't4 4$1 _ vteP Fax Number: 2 5- 3 - S 7- $O /Sr Contractor Registration Number: E D6 E hJ E 19 t O Lw Expiration Date: 2 //G Valuation of Project (contractor's bid price): $ Q C G °. Uv Scope of Work (please provide detailed information): Zg(20 y?eA) (du-( Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: eesi ewC.a Type of work: New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H:VApplications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 lDate Application Accepted: 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) 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 - 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. 1 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 ELE ; CAL CONTRACTOR: Signature: Print Name: Mailing Address: /Qc4/ &scC //i //92C y,3e^t S'f'✓ee-fd Day Telephone: Er-4 C4iati ay Date: gfro 2 r3- 9 f-7 -- 5-013 141, r 372 State Zip Date Application Expires: Staff Initials: H .'Applicacone.Forms- Applications On Linea -2007 - Electrical Permit Application doe bh Page 2 of 2 t • Department of Community Development August 19, 2008 Vince Roscelli Edgewood Electric Inc. 11925 43 St Ct E Edgewood WA 98372 RE: Request for Refund Electrical Permit No. EL08 -1100 Rehabitat Northwest — 4606 S 139 St Dear Mr. Roscelli, Jim Haggerton, Mayor Jack Pace, Director This letter is in response to your written request for the refund of electrical permit EL08 -1100. The Building Official has reviewed your written request for refund and made his determination. Enclosed is a check in the amount of $112.00, which is 80% of the permit fee. Sincerely, arshall Permit'Hchnician File: Permit No. EL08 -1100 Encl P:\Pemtit Center\Refunds\EL08 -1100 Pemnit Refund.doc jem Page 1 of 1 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. INHOlce NUMBER DATE P.O. NUMBER DESCRIPTION .. _ • AMOUNT 081808317 08/12/2008 112.00 EL -08 -1100 REFUND PERMIT 112.00 PAY TO THE ORDER OF PLEASE DETACH BEFORE DEPOSITING THE FACE.'OF THIS.DO,CUMENT HAS A C.OLORED BACKGROUND NOTjA WHIT ;E BACKGRO,UNO F , CITY OF TUKWILA 6200 Southcenter Boulevard Tukwila WA 98188 -2544 One Hundred Twelve Dollars and No Cents EDGEWOOD ELECTRIC INC 11925 43RD ST CT E EDGEWOOD, WA 98372 PAYABLE THROUGH U.S. BANK 151 Andover Park East Tulavtla. WA 98188 19-10 1250 ?bz- a 6(0.1 THE BACK ,OF THIS DOCUMEN T.HAS'QN 'ARTIFICIAL °:WATERMARK= .HO,�D AT;;A.N:ANG'GE.TO VIEW, '+ • ti City of Tukwila Permit Center Memo August 12, 2008 To: Laurie Andersonp From: Brenda Holt \ \i\N . Re: EL08 -1100 Please refund $112.00 which equals 80% of the permit fees paid for the above reference permits. The contractor has requested to cancel this permit. Please make the check out to the following and I will forward it to them: Edgewood electric Inc 11925 — 43`d Street Court E Edgewood, WA 98372 Xc: File No. EL08 -1100 H:\Documents\Letters\EL08-1100 - refund memo.doc bh 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 -1100 Address: 4606 S 139 ST TUKW Status: PENDING Suite No: Applied Date: 08/08/2008 Applicant: REHABITAT NORTHWEST LOT 6 Issue Date: Receipt No.: R08 -02877 Payment Amount: $140.00 Initials: WER Payment Date: 08/08/2008 10:32 AM User ID: 1655 Balance: $0.00 Payee: EDGEWOOD ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1647 140.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 140.00 Total: $140.00 7353 3F/03 ?"719 TOTAL 140,c-)0 EDGEWOOD i ELECTRIC IN C O R P O RATE D 11925 43`dSTCTE, Phone: (253) 987 -5013 www.edgewoodelectric.biz License # EDGEWEI950CW August 10, 2008 Edgewood, WA 98372 FAX: (253) 987 -5015 CITY OF TUKWILA Community Development Department Permit Center Attn.: Bill 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Dear Sir, CITYROFTUKWILA AU(, 1 1 ZOU8 PERMIT CENTER This letter is to request a refund for the following electrical permit: Permit #: EL 08 - 1100 Permit Address: 4606 S 139th St, Tukwila) Permit Purchaser: Edgewood Electric, Inc. The address for said permit is incorrect and it will not be used. Please cancel the permit and send refund to Edgewood Electric, Inc. 11925 43rd ST CT E Edgewood, WA 98372 Please call me if you have any questions. Sincerely, t)),„,,fi Vince Roscelli General Manager Edgewood Electric, Inc. rrkwr rve. Untitled Page • • Page 1 of 2 Electrical Contractor A business licensed by LEI 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 08/08/2008