HomeMy WebLinkAboutPermit EL08-1103 - REHABITAT NORTHWEST - LOT 6REHABITAT NORTHWEST
LOT 6
4618 S 140 ST
ELO8-1 103
Citikof 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.: 3229200095
Address: 4618 S 140 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1103
Issue Date: 08/11/2008
Permit Expires On: 02/07/2009
Tenant:
Name: REHABITAT NORTHWEST, LOT 6
Address: 4618 S 140 ST , TUKWILA WA
Owner:
Name: REHABITAT NORTHWEST INC Phone:
Address: 3601 WEST MARGINAL WAY S , SEATTLE WA
Contact Person:
Name: VINCE ROSCELLI Phone: 253 987 -5013
Address: 11925 45 ST CT E , EDGEWOOD WA
Contractor:
Name: EDGEWOOD ELECTRIC INC
Address: 11925 43 ST CT E , EDGEWOOD WA
Contractor License No: EDGEWEI950CW
Phone:
Expiration Date: 02/16/2009
DESCRIPTION OF WORK:
ELECTRICAL FOR NEW HOME
Value of Electrical: $0.00
Fees Collected:
$140.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
Date: Skit
ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied rith` whether specified herein or not.
\� J
The granting of this pe 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the a ormanc • ork. I am authorized to sign and obtain this electrical permit. �
Signature: -/ ,/ Date: X / / / / /Qk
Print Name:
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 -1103 Printed: 08-11 -2008
• •
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
PERMIT CONDITIONS
Parcel No.: 3229200095
Address:
Suite No:
Tenant:
4618 S 140 ST TUKW
REHABITAT NORTHWEST, LOT 6
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1103
ISSUED
08/11/2008
08/11/2008
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: 1// Gt &(fi///
Date:
doc: Cond -Elec
EL08 -1103 Printed: 08 -11 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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
Site Address:
Tenant Name:
King Co Assessor's Tax No.: 74- 2 f W
G/64 //6 7‘1' S 7- 4* G
Suite Number:
Property Owners Name:
Mailing Address: 01 iWt / ,S U Se
4c4,fG7z- �(/D, L(.J Jf-
Floor:
New Tenant: ❑ Yes ❑ ..No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: [//L16$ / , s i e /i •
Day Telephone: 2 S"3 - 9 91- c0 /?
Mailing Address: / /car '/3 Sf (7- zf' .//1- cif 7Z
City' stela Zip
Fax Number: ZS' - > 7- SV/S
E -Mail Address: U • go SC.. /1/ 6d Gj le-r(6 //L¢
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 2 ,/e .12, /G ��, G.
Mailing Address: /1/ 25 '/3I-C S7'` G�/=
Contact Person: (/ %fCQ PoSCO
j/ ,P�SGL�LC� rAtifcos /. 0.
E -Mail Address:
Contractor Registration Number: EDGEL) El 9. Oc_L
City
Day Telephone:
Fax Number:
Expiration Date:
f3 7z
State
2c-2 95-7 Z' 5-0/ 3
ZS 3 c r7 So /(
2 / /. /c,
Valuation of Project (contractor's bid price): $ 9j CI)
Scope of Work (please provide detailed information): Vl2L) 144€
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H. Upplications\Forms- Applications On Line \4-2007 - Elecaical Permit Applieation.doc
hh
Page 1 of 2
1
RESIDENTIAL
yNEW 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 $10.00 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: 1 /r/ L(CJ p�C e
Mailing Address: /�C12 S "? Sf (1 j
Date: 75////og-
Day Telephone: 2$ -; 73
E�0 c.. J �' ik37a
/city State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
H ,''Applicaaons1Forms- Appliwions on Une\4 -2007 - Electrical Permii Applicationdoc
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.: 3229200095 Permit Number: EL08 -1103
Address: 4618 S 140 ST TUKW Status: PENDING
Suite No: Applied Date: 08/11/2008
Applicant: REHABITAT NORTHWEST, LOT 6 Issue Date:
Receipt No.: R08 -02888 Payment Amount: $140.00
Initials: JEM Payment Date: 08/11/2008 09:33 AM
User ID: 1165 Balance: $0.00
Payee: EDGEWOOD ELECTRIC INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1852 140.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 140.00
Total: $140.00
5 =7•: '1E/11 `'71f 70T AL 140 ��C•
dnr.• Rwraint -OR
Printed • f1R- 11 -2f10R
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION .Y
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
(A- (03
Project:// �r 4-r
1(Cf'+"TrJ r
Type of Inspection:
dl oO
`,
Address:
Date Called:
Special Instructions:
543 1
Date Wanted:
1
a.m.
P'!ni
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
CVU1J5 r1co7E
OK, roku,
Inspector:
15e41
60.00 REINSPECTION FEE MIRED. Prior to inspection, fee must be
�$ P
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
1Date: o2/r1 o1
Receipt No.:
'Date:
2
INSPECTIOIti RECORD
Retain a copy with permit
fLANIO,
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje �, + _ .
Type of Inspection: 2_,DO
Address
(off 5. f`f0 5T.
Date Called:
(ok okoe514i -5
STO R.MA RE tihm
Instructions:
Date Wanted:
°zit/
aTri.
�p.�`
Requester:
Phone No:
LC1c45 i
0 Approved per applicable codes.
jvisetj Corrections required prior to approval.
COMMENTS:
- 5AtT( [■A1+
(ok okoe514i -5
STO R.MA RE tihm
- 5P444.4 Witstc5 U
9 Fok DISPcSai.—
— ALL- ccn
LC1c45 i
Inspector: 13(41
Date:
02111 /01
$60.00 REINSEECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD z o„ �O�
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
�EN46iTAr A•tA/•
Type of Inspection:
2,00
Address:
11491$5./ MO 5T-
Date Called:
- ttortnl 0.). t 3 “Ave kE SF P trio rI
<t
1
- KIT(.146,.1 a dTLLT tJ FL /54
Special Instructions:
Date Wanted:
]
el u2-
.`
p.
Requester:
—
{ RfA-Di
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: (
— to 40- 604flLE Gftosnli N1leE5 '4
o JE trtt' 14 Pa�(L
- ttortnl 0.). t 3 “Ave kE SF P trio rI
<t
1
- KIT(.146,.1 a dTLLT tJ FL /54
- Coy Cr` P TES 111541 nitl 11402-0,40A
0u1-
—
{ RfA-Di
Inspector:
LIT 661)AlcA,
(Date: 02102 10/
❑ $60.00 REINS ,SECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
(1,6489.- I 03
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( 1206)431 -3670
Projecyr}
tT
Type of Inspection:
7^n
c!�
Address:
� 41 S
S. Pio 5r.
Date Called:
---
Specia
Date Wanted:
/
am
Requester:
Phone No:
14 Approved per applicable codes. Corrections required prior to approval. ien
COMMENTS:
111-6: ( 4 e) "JP Lti Pa
aAl..- aJ Gkohsi f3 v5
Inspector: � 80 l 1eq
Date: fr olg
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:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6God- Irv,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION SE-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Projatt: 4 ((
TAT
Type of Inspection:
Address:
yGt% 5- Pio ST
Date Called:
Instructions:
Date Wanted:
IIISpecial
a, m
Requester:
Phone No:
1:4 Approved per applicable codes. 0 Corrections required prior to approval. 3
COMMENTS:
0K. (zout.,,.,
£k5 .gip
Inspector: 1 134674/6C
Date: Dy 1 4
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:
02 -02 -2009
VINCE ROSCELLI
11925 45 ST CT E
EDGEWOOD WA 98372
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL08 -1103
4618 S 140 ST TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 03/17/2009 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation m this matter.
Sincerely,
Bill Rambo
Permit Technician
xc: Permit File No. EL08 -1103
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
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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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
EDGEWOOD ELECTRIC
INC
2539875013
11925 43RD ST CT E
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
http s: / /fortress.wa. gov /lni/bbip/Detai 1. aspx ?License =EDGE WEI95 0C W
08/11/2008