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Permit EL08-1134 - THE VILLAGES AT SOUTH STATION
VILLAGES AT SOUTH STATION 3724 S 154 IN ELO8-1 134 Parcel No.: Address: Suite No: City111f 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 0043000335 3724 S 154 LN TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -1134 08/18/2008 02/14/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: THE VILLAGES AT SOUTH STA`T'ION 3724 S 154 LN , TUKVVILA WA SPTUKWILALLC 1201 3RD AVE STE 5400 , SEATTLE WA TERRIE JONES PO BOX 917 , BOTHELL WA Contractor: Name: HOME RUN ELECTRIC LLC Address: PO BOX 217 , BOTHELL WA Contractor License No: HOMERRE974K2 Phone: Phone: 425 489 -0791 Phone: 425 489 -0791 Expiration Date: 05/22/2009 DESCRIPTION OF WORK: REWIRE (2) APARTMENTS THAT ARE BEING CONSTRUCTED /CONVERTED FROM CLUB HOUSE. Value of Electrical: $6,000.00 Type of Fire Protection: Electrical Service provided by: Permit Center Authorized Signatur I hereby certify that I have read and governing this work will be complie PSE Ai A v ,11 Fees Collected: National Electrical Code Edition: $180.40 2005 Date: b D �,�� DV ed this permit and know the same to be true and correct. All provisions of law and ordinances th, 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 or t erfo ce of work. I am/ a shed to sign and obtain this electrical permit. �+ Q� Signature: i���r,L = =Y�w' (�f� Date: (� Print Name:c,� /1 �'1 h—t e �� This permit shall become null and void if the work is ncrt 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 insipection. doc: EL -4/07 EL08 -1134 Printed: 08 -18 -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.: 0043000335 Address: Suite No: Tenant: 3724 S 154 LN TUKW THE VILLAGES AT SOUTH STATION Permit Number: Status: Applied Date: Issue Date: EL08 -1133 ISSUED 08/18/2008 08/18/2008 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: Date: doc: Cond -Elec EL08 -1133 Printed: 08 -18 -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 No.% R 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' �/ �[ U l ,, / King Co Assessor's Tax No.: 0° 62d QD -0 C Site Address: 3( '72- I (r ��� ®T ,^�,�1-n y �p�� �y Suite Number: Floor: Tenant Name: 9t (r vil��LA [� G" 7 G- ✓" 4 f1�L r l o►'1 New Tenant: ❑ Yes ❑ ..No W.41/141. V Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready o be issued Name: Mailing Address: E -Mail Address: Po 13,0)c 217 -e- ELECTRICAL CONTRACTOR INFORMATION Day Telephone: .2 — `ff7 ®79/ j(}4o�i State Zip Badeit City eC' �FaZc N m er: • Company Name: / v - t6°•47 Mailing Address: / e,, a-(7 ge LL .2v /// - q f YA o'2 ( 7 City State Zip Contact Person: / z,/e/C(g Day Telephone: 4(2 s 7— P/ --, 7/ E -Mail Address: �� o Y» e S gi'' �/31 e,% Gt/Jee c-frie.. /1c... 11 Fax Number: ' - S" �f - P7- 7 9 Contractor Registration Number: AD E � '5- _ / 7 � l� Expiration Date: — l © 7 c Valuation of Project (contractor's bid price): $ g I �D am. Scope of Work (please provide detailed information): f P — 1:f/ //f e /eg $4 d�2 Q Will service be altered? ❑ Yes [ No Adding more than 50 amps? � I=1 Yes Type of Use: m dL 8 S �- �" // 10 Type of work: ❑ New XLow Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Addition ❑ Service Change ❑ Fire Alarm H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application. doc bh Remodel ❑ Tenant Improvement Telecommunication ❑ Temporary Service 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: Signat Print Name. Mailing Address: Date: Day Telephone: '7e ,2_57.-- i¥ e 7- D 7 CO 13 (9 )c A /7, B -Effie ((, City IDate Application Accepted: 22 /7 State Zip Date Application Expires: Staff Initials: i I H:\Applications\Forms- Applications On Line \4 -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:/lwww.ci.tukwila.wa.us SET RECEIPT RECEIPT NO: R08 -02974 Initials: JEM Payment Date: 08/18/2008 User ID: 1165 Payee: HOME RUN ELECTRIC LLC Total Payment: 377.20 SET ID: S000001094 SET TRANSACTIONS: Set Member Amount TOTAL: 196.80 180.40 377.20 SET NAME: HOME RUN ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 8203 377.20 TOTAL: 377.20 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 377.20 TOTAL: 377.20 INSPECTION RECORD Retain a copy with permit 61,0Y- 131 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION tan 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: ! s ir• Type of Inspection: 2100 Address: 5. 15 Live. Date Called: Special Instructions: Date Wanted: 12105,-- 6ma Requ ester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: 6114jtiC\ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Date: Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit fao8- 113 tl PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. Project: STN( Type of Inspection: j002-77003 Date Called: /�, Address: lc ` . Special Instruc ons: Date Wanted: `O l r a.rtL CRm. Requester: Phone No: j4Approved per applicable codes. COMMENTS: Corrections required prior to approval. nspector: ,Sti et\ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 40 /4 Receipt No.: I Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit (Lc It3 PERMIT NO. � CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- 367<0 Project: Type of Inspection: - U ( t4 opit4i1 J #Tt(i-ICE 4S 64-0 0 J 1)4(A ft-to-R.606 ikJ J i;,so 4 4Q • ddress: 372 3. i5 LAI. Date Called: Kettic &Ittd1JQ Artip 6' /D RA V> 70 14, 14 +5co44 .r (Jcia$J2( Special Instructions: Date Wanted: �� a.m: Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: - U ( t4 opit4i1 J #Tt(i-ICE 4S 64-0 0 J 1)4(A ft-to-R.606 ikJ J i;,so 4 4Q 9.025 A5 Sw PPLtt1 Ir L.. - (oAipJtcr t/JA•: L'Jt. --rEt, ,. kuT t t, I') Kettic &Ittd1JQ Artip 6' /D RA V> 70 14, 14 +5co44 .r (Jcia$J2( 1 JniELTtw%) icr W "fT $E 6Jl`4") 5 114- - c4 idu 6 r'r t`iJ1T-11-5 TRe MIL Df4(i '4Op -rb 4C Ac 1516LC Inspector: Si 66M-is Date: / 0 idg r7 $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: .A._ cekeY..mr+s ;AR- Untitled Page Page 1 of 2 Electrical Contractor A business licensed by LEtI 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. HOME RUN ELECTRIC LLC Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company HOME RUN ELECTRIC LLC 4254890791 PO BOX 217 BOTHELL WA 98041 KING LIMITED LIABILITY COMPANY 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 602291057 ACTIVE HOMERRE974K2 ELECTRICAL CONTRACTOR 5/22/2003 5/22/2009 SMITHMT951 DQ GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License SMITHMT951 DQ Name SMITH, MICHAEL T Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date SMITH, MICHAEL PARTNER /MEMBER 05/22/2003 SMITH, JESSICA PARTNER /MEMBER 05/22/2003 https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= HOMERRE974K2 08/18/2008