HomeMy WebLinkAboutPermit EL08-1293 - FANCEY RESIDENCEFANCEY RESIDENCE
4418 S 164 ST
ELO8-1 293
Parcel No.:
Address:
Suite No:
CitAbf 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
5379800580
4418 S 164 ST TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL08 -1293
09/30/2008
03/29/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
FANCEY RESIDENCE
4418 S 164 ST , TUKWILA WA
FANCEY LINDA
4418 S 164TH ST , TUKWILA WA
DEANNA SIMMONS
PO BOX 39300 , LAKEWOOD WA
Contractor:
Name: BRINKS HOME SECURITY INC
Address: 9316 LAKEVIEW AV SW , LAKEWOOD WA
Contractor License No: BRINKHS148LE
Phone:
Phone: 253 852 -0800
Phone: 253 - 582 -0800
Expiration Date: 03/31/2010
DESCRIPTION OF WORK:
INTRUSION ALARM
Value of Electrical: $0.00
Fees Collected:
Type of Fire Protection: National Electrical Code Edition:
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
$55.00
2005
Date: 101 (44,d1
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 the performance of wor . I am authorized to sign and obtain this electrical permit. �7
Date: /v ■1
Signature:
Print Name:
,Z- nclq 4„F-atiee
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 -1293 Printed: 10 -06 -2008
Parcel No.:
Address:
Suite No:
CitAf 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
5379800580
4418 5 164 ST TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL08 -1293
09/30/2008
03/29/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
FANCEY RESIDENCE
4418 S 164 ST , TUKWILA WA
MOLONEY MARTIN T SR
4418 S 164TH ST , TUKVVILA WA
DEANNA SIMMONS
PO BOX 39300 , LAKEWOOD WA
BRINKS HOME SECURITY INC
Address: 9316 LAKEVIEW AV SW , LAKEWOOD WA
Contractor License No: BRINKHS148LE
Phone:
Phone: 253 852 -0800
Phone: 253 - 582 -0800
Expiration Date: 03/31/2010
DESCRIPTION OF WORK:
INTRUSION ALARM
Value of Electrical: $0.00
Type of Fire Protection:
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature?
I hereby certify that I have read an
governing this work will be compile
The granting of this pe
construction or the perf
Signature:
Print Name:
Fees Collected:
National Electrical Code Edition:
Date:
$55.00
2005
ex- ed this permit and know the same to be true and correct. All provisions of law and ordinances
wi , whether specified herein or not.
does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
work. I am authorized to sign and obtain this electrical permit.
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 -1293
Printed: 09 -30 -2008
Parcel No.: 5379800580
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
4418 S 164 ST TUR:W
FANCEY RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1293
ISSUED
09/30/2008
09/30/2008
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 m 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 la* 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.
i
Signature: 1 Date:
Print Name:
'T7:1 tIrr S
doc: Cond -Elec
EL08 -1293 Printed: 09 -30 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htth://www.ci.tukwila.wa.us
gyp( y33- / 80O
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 **
Electrical Permit No. '1/173 v 12-P1'
Project No.
(For:oj ice use only)
-SITE LOEATION
Site Address:
Tenant Name: ,,fin
Property Owners Name: ` /India rea�C'
Mailing Address: y'Y / d
WY
King Co Assessor's Tax No.: 5S-7980 -05 D O
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
City
TACTTERSON -wiio do we contact When =your permitns ready to'.be issued
Name:
Mailing Address:
State Zip
Day Telephone:
E -Mail Address:
City
State
Zip
Fax Number:
Company Name:
Mailing Address:
Contact Person:, ��y
E -Mail Address "3//17/7(1/4 1377/7016 .e01/77 Fax Number:
Contractor Registration Number: %I%7 IMP: y� NC? ' Ze Expiration Date:
Valuation of Project (contractor's bid price): $ 500 O
Scope of Work (please provide detailed information): /17G- �'S /i /7 b47/7e__
i ._320 4arxeC.mo
city %%JJ State r(� �Zip /�
/ - - y Day Telephone: i ..%—., . U . j - // 800
:__ !'g,- ()999
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes OE No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pronertv erved b :
Puget Sound Energy
❑ Seattle City Light
H: Applicanons\Pomss- Appbcanans On Line14 -2007 - Electrical Permit Applicanon.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
WI 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
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:
!47/10 t1//%J/77r7--�z:,
Signature:
Print Name: 2/7/71
Mailing Address: �U • ✓�2,t -�a3d�
Day Telephone:
zz)/9 9S q 6
Stale p
City
Date Application Accepted:
UI
0,1 71 Date Application Expires:
Stafflnitials:
HAApphcaIionslFomu- Apphcanons On Lne14.2607 - Elenncal Permit Applicanon.doc
bh
Page 2 of 2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. '
CITY OF TUKWILA BUILDING DIVISION '17'-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Ems -Iz93.
Project: /}
`
Type of Inspection: w�
G °a
Address:
14 r S !415r.
Date Called:
Special nstructions:
*Al f o:'3 o
Date Wanted:
/0/07 L7�0�
P-
Requester:
Phone No:
giApproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
D4
Inspector:
_11 16641eR
Date:
ri $60.00 REINS'PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206-431 -3665
Web site: http:/lwww.ci.tukwila.wa.us
SET RECEIPT
RECEIPT NO: R08 -03397
Initials: JEM Payment Date: 09/30/2008
User ID: 1165
Payee: BRINK'S HOME SECURITY INC.
Total Payment: 172.00
SET ID: 0930 SET NAME: BRINK'S
SET TRANSACTIONS:
Set Member Amount
EL08 -1291 62.00
EL08 -1292 55.00
*GEL0.8 29$ 55.00
TOTAL: 172.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1000218 172.00
TOTAL: 172.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
ELECTRICAL PERMIT - RES
000.322.101.00.0 62.00
000.322.101.00.0 110.00
TOTAL: 172.00
Untitled Page
•
a
Page 1 of 2
Electrical Contractor
A business licensed by L &I 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
BRINKS HOME SECURITY
INC
2535820800
PO BOX 39300
LAKEWOOD
WA
98496
PIERCE
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
600545354
ACTIVE
BRINKHS148LE
ELECTRICAL
CONTRACTOR
6/5/1986
3/31/2010
BRINKHS159CL
GOAKEHC979R2
LIMITED ENERGY
UNUSED
ADMINISTRATOR INFORMATION
License GOAKEHC979R2
Name GOAKEY, HOWARD C JR
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
AGENT
06/05/1986
ALLEN, ROBERT B
PRESIDENT
01/08/2002
CAGE, CHRIS B
SECRETARY
06/05/1986
YEVICH, STEPHEN C
TREASURER
01/08/2002
NEACE, STEVEN E
VICE PRESIDENT
01/08/2002
MICHEL, PETER A
VICE PRESIDENT
01/01/1980
01/08/2002
SCHLICHTER, PAUL M
VICE PRESIDENT
01/01/1980
01/08/2002
JOHNSON, KEITH J
VICE PRESIDENT
01/01/1980
01/08/2002
Bond Information
I I Bond I
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= BRINKHS 148LE
09/30/2008