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Permit EL08-0143 - NELSON RESIDENCE
NELSON RESIDENCE 4718 S 124 ST ELO8-143 Citylif 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.: 0179001240 Address: 4718 S 124 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -143 Issue Date: 02/13/2008 Permit Expires On: 08/11/2008 Tenant: Name: NELSON RESIDENCE Address: 4178 S 124 ST , TUKWILA WA Owner: Name: NELSON THEA G Phone: Address: 4718 S 124TH ST , TUKWILA WA Contact Person: Name: ANDREW JONES Phone: 206 - 248 -7900 Address: 4601 S 134 PL , TUKWILA WA Contractor: Name: BRENNAN HEATING & A/C Phone: Address: 4601 S 134 PL , TUKWILA Contractor License No: BRENNHA962DU Expiration Date: 03/31/2008 DESCRIPTION OF WORK: REISSUE OF EXPIRED PERMIT EL07 -188. ADD CIRCUIT AND LOW VOLTAGE FOR HEAT PUMP INSTALLATION Value of Electrical: $500.00 Fees Collected: $105.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: [ Date: 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the ylerformance of work. I am authorized to sign and obtain this electrical permit. ;if Print Name: j��l/ iL/ I� L 41.0ter This permit shall become null id void if the woo s s commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from theP / t inspection. Date: 1— l3- Q' doc: EL -4/07 EL08 -143 Printed: 02 -13 -2008 Parcel No.: 0179001240 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 4718 S 124 ST TUKW NELSON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -143 ISSUED 02/13/2008 02/13/2008 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 -143 Printed: 02 -13 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httpl/www.citukwila.wa.us Electrical Permit No. 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 Site Address: 9 K K Tenant Name: I Ye L s 14 Property Owners Name: We- IS v ✓l Mailing Address: fr.s(AAnne, King Co Assessor's Tax No.: 1-7 goo 1 L! o Suite Number: Floor: New Tenant: ❑ Yes X)No -7-(4 LC,A); City go'r State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 6 VIVTA.V\ C Day Telephone: 9z6- c9-11 ` 7q Z) Mailing Address: iO t S 3 ti- P(.- (Gt k- 1 lot W.4- Q( /GS / CO, State Zip E -Mail Address: 4 (Q-) iWA 00,1 . F mber: g(Jg -,2 7- 7 S ELECTRICAL CONTRACTOR INFORMATION Company Name: L \' _I 1 . • / S #11 Mailing Address: ‘-be Contact Person: E -Mail Address: Contractor Registration Number: - lov,.e5 City Day Telephone: Fax Number: /� Expiration Date: /p� " g'' -ea e 9' State ._ i r/6. Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): (.64 t+r(�t,--1- a /a tou.) �O / i( Will service be altered? es ❑ No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New �� Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service erved b • Puget Sound Energy ❑ Seattle City Light HAApplicanonsWomu- Applications On Lm04 -2007 - Electrical Permit Application.doc bh Page 1 oft 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 lyt 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 $1 0.00 ea PERMIT APPLICATION NOTES IDate Application Accepted: 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 0 ELECTRIC RACTOR: Signature: Print Name: Mailing Address: i S 3 vi Day Telephone: bt City Date: / YJ Zip State Date Application Expires: Staff Initials: H \Applicanon \Forms - Applications On Gne \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: / /www.ci.tukwila.wa.us Parcel No.: 0179001240 Address: 4718 S 124 ST TUKW Suite No: Applicant: NELSON RESIDENCE RECEIPT Permit Number: EL08 -143 Status: PENDING Applied Date: 02/13/2008 Issue Date: Receipt No.: R08 -00421 Initials: WER User ID: 1655 Payment Amount: $52.50 Payment Date: 02/13/2008 02:21 PM Balance: $0.00 Payee: BRENNAN HEATING & A/C TRANSACTION LIST: Type Method Description Amount Payment Check 18652 52.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 52.50 Total: $52.50 doc: Receiot -06 Printed: 02 -13 -2008 l INSPECTION NO. INSPECTION RECORD Retain a copy with permit EA 08 - )J0 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION x- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: %YF). SON 7? C-5 Type of Inspection: cat i () Ci Address: Date Called: Special Instructions: Date Wanted: ©? -073 • 498 a.m p.m. Requester. 9 ., 519 Phone No: ti,? - 17 99 o IXApproved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector:(" "1 "� ...._ . // Y rl;.�,c'7IP N.D j . Date: U8 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electriel or Plumber License Detail Washington State Department of Labor and Industries 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. License Information License BRENNHA962DU Licensee Name BRENNAN HEATING & A/C LLC Licensee Type ELECTRICAL CONTRACTOR UB1 602346866 Ind. Ins. Account Id 80376108 Business Type LIMITED LIABILITY COMPANY Address 1 4601 S 134TH PL Address 2 City SEATTLE County KING State WA Zip 98168 Phone 2062487900 Status ACTIVE Specialty I GENERAL Specialty 2 UNUSED Effective Date 3/31/2004 Expiration Date 3/31/2008 Suspend Date Separation Date Parent Company Previous License BRENNEL976R9 Next License Associated License BRUGGGS976J5 Master Electrician Information License BRUGGGS976J5 Name BRUGGEMAN, GARY SCOTT Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date ERDAHL, DARRIN P PARTNER/MEMBER 03/31/2004 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BRENNHA962DU 02/13/2008