HomeMy WebLinkAboutPermit EL08-1508 - ANDREW'S SPACEANDREW'S SPACE
3415S116ST
ELO8-1508
CitAbf Tukwila •
lJepartment 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.: 1023049043
Address: 3415 S 116 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1508
Issue Date: 12/10/2008
Permit Expires On: 06/08/2009
Tenant:
Name: ANDREW'S SPACE
Address: 3415 S 116 ST , TUKWILA WA
Owner:
Name: TTA/E PROPERTY TAX DEPT 207 Phone:
Address: PO BOX 4900 , SCOTTSDALE AZ
Contact Person:
Name: LUCINDA HINER Phone: 206 - 523 -4525
Address: 9620 STONE AVE N SUITE 201 , SEATTLE WA
Contractor:
Name: NELSON ELECTRIC Phone: 206 523 -4525
Address: 9620 STONE AV N, STE 201 , SEATTLE WA
Contractor License No: NELSOEI132CZ Expiration Date: 02/09/2009
DESCRIPTION OF WORK:
INSTALL (1) NEW POWER POLE FOR FURNITURE OUTLETS. CONNECT POWER TO EXISTING
POWER POLE
Value of Electrical: $900.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
.fuLUL
Fees Collected:
National Electrical Code Edition:
$86.00
2005
Date: —� !D V
I hereby certify that I have read and examined this pen-nit 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 perfo ce of work. I am authorized to sign and obtain this electrical permit.
Signature: Date: l27//v/OY
Print Name:
Orl 1
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 -1508 Printed: 12 -10 -2008
Parcel No.:
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
1023049043
3415S116STTUKW
ANDREW'S SPACE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1508
ISSUED
12/10/2008
12/10/2008
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:
g;ji Oc-‹
Date:
doc: Cond -Elec
EL08 -1508 Printed: 12 -10 -2008
1
. 0
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. C LOS_ (S-0 9
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: 3 ) 5 1) 1p- 31
Tenant Name:J filet t,k-:3 ; 5pcc
King Co Assessor's Tax No.: 10.1301—` e 3
Suite Number:12-2) Floor:
New Tenant: 10 Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit Is ready to be Issued
Name: v iNAA L I)-Q .�ch
Day Telephone:
Mailing Address:
City
Fax Number:
E -Mail Address:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
t
Company Name: IA -A4*.) J\ l . ` e 1 1C� l\C
Mailing Address: ' (1) `h*jv iA ti6 N J `>l kc. 20 ( ) ) p2 �( L. �-i� ) t
Contact Person: V cL<._ \- 1' eJ
E -Mail Address: 1--1 (W nti son -62IGC..�M
Contractor Registration Number: (_
City State Zip
Day Telephone:c.)))(.o 52. —L 15 Z2
Fax Number: u 452:1 — C" -'6
Expiration Date: 3k —fig
Valuation of Project (contractor's bid price): $ .�) r 00
Scope of Work (please provide detailed information): — 4YStw. \ 7 r lu�� yjt7l v tt✓ r� - - ( v Lkf t
nV�rl�ts ' CA.) A •mow =✓ c2Jt;sk∎nC . (0)0l_IL_,
Will service be altered? ❑ Yes Ez No Adding more than 50 amps? ❑ Yes rj No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel a Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:VApplicationsTonns- Applications On Line-4-200' Electrical Permit Application doc
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Page 1 of 2
■
•
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 Permi: 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 TIIE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signat9r-: _ _ _ 91t1,1
Print Name: L1�va�� ,A\(-/
Date: "T /01 U�
Day Telephone:
Mailing Mailing Address: `1 (47 2-0 s} 0),N. _ /Lir, S f l i (AAA
1v
Zip
City State
IDate Application Accepted: Date Application Expires:
Staff Initials:
H:VApplications\Fo ms- Applications On I.ine\4 -2l ,' - Electrical Permit Application dot
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Page 2 of 2
City of Tukwila
Dpartment 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.: 1023049043
Address: 3415 5 116 ST TUKW
Suite No:
Applicant: ANDREW'S SPACE
RECEIPT
Permit Number: EL08 -1508
Status: PENDING
Applied Date: 12/10/2008
Issue Date:
Receipt No.: R08 -03908
Initials: WER
User ID: 1655
Payment Amount: $86.00
Payment Date: 12/10/2008 02:40 PM
Balance: $0.00
Payee: NELSON ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 9358 86.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 86.00
Total: $86.00
0379 12/10 9707 TOTAL 86.00
doc: Receiot -06 Printed: 12 -10 -2008
1
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ao'Y- ISo�
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: AsIDi .1 ) '� `-
`,�,{�
Type of Inspection: 2l49V
Address:
3LI/S .5•1'e5T.
Date Called:
Special Instructions:
Date Wanted:
r
%,
// c
a.pa -•
CCi
Requester:
Phone No:
0 0 IJ�Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
OK /444,
Inspector:
Date: / 215 0
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:
.. .•;• - • • •k^'... - . 4 .. • e . , ' • •.D. r..• .w +i•w,r aSt! •
Untitled Page
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it
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
NELSON ELECTRIC INC UBI No.
2065234525 Status
9620 STONE AVE N STE
201
SEATTLE
WA
98103
KING
CORPORATION
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
600047709
ACTIVE
NELSOEI132CZ
ELECTRICAL
CONTRACTOR
2/9/1987
2/9/2009
WARBUEC549B8
NELSOMD233RM
GENERAL
UNUSED
ADMINISTRATOR INFORMATION
License NELSOMD233RM
Name NELSON, MARVIN D
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
NELSON, MARVIN D
01/01/1980
NELSON, LYLE D
01/01/1980
UNDSETN, MARK A
01/01/1980
NELSON, LAURA
01/01/1980
NELSON, MARVIN D
AGENT
01/01/1980
Bond Information
1 I 1
I
https: / /fortress.wa.gov i lni/bbip/Detai1.aspx ?License= NELSOEI132CZ
1
1
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12/10/2008