The URL can be used to link to this page

Home My WebLink AboutPermit EL08-1526 - ALFRED ANGELO BRIDALLFRED ANGEL B6 DAL 17250 SOUTHCENTER PY SUITE 136 Parcel No.: Address: Suite No: Citytf 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 2623049117 17250 SOUTHCENTER PY TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -1526 12/18/2008 06/16/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: ALFRED ANGELO BRIDAL 17250 SOUTHCENTER PY, STE 136 , TUKWILA WA WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE WA BRENT ADKISSON 2020 S 320 ST, C -90 , FEDERAL WAY WA Contractor: Name: OWNER AFFIDAVIT - MON WIG Address: Contractor License No: Phone: Phone: 360 888 -5433 Phone: Expiration Date: DESCRIPTION OF WORK: INSTALL (3) LOW VOLTAGE T -STAT WIRES WITH REMOTE SENSORS Value of Electrical: Type of Fire Protection: $200.00 Fees Collected: $58.00 National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: / I hereby certify that I have read and governing this work will be complie The granting of this pe construction or the Signature: xa wi Date: 40$ ed this permit and know the same to be true and correct. All provisions of law and ordinances h, whether specified herein or not. t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating rm- joy._ wnr .authorized to sign and obtain this electrical permit. Print Name: /Wyfa Date: 2 /18 /o 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 -1526 Printed: 12 -18 -2008 Parcel No.: 2623049117 Address: Suite No: Tenant: 0 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 17250 SOUTHCENTER PY TUKW ALFRED ANGELO BRIDAL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1526 ISSUED 12/18/2008 12/18/2008 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 construct or the performance of work. Signature: � Date: / 2 U /r Print Name: doc: Cond -Elec EL08 -1526 Printed: 12-'8-2008 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 / King Co Assessor's Tax No.: /36 �W'"4 11, Address: / 725o Saw icy f/ /ad ; -# /L Suite Number: /3 Floor: Tenant Name: A 1 M I. /7 A- AA) -ei 0 ,t7{►dtt., New Tenant: SI Yes ❑ ..No Property Owners Name: 6k.) /9 lof%Q✓ i-i` e 3 Z C_ C�-/�s$ Q / Mailing Address: 1/ /% SE /34' ��, / , /e!/ct'L Li4 96900 6, City State Zip ` , CONTACT PERSON — 'wt►o :do we contact when.your peri;niYis-re:41649�ti .ijned ' . 3 71 Name: ?i ' fti T A$' Day Telephone: 3O - 0 g - 5-933 Mailing Address: U ;20 S, 92Q 7k - C- /- cCe 4, ki7 tf 5 ibo City / State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: _Pl5 J c ka-s t c aj Mailing Address: ac..s ).v S. , 3 2ca 77^ 5 f C- 70 Fed(2,-c..k w u-y LA-, 4- 5 cry f N 1_ `� City / /State Zip Contact Person: �`�fT(/j/ ) �S�✓\ Day Telephone: 3 bU 6'8 ir 5 Y 33 E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ 200 Scope of Work (please provide detailed information): T•vS1 `� 3 EA- Lo vo1 45 StJ w4).5 / fie, 5-1_, 5 - 5 , Will service be altered? ❑ Yes XNo Adding more than 50 amps? ❑ Yes Type of Use: Type of work: New ❑ Addition Low Voltage ❑ Generator Property Served by: Puget Sound Energy Seattle City Light ❑ Service Change ❑ Fire Alarm H: ApplicationsWorms- Applications On Line \4-2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 o: 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 - 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: T Date: 42 /e/c& Day Telephone: 36O - ?S "5733 Mailing Address: (3' 2 C' $ �d?o ST C -90 F 4 /.,-) w7- ��- FeCM) 3 City State Zip Date Application Expires: Staff Initials: H 1Applicaoons\Forrn - Applications On Gne14•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 RECEIPT Parcel No.: 2623049117 Permit Number: EL08 -1526 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 12/18/2008 Applicant: ALFRED ANGELO BRIDAL Issue Date: Receipt No.: R08 -03958 Payment Amount: $58.00 Initials: JEM Payment Date: 12/18/2008 12:23 PM User ID: 1165 Balance: $0.00 Payee: BRENDT ADKISSON TRANSACTION LIST: Type Method Descriptio Amount Payment Cash 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 58.00 Total: $58.00 0647 12/18 9707 TOTAL 58.00 doc: Receiot -06 Printed: 12 -18 -2008 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pr�pject: ji f 14 lLType of Inspection:,..? / e) ddress: / 72 Tt) _ c+r - ''fateCaIIed: iY Special Instructions: Date Wanted: / ' a.m. p.m. Requester. Phone No: V1 •roved per applicable codes. ❑ Corrections required prior to approval. OMMENTS: Cie FifiX Insp or: Date. Yet '-1 0(: "1/Cf -j ia% 25 0 ❑ $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: - -- ..— n ti_a.� CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (2(36) 431 3670 FAX (=oo) 431 -3665 E -mail: nu knlanPci.tukwila.wa.us Permit Center /Building Division 206 431 -367o Public Works Department 206 433-0179 Planning Division 206 4313670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING PERMIT NO: F.11/0 b r V 2-,0 E 1 ec+r+c-a I Per e i \+ Foe, In GA., c�n 64 #VAC. btL® bL IL i'ILLok S7 1 E 5 LLC._ -`JS , states as follows: [please print] 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. 1 understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under No. • , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or regularly employed employees working on the premises of their employer, The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that 1 might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. 1t111111I1,„ sl ii visooSbilm"4.<0 40„ U1P p� NOTARY PUBUC mfr ce�� '': - /WAS1 , % %`ms fttll1 Owyer /Owner's Agent Signed and sworn to before me this _L day of `.J .CErr \b -Qt' , 20 O, OL- Sf VL) CG-- y NOTARY PUBLIC in and for the State of Washington Residing at (te vv-C) Vv)(T, County Name as commissioned: CA.AthI tie Sl My commission expires: V W-1, Id t �•