HomeMy WebLinkAboutPermit EL08-01561 - TENG RESIDENCETENG RESIDENCE
12016 42 AV S
EL084 561
CitOuf 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.: 3347400285
Address: 12016 42 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1561
Issue Date: 01/02/2009
Permit Expires On: 07/01/2009
Tenant:
Name: TENG RESIDENCE
Address: 12016 42 AV S , TUKWILA WA
Owner:
Name: TENG TIENWIN +GUAN CAIXIA Phone:
Address: 9422 38TH AVE S , SEATTLE WA
Contact Person:
Name: TIM BURDICK Phone: 206 725 -6072
Address: 4700 RAINIER AV S , SEATTLE WA
Contractor:
Name: BURDICK'S SECURITY HDWR SVC Phone:
Address: 4700 RAINIER AV S , SEATTLE WA
Contractor License No: BURDISH951CG Expiration Date: 02/07/2009
DESCRIPTION OF WORK:
INSTALL SECURITY SYSTEM TO FINISH INSTALL - WIRING PROVIDED BY OWNER.
Value of Electrical: $850.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
Fees Collected:
National Electrical Code Edition:
$55.00
2005
Date: OL (, alt
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 pre t e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the - -rf• anc. •. w ark au�iorized to sign and obtain this electrical permit.
Signature:
Print Name:
.011Pr.,...A
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 -1561 Printed: 01 -02 -2009
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
3347400285
12016 42 AV S TUKW
TENG RESIDENCE
]PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1561
ISSUED
01/02/2009
01/02/2009
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 p- rformanc of work.
Signature:
Print Name:
Date:
onf
doc: Cond -Elec
EL08 -1561 Printed: 01 -02 -2009
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.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
�� /� 4/ A �� King Co Assessor's Tax No.:
Site Address: / Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑ ..No
Property Owners Name: 1l,„p[,(-
Mailing Address: /e /6 y / e go
City State
Zip
CONTACT PERSON = Who.do we contact when your permit is ready to be`issued
•
•
Name: • ' / Dayy Telephone: /L • 7c 66
/
Mailing Address: 7 7� (e � �' /'r ��GC %r(_. (a 7 /
�k s /� ,� i //r City Sate Zi
E -Mail Address: K 1C `y���e'C1C ��CG /(W Fax Number: �3-0
ELECTRICAL CONTRACTOR INFORMATION 7
Company Name: t-a6
Mailing Address: t 1...0 - 2 J€
Contact Person: t 10 l lJ
E -Mail Address. •
Contractor Registration Number:
g6,66Ce_, u_kt_ '?(F/M1
City
State Zip
Day Telephone:ccDc 72-S 60
Fax Number: (p 7v ' 7 7 3
Expiration Date: ! cfn 71
Valuation of Project (contractor's bid price): $ J • (1
Scope Wor� (please provide detailed information). VI ��LU�-L ' % JG�,Sle. 40 /00-114/ S pt
GOZ;eiat (PoV 6r p/oAd Pte,
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:Apphcations\Fonns- Applications On Line'- 2007 - Electrical Permit Applicanen doc
bh
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
jki 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 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 I ' ELECT C NTRAC OR:
Signature:
/' t n
Print Name: (' V ? //S I '/ Day Telephoner /
Mailing Address: 4/77/)
Date:
IDate Application Accepted:
c
ty
Date Application Expires:
Staff Initials:
H' ,\Applicanons\Forms- Appbcations On Lane'M -2067- Elects cal 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.: 3347400285 Permit Number: E L08 -1561
Address: 12016 42 AV S TURIN Status: PENDING
Suite No: Applied Date: 01/02/2009
Applicant: TENG RESIDENCE Issue Date:
Receipt No.: R08 -04010
Payment Amount: $55.00
Initials: JEM Payment Date: 01/02/2009 03:31 PM
User ID: 1165 Balance: $0.00
Payee: BURDICK SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash 55.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 55.00
Total: $55.00
1108 01/05 9707 TOTAL 55.00
doc: Receiot -06 Printed: 01 -02 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CtD -1%1
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: �� f��
r
Type of Inspection: 0/0
O
Address: /
11000 LIZ, S•
Date Called:
Special Instructions:
Date Wanted:
D! D�
p�
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
/.6.1.tv rudki-
Inspector: 6&JPJel\
Date:
6 01 01
$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:
Untitled Page
•
0
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
BURDICK'S SECURITY HDWR
SVC IN
2067256072
4700 RAINIER AVE S
SEATTLE
WA
98118
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
601007724
ACTIVE
BURDISH951 CG
ELECTRICAL
CONTRACTOR
2/7/2005
2/7/2009
HARRICW96808
LIMITED ENERGY
UNUSED
ADMINISTRATOR INFORMATION
License HARRICW96808
Name HARRISON, CHRISTOPHER W
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
PTSGE CORP
AGENT
02/07/2005
BURDICK, TIMOTHY R
PRESIDENT
02/07/2005
BURDICK, ANNSIANNE S
SECRETARY
02/07/2005
BURDICK, ANNSIANNE S
VICE PRESIDENT
02/07/2005
J
https: / /fortress.wa.gov/ Ini/bbip/Detail.aspx ?License= BURDISH951 CG
01/02/2009