HomeMy WebLinkAboutPermit EL08-0465 - NGUYEN RESIDENCENGUYEN RESIDENCE
4028 S 126 ST
ELO8-465
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
Parcel No.: 7945200045
Address: 4028 S 126 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -465
Issue Date: 04/24/2008
Permit Expires On: 10/21/2008
Tenant:
Name: NGUYEN RESIDENCE
Address: 4028 S 126 ST , TUKWILA WA
Owner:
Name: DAVIS & ROBINSON INC Phone:
Address: 1201 MONSTER RD S #320 , RENTON WA
Contact Person:
Name: DEANNA SIMMONS Phone: 253- 582 -0800
Address: PO BOX 39300 , LAKEWOOD WA
Contractor:
Name: BRINKS HOME SECURITY INC Phone: 253 - 582 -0800
Address: 9316 LAKEVIEW AV SW , LAKEWOOD WA
Contractor License No: BRINKHS148LE Expiration Date: 03/31/2010
DESCRIPTION OF WORK:
INTRUSION ALARM
Value of Electrical: $500.00
Fees Collected:
$55.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date: 'o9
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 th perfo ance of work. I am authorized to sign and obtain this electrical permit.
Signature
Print Name:
Date:
L
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 -465 Printed: 04 -24 -2008
Parcel No.: 7945200045
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
4028 S 126 ST TUKW
NGUYEN RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -465
ISSUED
04/24/2008
04/24/2008
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 -465 Printed: 04 -24 -2008
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.wa.us
".00
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 E W 8- 465-
Project No.
(For office use only)
SITE LOCATION
Site Address: 1 O 5 )(,* '7 `�
Tenant Name: (') I r r` ?
ene-
King Co Assessor's Tax No.:
')q q o_ d o
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Property Owners Name: � £U., N
Mailing Address: + CJ
e.e
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
Day Telephone:
City
E -Mail Address: Fax Number:
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
.La,h`)dc)a6 G�r9 98X91.
r�Zip /� n
Day Telephone: v� / '✓2 g2 Y �/ 3v 6)
City State
Contact Person ,
E -Mail Address"3/197i7/2/7 ' ' 19r%/✓1. •&'M Fax Number: �9 6T �f — CI Q
Contractor Registration Number: t //�%,(� y/ /4" GG Expiration Date:
Valuation of Project (contractor's bid price): $ 5(5O sW /
Scope of Work (please provide detailed information): `%% ∎ / /�c��
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
No Adding more than 50 amps? ❑ Yes
y No
❑ Service Change
❑ Fire Alarm
HAApplicanons�Ponns- Applications On LmeW -2007 - Electrical Permit Application.doc
bh
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
1
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, fumace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
p 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
W (alarm, furnace thermostat)
MULTI- FAMILT 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.
1 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 OWER OR ELECTRICAL CONTRACTOR:
Signature: 1,1.0./p7o �..///?7/77O7—Z
Print Name: F VP 2/ / —6//77,./77,!),"7 Day Telephone:
Mailing Address: /lg. ,e/'/r
Date:
LaZeiva, , &,9
City state
9s
LDhlte Application Accepted: I Date Application Expires:
Staff Initials:
1l :\Apphcations\Fomis- Apphcanons On Lme \4.2007 - Deanna] Permit Apphcanon.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.: 7945200045
Address: 4028 S 126 ST TUKW
Suite No:
Applicant: NGUYEN RESIDENCE
RECEIPT
Permit Number: EL08 -465
Status: PENDING
Applied Date: 04/24/2008
Issue Date:
Receipt No.: R08 -01321 Payment Amount: $55.00
Initials: WER Payment Date: 04/24/2008 01:47 PM
User ID: 1655 Balance: $0.00
Payee: BRINKS HOME SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1000063 55.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 55.00
Total: $55.00
1591 04/24 9711 TOTAL 5500
doc: Receiot -06 Printed: 04 -24 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECT ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 14
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
6wg - Y6
li
�
Project :A/6 Qui ll V nes .
Type of Inspection: =�
®
Addrelion' 5. / 4 sr.
b
Date Called:
Special Instructions:
Date Wanted:
511
p.m.
Requester:
Phone No:
A Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
D.K. -
Inspectord;;I
Date: 5.701
*
D $58.00 REINSPECTION FEE REQUIRED. Prior o inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
Look Up a Contractor, Electrician 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
BRINKHS148LE
Licensee Name
BRINKS HOME SECURITY INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
600545354
Ind. Ins. Account Id
48258900
Business Type
CORPORATION
Address 1
PO BOX 39300
Address 2
City
LAKEWOOD
County
PIERCE
State
WA
Zip
98496
Phone
2535820800
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
UNUSED
Effective Date
6/5/1986
Expiration Date
3/31/2010
Suspend Date
Separation Date
Parent Company
Previous License
BRINKHS159CL
Next License
Associated License
GOAKEHC979R2
Electrical 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
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= BRINKHS 148LE 04/24/2008