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Home My WebLink AboutPermit EL10-0496 - REHABITAT NORTHWEST - LOT 4REHABITAT NORTHWEST LOT 4 4605 S 139 ST EL1O-0496 City ("I'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 3229200093 Address: 4605 S 139 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0496 Issue Date: 06/29/2010 Permit Expires On: 12/26/2010 Tenant: Name: REHABITAT NORTHWEST, LOT 4 Address: 4065 S139 ST , TUKWILA WA Owner: Name: REHABITAT NORTHWEST INC Phone: Address: 3601 WEST MARGINAL WAYS , SEATTLE WA Contact Person: Name: VINCENT ROSCELLI Phone: 253 987 -5013 Address: 11925 43 ST CT E , EDGEWOOD WA Contractor: Name: EDGEWOOD ELECTRIC INC Phone: Address: 11925 43 ST CT E , EDGEWOOD WA Contractor License No: EDGEWEI950CW Expiration Date: 02/16/2011 DESCRIPTION OF WORK: ELECTRICAL FOR NEW HOUSE - 200 AMP PANEL Value of Electrical: Type of Fire Protection: NRES: $0.00 Fees Collected: $152.85 RES: $0.00 SMOKE DETECTOR National Electrical Code Edition: 2008 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie x with Date: OCR 12/11 0 ned this p - rmit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. The granting of this permit does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or he performance of work. I am auth }zed to sign and obtain this electrical permit. A.49 1 Signature `, f.�. Print Name: v) tit t& di4 Date: - 6 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 EL10 -0496 Printed: 06 -29 -2010 • 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 PERMIT CONDITIONS Parcel No.: 3229200093 Address: Suite No: Tenant: 4605 S 139 ST TUKW REHABITAT NORTHWEST, LOT 4 Permit Number: Status: Applied Date: Issue Date: EL10 -0496 ISSUED 06/29/2010 06/29/2010 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: v i. / i . y Date: Print Name: 1, LA T A_ Rof c</11- doc: Cond -Elec ELI 0-0496 Printed: 06 -29 -2010 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. el) V *-011,q, 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 1 60S— King Co Assessor's Tax No.: '�� I � 0�3 Site Address: `7 S' 3 q, r r U kik1U}LASuite Number: Floor: Tenant Name: w/ g i 6 l5w Tenant: ❑ 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 ti <. r� S fir Day Telephone: 2.,C-3 q g - S[J> 13 Mailing Address: 64 3 ,S T < > 0 0 I City State Zip E -Mail Address: V O Ai � � (7e u . L'. woD E' �4 ctri . a 12 Fax Number: 2-S.1 q � T) ELECTRICAL CONTRACTOR INFORMATION Company Name: E..,l �e (DO D4 E /e c1 it 1 G J L) L Mailing Address:' 1 1 2 . L/.. ,. T e_ 'T' . r 1�D0 G.(% 4 1 �.� 2- % Zip Contact Person: V i Jt < e i� Ltc(e /l i, Day Telephone: 1..r? q�) S--b i 3 E -Mail Address: ) IA Cico e.A,, e t.(:)nyP e %cr_ri t-, 6 4 3" Fax Number: Z.. S 3 q g -) SAD I SS Contractor Registration Number: ,L' 0 GE (,t,J Lr J (6 LI <4)Expiration Date: 2 - i C — / Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information Li A} 15-:LA) 11,1' AA /JAL 'es)dQ toAG(, Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: X 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 :\Applicatians\Fomts- Applicatims On Lme\2010 Applicaams\7 -2010 - Electncal Permit Apphcanm.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 pennit 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 OR ELECTRICAL CONTRACTOR: Print Name: v) 1 ^ z A. r <C G �l Signature: Mailing Address: IDate Application Accepted: Date: ( Ci Day Telephone: • City 1 ,4 State Date Application Expires: Staff Initials: H:\ApplcationsWorms- Apphcanons On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 /!7 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.: 3229200093 Permit Number: EL10 -0496 Address: 4605 S 139 ST TUKW Status: PENDING Suite No: Applied Date: 06/29/2010 Applicant: REHABITAT NORTHWEST, LOT 4 Issue Date: Receipt No.: R10 -01187 Initials: User ID: Payee: JEM 1165 Payment Amount: $152.85 Payment Date: 06/29/2010 01:43 PM Balance: $0.00 VINCENT A ROSCELLI, EDGEWOOD ELECTRIC INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 793561 ACCOUNT ITEM LIST: Description 152.85 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 152.85 Total: $152.85 PAYMENT RFOFIVED doc: Receiot -06 Printed: 06 -29 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6/0 -01(p PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 rs Project: s i T-Wr 'l4( 6448 Type of Inspection: 2/00 Address: W6o53X37x• Date Called: Special Instructions: Date Wanted: ///®.m/1/061 p .m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. OMMENTS: tt 9A8 Inspector: WINICAN Date: //0 IV( 0 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit GLct° �V PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 6/4 trkr 444( Type of Inspection: ® Address: 905— $. 137 5r. Date Called: Special Instructions: Date Wanted: p (( D 1 m p.m Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: — rOfac 4 1-i&u ,Jor DiogKIA imcx - LJ e.tco-T hisr t JOrrclJC1 - 644,4411 Dome. PPM I Do Aor dsE f)( 5,o'1 P.�& n7J T (Abate-VI F A inl E1 REce I41 tg- tier 1Jokv skselar termoic Litelardor fins l4 Bks6j(' -Jr c..b S g(jta °rari RI-95711-Kr/ Inspector: Date: 101//0 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6,10,aqq(a, 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project:/) Ii— Type of Inspection: Address: /o$ 5 /3/ 37: Date Called: �-- Special Instructions: Date Wanted: / a.m. Requester: Phone No: aApproved per applicable codes. Corrections required prior to approval. COMMENTS: OftWor Actig, Rui 41,1D Rted(D e c44 5 Inspector: Date: W M /1v n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO1. CITY OF TUKWILA BUILDING DIVISION 12' (266) 431 -3670 dEi,ry -aN96 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: TM 1o1 I Type of Inspection: 7/),02-, Address. i- WOO 5. r 37 Sr. Date Called: Special Instructions: Date Wanted: 04/ �rY 6m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: C Ct Inspector: -III Date: 69 Z� �d REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6 INSPECTION RECORD Retain a copy with permit Ec►o -oY94 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 -16 Pro ct: 63/461141 A _t,t . 1 . it q Type of Inspection: fooy Address: if oc .S./.37577 Date Called: Special Instructions: Date Wanted: A�.m. Requester: Phone No: IT] Approved per applicable codes. Corrections required prior to approval. COMMENTS: (e4UalciAS5 vykoe 0 .K • � 1 laic, ik Inspector: (, Date: 07/1/1 it 0 LJ $60.00 REINSP CTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 6,0-otit PERMIT NO. 141 (206)431 -3670 Project. Type of Inspection: Address: I b0c 5 • / 3 Q 5 ' Date Called: - A-14- Alad - Circ i borar5 !,J Special Instructions: '. A-R.c- Pry ur P2 a't•EGg Date Wanted: i 1 ar�.m.� �. Requester: Phone No: r a plicable codes. Corrections required prior to approval. COMMENTS: .. J:?ic/.- ..e:0 l kt f que5 ii V SA's>ri ?" rdfiziP o(yr 0e57' - A-14- Alad - Circ i borar5 !,J LrJrnfk A-126-x5 (RN ge A-R.c- Pry ur P2 a't•EGg •- lAJ7t S'j s rl7 &DM> uJr2t (A):e Pe. LtiT 5 drC.c - amii Phteirrb,/Ssrn Inspector: Date: 0 7/01 !v ri $60.00 REINSPECTION FEE R QUIRE). Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Pilfer Friendly Page Electrical Contractor A business licensed by Lal 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 Edgewood Electric Inc 2539875013 11925 43Rd St Ct E Edgewood Wa 98372 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602471300 Active EDGEWEI950CW Electrical Contractor 2/16/2005 2/16/2011 Residential Unused MASTER ELECTRICIAN INFORMATION License ROSCED'971MM Name Roscelli, David Status Active Business Owner Information Name Role Effective Date Expiration Date Roscelli, Vincent A Agent 06/15/2010 10/22/2007 Roscelli, Vincent A President 06/15/2010 $500.00 Roscelli, Vincent A Secretary 06/15/2010 Roscelli, Vincent A Treasurer 06/15/2010 Roscelli, Vincent A Vice President 06/15/2010 Pearson, Leonard Agent 02/16/2005 06/15/2010 Pearson, Leonard President 02/16/2005 06/15/2010 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 COLONIAL AM CAS & SURETY OF MD LPM4067964 02/10/2005 Until Cancelled $4,000.00 02/16/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EMILD00240 10/22/2007 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 06/29/2010