HomeMy WebLinkAboutPermit EL10-0797 - CHURCH OF NEZIAHCHURCH OF NEZIAH
13045 MACADAM RD S
EL1O-0797
Parcel No.:
Address:
Tenant Name:
City* Tukwila
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
7341600125
13045 MACADAM RD S TUKW
CHURCH OF NEZIAH
ELECTRICAL PERMIT
Permit Number: EL10 -0797
Issue Date: 10/07 /2010
Permit Expires On: 04/05/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
CHURCH OF NEZIAH
13045 MACADAM RD S , TUKWILA WA 98168
KEITH FISHBECK Phone: 206 - 851 -7396
14201 SE PETROVITSKY RD A3 -178 , RENTON WA 98058
PLATEAU SECURITY Phone: 206 - 851 -7396
Address: 14201 SE PETROVITSKY RD STE A3 -178 , RENTON WA 98058
Contractor License No: PLATES *945DZ Expiration Date: 03/19/2012
DESCRIPTION OF WORK:
INSTALL FIRE ALARM SYSTEM IN EXISTING BUILDING
Value of Electrical Work: NRES: $10,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by:
SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $264.50
National Electrical Code Edition: 2008
Date:
7-(C
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 pe
construction or the pe
Signature:
Print Name:
does not p -sume to give authority to vio■ . /'-
an ' of rk. I am authorized to s
or cancel the provisions of any other state or local laws regulating
obtain this electrical permit.
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 -9/09
EL10 -0797
Printed: 10 -07 -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
Parcel No.: 7341600125
Address:
Suite No:
Tenant:
13045 MACADAM RD S TUKW
CHURCH OF NEZIAH
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0797
ISSUED
10/07/2010
10/07 /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:
Print Name:
Date:
doc: Cond -Elec
EL10 -0797 Printed: 10 -07 -2010
CITY OF TUKWIA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite-100 -- - -
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
•
Electrical Permit No. L- 10- 0 7 7
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:
�►�:_A_ 1
Tenant Name:
CKL., H or- �F ► H
Property Owners Name: Yl/C ,,, CZ 6- ,2 9 v e
Mailing Address: / 3o IS (rp
t'r ®vary
King Co Assessor's Tax No.: 7 3 y 1 (od — Q f e)-S
Suite Number: Floor:
New Tenant: ❑ Yes [ .No
Tv )Lw t-64.,
City
w�
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Fes- r r ,, 1" i S
Mailing Address: _r-‹ Re L g w,
Day Telephone: 2..D6 ' iy' S/ - ? .296
E -Mail Address: /« • A- /ie PC ^44(2 5- A'1f'i' , CJs
City State
Fax Number: '-(Z 3' - Z -Le
Zip
.3'- _2 r'
ELECTRICAL CONTRACTOR INFORMATION
Company Name: P G ft T E A cA S E e v IZ I T
Mailing Address: )'( 2 d 1 SE - -r r_-.o v ; -r SK Y Ca-i$. -, A
Contact Person: << t L-1 F^ ► S c B G c
E -Mail Address: fr6 r N US
Contractor Registration Number: PC AlTF 3# cl Y 5 D 2.
City
State Zip
Day Telephone: 206 - 8S/ - 7396
Fax Number: `7'26 - Z 2-8 -32 7 S"
Expiration Date: 3- (9- 2,012—
Valuation of Project (contractor's bid price): $ 1 0 ; 0 o 0
Scope of Work (please provide detailed information): 1 + ' s z A 1.. L-
-
7 /• c x S- r i IvG- ,13 - • r t_ 0 I N G,
i r r z t- A L /rn-'AA S41 ,Sf' tf-,
Will service be altered? ❑ Yes Er No Adding more than 50 amps? ❑ Yes E No
Type of Use:
Tvpe of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator 12r Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
13-' Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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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 -
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: F 4:f ,' - er C / /I?
to —p 7 -/o
Date:
Day Telephone: Zoe - O �� ' 7J 1 d'
Mailing Address: /`'Z' C " 9 / 7, f e 77.2d tI. r 5 / k Y 2 J & -' � 0� , �Jf1 ?f i1
City State Zip
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Apphcation.doc
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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.: 7341600125
Address: 13045 MACADAM RD S TUKW
Suite No:
Applicant: CHURCH OF NEZIAH
RECEIPT
Permit Number: EL10 -0797
Status: PENDING
Applied Date: 10/07/2010
Issue Date:
Receipt No.: R10 -02012 Payment Amount: $264.50
Initials: WER Payment Date: 10/07/2010 02:29 PM
User ID: 1655 Balance: $0.00
Payee: KEITH FISHBECK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1641 264.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
doc: Receipt-06 Printed: 10 -07 -2010
INSPECTION RECORD
Retain a copy with permit 640 °o7T7
INSPECTION NO. PERMIT Na
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ?e (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Proj t: g i
J62-0114
Type of Inspection:
D 0
Ad r /3015 q
Q
Date Called:
Special Instructions:
Date Wanted:
/-gym.
/ 1/03 ` /e
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. /
OMMENTS:
OA/
Inspector:
I/
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
I /oq t
Contractors or Tradespeople Pf ter Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
PLATEAU SECURITY
2068517396
14201 Se Petrovitsky Rd A3 -178
Renton
WA
98058
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602250571
Active
PLATES'945DZ
Electrical Contractor
3/9/2006
3/19/2012
Limited Energy
Unused
ther Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
PLATES'977N9
PLATEAU
SECURITY
Electrical
Contractor
Limited
Energy
Hvac /Rfrg Ltd
Energy
8/29/2003
9/2/2007
Expired
PLATES "986RS
PLATEAU
SECURITY
Electrical
Contractor
Limited
Energy
Hvac /Rfrg Ltd
Energy
12/10/2002
12/10/2004
Out Of
Business
Master Electrician INFORMATION
License FISCHKJ974JM
Name FISCHBECK, KEITH JAMES
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
FISCHBECK, KEITH J
Owner
03/09/2006
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
RLI INS CO
PRS1134112
03/09/2006
Until Cancelled
$4,000.00
03/09/2006
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
https: // fortress .wa.gov /lni /bbip /Print.aspx 10/07/2010