HomeMy WebLinkAboutPermit EL10-0826 - CHURCH OF NEZIAHCHURCH OF NEZIAH
13045 MACADAM RD S
EL1O-0826
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:
Issue Date:
Permit Expires On:
EL10 -0826
10/15/2010
04/13/2011
Owner:
Name: CHURCH OF NEZIAH
Address: 13045 MARADAM RD S , TUKWILA WA 98168
Contact Person:
Name: KEITH FISHBECK
Address: 14201 SE PETROVTTSKY , RENTON WA 98058
Contractor:
Name: KINETIC ELECTRIC LLC
Address: 32601 SE 44 ST , FALL CITY WA 98024
Contractor License No: KINETEL969MM
Phone: 206 - 851 -7396
Phone: 425- 766 -0961
Expiration Date: 07/14/2012
DESCRIPTION OF WORK:
ADD NEW FIRE ALARM PANEL DEDICATED CIRCUIT
Value of Electrical Work: NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: /
Fees Collected:
$115.50
National Electrical Code Edition: 2008
Date:
I hereby certify that I have read and examined thirmit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whet r 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 the p4rformance of work. I am authorized to sign and obtain this electrical permit.
Cct
1
Signature:
Print Name:
J ei 'J /Yl cc°le
Date:
This permit shall become null and void if the work is hot 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 -0826
Printed: 10 -15 -2010
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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 -0826
ISSUED
10/15/2010
10/15/2010
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: al /5 //e)
doc: Cond -Elec
EL10 -0826 Printed: 10 -15 -2010
CITY OF TUKWWA
Community Development Department
Permit Center _
6300 Southcenter Blvd. Suite100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
EL10-olltio
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:
Tenant Name:
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
Suite Number:
Floor: }o
New Tenant: ❑ Yes ❑ ..No
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: /ZIA ,r25 &CA(
Mailing Address:
Day Telephone] 2 ( '5/ 73) (
State Zip
City
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
— — Contact-Person:� —` — --
E -Mail Address: /
tf
State Zip
—Day Telephone: Q .57P
Fax Number:
Contractor Registration Number: A//l k47_ 90/h7 Expiration Date:
Valuation of Project (contractor's bid price): $ /,, .1�
Scope of Work (please provide detailed information): <�1i�/J /L9 i %/',G� a/JLyli�t /97/L--
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 :Wpplications\Forns- Applicanons 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 -
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:
rg0
Print Name: �� IT" �h %i/ eCit '
Mailing Address: -7/'7 u wee/ �
Day Telephone:
City
Date:
H:\Applications \Forms - Applications On Lme\2010 Applications \7 -2010 - Electrical Permit Application.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.tukwita.wa.us
Parcel No.: 7341600125
Address: 13045 MACADAM RD S TUKW
Suite No:
Applicant: CHURCH OF NEZIAH
RECEIPT
Permit Number: EL10 -0826
Status: PENDING
Applied Date: 10/15/2010
Issue Date:
Receipt No.: R10 -02084
Initials:
User ID:
Payee:
TLS
1670
Payment Amount: $115.50
Payment Date: 10/15/2010 10:33 AM
Balance: $0.00
KEITH FISCHBECK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 103308
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 10 -15 -2010
INSPECTION RECORD
Retain a copy with permit
6/1D'. 0Y24
INSPECTION N0. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 g. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: /I`^ila% Dr d62_144-
ype of Inspection:
-A100
Address: 01
13
11-C4Pfd4
Date Called:
Special Instructions:
(c
E
Date Wanted:
11
03
m
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
4
coat/La-10lb tip(
o
Inspector:
,lat; 6o4iJeft..
l ((o Date:
1C)
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD tho Retain a copy with permit - 07
19_—(\
INSPE ION NO. 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: A
LARCA bi6 ncatik-1-1
Type of Inspection:
2,roo
Address: p� p�
1/ ®`l 5 9 tke tnCri
Date Called:
Special Instructions: q
IPC
Date Wanted:
%
/oh
7
6:1:211.
Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
- LFa_, .? ion.t ¥- ii C 171-
I_(c. tarn) kop ccac$1t1-
1FJ5', -t B 4kRek JVt( CLI P nk.)
Inspector:
��, Date: 10/19 1/0
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
e 1
i
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
/v -F -217
PERMIT NUMBERS
CITY OF TUKWILA FIRE .DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407
Project: c h o,c„h
$ $ Al
-z i.4 6
Type of Inspection:
fr-,*,� /4-)04. ‘,24 JA I
Address: i1 o V 5°
Suite #:
a
v--5-, rA4,„„M gz.
Contact Person:
/rc, ti
Special Instructions:
T5 r6"1')> s ' °1 c —v)24.5
°`c - ., ,/,,e,
Phone No.:
Q. . —1- -7 9G
P(pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Sprinklers:
; Ai
(12 ea c iCer- 4- 0(
%; e g
.
Z PIq 63 6.4 c,) 1 e.)1C
Monitor:
A cZ
T5 r6"1')> s ' °1 c —v)24.5
°`c - ., ,/,,e,
g!) if-iv.--6, yx
0 .<--,,,, eel �•~�� lobe, i, •
/7 3
6) 12.,.,-/f,,,,,4_
,1�tf2 ry 14,, d may--
c,it
0194.
6%,. .eciii�l pc lsr1e. 191
Z' 10
1d. -5. Je.. 5) Z2% 4 Jf
_
Mc /cy'c ra.,4*
OK
wor
Needs Shift Inspection:
Sprinklers:
; Ai
Fire Alarm:
%; e g
Hood & Duct:
4 ,ol
Monitor:
A cZ
Pre -Fire:
.
Permits:
Occupancy Type:
/7 3
Inspector:
f3
Date:
/o /zJ /O
Hrs.:
$80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Word /Inspection Record Form.Doc 1/13/06,
T.F.D. Form F.P. 113
Contractors or Tradespeople Peer 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 KINETIC ELECTRIC, LLC UBI No. 602411938
Phone 4257660961 Status Active
Address 32601 Se 44Th St License No. KINETEL969MM
Suite /Apt. License Type Electrical Contractor
City Fall City Effective Date 7/14/2004
State WA Expiration Date 7/14/2012
Zip 98024 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License ANDERSM965L5
Name ANDERSON, SCOTT MICHAEL
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, SCOTT M
Partner /Member
07/14/2004
Bond Amount
ANDERSON, BROOKE
Partner /Member
07/14/2004
06/16/2005
LEVY, RICHARD M
Partner /Member
07/14/2004
06/16/2005
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
2
American Contractors
Indem CO
100132324
07/14/2010
Until Cancelled
$4,000.0007/14/2010
1
CBIC
SF6762
07/14/2004
Until Cancelled
07/14/2010
$4,000.0007/14/2004
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 10/15/2010