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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 • 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 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 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 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.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