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Permit EL11-0004 - THAIY RESIDENCE
THAIY RESIDENCE 12249 43 AV S EL1 1 -0004 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.citukwila.wa.us 0179000145 12249 43 AV S TUKW THAIY RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0004 01/04/2011 07/03/2011 Owner: Name: THAIY JOHNNY Address: 12249 43RD AVE S , TUKWILA WA 98178 Contact Person: Name: WILLIAM MILLHOLLIN Address: 1345 GULF RD , POINT ROBERTS WA 98281 Contractor: Name: PHOENIX FIRE & SECURITY Address: 8004 SOPER HILL RD - UNIT A , EVERETT WA 98205 Contractor License No: PHOENFS923NQ Phone: 360 - 945 -2787 Phone: 425 - 346 -0702 Expiration Date: 08/18/2012 DESCRIPTION OF WORK: INSTALL A LOW VOLTAGE SECURITY ALARM WITH (1) CONTROL AND (2) DEVICES Value of Electrical Work: NRES: $0.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $59.85 National Electrical Code Edition: 2008 Date: 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 the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: 1 I 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 EL11 -0004 Printed: 01 -04 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0004 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11-0004 Printed: 01 -04 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httD://www.ci.tukwila.wa.us Electrical Permit No. t L- . l - 000 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: 12249 43rd Ave S. Tenant Name: Johnny Thaiy (Taxpayer) Property Owners Name: Johnny Thaiy (Taxpayer) Mailing Address: same as site King Co Assessor's Tax No.: 0179000145 Suite Number: Floor: New Tenant: ❑ Yes ❑ ..No TUKWILA City WA State 98188 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: William Millhollin Mailing Address: 1345 GULF RD E -Mail Address: William @nwpemit.com Day Telephone: Point Roberts City Fax Number: 360- 945 -2787 WA 98281 State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: PHOENIX FIRE AND SECURITY Mailing Address: PHOENFS923NQ Contact Person: William Millhollin E -Mail Address: V Q EVERETT WA 98205 Contractor Registration Number: 11'0 :'�:.�14t City State Zip Day Telephone: 360- 945 -2787 Fax Number: Expiration Date: 08/18/2012 Valuation of Project (contractor's bid price): $ 400.00 Scope of Work (please provide detailed information): Install a low voltage security alarm with 1 control and 2 devices Will service be altered? ❑ Yes ® No Type of Use: Single Family Residence Type of work: ❑ New ❑ Addition © Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes Q No ❑ Service Change ❑ Fire Alarm H:1Applications\Forms- Applications On Lineal -2007 - Electrical Pemut Applicatiolidoc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages ens s[Tas and outbuildings $75.00 ea ow voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added /altered circuits) ❑ 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 (alarm, fumace thermostat) MULTI- FAMILY 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 OWNER 1 R ELECTRICAL CONTRACTOR: Signature: ■ AO Print Nam YC Tg t j �+� (Y 1 I i vu l< Mailing Address: 4 Lt S C7tJJ¢ C_Qct Date: - 2 oI ° Day Tel hone: 3 (96 - Ct 5 a State Zip try Date Application Accepted: Date Application Expires: Staff Initials: H:\ Applications\Fonns•Applications On lane \4 -2007 - Electrical Permit Application.doc bh Page 2 of 2 • • City of Tukwila De P artment 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.: 0179000145 Address: 12249 43 AV S TUKW Suite No: Applicant: THAIY RESIDENCE RECEIPT Permit Number: EL11 -0004 Status: PENDING Applied Date: 01/04/2011 Issue Date: Receipt No.: R11 -00007 Payment Amount: $59.85 Initials: WER Payment Date: 01/04/2011 10:01 AM User ID: 1655 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1377 59.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 59.85 Total: $59.85 doc: Receiot -06 Printed: 01 -04 -2011 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY ;OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project:' gf,s. - timi Type of Inspection: peo i.., Address: �J 1 7 _rte , . Date Called: . Special Instructions. 14y Saditil 5 - Pkt Date Wanted: % „f^ ��j �i Requester: - Phone No: Approved -per applicable codes. El Corrections required prior to approval. 7. COMMENTS: ,r Inspector: ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date ,,, � 4 1i Contractors or Tradespeople P 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 PHOENIX FIRE & SECURITY 4259319996 8004 Soper Hill Rd, Unit A Lake Stevens WA 98258 Snohomish Limited Liability Company Parent Company PHOENIX FIRE & SECURITY LLC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602834911 Active PHOENFS923NQ Electrical Contractor 8/18/2008 8/18/2012 Limited Energy Unused Electrical Administrator INFORMATION License PORTEJR926NQ Name PORTER, JEFFREY R Status Active Business Owner Information Name Role Effective Date Expiration Date PORTER, JEFF Partner /Member 08/18/2008 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 CBIC 510024 08/18/2008 Until Cancelled $4,000.00 08/18/2008 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 01/04/2011