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HomeMy WebLinkAboutPermit EL11-0028 - SHAY RESIDENCESHAY RESIDENCE 3720 S 142 ST EL1 1 -0028 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.iva.us 1610000205 3720 S 142 ST TUKW SHAY RESIDENCE ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0028 01/14/2011 07/13/2011 Owner: Name: VU JACK Q +NGUYEN JOHN D Address: 3720 S 142ND ST , TUKWILA WA 98168 Contact Person: Name: ANDRIUS VASTAKAS Phone: 253 - 347 -0728 Address: 29302 61 AV S , AUBURN WA 98001 Contractor: Name: A -1 ELECTRICAL SERVICES Address: 16744 3RD AV S , SEATTLE WA 98148 Contractor License No: 1ELECES916NC Phone: 253 -677 -8097 Expiration Date: 08/03/2011 DESCRIPTION OF WORK: SERVICE CHANGE AND ADD 2 CIRCUITS Value of Electrical Work: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: 4,1,91 Fees Collected: $105.00 National Electrical Code Edition: 2008 Date: l f l ` 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 aut»orized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: /414./M / y S VA/ 7/4 , 4 f Date: 4( // Z /20// 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 -0028 Printed: 01 -14 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0028 * *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 -0028 Printed: 01 -14 -2011 CITY OF TUKAPA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. P1--1 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 King Co Assessor's Tax No.: 1(P(.000 - 0 ).0,S Site Address: 37 2 a S l 6/Z. yr � F S' Tenant Name: rl , Property Owners Name: (J Suite Number: J 4/Jlo Gb�J Floor: New Tenant: ❑ Yes ❑ .. No Mailing Address: city State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: 4 Li oR 1 c•1 S V4 S 7 iv,1e /9 .P Mailing Address: 2302 C( /9v1., S, E -Mail Address: a^- "Q'f ‘GIA t9 C •Z2A Day Telephone: 253 311 7 07 2 g City Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: / 1 ' l ' c{ r't t o � /'r Mailing Address: %a9 ) CC 6-e441,2 Contact Person: E -Mail Address: lam./ J4 ofG c r,(0, a ( Contractor Registration Number: i Z ECT 5 9-1 a A) C City State Day Telephone: Z 0 LI 31 Fax Number: 2 o Z 1i1 Expiration Date: t/3 /2 O / / Zip 199/ 0o07 Valuation of Project (contractor's bid price): $ t 7 a Scope of Work (please provide detailed information): r e G' g a ago.( z G ✓ Q�,'i � Will service be altered? [r Yes ❑ No Adding more than 50 amps? Er Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \7.2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Tenant Improvement ❑ Temporary Service • 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 2, 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: � r Signature: Date: g/ // Cr (0a / ( Print Name: 4- DP (u S V/41 4 4J Day Telephone: Mailing Address: 29 3 2 ( /4 c.- , 5 /�1 �, &-c-77-*/-7 City State 9 C3 -/ Zip Date Application Accepted: I Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 • r-` City of Tukwila �z 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.: 1610000205 Permit Number: EL11 -0028 Address: 3720 S 142 ST TUKW Status: PENDING Suite No: Applied Date: 01/14/2011 Applicant: SHAY RESIDENCE Issue Date: Receipt No.: RI 1 -00085 Payment Amount: $105.00 Initials: WER Payment Date: 01/14/2011 11:31 AM User ID: 1655 Balance: $0.00 Payee: ANDRIUS VASTAKAS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 03519B ACCOUNT ITEM LIST: Description 105.00 Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 105.00 Total: $105.00 doc: Receipt-06 Printed: 01 -14 -2011 44. 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 -3670 E-1.11 -2 \Jur Project: SHAY �� "_S l r Type of Inspection: 17 [a o a.�� /az.? Address: .3'72 o s. I Yet V SI Date Called: 1- I,. /l Special Instructions: Date Wanted: )_AA Ci •,J a.m. p.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. OMMENTS: `"Povvx1-4- CO NA p kJ Inspector: Date:) El$60.00 RE(NSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Peter Friendly Page • Page 1 of 1 Electrical Contractor A business licensed by L&J 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 A -1 ELECTRICAL SERVICES 2536778097 16744 3Rd Ave S Seattle WA 98148 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602938833 Active 1ELECES916NC Electrical Contractor 8/3/2009 8/3/2011 General Unused Electrical Administrator INFORMATION License https: // fortress .wa.gov /lni /bbip /Print.aspx 01/14/2011