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
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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
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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