HomeMy WebLinkAboutPermit EL11-0039 - SAN SUNG CHURCHSAN SUNG CHURCH
15436 42 AV S
EL1 1-0039
Parcel No.:
Address:
Tenant Name:
Citylf 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.tu/avila.wa.us
2223049013
15436 42 AV S TUKW
SAN SUNG CHURCH
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0039
01/19/2011
07/18/2011
Owner:
Name: SAN SUNG PRESBYTERIAN CHURC
Address: 2130 S 248TH ST , DES MOINES WA 98198
Contact Person:
Name: CHRIS MARSH
Address: 19705 45 AV SE , BOTHELL WA 98012
Contractor:
Name: ALL COUNTY ELECTRIC & SERV
Address: 1021 PILCHUCK AVE , SNOHOMISH WA 98290
Contractor License No: ALLCOCE901LG
Phone: 425 - 877 -8344
Phone: 425 - 877 -8344
Expiration Date: 06/14/2012
DESCRIPTION OF WORK:
INSTALL TEMPORARY POWER POLE
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:
Fees Collected: $78.75
National Electrical Code Edition: 2008
Date: `r-:1 I
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 p rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or rformance of wor . I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
AAair5
Date: /_/9/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 -0039 Printed: 01 -19 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0039
* *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: Arty 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 -0039 Printed: 01 -19 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. t r t . 0031
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 /5- Lt
N0 AU 5
King Co Assessor's Tax No.: (O 3 co 16 e60
Site Address: / c 1136 qi N
Tenant Name:
Property Owners Name: alt � S, a p. c (it U rciA
Mailing Address: /57 3t C f 2- iv o Ac
Suite Number:
Floor:
New Tenant: .....Yes ❑ .. No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: C krt 5
AA if
Mailing Address: / 9 --?0 "ti- (/474l^ Ail l S . G,
E -Mail Address:
1(iy Te ;ephone: /122-5- 6-2? 33L/ L/
0
City
Fax Number:
AJA i9oi2
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: A (.1 l �> n.-h j l� ( &C.
it) cl q -1 "" Ave s _ [3- (115/l
City
Day Telephone:
Fax Number:
Mailing Address:
Contact Person: C
E -Mail Address:
el 5 M f� ,rSli-
Contractor Registration Number: A 1. t L, O C 90 I L 6) Expiration Date:
w A 96)0/
State Zip
L/2 C--(977 -43 yy/
' - 9'6 g 795-
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): J v -fa, t - i_ M p , yoLuer- p /e.
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 `D Temporary Service
Property Served by: /
❑ Puget Sound Energy
❑ Seattle City Light
H: Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Applicationdoc
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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, fumace 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 0 OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
ft3
Mailing Address: %'9 -365
[5.-
Date: l ' 1(-7/ /
)ay T lephone: `Z 21 411 - J- q 4
w/1 gg11i-z
ity State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
HAApplications\Forms- Applications On Line12010 Apphcations17.2010 - Electrical Permit Applicehon.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: htp: / /www.ci.tukwila.wa.us
Parcel No.: 2223049013
Address: 15436 42 AV S TUIiW
Suite No:
Applicant: SAN SUNG CHURCH
RECEIPT
Permit Number: EL11 -0039
Status: PENDING
Applied Date: 01/19/2011
Issue Date:
Receipt No.: R11 -00105
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $78.75
Payment Date: 01/19/2011 01:58 PM
Balance: $0.00
CHRISTOPHER MARSH
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 135735
ACCOUNT ITEM LIST:
Description
78.75
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 78.75
Total: $78.75
doc: Receiot -06 Printed: 01 -19 -2011
INSPECTION RECORD 611'0051
Retain a co py permit with ermit NO.
INSPECTION - PERMIT NO.
CITY O.F TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
(21a6) 431 -3670
Permit Inspection Request Line (206) 431-2451
Project: 544 s
e
Type of Inspection: 702/ / /I(iO
�
Address: �� �,
iff a
Date Called:
Instructions:
mSpecial
//21 _
Requester:
Phone No:
IMApproved per applicable-codes.
COMMENTS:
EJCorrections required prior to approval.
imz tx\ 1.5 rim)
/Ai 41,
Inspector:
'Date: Ii
21 11_
r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee`must.be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
," •pa�.1A. -..... „i. _wr: ... - •l:.1(Y• •tiC•• .. ••,,41 +'.lA'$*'*er :' .. . '. s.k • .
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'INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
�d-
(206) 431 -3670
Projec
Type of Ins ection: •
Address:
te"
!
Date Called: /
Special Ins tructions:
•
r
Date Wanted:
% -.7Y-hi
a.m.
p.m.
Requester:
Phone No:
❑Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: -
s/ 4OL4CJAt, eg °y,P
11 sy _ a 21-7-.04 7v A?/. 't... +. Y'1 -
/i / T)1- arr+0
i Amt._ IDOL Ir.'s
APAcoar
64°P°P1e7 eeartv?r!a',
0A, /JrjL,rry
Inspecto
0'1 iM"
Date•
I REIN PECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
4 •
67r-. f c . w . 1S4,CiN: •
Contractors or Tradespeople Per Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
ALL COUNTY ELECTRIC a SERV INC
4258778344
19705 45Th Ave Se
Bothell
WA
98012
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603016860
Active
ALLCOCE901LG
Electrical Contractor
6/14/2010
6/14/2012
General
Unused
Electrical Administrator INFORMATION
License RANDOKJ0010E
Name RANDOLPH, KENNETH J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MARSH, CHRISTOPHER S
President
06/02/2010
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
TRAVELERS CAS Et
SURETY CO
105442710
05/12/2010
Until Cancelled
$4,000.00
06/02/2010
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EMONV00364
10/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMONV00363
10/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$1,000.00
EMONV00355
7/8/2010
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$250.00
https: / /for tress .wa.gov /lni /bbip /Print.aspx 01/19/2011