HomeMy WebLinkAboutPermit EL12-0204 - TOWNE & CONTRY SUITESTOWNE & COUNTRY SUITES
14800 INTERURBAN AV S
EL1 2-0204
City ofkukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 3597000005
Address: 14800 INTERURBAN AV S TUKW
Project Name: TOWN & CONTRY SUITES
ELECTRICAL PERMIT
Permit Number: EL12 -0204
Issue Date: 03/01/2012
Permit Expires On: 08/28/2012
Owner:
Name: KRUSSEL ROBERT H +ARLENE C
Address: 18107 NORMANDY TER SW , NORMANDY PARK WA
Contact Person:
Name: DAVID MONTOYA
Address: 5906 S 144 ST , TUKWILA WA
Contractor:
Name: TED ELECTRIC CO
Address: 5906 S 144 ST , TUKWILA WA
Contractor License No: TEDELEC925MQ
Phone: 206 - 412 -1830
Phone:
Expiration Date: 07/18/2012
DESCRIPTION OF WORK:
NEW SERVICE AND WIRING. IT WAS A FIRE DAMAGED UNIT. 400 SQ FT, NEW 100 AMP
SERVICE
Value of Electrical: NRES: $4,200.00
RES: $0.00
Fees Collected:
$178.50
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
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 grant g of . •er • • not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio or t �_erfo work. I am . • orized to sign and obtain this electrical permit.
Date: `� / Z--
Print Name: /,mil \ C)t•-1 ?T> -
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 -4/10
EL 12 -0204 Printed: 03 -01 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0204
* *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 -4/10
EL12 -0204 Printed: 03 -01 -2012
CITY OF TUKWILA
Community Developmegrepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA. gov
Electrical Pei& No. I L-\ 02-0 E
Project No.
Date Application Accepted:
Date Application Expires
Or 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 Address: /Li g Nzc-1 -V 2BA I PUL S
Tenant Name:
King Co Assessor's Tax No.:
Suite Number: '7 -?
MAP- tlC.et1 \ tTeS New Tenant:
PROPERTY OWI'
Name: SA llAls •
Address:
City:
State:
Zip:
CONT�C.`)CA 'PerS911 eka, I;Gsii 1 project
k.�
Name:
A-,,9
Mop-k,-oytc-
Phone! - 3i 41 Fax:
Address:
Tukwila Business License No.;
City:
State:
Zip:
Phon
�\ LI 12- US
))
Fax:
Email:
MAn
1
Y\r„, w,,.
c_111/■■A . Low.
Floor:
❑ Yes ja-No
ELEG1iCALCQNYRA ►CTI'Il�T'F`t)R1ATl[ONT; .;
Company Name: --cal:, 6 u l c_
Address: 5 q 0(o S. ii-e 5l'
City: I V� �' State: LIA Zip: �B�C , LA
Phone! - 3i 41 Fax:
Contr Reg No.;.r�_0 i�� ZStt Exp Date: 7/ x/12
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ L -0200
Scope of Work (please provide detailed information): NeG) St -V Ct' k - O t,otyz..1t (., - -T-T Lfpcs
A V uial tT' (j00 -r NEW 100,r,° SE-40 cc"
Will service be altered? Yes ❑ No
fi
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Paget Sound Energy
wG1, t
❑ Service Change
❑ Fire Alarm
Seattle City Light
H: Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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Adding more than 50 amps?
❑ Remodel
❑ Telecommunication
(=El-4Ves ❑ No
'Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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
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 0... ER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: t AA/ t�
Mailing Address:
■
9•A.o),3,1--07&
H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11 .docx
Revised August 2011
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Date: Jcr7 -/ ( /1
Day Telephone: (c -o() L-( 1 Z -1 T 3 0
l.✓lt..
City
IlikeN
State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 3597000005 Permit Number: EL12 -0204
Address: 14800 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 03/01/2012
Applicant: TOWN & CONTRY SUITES Issue Date:
Receipt No.: R12 -00881
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $178.50
Payment Date: 03/01/2012 02:51 PM
Balance: $0.00
DAVID MONTOYA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 331344
ACCOUNT ITEM LIST:
Description
178.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 03 -01 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
tit -OZo
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (z (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: 0�6 4- audrity
P
Type of Inspection: 2 ,00.
Address: v ycto vrvy6
Date Called:
Special Instructions:
Date Wanted:.
f
t�
m.
P.m
Requester:
t
Phone No:
ixApproved per applicable codes. El Corrections required prior to approval. ;■
COMMENTS:
CDFi
Inspector:
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
60,0zoy
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 it, (206) 431 -3
Permit Inspection Request Line (206) 431 -2451
Project: ,ll 1
17DCAfrsit*".04)Aill
Type of Inspection:
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Address: /� ) i
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Date Called:
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r- x>AIM. - Rer...t -P ter.- To &C (tr'xe
Special Instructions:
Date Wanted:.
�.m.,
Requester:
Phone No:
DApproved per applicable codes. - Corrections required prior to approval.
COMMENTS:
r tidjr/T1 ' J * et/ I ts 4 :1) p -4.i iLe
mpi1 ( .0k 1 Dcrr 'TIE
&r-Sts--474 E 1 cC-5
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. i'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 IC (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project,
NAN
CAJA/M7
Type of Inspection:
2164
Address: �/k�
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Date Called:
Special Instructions:
Date Wanted:.
/Z
6!...„n p.m.
Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
(m t o Disc o eF t^/k (i�
S Pal , ' -moo' poi ;' 1) odinl c i-
A (r rio04 I itc-co 1.5,11Altri*c
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Inspector:
-111-6(444t)
Date:
REINSPECTION FEE REQUIRED.'Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORDi Z�
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 u. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
ce d
Ur f i Li",
Type of Inspection:
10°4 COL
Address: 1 q
Date Called:
w
Special Instructions:
Date Wanted: .
/0
p m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1001-
1
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ii
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1.100 - (I2ec..floi%/5
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( +.1,.J a Do ri Nikt, uk! t + oo i 'Po Jec •
Inspector:. / 4,1
Date: Opt
(V/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 IZ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: t Lop J J r
Type of Inspection:
7®e3
Address:
WOO (41A6
Date Called:
Special Instructions:
Date Wanted:.
Viz,
a.m.,
Requester:
Phone No:
CgiApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
gOtlh 4 fig
Inspector:
7
et
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
03/2I12,
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6'4-- ®z f
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 981.88 p_ (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
rAlr�l - J 5�
Type of Inspection:
�09
Address: r
v"o i Jr
Date Called:
r
raw
Special Instructions:
Date Wanted:.
�,�
3 (
Requester:
Phone No:
ElApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
14*KT1+7.6k1tklk
Inspector:
Ards .
ri REINSPECTION FEE REQUIR D. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
65/07/(
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
TED ELECTRIC CO
2067693141
5906 S 144Th St
Tukwila
WA
98168
King
Individual
TEWODROS ZEWDIE MEZGEBU
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602844805
Active
TEDELEC925MQ
Electrical Contractor
7/18/2008
7/18/2012
General
Unused
Electrical Administrator INFORMATION
License MEZGET *922LN
Name MEZGEBU, TEWODROS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
TEDWODROS, MEZGEBU Z
Owner
07/18/2008
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
STATE FARM FIRE &
CAS CO
98GD91246
06/03/2008
Until Cancelled
$4,000.00
07/18/2008
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 03/01/2012