HomeMy WebLinkAboutPermit EL12-0950 - MIEN EVANGELICAL CHURCHMIEN EVANGELUCAL
CHURCH
3505 S 140 ST
EL1 2-0950
City oCkwila
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.: 1523049155
Address: 3505 S 140 ST TUKW
Project Name: MIEN EVANGELICAL CHURCH
ELECTRICAL PERMIT
Permit Number: EL12 -0950
Issue Date: 10/09/2012
Permit Expires On: 04/07/2013
Owner:
Name: MIEN EVANGELICAL CHURCH
Address: 3505 S 140TH ST , TUKWILA WA 98168
Contact Person:
Name: JUSTIN GIZINSKI
,Address: 13105 206 ST SE , GRAHAM WA, 98338
Contractor:
Name: FIRE KING OF SEATTLE INC
Address: 240 S HOLDEN ST , SEATTLE WA 98108
Contractor License No: FIREKKS882OE
Phone: 253 - 359 -5063
Phone:
Expiration Date: 09/11/2014
DESCRIPTION OF WORK:
INSTALLING SK MONITOR FOR HOOD SUPPRESSION SYSTEM
Value of Electrical:
NRES: $600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY GHT
Permit Center Authorized Signature:
Fees Collected:
$79.80
National Electrical Code Edition: 2008
I hereby certify that I have read and exa ' %ed this
governing this work will be complied with, whethe ecified herein or not.
t and know the same to be true - • orrect. All provisions of law atnd ordinances
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.
Signatu
Date: /0/ /l C_-_
Pri Name: J US - v� L` ' t e h SUj
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
EL12 -0950 Printed: 10 -09 -2012
•
* *ELECTRICAL **
PERMIT CONDITIONS II
Permit No. EL12 -0950
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 -0950 Printed: 10 -09 -2012
CITY OF TUKWIig
Community DevelopmeWlepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TuLwilaWA.gov
Electrical Pei
,Project'No.
Date' Application Accepted:
Date Application Expires
_ (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: 3505 S . / y(j S 1-
Tenant Name:
King Co Assessor's Tax No.: ell 156'I'W-S
Suite Number:
PROPERTY OWNER
Name:
(.151-4 , & i'-d osk,i
Name: Al ��
Address: 12 tor k Si— C
Address:
S aPeN , Cis S i \-c_-
City: t State:
'� Ly. t 4-
City: State:
Zip:
CONTACT PERSON — person receiving all project ,
communication
Name:
(.151-4 , & i'-d osk,i
Address: e S lia l `� S
Address: 12 tor k Si— C
Phone: 3_.?sq -co 6 3 Fax:
City: t State:
'� Ly. t 4-
Zip:
el itaa g
Phone:. Fax:
.2Sy.sd 43
Email:
Floor:
New Tenant: ❑ Yes W. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: riec 1 ; Cap ec .c...,
Address: e S lia l `� S
City: State: 4PC;
S 1c1 c1 18
Phone: 3_.?sq -co 6 3 Fax:
Contr Reg No.:- Exp Date:
I feX kS9&OE
Tukwila Business License No.; isus_e7 ug�-o
Valuation of Project (contractor's bid price): $ 660
Scope of Work (please provide detailed information): LI s t.-0A \ n
SC) f fCC I`OkA Spktlt•N
S k fivovwk.i Lir •To,lek
Will service be altered? ❑ Yes p0 No Adding more than 50 amps? 11 Yes ' No
Type of Use: {r;trr A tvtrv�
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ • Low Voltage ❑ Generator A Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms- Applications On Line \2011 Applications\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THESAME 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:
Mailing Address: a.yo
H:Wpplications\Forms- Applications On Line\201 I Applications\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date: 10/ y 12—
Day Telephone: a- -3 Sct -V4 3
City
Lt.i A 98 O t S
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
Parcel No.: 1523049155
Address: 3505 S 140 ST TUKW
Suite No:
Applicant: MIEN EVANGELICAL CHURCH
RECEIPT
Permit Number: EL12 -0950
Status: APPROVED
Applied Date: 10/09/2012
Issue Date:
Receipt No.: R12 -02806
Initials:
User ID:
Payee:
TLS
1670
Payment Amount: $79.80
Payment Date: 10/09/2012 10:55 AM
Balance: $0.00
JUSTIN G GIZINSKI
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 135657
ACCOUNT ITEM LIST:
Description
79.80
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
doc: Receiot -06 Printed: 10 -09 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit 6(1-071°
PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
2
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project. ,I (r, 6i, 6.,xcesi-
YPe of Inspection:
, ot)
Address: ' (.35--05.—L5
• /)1O sr-
Dat e Called:
Special Instructions:
Date Wanted: .
/1/0/
��a.��
(p.m�
Requester:
Phone No:
Approved per applicable codes. EJ Corrections required prior to approval.
OMMENTS:
Inspector:
/1
Date: �i-
n 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
6,(2- oqco
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: !]j (
/2 e6 (hAy
pe of Inspection:
Oe.
Address: i NO
Date Called:
Special Instructions:
Date Wanted:. ,O i p.m.
q
....._,
Requester: ff
Phone No:
0 Approved per applicable codes. (Corrections required prior to approval.
COMMENTS:
- Aid /1-c1155 is /5-pm-
- L( 9 Aid/ 66( rkOthtfp
ArdP
att- -ti rr 1.s-
... ik4 AisP PPJrbf A'S4
4
Inspector:
Date:
/°//q/ d.'
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by LEt1 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
FIRE KING OF SEATTLE INC
2067634177
240 So Holden St
Seattle
WA
98108
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601395228
Active
FIREKKS8820E
Electrical Contractor
9/11/2012
9/11/2014
Limited Energy
Unused
Electrical Administrator INFORMATION
License GIZINJG8840J
Name GIZINSKI, JUSTIN G
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
KARR, TUTTLE, CAMPBELL
Agent
09/05/2012
MOORE, JAMES T
President
09/05/2012
MOORE, TAMI 0
Vice President
09/05/2012
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
Ohio Cas Ins Co
325379640
09/10/2012
Until Cancelled
$4,000.00
09/11/2012
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 No records found for the previous 6 year period
https: // fortress .wa.gov /lni/bbip /Print.aspx 10/09/2012