HomeMy WebLinkAboutPermit EL13-0849 - VIETNAMESE MARTYRS PARISH - REMODELCHURCH OF THE
VIETNAMESE MARTYRS
6801 S 180 ST
ELi 3-0849
Parcel No:
Address:
Project Name:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.eov
ELECTRICAL PERMIT
3623049087
6801 S 180 ST
CHURCH OF THE VIETNAMESE MARTY
Permit Number: EL13-0849
Issue Date: 10/30/2013
Permit Expires On: 6/11/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
ARCHDIOCESE OF SEATTLE
C/O LAURA TOEPFER 710 9TH AVE,
SEATTLE, , 98104
CLIFF DANG
347 S 183 ST BURIEN, WA,
BLOOMINGTON MINN, , 98148
Contractor:
Name: AMPED ELECTRIC LLC
Address: 347 S 183 ST, BURIEN, WA, 98148
License No: AMPEDEL872DF
Lender:
Name:
Address:
Phone: (206) 412-8988
Phone: (206) 412-8988
Expiration Date: 3/6/2015
DESCRIPTION OF WORK:
SUBTYPE: NRES STATUS: ISSUED DESCRIPTION: ELECTRICAL WORK FOR SANCTUARY AND KITCHEN AREA
REVISION #1: ADD (2) 20 AMP CIRCUITS IN THE SANCTUARY WITH A VALUE OF $2,000.00
Valuation of single family: $0.00
Valuation of mf/comm: $34,000.00
Type of Work:
Fees Collected: $915.00
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date: P---3 01 3
•
I hearby 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 per t does not presume to give authority to violate or cancel the provisions of any other
state or local laws re ul9, ing construction or the performance of work. I am authorized to sign and obtain this
development p -rt add agree to the conditions attached to this permit.
Signature:
Print Name:
Date:�2- "C'r
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
2100 ELECTRICAL FINAL
2100 ELECTRICAL FINAL
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
City ofikukwila
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
ELECTRICAL PERMIT
Parcel No.: 3623049087
Address: 6801 S 180 ST TUKW
Project Name: CHURCH OF THE VIETNAMESE MARTYRS
Permit Number: EL13-0849
Issue Date: 10/30/2013
Permit Expires On: 04/28/2014
Owner:
Name: ARCHDIOCESE OF SEATTLE
Address: C/O LAURA TOEPFER , 710 9TH AVE 98104
Contact Person:
Name: CLIFF DANG
Address: 347 S 183 ST , BURIEN, WA, BLOOMINGTON MINN 98148
Contractor:
Name: AMPED ELECTRIC LLC
Address: 347 S 183 ST , BURIEN, WA 98148
Contractor License No: AMPEDEL872DF
Phone: 206 412-8988
Phone: 206-412-8988
Expiration Date: 03/06/2015
DESCRIPTION OF WORK:
ELECTRICAL WORK FOR SANCTUARY AND KITCHEN AREA
Value of Electrical:
NRES: $34,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $870.75
Washington Cities Electrical Code: 2011
Date:
10131 �'�
I hereby certify that I have read and e , . min: d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied ' th, hether 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 wo k. I am authorized to sign and obtain this electrical permit. //
Signature: �L/ �% C Date: GE,' —0
Print Name:
,)/461-c
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 -7/13
EL13-0849 Printed: 10-30-2013
•
PERMIT CONDITIONS •
Permit No. EL13-0849
**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 -7/13
EL13-0849 Printed: 10-30-2013
CITY OF TUKW
Community Developm Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Petro. ELl 2j -- 01v l I
Project No.
Date Application Accepted:
Date Application Expires:
ettIpX13
v21011H
(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.:
Site Address: `6.2;(0 C CS v -r t,�p C G Suite Number:
Tenant Name: 1l � in.gt j, wt�'� $e pi A T$ New Tenant:
Y
g/7 2) L [ - 9,0
PROPERTY OWNER
Name: c...ti Y
Name: cf,,,,xeR 'U V`te C.cz �
(1/14447 P's
Address Ot S r.Vgo �,
7 S `l� Sl
City: ,4_, r , ( State: . \ 4
I ltiC:et�cSlG W
Zip: 4 2 $
l
CONTACT PERSON — person receiving all project
communication
Name: c...ti Y
Address: v`T7 c (g2
Address:,
Phone: 9,o— '-4(2' rix:
7 S `l� Sl
City: 2._1 ��l1 State: , q .,,,k
Zip: ,g (cfrs
n B ax:
Phone:a ,.l g
/
Email: �kc .. eV //--b
''
...6.(A -C "_z,
Floor:
Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: �(1/142P 1—CZ��
Address: v`T7 c (g2
City: State: Zip: ,
�(.�f�%/I Q.�Lr� t l�G C(d'1
Phone: 9,o— '-4(2' rix:
Contr Reg No. Pt fq ,pi_g7.ft3ate: . 14 t,i c—
Tukwila Business License No.; HAr _, 0 14141(.9
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
DD
Will service be altered? ❑ Yes No Adding more than 50 amps? , Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel Tenant Improvement
0 Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H: Ap cations\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-I-I3.docx
Revised: July 2013
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Page 1 of 2
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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, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
O Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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 R ELECTRICAL CONTRACTOR:
Signa
Print Name:
Mailing Address:
rra-r-46
47 (3��
Day Telephone:
Date:
city
H:Wpplications\Forms-Applications On Lme\2013 Applications\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
$44.25
EL13-0849 Address: 6801 S 180 ST Apn: 3623049087
$44.25
ELECTRICAL
$44.25
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R523
R000.322.101.00.00
$44.25
$44.25
Date Paid: Monday, December 30, 2013
Paid By: CLIFF DANG AMPED ELECTRIC
Pay Method: CREDIT CARD 532801
Printed: Monday, December 30, 2013 4:16 PM 1 of 1
CRWSYSTEMS
Parcel No.:
Address:
Suite No:
Applicant:
• a
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: http://www.TukwilaWA.gov
RECEIPT
3623049087
6801 S 180 ST TUKW
CHURCH OF THE VIETNAMESE MARTYRS
Permit Number:
Status:
Applied Date:
Issue Date:
EL13-0849
ISSUED
09/06/2013
10/30/2013
Receipt No.:
Initials:
User ID:
R13-03003
JEM
1165
Payment Amount: $696.60
Payment Date:
Balance:
10/30/2013 08:02 AM
$0.00
Payee: DONALD R JACK
TRANSACTION LIST:
Type Method
Descriptio - Amount
Payment Credit Crd MC
Authorization No. 000211
ACCOUNT ITEM LIST:
Description
696.60
Account Code
Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00
Total: $696.60
696.60
.i.,,.• O ,' inf_nR
Printed: 10-30-2013
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: http://www.Tukwila WA .gov
RECEIPT
Parcel No.: 3623049087 Permit Number: EL13-0849
Address: 6801 S 180 ST TUKW Status: PENDING
Suite No: Applied Date: 09/06/2013
Applicant: CHURCH OF THE VIETNAMESE MARTYRS Issue Date:
Receipt No.: R13-02556
Initials:
User ID:
JEM
1165
Payment Amount: $174.15
Payment Date: 09/06/2013 08:21 AM
Balance: $696.60
Payee: AMPED ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5016 174.15
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PLAN - NONRES
000.345.832.00.00 174.15
Total: $174.15
dnn- Receint-OB Printed: 09-06-2013
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
1.-(941c)
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
Project:✓•
0 hoick o Ps r_ Meir/fes
Type of inspection:
, ti 4-L—
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Address: Address: `
Date Called:
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Specia'nstructions:
Date Wanted
l�� /
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p.m.
Requester:
Phone N 4 1 1
5
pproved per applicable codes.
!__.J Corrections required prior to approval.
COMMENTS:
C iV101 l\
InsP6 /,�/�///
n REINSPECTION FEE REQUIRED. RED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Datv2-///
i2
INSPECTION NO.
INSPECTION RECORD/f)—Ub t �7y(
Retain a copy with permit
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: il
Type of Inspection:
g0445LL1/
Address: 'i 8 ( 5-476 sr`
Date Called:
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Special Instructions:
GA;rE a-P*1 •
Date Wanted:
(ip7 raj.,
Requester:
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Phone No:
tftL nin
ElApproved per applicable codes. E Corrections required prior to approval. -
COMMENTS:
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— S r km -1' CO 01b^i' r kr' P F L
- itSGo nld et " A E-czo cp Fore_ e to i,1 sr ,c
5
ofec lj jc_i' tA-Cal" SC -15025
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Inspector:
(M<A
Date:
P
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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
t/i5--0e117.
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:
(....14.0u4+ ofV
Type of Inspection: J
0%At* IA
Address: 4,tgo 1 S - /6 0 Si •
Date Called:
Special Instructions:
Date Wanted:
`
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Requester: -
Phone No:
KZ &737
ElApproved per applicable codes. • . LJ Corrections required prior to approval.
COMMENTS:
PA
-� eodt=0S KfrcrFE4c4L-4)'
Inspector:
Date: o
s. --/f5/
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(I
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
�3-ori
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: k�'� � liter.
Type of Inspection:
A/
Address:
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Date Called:
--
Special Instructions:
Date Wanted:
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p.m.
Requester:.
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
?A
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D(c iP S iJ
Inspector:
64itq\
Date: t 23H
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 . 1
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:
Type of Inspection: .
Address:
s{
gol -posy: .
Date Called:
Special Instructions:
Date Wanted:
f i
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Requester:
Phone No:
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Corrections required prior to. approval.
COMMENTS:
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L1(0-1-14"9 r'/fes Nior -APPLA
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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 RECORD
Retain a copy with permit
:6015-6811'
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:k cpt or liter
C40
Type of Inspection:
id
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1�8o(Address:
5.17 � 5T -Special
Date Called:
Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
Lia
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Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
covet\
Inspector:
Date:.:
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
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:Type
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of Inspection:
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Address: &Yo ' .• /Po �r`
Date Called:
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Special Instructions:
Date Wanted:
2-3
a,�
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Requester:
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Phone No:
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Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Pts TVIS L DA< t5 `6f fit boa
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Inspector:
1
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Callao schedule reinspection.
3�i
INSPECTION RECORD
Retain a copy with permit6iot0p
7
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:
JkaAa1- Vit'(.
Type of Inspection:-_
Address:
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Date Called:
Special Instructions:
Date Wanted:
/1-112
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Requester:
Phone No:
ElApproved per applicable codes.. Corrections required prior to approval.
COMMENTS:
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Inspector: f
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Date: 443
13
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTIONRECORD3�0��
Retain a copy with permit
INSPE TION 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: CA' ar Jer
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Type of Inspection:.-
CO MMENTS:.
Address:
Date Called:
.466
Special Instructions:
Date Wanted:
i
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Requester:
04 1+3
Phone No:
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DApproved per applicable codes.
JJ Corrections required prior to approval.
CO MMENTS:.
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Inspector: / t
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
�4oYt1
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:
Cf ithlc 4 a� to
Type of Inspection:
�ki. !4
Address:K,
6uo r Z . /�6 7,
Date Called:
Special Instructions:
Date Wanted:
(` ,Z.�
a.m.
p.m.
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
o
(/ - (43d6i\ fitt15 4
kisle-rocki
Inspector: "�
Date: 11 21 13
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
y� INSPECTION RECORD
Retain a copy with permit 66' 0b
p
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
Projector dr ( ..
f
Type of Inspection:
0
IN
Address:
(e 'OI S. i8 0 sit .
Date Called:
Special Instructions: :
Date Wanted:
�
IfV'I�J
a.m.
p.m.
Requester:
Phone No: .
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Pk
41.
- JCWAI4 SoFFir5
19 - rlM 4R Alb coeini['ctioJ5
Inspector: 6,
•fH�'T�
i
Date:_ .
It
(.3
n REINSPECTION FEE REQUIRED. Prior to: next inspection.,fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule'reinspection.-
INSPECTION RECORD 2
Retain a copy with permit 6213 - el
y?
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
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n REINSPECTION FEE.REQUIRED. Prior to next inspection,fee must be
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INSPECTION RECORD
Retain a copy with permit
IN ECTIO 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
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REINS CTION FEE REQUIRED. Prior to next inspection, fee must be
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INSPECTION RECORD
Retain a copy with permit
INSPE TION 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
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INSPECTION RECORD
Retain a copy with permit U 1
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
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COMMENTS:
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City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: C Z e --
Plan Check/Permit Number: f3 08 ' 4
9 Response to Incomplete Letter #
9 Response to Correction Letter #
9 Revision # after Permit is Issued
9 Revision requested by a City Building Inspector or Plans Examiner
Project Name:
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Project Address: 6 go ` s 0 -Pk l" TA_ 1cw< <�
Phone Number: -2,0-C' 2- gq
Contact Person: eIj a ,�
Summary of Revision:
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DEC
3 0 2013
PERMIT OENTEP
Sheet Number(s):
"Cloud" or highlight all areas of revision including d revis'
Received at the City of Tukwila Permit Center by:
la" ---Entered in Permits Plus on -(3
H:\Appltcanons\Forms-Applications On Line\2010 Applications\7-2010 - Revision Submtttal.doc
Revised: Masi 2011
/*ERMIT COORD COMP"
PLAN REVIEW/ROUTING SLIP
ACTIVITY NUMBER: EL13-0849 DATE: 09/06/13
PROJECT NAME: CHURCH OF THE VIETNAMESE MARTYRS
SITE ADDRESS: 6801 S 180 ST
x Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter #
Revision # after Permit Issued
DEPARTMENTS:
AW('i3—(
Building Division
Public Works
Fire Prevention
Structural
CI
Planning Division
Li Permit Coordinator ❑
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete 1p
Comments:
Incomplete n
DUE DATE: 09/10/13
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire 0 Ping 0 PW 0 Staff Initials:
TUES/THURS ROUTING:
Please Route
Structural Review Required ❑ No further Review Required n
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
Approved with Conditions
DUE DATE: 10/08/13
Not Approved (attach comments) ❑
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW 0 Staff Initials:
Contractors or Tradespeople Pr er 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
AMPED ELECTRIC LLC
2064128988
347 S 183Rd St
UBI No. •
Status
License No.
License Type
Burien Effective Date
WA
98148
King
Limited Liability Company
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603280426
Active
AMPEDEL872DF
Electrical Contractor
3/6/2013
3/6/2015
General
Unused
Master Electrician INFORMATION
License DANG'CD884RC
Name. DANG, CLIFFORD DUC
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DANG, CLIFFORD D
Partner/Member
03/06/2013
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
American Contractors
Indem CO
100216685
02/26/2013
Until Cancelled
$4,000.00
03/06/2013
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 10/30/2013