HomeMy WebLinkAboutPermit EL13-0971 - VIETNAMESE MARTYRS PARISH - LOW VOLTAGECHURCH OF THE
VIETNAMESE MARTYRS
6481 S 180 ST
EL1 3-0971
City AI'ukwila 411`
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
ELECTRICAL PERMIT
Parcel No.: 3623049087
Address: 6801 S 180 ST TUKW
Project Name: CHURCH OF THE VIETNAMESE MARTYRS
Permit Number: EL13-0971
Issue Date: 10/03/2013
Permit Expires On: 04/01/2014
Owner:
Name: ARCHDIOCESE OF SEATTLE
Address: C/O LAURA TOEPFER , 710 9TH AVE 98104
Contact Person:
Name: JEFF BRANT Phone: 253 872-5665
Address: 5108 D ST NW , AUBURN WA, 98001
Contractor:
Name: EMERALD AIRE INC
Address: 5108 D ST NW , AUBURN WA 98001
Contractor License No: EMERAAI991KG
Phone: 253-872-5665
Expiration Date: 05/07/2015
DESCRIPTION OF WORK:
INSTALL (2) LOW VOLTAGE THERMOSTATS AND ASSOCIATED WIRING
Value of Electrical:
NRES: $1,000.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN Washington Cities Electrical Code:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$99.40
2011
I hereby certify that I have read and ami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, hether specified herein or not.
The granting othi ermit does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction gJth erformance of ork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
)3c-cto4-
Date:
/23 '3
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
EL13-0971 Printed: 10-03-2013
I. PERMIT CONDITIONS
Permit No. EL13-0971
**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
EL13-0971 Printed: 10-03-2013
CITY OF TUKW�1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Perms. SNo.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
099
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: 6901 t 1604-h
King Co Assessor's Tax No.: 2 30 9 c?og-7
Suite Number:
Tenant Name: VI e+1Aa wresC" Ma %
PROPERTY OWNER
Name: ,RF,
Name ch6:occsc_ o -P ib 3.2 37(4
Address: 710
c?}h
dive
City: C ec -) .e
State:^/A
Zip:c(8 /0 LI
CONTACT PERSON - person receiving all project
communication
Name: ,RF,
Address: 5 tog P 9- 44,
v,�� /State:„/
Zip:q ?o9/
City: /� „ict
Phone:2�3 s66S Fax: 2 9 TS ?2 ,rj 79, 7
Email: ddg
Floor:
New Tenant: ❑ Yes A. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:Old 0-11Y- al1L
Address: S 1Q 0 () 4/v
City:fiu u {ry1+ State: 44 Zip/
Phone:5 3 g72 ;--as Fax: 7 ' 7) 5
7
Contr Reg No.: 1ERAA )Ga7 Exp Date: 4/ /5
Tukwila Business License No. ;'5jr5j '°toDse
Valuation of Project (contractor's bid price): $ ) / ®2 `� f
ssepe.of Work (please provide d tailed information): �Y` `7 f G( (3)
15 f, cert c �— 4 `1N N• (` h
�w too171-
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New
Low Voltage
Pro Served b :
Puget Sound Energy
whinefo
ISL, No
Adding more than 50 amps? ❑ Yes g No
❑ Addition
O Generator
0
❑ Service Change
❑ Fire Alarm
Seattle City Light
H:Wpplications\Fonns-Applications On Line \2013 Applications\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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❑ Remodel
0 Telecommunication
0 Tenant Improvement •
❑ Temporary Service
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
O Temporary service (residential) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ 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
Signature:
Print Name:
OR ELECTRI(iAL CONTRACTOR:
13fqA+
Mailing Address: S 4/14/
Date: I 3 /13
Day Telephone: 3 g 22 set
4.)9w -n 14719 '1.gf%)
H:Wpplications\Forms-Applications On Lme\2013 Applications\Electncal Permit Application Revised 7-I-13.docx
Revised: July 2013
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City State Zip
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: http://www.TukwilaWA.gov
RECEIPT
Parcel No.: 3623049087 Permit Number: EL13-0971
Address: 6801 S 180 ST TUKW Status: APPROVED
Suite No: Applied Date: 10/03/2013
Applicant: CHURCH OF THE VIETNAMESE MARTYRS Issue Date:
Receipt No.: R13-02809
Initials:
User ID:
JEM
1165
Payment Amount:
$99.40
Payment Date: 10/03/2013 01:50 PM
Balance: $0.00
Payee: EMERALD AIRE INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2077 99.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 99.40
Total: $99.40
Printpri• 1n-03-9(113
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
'0?71
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:
o%cti- or _
Type of Inspection:
/,�1/j,�
Address: 480i 5. ty0
DateCalled:
Special Instructions:
lj
Date Wanted:
,
(„lia )s
p:m.
Requester:` .
' 1
No: -370
57Phone
32;
Approved per applicable codes.
Corrections required prior to approval._
COMMENTS:
D11
Dater
0 1/14/1,1
n REINSPECT! ' N FEE REQUIRED: Prior to nex inspection. fee must be
paid at 6300Southcenter Blvd:. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy. with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451 .
Project-. eril e5r Crift �
Type of Inspection: CAddress:/
(6/
(P ( 5 ab ST
Date Called:tito4
Special Instructions:
r"; S_ to -S
Date Wanted:. (!
a.m
Requester:
Phone.No:
pApproved
per applicable codes.
COMMENTS:
Corrections required prior to approval.
thitit4 tiV1 eifriPar
Inspector:
Date:(12— /1(3
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catl_to schedule reinspection.
Contractors or Tradespeople
ter Friendly Page
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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
EMERALD AIRE INC
2538725665
5108 D St Nw
Auburn
WA
98001
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600591552
Active
EMERAAI991 KG
Electrical Contractor
5/7/2001
5/7/2015
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
EMERAAI0120T
EMERALD AIRE
INC
Electrical
Contractor
Hvac/Rfrg
Unused
9/30/1999
9/30/2001
Archived
Electrical Administrator INFORMATION
License MIDDLGJ877JT
Name MIDDLETON, GRANT J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DENT, CHARLES
Agent
05/07/2001
Bond
Amount
HAPPE, DOUGLAS, A
President
05/07/2001
1959050
RIDGE, JOHN P
Vice President
05/07/2001
Bond Information
Bond
Bond Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
HANOVER
INSURANCE
COMPANY
1959050
05/02/2011
Until
Cancelled
$4,000.0004/22/2011
1
INS CO OF THE
WEST
1839774
05/02/2001
Until
Cancelled
05/02/2011
$4,000.00
05/07/2001
https://fortress.wa.gov/lni/bbip/Print.aspx
10/03/2013