HomeMy WebLinkAboutPermit EL14-1143 - GOV RESIDENCE - TEMPORARY POWER OVERHEADGOV RESIDENCE
11860 42 AVE S
EL14-1 143
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.gov
ELECTRICAL OTC PERMIT
Parcel No: 3347400275 Permit Number: EL14-1143
Address: 11860 42ND AVE S Issue Date: 11/24/2014
Permit Expires On: 5/23/2015
Project Name: GOV RESIDENCE
Owner:
Name: TEA GOV
Address: 4809 S 162ND ST , TUKWILA, WA,
98188
Contact Person:
Name: NICK GORBUN Phone: (253) 332-8390
Address: PO BOX 786 , MILTON, WA, 98354
Contractor:
Name: SUPREME ELECTRIC LLC
Address: PO BOX 786 , MILTON, WA, 98354
License No: SUPREEL94606
Lender:
Name:
Address:
III
Phone: (253) 332-8399
Expiration Date:
DESCRIPTION OF WORK:
60 AMP TEMPORARY POWER OVERHEAD
Valuation of single family: $600.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $68.25
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2014
2012
Permit Center Authorized Signature:
Date: // (6)- 0 y
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 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
development permithe conditions attached to this permit.
Signature:
Print Name:
Av C D f b(-)1
Date: /� Z
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: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.wv
SITE LOCATION
Electrical Permit No.
Project No.
Date Application Accepted: i I P `(//
Date Application Expires: O-y 1(-5
(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**
j r u ig(/1 59c J1
0 King Co Assessor's Tax No.:
Site Address: /f (1 ' d-'i Suite Number: Floor:
Tenant Name: V I e(rd(C New Tenant:
❑ Yes ❑..No
PROPERTY OWNER
Name: i
/i)I e: �l'l /
Address: / /°19 L
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City: -- U 1t t.,1 (a
State: Of , /
Zip:92/g
CONTACT PERSON — person receiving all project
communication
Name: �t�9G1 G(7Kbum
Address: U/ 460)( 7...y,
City: ,�` _ /, -) State` 79 Zip: 9.43 ('
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/
Phone: `Ls; 3 _.
...gze
Email: t19 5i• i '� fZ /` 'HG(.; . LAPP1
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
c
Address: R Q ��.,,,A
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7 :&3
City: / 5e State:
,,
Zip�,}ti
7]_. c�
/
Phone: i- "` 2 �,2 Act
Contr Reg Not5"/p ILL
xp Date: cz106
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
csv
Scope of Work (please provide detailed information): i,
te-iktf
Will service be altered? ❑ Yes 19 No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication7Temporary Service
Property Served by:
O Puget Sound Energy Seattle City Light
H:\Applications\Forms-Applications On Line\2014 App at ions\Electrical Permit Application Revised 1-1-14. docx,
Revised: January 2014
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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)
O Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
0 Circuits added/altered without service change $54.60
(up to 5 circuits)
O Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
O Meter/mast repair $68.25
0 Low voltage systems $59.85
(alarm, furnace 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
0 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
***EFFECTIVE JANUARY 1, 2014 EACI-I
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 OWNER OR EL ICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: po.bic 72)6
Day Telephone:
Date: fi/Z9%
33z- - 837
oi.9(
H\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS
Cash Register Receipt
City of Tukwila
I ACCOUNT
QUANTITY
PAID
PermitTRAK�'
EL14-1143
ddress: 1186042ND AVE
n: 334740027
682
ELECTRICAL
$65.00
PERMIT FEE MISCELLANEOUS
TECHNOLOGY FEE
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3633
R000.322.101.00.00
R000.322.900.04.00
0.00
0.00
$65.00
$3.25
$3.25
$68.25
Date Paid: Monday, November 24, 2014
Paid By: SUPREME ELECTRIC
Pay Method: CREDIT CARD 918057
Printed: Monday, November 24, 2014 2:34 PM 1 of 1
CINWSYSTEMS
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) 438-9350
ftel-- 1113
Project: ,
664 R,--5 •
Type of Inspection:
,5rezoGei64itt
Date Called: i
Address: .--, bo /2_ /W.
( 1
Special Instructions:
"-rrif).
5fQ1(C,,t
Date Wanted:
k 1 ZS
I
. .
Requester:
PtIone No: ..._.
253
332--
Y311
EijApproved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
fAi
Inspector
LI
clit.6*16k
Date:
Mich
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Btvd.. Suite 100. Call to schedule reinspection.
SUPREME ELECTRIC LLC
Page 1 of 2
Washington State Department of
Labor & industries
SUPREME ELECTRIC LLC
Owner or tradesperson
GORBUN, NIKOLAY JR
Principals
GORBUN, NIKOLAY JR, PARTNER/MEMBER
GALIANT, PAVEL, PARTNER/MEMBER
Doing business as
WA UBI No.
602 642 027
PO BOX 786
MILTON, WA98354
253-332-8399
PIERCE County
Business type
Limited Liability Company
Governing persons
NIKOLAY N
GORBUN JR
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
RESIDENTIAL
License no.
SUPREEL946O6
Effective — expiration
09/26/2006— 09/26/2016
Designated administrator
GALIANT, PAVEL
License type
Electrical Administrator
Bond
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
GALIAP*941 MU
CBIC $4,000.00
Bond account no.
SI0639
Received by L&I Effective date
10/14/2008 10/13/2008
Expiration date
Until Canceled
Bond history
Savings
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602642027&LIC=SUPREEL946O6&SAW= 11/24/2014