Loading...
HomeMy WebLinkAboutPermit EL07-074 - HOLLOWAY RESIDENCEHOLLOWAY RESIDENCE 11854 44 AV S ELO7-074 Parcel No.: Address: Suite No: Tenant: Name: HOLLOWAY RESIDENCE Address: 11854 44 AV S , TUKWILA WA Owner: Name: Address: Contact Person: Name: DAWNA HOLLOWAY Address: 134 S BRANDON ST , SEATTLE WA Contractor: Name: OWNER AFFIDAVIT - DAWNA HOLLOWAY Address: Contractor License No: DESCRIPTION OF WORK: ADD WIRING FOR FURNACE Value of Electrical: $0.00 Type of Fire Protection: Electrical Service provided by: SEATTLE CITY LIGHT Signature: Print Name: doc: EL - 4/07 11854 44 AV S TUKW Cit oy 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.ci.tukwila.wa.us ELECTRICAL PERMIT Permit Number: EL07 -074 Issue Date: 05/01/2007 Permit Expires On: 10/28/2007 Expiration Date: Phone: Phone: 206 851 -3322 Phone: Fees Collected: National Electrical Code Edition: Permit Center Authorized Signature: f 1� J� Date: A01 I hereby certify that I have read and x ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie 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 perf • rman e of work. I am authorized to sign and obtain this electrical permit. lakk�r_� _ S / / cp- Date: $50.00 2005 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. EL07 -074 Printed: 05-01 -2007 Parcel No.: Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond - Elec 1185444AV 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.ci.tukwila.wa.us HOLLOWAY RESIDENCE 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 286 -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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating c�ction or the performance of w• Signature: Print Name: D�,s ek 'ho \lA Permit Number: EL07 -074 Status: ISSUED Applied Date: 05/01/2007 Issue Date: 05/01/2007 EL07 -074 Printed: 05-01 -2007 Name: E -Mail Address: Contact Person: E -Mail Address: CITY OF TUKWILA Community Developme ,)epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Contractor Registration Number: 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 t L t-j `ty ' nkfe borw‘Ivt Scope of Work (please provide detailed information): HAApplications'Forma- Applications On Line4 -2007 -Electrical Permit Application.doc Site Address: Tenant Name: Property Owners Name: ti. (\c «oc Mailing Address: S r c-r c& Cfl'1 Project No. King Co Assessor's Tax No.: Suite Number: New Tenant: ❑ .... Yes ❑ ..No City Floor: (-31=1 Igty CONTACT PERSON -Who do we contact when your permit is ready to be issued At Valuation of Project (contractor's bid price): $ Sr D Day Telephone: Z0 $ - 1 3 22 Mailing Address: S. A , A city Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: O U) Mailing Address: City Day Telephone: Fax Number: Expiration Date: State Pty vstC;Nr- for -Pim Ce Zip Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) BUILDING OWNER OR ELECTRICAL CONTRACTOR: 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. Signature: Print Name: Mailing Address: lab IA I Date Application Accepted: H:\Applications\Forma- Applications On Line4-2007 - Electrical Permit Application.doc Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Camivals $75.00 Number of concessions $10.00 ea Day Telephone: 20 l( g$1 22 City MULicareA,MILY AND COMMERCIAL MISCELLANEOUS FEES Date: State Staff Initials: Zip Date Application Expires: Page 2 of 2 Parcel No.: Address: 11854 44 AV S TUKW Suite No: Applicant: HOLLOWAY RESIDENCE Receipt No.: R07 -00723 Payee: DAWNA HOLLOWAY TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - RES 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.ci.tukwila.wa.us RECEIPT Initials: JEM Payment Date: 05/01/2007 04:12 PM User ID: 1165 Balance: $0.00 Amount Payment Check 1541 50.00 Account Code Current Pmts 000.322.101.00.0 50.00 Total: $50.00 Permit Number: EL07 -074 Status: PENDING Applied Date: 05/01/2007 Issue Date: Payment Amount: $50.00 7714 05/02 9716 TOTAL 50.00 doc: Receiot -06 Printed: 05-01 -2007 PrH L Ca�i /// ^ Type of Inspection: V A i ) t /' A 7/ '41- 5 Date Called: Special Instructions: Date Wanted: 3 p.m. �� Requester: Phone No: 2- INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: pproved per applicable codes. ® Corrections required prior to approval. ' /gbir/s/9V61/1135g/-7X 7 I El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cal to sechedule reinspection. 'Receipt No.: 'Date: COMMENTS: ,90V/ f /kVA t /6Y7 441,1\ s A Ocf / ,4 t_,c , 1 C, ,q(g /4) ,9777 -- a/,/ /,/ r i71(S- sw /7 - � /-/-A f- T cx-m ' 2 E - c- miN T / C ./V f///!AMCE __/".///.7--- !- a.m Requester: Phone No: Project: Type � Inspection: \ I i y�� _ /0 9 oft S Date Called: Special Instructions: Date Wanted: !- a.m Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 fL©7 - 07 PER '•`T •'^ J Approved per applicable codes. JZI Corrections required prior to approval. Inspector: Dats /770 ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206 - 433 -0179 Planning Division: 206 - 431 -3670 STATE OF WASHINGTON) COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION ss. jJ nit 1 l000(--t.) [please print] 1. I have made application for a building permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. 13 , and will therefore not be performed by a registered contractor. I understand that 1 may be waiving certain rights that I m therwise have under state law in any decision to engage an unregistered contractor to perform construction work. t JG E A ' 0 s6%0N DFg FAA . A DD ,i • r o`t,OTA9k i ;U ' % PUBLIC' : ' 0 2 • .1 111 1 0 . p WAS \applications\8 -2004 affidavit in lieu of contractor registration APPLICANT Signed and swom to before me this /Sf day of Ray Dfl ut.9 -{t \ 10 NOTARY PUBLIC in and for Vie State of Washington, Residing at ki in Name as commissioned: AJICZ A. Peacy 6 - /6 -og My commission expires: PERMIT NO.: a , states as follows: ,20 , County. 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Government, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district or other municipal or political corporation or subdivision of this state; 3. Officers of the court when they are acting within the scope of their office; 4. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile/manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 9. Any person who only fumished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 10. Any work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into \applicationA8 -2004 affidavit in lieu of contractor registration contracts of amounts less than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor; 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 14. Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 16. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW-:47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work.