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HomeMy WebLinkAboutPermit EL07-376 - STEPPING STONE VENTURES #58SOUTHGATE MOBLIE HOME PARK SPACE 58 14005 42 AV S EL07 -376 Parcel No.: 1523049008 Address: 14005 42 AV S TUKW Suite No: Tenant: Name: SOUTHGATE MOBILE HOME PARK #58 Address: 14005 42 AV S , TUKWILA WA Owner: Name: STEPPING STONE VENTURES L L Phone: Address: 20303 10TH AVE W , LYNNWOOD WA Contact Person: Name: ERIN O'LEARY Phone: 206 - 484 -3840 Address: 20303 10 AV W , LYNNWOOD WA Contractor: Name: OWNER AFFIDAVIT - ERIN O'LEARY Phone: 206 - 484 -3840 Address: 20303 10 AV W , KYNNWOOD WA Contractor License No: Expiration Date: DESCRIPTION OF WORK: HOOKING UP MOBILE HOME TO NEW DISCONNECT Value of Electrical: $0.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Print Name: 1 0 doc: EL -4/07 Cityf 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 (,) cZ,J, Fees Collected: Permit Number: EL07 -376 Issue Date: 08/09/2007 Permit Expires On: 02/05/2008 $80.00 Date: "q _d 7 I hereby 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 • - + ormance of ' ork. I am authorized to sign and obtain this electrical permit. Signature: Date: 2 wIP i - r ‹, This permit shall become null and void if the work is riot 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 -376 Printed: 08 -09 -2007 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 Parcel No.: 1523049008 Address: 14005 42 AV S TUKW Suite No: Tenant: SOUTHGATE MOBILE HOME PARK #58 1: ** *ELECTRICAL * ** PERMIT CONDITIONS Permit Number: ELO7 -376 Status: ISSUED Applied Date: 08/09/2007 Issue Date: 08/09/2007 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. 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 construction or the performance of work. doc: Cond -Elec Date: EL07 -376 Printed: 08 -09 -2007 Tenant Name: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Site Address: 1 , 00 ¶3 4 &!h I `V— OLPW .b . (h N-P Property Owners Name: S fpm k ^/ ` • � Mailing Address: 4 • (� ' CONTACT PERSON . Who do we contact when your permit is ,ready to be issued Day TelephoneOl9 _ Mailing Address: 0 o 'Ly h cAtn (0 ba City State E -Mail Address: •9=‘ h.1) i i L Name: Company Name: Mailing Address: Contact Person: E - Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ Scope of Work (please pro ide detailed information): Will service be altered? Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms- Applications On Line44 -2007 - Electrical Pc n it Application.doc bh Electrical Permit Project No. ce use only) (For o 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 ** ano King Co Assessor's Tax No.: ; Q 3 Q L— t - 0 0 Q Suite Number:,.f Floor: New Tenant: Yes ❑ .. No h �v►^P 40. Ci State 9 0 3 t Zip Zip Fax Number: Zip City Day Telephone: Fax Number: Expiration Date: Adding more than 50 amps? F Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) Signature Print Name: Mailing Address: c� Date Application Accepted: H:\Appliubons\Forms- Applications On LineVt -2007 • Electrical Permit Application.dcc bh $140.00 $75.00 ea $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) PERMIT APPLICATION NOTE 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 ELE RICAL CONTRACTOR: 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: City MULTI - FAMILY AND COMMERCIAL MISCELLANEOUS FEES Date: ^ 9 '© Staff Initials: Zip Date Application Expires: Page 2 of 2 Receipt No.: R07 -01643 Payee: STEPPING STONES ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR 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 Parcel No.: 1523049008 Permit Number: EL07 -376 Address: 14005 42 AV S TUKW Status: PENDING Suite No: Applied Date: 08/09/2007 Applicant: SOUTHGATE MOBILE HOME PARK #58 Issue Date: Initials: WER Payment Date: 08/09/2007 12:01 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 6551 80.00 Account Code Current Pmts 000.322.101.00.0 80.00 Total: $80.00 Payment Amount: $80.00 u/ 1iJr doc: Receipt -06 Printed: 08 -09 -2007 Project: 5,9u77 O Hsk Type of Inspecti �0 3 A ll ddr o,C - y� A- / 1 i &S Date Called: Special Instructions: Date Wanted: i a. try' Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 0,07 -3 76 V- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 CO MMENTS: c*- cx4oc proved per applicable codes. Corrections required prior to approval. Inspecli r � IDate g/g /k J $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: COMMENTS: % ) OPt2sF 1 i U � /fit /ci/l ,F 4 roAlAilir /,ts L'_ rtiW iPmf :/v7" GAourrA 6.0A piC 7 /Z /A) /!k fff• � Special Instructions: Date Wanted: /7° p.m. Requester: Project: 9 i ' 411/ P� gl5 ' Type of Inspection: 7UT/ Address: 00,44, Date Called: Special Instructions: Date Wanted: /7° p.m. Requester: Phone No: / INSPECTION RECORD I ( I Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcente Blvd., #100, Tukwila, WA 98188 (206)431 -3670 - .:r•.tiN�. ....(i,j fai 7-5'76 Approved per applicable codes. worrections required prior to approval. I t ) ) /i.77 . 4 4 41.(6y El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: STATE OF WASHINGTON) ) ss. COUNTY OF KING 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 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO.: G ko 3 7 �) N O 1 ./..:-Qorr. . [please pr tj 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. , states as follows: 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 req ment of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. a and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. s ue �`S ono p \applications\8 -2004 affidavit in lieu of contractor registration APPLICANT Signed and swom to before me this 9' day of uSt , 20c7. _a TA Y PUBLIC in and for the State of Washington, , County. Name as commissioned: c1 f- fT w My commission expires: 05 Residing at