HomeMy WebLinkAboutPermit EL07-576 - LORENZO RESIDENCELORENZO RESIDENCE
14180 53 AV S
EL07-576
Parcel No.: 1670400175
Address: 14108 53 AV S TUKW
Suite No:
Tenant:
Name: LORENZO RESIDENCE
Address: 14180 53 AV S , TUKWILA WA
Owner:
Name: LORENZO JOSEPH Phone:
Address: 14108 53RD AVE S , TUKWILA WA
Contact Person:
Name: JOSEPH LORENZO Phone: 425 -351 -6686
Address: P 0 BOX 68563 , SEATTLE WA
Contractor:
Name: OWNER AFFIDAVIT - JOSEPH LORENZO Phone: 425 -351 -6686
Address: P 0 BOX 68563 , SEATTLE WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
ADD GFCFS, LIGHTS, AND LIGHTED SWITCH TO 15 AMP BREAKER ON SPA BOX THAT HAS
GFCI AND THAT IS A 50 AMP BOX.
Value of Electrical: $0.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signatur
I hereby certify that I have read an
governing this work will be complie
doc: EL -4/07
City df 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
Fees Collected:
Permit Number: EL07 -576
Issue Date: 10/11/2007
Permit Expires On: 04/08/2008
$50.00
Date: 1011c101
ed this permit and know the same to be true and correct. All provisions of law and ordinances
th, whether specified herein or not.
The granting of this - 'R does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the ; ance of work. I am authorized to sign and obtain this electrical permit.
Signature: 1i�. Date: /00 7
Print Name: (/ d /gi.ec
This permit shall become null and void if the work is not conunenced 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 -576 Printed: 10 -15 -2007
Parcel No.: 1670400175
Address: 14108 53 AV S TUKW
Suite No:
Tenant:
Name: LORENZO RESIDENCE
Address: 14180 53 AV S , TUHWILA WA
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
Owner:
Name: LORENZO JOSEPH Phone:
Address: 14108 53RD AVE S , SEATTLE WA
Permit Number: ELO7 -576
Issue Date: 10/11/2007
Permit Expires On: 04/08/2008
Contact Person:
Name: JOSEPH LORENZO Phone: 425 -351 -6686
Address: P 0 BOX 68563 , SEATTLE WA
Contractor:
Name: OWNER AFFIDAVIT - JOSEPH LORENZO Phone: 425 -351 -6686
Address: P 0 BOX 68563 , SEATTLE WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
ADD GFCI'S AND LIGHT SWITCH TO EXISTING CIRCUIT ON SPA BOX. 20 AMP
Value of Electrical: $0.00
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: f A )
Signature:
Print Name:
doc: EL -4/07
o beli 40,e6veo
Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$50.00
; Date: ID - ` -07
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 pe 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the j of work. I am authorized to sign and obtain this electrical permit.
Date:
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 -576 Printed: 10 -11 -2007
Parcel No.: 1670400175
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
doc: Cond - Elec
14108 53 AV S TUKW
LORENZO RESIDENCE
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
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELa7 -576
ISSUED
10/11/2007
10/11/2007
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.
Print Name:
cfrO /f/( G rt-o
Date:
EL07 -576 Printed: 10 -11 -2007
Tenant Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.citukwfla.wa.us
Property Owners Name: /8 (../958A7 p 056' (, � gi.
Mailing Address: 1' d � oX'
CONTACT PERSON = Who do we contact when your permit is ready to be issue
Mailing Address: 'se /f '' /� N!J
E -Mail Address: Awele.geez e eatie
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
HMpplicabonsWorms- Applications On lineal -2007 - Electrical Permit Applicacon.doc
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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 **
��// 0
'/ /' King Co Assessor's Tax No.: 1 ( P — 7 0 1 4 —7U D — 0 t i
Site Address: /4 , 7' O I / ' igAzaa G� Suite Number:
New Tenant: ❑ Yes ❑..No
City
Floor:
Gvr- 99/69 - Y
State Zip
Name: P16,1/ Day Telep) pne:
S
aty
Fax Number:
State Zip
ELECTRICAL CONTRACTOR INFORMATION
State
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes 16 No Adding more than 50 amps? ❑ Yes gi' No
Type of Use: ,OA(D 4644 JD 0447 SW/ref TO 6'/ 7?4'4 C4 ed/T pv gi Rte r •4oltA .
Type of work:
❑ New ® Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
(g. 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
Er 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:
Signature:
orlgoi
Print Nam -. `Je &I",/ ea/ea/ T 0
Mailing Address: P. 0 • fic9K 60573
I Date Application Accepted:
H: ApplicationsWorms- Applications On Line4-2007 - Electrical Permit Application.doc
bh
City
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOT
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.
D /ate: /0 1/ P
Day Telephone: 5 `S ` '' D
47/Ze (.v, 9 69 —o.w
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
1
Receipt No.: R07 - 02211
Initials: WER
User ID: 1655
Payee: JOSEPH LORENZO
TRANSACTION LIST:
Type Method Description
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.: 1670400175 Permit Number: EL07 -576
Address: 14108 53 AV S TUKW Status: PENDING
Suite No: Applied Date: 10/11/2007
Applicant: LORENZO RESIDENCE Issue Date:
Amount
Payment Check 2749 50.00
Account Code Current Pmts
000.322.101.00.0 50.00
Total: $50.00
Payment Amount: $50.00
Payment Date: 10/11/2007 08:45 AM
Balance: $0.00
Z'.3? 10/11. , 77 1 0 TOTAL L 1 f n'..
doc: Receiot -06 Printed: 10 -11 -2007
COMMENTS:
Type of Inspection:
c..? /Di3
Address:
� . /I ,9Al s'.g ' � D Ayr' S
Date Called:
' e,- a. -�
OK
a
I t < ri i
//v 57-31
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Project:
Al /'7Y ze,) / ?i=s/rr)vct
Type of Inspection:
c..? /Di3
Address:
� . /I ,9Al s'.g ' � D Ayr' S
Date Called:
' e,- a. -�
Special Instructions:
Date Wanted:
a ,�
Requester:
99 99
Phone No:
%as — , 3s1-2/8Z,
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- 6 0
Inspecto
Approved per applicable codes. El Corrections required prior to approval.
fRRir ...)31171vTJ
Date:
- a. - a'7
El $58.00 EINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
'Receipt No.:
'Date:
COMMENTS:
R- S.,DENer
Type of Inspection:
17 ��v_3
I/ 6 1 / ,.-V
A / 4 r+ -7
/ N 5A4
U/h✓I
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f�T
SPA Poo,. -)
Phone No:
10 - J5 ? .1 fi3
I ale-
/
6 FL
/ece, 7 - Are r-
A
4/6/,/
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Project:
40 i ?rte 70
R- S.,DENer
Type of Inspection:
17 ��v_3
Address:
� I I ,) , g . � j
-
,��r .s.
Date Calle :
/ 2 €' -v
Specia Instructions:
Date Wanted:
�7
1Q-0202-O/7
a.m.
P.m.
Requester:
99
Phone No:
10 - J5 ? .1 fi3
p
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 - 6
Approved per applicable codes. El Corrections required prior to approval.
Inspect
'Date:
/L) -v /J
El $58.OoREINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
ERx '
ETA.0 , 7"
'Date:
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
Revision submittals must be submitted In person at the Permit Center. Revisions will not be accepted through
the mail, fax, eta
Date: /1//‘ o 7 Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Ig l Revision # ( after Permit is Issued
Revision requested by a City Building Inspector or Plans Examiner
Project Name:
Project Address: /V W 4 ',W A/, . 71 (/ /L / W/L/� ?WO
Contact Person: 11 6/547 C /� � Phone Number: 53 337 h50. /
Summary of Revision: 1 S f /,e( iU ,;€0.0// g�5 A 3e/
t7 : -4 9 4,t& 05: ,9 /& 7//, 5 Te T 6% /67 _
C //e&ii 7" "/ ,cA,o / rox , �o �r�r�° , ',. , ; -£a —
PFF efe/e'rn AI47 +V / ■927 4,2r's ■ Wh7
* r0 f4 / ? 7 J+' To / /'f/' . � .P,A4 - /e ow "Ai A r4k ,
i Gr cZ T�'T /5 .cdfx-t ,oX
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center byT
Entered in Permits Plus on 0
\applicationskforms- applications on line\revision submittal
Created: 8 - 13 - 2004
Revised:
slaw '‘air
JO - 51
C
RECEIVED ruKwiLA
OCT 15 2001
STATE OF WASHINGTON)
COUNTY OF KING
CITY OF TUKWIL4
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
ss.
1)050 c , co e‘rwzo
[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 I may be waiving certain rights that 1 might otherwise have under state law in any decision to engage an
unregistered contractor to perform construction work.
\applications\8 -2004 affidavit in lieu of contractor registration
Residing at
My commission expires:
Name as commissioned:
states as follows:
Signed and swom to before me this
PERMIT NO.: 1 5
1 I day of ()r -r)LAP r ,20o7 .
N AR PUBLIC in and for the State of Washington,
, County.
19 LL t1: A I t.°
Opp -/
18.27.090 Exemptions. This chapter shall not apply to:
1.
2. An authorized representative of the United States
Govemment, 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 Tess 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
\applications\8 -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;
13. 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 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.