HomeMy WebLinkAboutPermit EL07-597 - LIN RESIDENCEThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL07 -597
Lin Residence
4044 South 128th Street
RECORDS DIGITAL D- ) EXEMPTIO
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
9
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
LIN RESIDENCE
4044 S 128 ST
CANCELLED 11 -13 -07
ELO7-597
Parcel No.: 7340600686
Address: 4044 5 128 ST TUKW
Suite No:
Tenant:
Name: LIN RESIDENCE
Address: 4044 S 128 ST , TUKWILA WA
Owner:
Name: XIAN QUYANG Phone:
Address: 12010 76TH AVE S , SEATTLE WA
Contact Person:
Name: DAVID LIN Phone: 206 859 -1357
Address: 12010 76 AV S , SEATTLE WA
Contractor:
Name: OWNER AFFIDAVIT - DAVID LIN Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
CHANGE 100 AMPS TO 200 AMPS
Value of Electrical: $0.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
governing this work will be complie
Signature:
Print Name:
doc: EL -4/07
Citif 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
Ntfrid k (Ai
ELECTRICAL PERMIT
whether specified herein or not.
Fees Collected:
Permit Number: EL07 -597
Issue Date: 10/19/2007
Permit Expires On: 04/16/2008
$75.00
ate Date: I0111
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
The granting of this p . 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the •,• rmance •f work. I am authorized to sign and obtain this electrical permit.
Date: (b(7 { 7
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 -597 Printed: 10 -19 -2007
Parcel No.: 7340600686
Address: 4044 S 128 ST TUKW
Suite No:
Tenant: LIN RESIDENCE
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
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: ELO7 -597
Status: ISSUED
Applied Date: 10/19/2007
Issue Date: 10/19/2007
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.
S: 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 permi , • oes not presume to give authority to violate or cancel the provision of any other work or local
laws regulating cons c • • n or the performance of work.
a v ;c1 1, IA)
Date:
EL07 -597 Printed: 10 -19 -2007
Tenant Name:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.cLtukwila.wa.us
ELECTRICAL' CONTRACTOR INFO
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 **
King Co Assessor's Tax No.: 1I1 t t7 //Y
Site Address: to 4 4 SP, . T / T(4 (64/11 Suite Number: Floor:
Property Owners Name: x 1 A Al 0 Ll )/n I
Mailing Address: I Zi2 (0 7 V Ave S
Name: 1/aVI L tAi
Mailing Address: , 'Li) D b kLLQ. S
E -Mail Address: W O / c U
H:Upplications\Fonns- Applications On Line4-2007 - Electrical Permit Appliation.doc
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City
ontact when your dyo e issue permit °is reaf h
CONTACT, °PERSON Who dp we c 4
Day Telephone: 2-0 6 "-r 7 -
City State Z
New Tenant: ❑ Yes ❑ ..No
14/4 ?tei7S.
state Zip
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ 7
Scope of Work (please provide detailed information): 0 f7 GI? S ,e /0 it 2_0 v / y- wit 3
Will service be altered? ❑ Yes t ' No Adding more than 50 amps? ® Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change leRemodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
a Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
Signature:
Print Name:
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, fumace 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 OWN OR ELECTRICAL CONTRACTOR:
Mailing Address: P-- (O G j /.2
l /✓
HA Applications On Line \4 -2007 - Electrical Permit Application.doc
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MULTI- FAMILY AND COMMERCIAL
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)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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.
Day Telephone:
MISCELLANEOUS FEES
(o/ /7b 2
2.0
State 1�t�
Date:
Date Application Accepted:
Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R07 -02297
Payee: DAVID J. LIN
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
Parcel No.: 7340600686 Permit Number: ELO7 -597
Address: 4044 5 128 ST TUKW Status: APPROVED
Suite No: Applied Date: 10/19/2007
Applicant: LIN RESIDENCE Issue Date:
Initials: JEM Payment Date: 10/19/2007 03:21 PM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1136 75.00
Account Code Current Pmts
000.322.101.00.0 75.00
Total: $75.00
Payment Amount: $75.00
t0/22 10 [! A ;
doc: Receipt-06 Printed: 10 -19 -2007
November 13, 2007
David Lin
12010 — 76 Avenue S
Seattle, WA 98178
RE: Permit Fee Refund
Dear Mr. Lin:
Enclosed is a check in the amount of $60.00 for the permit fee paid at the time of permit
issuance for the project located at 4044 S 128 Street, Tukwila, Washington. The scope
of work under this permit was covered under an earlier permit issued (EL07 -030).
If you have any questions, please feel free to contact our office at 206 -431 -3670.
Sincerely,
Brenda Holt,
Permit Coordinator
encl
xc: Permit No. EL07 -597
City of Tukwila
Department of Community Development Steve Lancaster Director
H:1Documents\L.etterslELO7 -597 - refund letter.doc
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Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
CITY OF TUKWILA, WA 98188 -2544
INVOICE NUMBER
110507304
10/30/2007
;. P.O. NUMBER
DESCRIPTION <a
80% PREMIT REFUND
60.00
THE FACE OF THIS DOCUMENT HAS A' COLORED : BACKGROUND - NOTA- WHITEBACKGROUND
PAYABLE THROUGH
151 Andover Pork East
Tukwila. WA 98195 -
PAY
TO THE
ORDER
OF
CITY OF TUKWILA
6200 Southcenter Boulevard
Tukwila WA 98188 -2544
Sixty Dollars and No Cents
ACCOUNTS PAYABLE CHECK
PLEASE DETACH BEFORE DEPOSITING
010616
11/05/2007
NO.
60.00
THE :BACK :OF THIS DOCUMENT HAS AN 'ARTIFICIAL WATERMARK —HOLD AT AN ANGLE TO VIEW
LIN, DAVID
12010 76TH AVE S
SEATTLE, WA 98178
Memo
Oi±er25, 2007
To: Laurie Anderson
From: Brenda Holt WU
Re: EL07 -597
Please refund $60.00 which equals 80% of the permit fee paid for the above reference
permit. The scope of work was covered under permit no. EL07 -030. Please make the check
out to the following and !will forward it to them:
David Lin
12010 — 76 Avenue S
Seattle, WA 98178
Xc: File No. EL07 -597
H:1Documents Letters 1EL07 -597 - refund memo.doc
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City of Tukwila
Permit Center
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RECEIVED
CITY OF TUKWILA
OCT 22 2001
°ERMJJT CENTEf7
/3 L �d 23.07
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
D I/V
[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. , 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.
\applications\8 -2004 affidavit in lieu of contractor registration
APPLICANT
PERMIT NO.: O7 -59
, states as follows:
Signed and swom to before me this
q_' day of 0,(3 Le r
,2001.
1
NO ARY - UBLIC and for the State of Washington,
Residing at /'� r2 1 , County.
Name as commissioned: l .t ft'e- ft--(Lk r (e
My commission expires: 0 a _, ' - / 0
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 furnished 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 $500.00, such work, or
operations being considered as of a casual, minor,
or inconsequential nature. The exemption
prescribed in this subsection does not apply in all
instance wherein the work or construction is only a
part of a larger or major operation, whether
undertaken by the same or a different contractor,
or in which a division of the operation is made into
\applications1$ -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 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.