HomeMy WebLinkAboutPermit EL07-674 - BROOME RESIDENCEBROOME RESIDENCE
3320 S 132 ST
ELO7-674
Parcel No.: 1523049058
Address: 3320 S 132 ST TUKW
Suite No:
Tenant:
Name: BROOME RESIDENCE
Address: 3320 S 132 ST , TUKW1LA WA
City...f Tukwila
Owner:
Name: BROOME PADDY M
Address: 3320 S 132ND ST , TUKWILA WA
Contact Person:
Name:
Address:
Contractor:
Name: OWNER AFFIDAVIT - PADDY BROOME
Address: 3320 S 132 ST , TUKWILA WA
Contractor License No:
DESCRIPTION OF WORK:
ADD 1 NEW CIRCUIT FOR EXTERIOR RECEPTACLE
Value of Electrical: $200.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
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: ELO7 -674
Issue Date: 11/09/2007
Permit Expires On: 05/07/2008
Phone:
Phone:
Expiration Date:
Phone: 206 -243 -3619
$50.00
Date: t`q'V 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 o e ;- ormance of work. I am authorized to sign and obtain this electrical permit.
Signature: i� � � 94 c r Date: ( l-0/7 d7
Print Name: P cQ d f L This ermit shall becomnull and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
P Y � P
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/07 EL07 -674 Printed: 11 -09 -2007
Parcel No.: 1523049058
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
Print Name:
3320 S 132 ST TUKW
BROOME RESIDENCE
Soy'
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
a / I L i is1do -c
(3c
PER MIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELOZ -674
ISSUED
11/09/2007
11/09/2007
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: AU 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.
Date: (1 7
doc: Cond -Elec EL07 -674 Printed: 11 -09 -2007
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
H:1Applications\For s• Applications On Line\4 -2007 • Electrical Permit Application.doc
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City
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.:
Site Address: 33 O S 13.2 3 T Suite Number: Floor:
Tenant Name: ._ t cr ►'N %i cowl LS' New Tenant: ❑ Yes ❑ ..No
Property Owners Name: Pat ottA Y A'1 le 00 ''Y L
Mailing Address: • 2 0? t) S 12D ST " Tc\ Kw L I� W W 9 6168
State
Zip
CONTACT PERSON Who do we contact when your permit r eady to be —sue
Name: Co.,4 el Li YvN � t ...(30 WYE
Mailing Address: 3 3 ,:= a S 13 .D "T \ wk, W I LK () 981 6 R
City State Zip
E -Mail Address: Fax Number:
Day Telephone:c06 a 2619
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ c=QCDd o O
Scope of Work (please provide detailed information): 1 .).4 + 4 L L 14+10 ce bye V\ot (J 6
VneaA a k)o L S+4h L►4 +l oto 0y Doe L xi'1'0r * rLC LTio ALL
Vr- A Ql. \O C� o
Will service be altered? ❑ Yes Va No Adding more than 50 amps? ❑ Yes tif,L No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
t 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
V I 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)
Signature:
Print Name: \ctid y V ' O * n
Mailing Address: 3
I Date Application Accepted:
ca S )3 6T
H:Wpplications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc
bit
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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
11 q o
Day Telephone: e: .Q 36 ( q
Date:
�T'v►k L� 1,0 95 I b 6
City State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 1523049058
Address: 3320 S 132 ST TUKW
Suite No:
Applicant: BROOME RESIDENCE
Receipt No.: R07 -02464
Payee: PADDY BROOME
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: WER Payment Date: 11/09/2007 04:27 PM
User 1D: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 50.00
Account Code Current Pmts
000.322.101.00.0 50.00
Total: $50.00
Permit Number: EL07 -674
Status: PENDING
Applied Date: 11/09/2007
Issue Date:
Payment Amount: $50.00
4925 11/13 9710 TOTAL 138.00
doc: Receiot -06 Printed: 11 -09 -2007
Pr;onjjec��t:''
Type of Inspection:
giOD
Address:
3,702o S / .7;. Sr
Date Called:
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(. 407-67y
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Approved per applicable codes. O Corrections required prior to approval.
COMMENTS:
I lnspectl ` iLL- euizmi//, lDa , / /7D7
$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:
, ,:. ,`, �..
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
STATE OF WASHINGTON)
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
ss.
r i t I Ovvr -
[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 uirement of RCW 18.27.090, I consider the work authorized
under this building permit to be exempt under No. re 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.
D. ''tb
_rte �
s
Cie t.% Arelir
\applications\8 -2004 affidavit in lieu of contractor registration
APPLICAN
PERMIT NO.: E.', 2-- C 7-- (i7
X07 "30
, states as follows:
Signed and sworn to before me this
day of , 200`7 .
ek
NO ARY PU LIC in and for the State of dshington,
Residing at _ , County.
Name as commissioned: S u I/1 V . _E•i'(7r S
My commission expires: 1 ° ( � 7.011
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 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, game or a different contractor,
or in which a division of the operation is made into
\applications\8 -2004 affidavit in lieu of contractor registration
w
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 47.4070 with the :department of
transportation to perform highway construction,
reconstruction, or maintenance work.