HomeMy WebLinkAboutPermit EL09-0144 - NEELY RESIDENCENEELY RESIDENCE
13703 32 V S
ELO9-0 144
Parcel No.: 1623049232
Address: 13703 32 AV S TUKW
Suite No:
Tenant:
Name: NEELY RESIDENCE
Address: 13703 32 AVE S , TUKWILA WA
Citylf 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: NEELY ROBERT F JR Phone:
Address: 13702 32ND AVE S , SEATTLE WA
Permit Number: EL09 -0144
Issue Date: 02/20/2009
Permit Expires On: 08/19/2009
Contact Person:
Name: ROBERT NEELY Phone: 206 - 988 -1770
Address: 13703 32 AVE S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - ROBERT NEELY Phone: 206 - 988 -1770
Address: 13703 32 AVE S , TUKWILA WA
Contractor License No:
DESCRIPTION OF WORK:
RUN LINE FROM SERVICE PANEL TO SERVICE DISCONNECT. GFCI INSTALL BOTH - 50 FT
FROM MAIN PANEL
Value of Electrical: NRES: $0.00
RES: $500.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
doc: EL -4/07
Fees Collected:
Expiration Date:
National Electrical Code Edition: 2005
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 oft s permit does not pre:su to give : =uthority to violate or cancel the provisions of any other state or local laws regulating
constructio t • erform o r I m auth• ed to sign and obtain this electrical permit.
j
Signature
ignature ` �
Print Nam / f A'
, I
This permit shall become null and void if the work is not • • enced 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 ins •�ction.
EL09 -0144
$52.00
Date:
Printed: 02 -20 -2009
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
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.
Signature
Print Nam eC/ r7
doc: Cond - Elec
1623049232
13703 32 AV S TUKW
NEELY 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
EL09 -0144
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0144
ISSUED
02/20/2009
02/20/2009
Printed: 02 -20 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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
Site Address: )27S ? '' 4/6 Sour
Tenant Name:
Property Owners Name: g4LL E7 F Ai€ G /
Mailing Address: 139 2,2 "° 64th Sou
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: g06e.2. i - (f, n l /c,Ec y /
Mailing Address: J.' ?0 7 ^,° Alit SDcJT
E -Mail Address: it-t(.. S TKl t° R %C-Lx' (.olnrcliST /V¢
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Valuation of Project (contractor's bid price): $ 5O 2
Scope of Work (please provide detailed information): /-/„),6_ I2?»/"/ PA-1 EL ..
S C2)1 F DISCO' kll%( CrEci IrI n - Cc. STN �n Frr�i F�Znn fyJ��. / 7�A��
Will service be altered? Yes
Type of Use: S . PA
Type of work:
❑ New Cgf Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H.\Applications\Forms- Applications On Line \I -2009 - Electrical Permit Application doc
LL
❑ No Adding more than 50 amps? ❑ Yes . No
Service Change
❑ Fire Alarm
Electrical Permit No. O ! 1
Project No.
(For office use only)
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes No
City
State
Zip
Day Telephone: 006) ` QISb
T)IC6.3iL,4 (, )i/ q(51 68
City State Zip
Fax Number: 006) -gab ?,?j
State
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings ....$145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
Service change with added/altered circuits $78.00
number of added circuits . ..$11 00 ea
Circuits added /altered without service change $52.00
(up to 5 circuits)
❑ Circuits added /altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair ..$65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
PERMIT APPLICATION NOTES -
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 1 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 OWN OR ELECTRICAL CONTRA TOR:
il / —
Print Name: Iv /iE6.G f
Mailing Address: /9 X 3.2 AE &JUT
Date Application Accepted:
H.V.pplications\Forms- Applicat tons On Line] -2009 • Electrical Permit Application doc
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service ... $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
Date: ,.92 c)v /oq
Ofi cri' ��
Day Telephone: (a )
%c)Kr,i idn 9 &,68
City State Zip
Date Application Expires:
Staff Initials:
Page 2of2
Parcel No.: 1623049232
Address: 13703 32 AV S TUKW
Suite No:
Applicant: NEELY RESIDENCE
Payee: ROBERT NEELY
ACCOUNT ITEM LIST:
Description
doc: Receiot - 06
ELECTRICAL PERMIT - RES
City of Tukwila
Department of Community Development
6300 Soathcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206- 431 -3665
Web site: littp:/iwww.ci.tukwila.wa.us
TRANSACTION LIST:
Type Method :Jescriptio Amount
Payment Cash 52.00
RECEIPT
Receipt No.: R09 -00296 Payment Amount: $52.00
Initials: WER Payment Date: 02/20/2009 10:33 AM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.101.00.0 52.00
Total: $52.00
0905101 -1 10105 02/20/2009 001 101
DOD Permits i is Plu= - Ge:}er..1 Fund 4:52.00
Permit Number: ]EL09 - 0144
Status: PENDING
Applied Date: 02/20/2009
Issue Date:
Printed: 02 -20 -2009
_
( Project: r C, 1 A Rfe).
I�
Type of Inspection:
2-too
` .
v
Address:
13/o 32 / IV.
Date Called:
'Special Instructs s:
4' ain _
I
Date Wanted:
�� ��]
Cis..
p.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 12 '
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Receipt No.:
Coizezioikki_nv
r
Date:
11 01
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
Project: V /)i .
K
Type of Inspection:
.. - t
Address•.
I, 2kJ 5.
D ate Called:
_,
Specia Instr ctions:
Date Wanted:
D "1
r �0
( a. n�f
Requester:
Phone No:
t
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
App per applicable codes.
(206)431 - 3670
Corrections required prior to approval
COMMENTS:
1 1416oi id 506 ekde
itst5rute J N,4
A0 4
Coi Jr16- CT08IJ5 Ili•
tiro 7
ri $60.00 REINSPECTION FE REQUIRED. Prior to inspection, ee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
*/ • • . *
CITY OF TUKWILA
Department of Community Development
6300 Southcer:ter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 431 -3665
E -mail: tukolanPci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
lao r w1U:I. ] __
[please print nam
1. I have made application for a 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 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 permit to be exempt under number 1,2 , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I maybe waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construe 'on work.
%,3f, A. W /
siON et 6_
01 A4. ep
:U _ cp
l
/sill ' AgN��
, states as follows:
Owner
Signed and sworn to before me this
(20 day of 1'26i'uGt-l'
,r,e,t a (All
Residing at
Owner s Agent*
Permit Center /Building Division
206 431 -367o
Public Works Department
206 433 - 0179
Planning Division
206 431 -3670
PERMIT NO: 4- 7 ' - O/ 7 y
My commission expires: - / L
1
, 20( 1 .
T ' Y PUBLIC in and for the State of Washington
Name as commissioned: i f (t4-71
, County
18,27.0go Exemptions. The registration provisions of this chapter do not apply to:
1. 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;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. 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;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. 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;
8. 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;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any 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 contracts of amounts less than
five hundred dollars for the purpose of 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 or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. 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 when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12. Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision 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
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
• Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.