HomeMy WebLinkAboutPermit EL09-0462 - FREEMAN RESIDENCEFREEMAN RESIDENCE
14247 55 AV S
ELO9-0462
City* 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.: 0761000185
Address: 14247 55 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0462
Issue Date: 08/04/2009
Permit Expires On: 01/31/2010
Tenant:
Name: FREEMAN RESIDENCE
Address: 14247 55 AV S , TUKWII,A WA
Owner:
Name: FREEMAN DAVID W +MECHELLE A Phone:
Address: 14247 55TH AVE S , TUKWILA WA
Contact Person:
Name: DAVID FREEMAN Phone: 206 244 -4451
Address: 14247 55 AV S , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - DAVID FREEMAN Phone: 206 - 244 -4451
Address: 14247 55 AVE S , TUKWILA WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
ADD CIRCUIT BREAKER FOR OUTLETS AND LIGHTS
Value of Electrical: NRES: $1,100.00 Fees Collected: $52.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
ilf)RJ
Date: S -
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 pernu • oe%s �t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe •rm: work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: Gl tit Gc, , cae —e•-■et•-■
Date: 8 -y-a%
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.
doc: EL -4/07
EL09 -0462 Printed: 08 -04 -2009
Parcel No.: 0761000185
Address:
Suite No:
Tenant:
•
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
14247 55 AV S TUKW
FREEMAN RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0462
ISSUED
08/03/2009
08/04/2009
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 Name:
Date: V /
doc: Cond -Elec
EL09 -0462 Printed: 08 -04 -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:_
Tenant Name:
Property Owners Name: j4ul c (, )
Mailing Address: _z'g)-S/2 iA7/e.
9 t King Co Assessor's Tax No.: n76/00- O J S- U 6
/ z /d- 7 s� Az/ e Suite Number:
New Tenant:
Floor. —
❑ Yes ja,No
1 k�►la
City
CONTACT PERSON - Who.do we contact when your pe`mit'.is,'r.'en ly to; be is§ned'
Name:
S� r� "Ma u-c__
Mailing Address: AA
E -Mail Address: . ' 1 i -)yy1 S# com
Loo
State
9818
Day Telephone:p0G ) c2 / Y i
City
Fax Number:
State
,1//4
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Co )-c ec447 C J CO
Mailing Address: _a' O if 3y 4v. S,
Contact Person: TO Lj /Qha / D.4YS`j o.A 1 S
E -Mail Address: A% %4
Contractor Registration Number: ,T-DU }Q f-1i, %t,/
-coA 78oi
City State Zip
Day Telephone( S3) `i 7- O t/?
Fax Number: SA rile_
Expiration Date: Z/42-6 /%o
Valuation of Project (contractor's bid price): $ 11 OQ
Scope of Work (please provide detailed information): /1 DP CtYt, I` %a-e K ..�'u � J- Qh-t
Will service be altered? 0 Yes ja..No
Type of Use: C.,/ g fQ
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes ;LNo
❑ Service Change
❑ Fire Alarm
H:\Applicanons\Forms- Applications On Line \I -2009 - Electrical Permit Application.doc
bh
O 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)
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
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 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:
Signature:,
Print Name:
Mailing Address:, %� ; S.
Date: '3 _(
Day Telephone(2 (o) .y4/. 4/, —/
kJt let_ u34- M68
City state Zip
Date Application Accepted:
Date Application Expires:
H 1Applications\Forms- Applications On Lmell -2009 - Electncal Permit Application doc
bh
Staff Initials:
Page 2 of 2
r 4111
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.: 0761000185
Address: 14247 55 AV S TUKW
Suite No:
Applicant: FREEMAN RESIDENCE
RECEIPT
Permit Number: EL09 -0462
Status: PENDING
Applied Date: 08/03/2009
Issue Date:
Receipt No.: R09 -01205
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $52.00
Payment Date: 08/03/2009 10:05 AM
Balance: $0.00
DAVID W FREEMAN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4096 52.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 52.00
Total: $52.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -03 -2009
INSPECTION RECORD Co _421
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
Project:
kes.
Type of Inspection: 2,no
V
\
Address:
l/1211
55 1.
Da te Called:
Special Instructions.
Date Wanted:
,�,n
2�
4:i.ogri
Requester:
No:
Approved per applicable codes. ❑ Corrections required prior to approval. g
COMMENTS:
Qatcnokls nots>6
Inspector:
Date: � 2 Z
❑ $60.00 REINSPECTION FEE REQt,JIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
X09- eN6Z
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Fr ,
6300 Southcenter Blvd. #100 Tukwila WA 98188 (206)431 -3,6 0
INSPECrTION NO.
Project: re...a mAt d
Type of Inspection:
600 v
Address: 14 2l( 7ietv.'
Date Called:
Special Instructions:
144
(/t/ �
PQ I0i
•
Date Wanted:
.
p.m.
Requester:
Phone No:
0Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
UcrJ ArO?, it
- € 04> kOr 'R5 CJL p •S# i (�
1141A-1-61 b4 Cal etakkitabe4
— slike �Fck)C
- PgA%'t ( DiSL /J Eci d- l.ac14.- CAT 14
on' Bu,lt- ,
Inspector:
4 tn 7 / r Date: Qq At (01 1 I�It/1V I
❑ $60.00 REINSPECTION FEE REQ IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P MIT NO.
CITY OF TUKWILA BUILDING DIVISION tri•
6300 Southcenter Blvd .L #100, Tukwila, WA 98188 (206)431 -3670
Projec Ke ' -
gfelAt'Al
Type of Inspection: 2/co
Addressf 12 11 55- td' S -
Date Called:
Special Instructions:
Date Wanted:
rig/2 p
/ a.rp,
m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
oT' �tlC7�l etiosE (My
- rss REGtt9 o�J -o
g _.
PIA 118114 1.4-5
Inspector:
Date: 011407
ri $60.00 REINSPEETION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
a.••
2
INSPECTION NO.
INSPECTION RECORD .�
Retain a copy with permit �) ,,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: / 10 /YES
Type of Inspection:
Address:
� /
A•(,
Date Called:
Special Instructions:
Date Wanted:
67/07
a.m
Requester:
Phone No:
Ni
Approved per applicable codes.
0 Corrections required prior to approval.
COMMENTS:
Pt /A)
5
4-re Cato( -Th120 06 04 adjecTioj5
Inspector:
Date: DV v7 O
to inspection, fee m st
r7 $60.00 REINSP CTION FEE RE RED. Prior p be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION IL'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
,i\\ [)eS
A'Ai
Type of Inspection:
700
Address.
Patt
S5 id
Date Called:
- ADD -1- 51-4-1 ro& 14 T 1 id E T4 M/
KDo
Special Instructi ns:
Date Wanted:
O� bro
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
— 5 ti Q Pb .lC - p 1l t5 a DJAID 64 AAP
K -Oo r5.,4 OJATCLI rtoar P »I.
- Po Aar OSe, d I ll A.441104 20,6#P
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o f A PlAitic A741) BO,)r (5/1-1 L T S *NIP
6/61Z1 Li %12. FAT h4 i
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Inspector:
Date: 6$ 04/
❑ $60.00 REIN PECTION FEE R QUIRED. Prior to inspection, fee ritust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Te!ephnne: (061 31_3wn FAX Y (206) 431-3665
E -mail: tukplan(caci.tukwila.wa.us
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 -0179
Pl - - -'ng Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: t--) Q q — L} 6
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
to rl/ (-1.) , states as follows:
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2. I unde -stand 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 la, and will therefore
not be performed by a registered contractor.
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 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
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�%%%%% %%%% % % � NOTARY PUBLIC in and for the State of Washington
Owner /O ner's Agent*
Signed and sworn to before me this
�llz
day of a 4 1,- , 20
dc
Residing at ( 0.9
Name as commissioned: lJ
My commission expires:
, County LASlam.4� kOcic
18.27.090 Exemptions. The registration provisions of this
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
4
chapter do not apply to:
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 far 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 meetingthe
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 liniited 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.