HomeMy WebLinkAboutPermit EL08-0069 - CITY OF TUKWILA - FIRE DEPARTMENTTUKWIIA FIRE DEPT
444 ANDOVER PK E
EXPIRED 07-16-08
ELO8-069
Citylif 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.: 0223900080
Address: 444 ANDOVER PK E TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -069
Issue Date: 01/17/2008
Permit Expires On: 07/15/2008
Tenant:
Name: TUKWILA FIRE DEPT
Address: 444 ANDOVER PK E , TUKWILA WA
Owner:
Name: CITY OF TUKWILA Phone:
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA
Contact Person:
Name: KORY CUSTER Phone:
Address: 444 ANDOVER PK E , TUKWILA WA
Contractor:
Name: OWNER AFFIDAVIT - NICK OLIVAS Phone:
Address: 444 ANDOVER PK E , TUKWILA WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
REPAIR OF INTERIOR WALL WIRING IN KITCHEN
Value of Electrical: $250.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$58.00
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
kri-O8
Date:
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 or the pe rmance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
24(r2it-€"--
N /C-Ae/A'S L7:
Date: / /7-4"
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
EL08 -069 Printed: 01 -17 -2008
Parcel No.: 0223400080
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
444 ANDOVER PK E TUICW
TUKWILA FIRE DEPT
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -069
ISSUED
01/17/2008
01/17/2008
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:
f!cuaa-
GC
N/ 46/4 s tg Q/, cb t-s
Date:
doc: Cond -Elec
EL08 -069 Printed: 01 -17 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. C obct
Project No.
(For office use only)
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: 4R/% A71/OaU/72 / 6
Tenant Name: %-aPGeu, /4- RAZ
Property Owners Name: Criy-.7, 7744„,,m-
Mailing Address: it 22010 5- G. /, A/A-
King Co Assessor's Tax No.: CD ?)I40 ^ 00 SO
Suite Number: A/ /A-- Floor: /0--
New Tenant: ❑ Yes ..P-No
Tiakw/ /A—
City
A/A--
State
97/ AP
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
iary ! $ /CIri i/2 5
// V41 ATV Os UA
N/4—
Day Telephone:
TIwt /A-
City
Fax Number:
2-06 S7s —yy04/
State Zip
Pd f
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
/WA-
/1//4-
u/A
N/9-
Contractor Registration Number:
City
Day Telephone: /V
Fax Number: AJ /}-
Expiration Date: /i 4
Zip
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
.?50• QU
X9'41 g
Will service be altered?
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
Seattle City Light
❑ Yes `` 71
T,I4A J
No Adding more than 50 amps? ❑ Yes No
❑ Service Change
❑ Fire Alarm
H \Apphcations\Forms- Applications On Line\4 -2007 - Elecmcal Permit Application doe
bh
yrRemodel
❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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
❑ 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)
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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
C
/410/45 T. Q�a 5
Yoi Avav&,Q /A- 6
Date:
/ --/7 -2
Day Telephone:
jr.4,Ewi"A-
Cny
W R'
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H V.ppI canonstforms•Appbcations On Lme14•2007 • Electrical Permit Apphcadon.doc
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Page 2 of 2
CITY OF TUKWILA
RECEIPT
TOED ill
ARGE
04 :17 0097 735
•
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.: 0223400080 Permit Number: EL08 -069
Address: 444 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 01/17/2008
Applicant: TUKWILA FIRE DEPT Issue Date:
Receipt No.: R08-00171
Initials: WER
User ID: 1655
Payment Amount: $58.00
Payment Date: 01/17 /2008 04 :05 PM
Balance: $0.00
Payee: NICK OLIVAS
TRANSACTION LIST:
Type Method Description Amount
Payment Cash 58.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 58.00
Total: $58.00
7385 01/18 9710 TOTAL 58.00
doc: Receiot -06 Printed: 01 -17 -2008
1
INSPECTION RECORD
Retain a copy with permit
(4644.,6?
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-
Project:
j ,� II14 is //:, � Mini'
Type of Inspection:
\l
G3
Address:A
Date Called:
Special Instructions:
Date Wanted:
/
.- Ci.m.
Requester:
Phone No:
Ap roved per applicable codes. LI Corrections required prior to approval.
COMMENTS:
Ins pen:1
Dat% / 75 / 0
0 $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
06 -05 -2008
KORY CUSTER
444 ANDOVER PK E
TUKWILA WA 98188
Ciy of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL08 -069
444 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 07/16/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
ofx
JBttrmt'$r Marshall
Permit Technician
xc: Permit File No. EL08 -069
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431 -3665
E -mail: tukplan@ ci.tukwila.wa.us
•
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 -0179
Planning Division
206 431 -3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
AJUAo /A CT v4-s
[please print]
PERMIT NO:
, states as follows:
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 No. , 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 'ght otherwise have under state law in any
decision to engage an unregistered contractor to perforiconstruction work.
Owner /Owner's Agent
Signed and sworn to before me this
/ % day of
NO74ZY
Residing at
�..� a C, %,
UBLIC in and for the State of Washington
Name as commissioned:
My commission expires:
, County
/7/ if tG && /
U5 -a9- /L
18.27.090 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.