HomeMy WebLinkAboutPermit EL08-1419 - KELLY RESIDENCEKELLY RESIDENCE
11125SOAVS
ELO8-1419
CitAllf 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.: 0780000085
Address: 11125 50 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1419
Issue Date: 11/06/2008
Permit Expires On: 05/05/2009
Tenant:
Name: KELLY RESIDENCE
Address: 11125 50 AV S , TUKWILA WA
Owner:
Name: KELLY PATRICK J +LAUREEN OTO Phone:
Address: 11125 50TH AVE S , SEATTLE WA
Contact Person:
Name: PATRICK KELLY Phone: 206 - 244 -2300
Address: 11125 50 AVE S , TUKWmA WA
Contractor:
Name: OWNER AFFIDAVIT - PATRICK KELLY Phone: 206 - 244 -2300
Address: 11125 50 AVE S , TUKWILA WA
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
INSTALL (2) 20 AMP CIRCUITS: (1) OUTDOOR OUTLET, (6_ INDOOR OUTLETS AND (1)
OVERHEAD LIGHT WITH LIGHT SWITCH
Value of Electrical: $800.00
Type of Fire Protection:
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$50.00
2005
Date: t `' t(! V 6
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 perform.. • rk. I am authorized to sign and obtain this electrical permit.
Signature: �y� Date: ' 7)
Print Name:
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 -1419 Printed: 11 -06 -2008
•
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.: 0780000085
Address: 11125 50 AV S TUKW
Suite No:
Tenant: KELLY RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1419
ISSUED
11/06/2008
11/06/2008
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: n-,r7e (C
Date: //
doc: Cond -Elec
EL08 -1419 Printed: 11 -06 -2008
CITY OF TUKWINIP
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http..//www.ci.tukwila.wa.us
Electrical Permit No. &L.-06.— 1M 1()
Project No.
(For office use only
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to he accepted fir plan review.
Applications will not he accepted through the mail or by fax.
**Please Print**
SITE LOCATION
Site Address: /1/2. r )71/911/ J.0
Tenant Name:
P.4 Tit cf< L-41.12- fcGv JE i Y
King Co Assessors Fax No.V1 6ObO — 00 Ks'
Suite Number: Floor:
New Tenant: 0 ...Yes I No
Propertv ()viters Name: „FAX,
Mailing Address: i/1 2 r 771i /11/C .S'
77/ff tv L. 4 7 f
City Sue
[CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 4-7L XE
Mailing Address:
///1/- /9v _ro
Day lelephone: 2 0 6 2-4' V-2-3o 0
21/1-46 LAL 5r/7e-
State Zip
E-Mail Address. CO l7.- fiCD7nvi7L_. ct/ -; Fax Number: 2--ei 6 - 2 V 4/ — 1 7 3 2
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State hp
Contact Person: Dav Telephone:
E-Mail Address: Fax Number-
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ r6
Scope of Work (please provide detailed information): i^t._ 2- 2..." 4,4 e c co 1 73 ;
C7 AW av,-?0 121r
g 6 ItIl»2 c) rt E.73- / 0 VVZ./114 / /1,--r
Will service be altered? 0 Yes )0 No
Type of I Jsc:
Type of work;
O New El Addition 0 Service Change
• 1,mx Voltage 0 Generator 0 I. ire Alarm
Property Served by.-
O Puget Sound Energy
Ek Seattle ('it Light
Adding more than 50 amps? Li Yes a No
Remodel El Tenant Improvement
fl Telecommunication 111 Temporary Service
Pap.: 1 01.2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages. pools. spas and outbuildings $75.00 ea
❑ Low %oltagc systems
(alarm. furnace thcmtostal) $55.00 ca
RESIDENTLAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added altercxi circuits)
❑ Service change with added altered circuits 0.75.00
number of added circuits Sl0.0O ea
[a Circuits added altered without service chance $50.00
(up to 5 circuits)
❑ Circuits added altered without sen ice change 550.00
Kt or more circuits).... 57.00 ea
❑ Meter mast repair S65.00
❑ Low voltage sterns .... S55.0(1
(alarm. furnace thermostat)
PERMIT APPLICATION NOTES -
MULTI- F.AMIIN AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $513.00
❑ Temporary service (generator) $75.00
❑ Manufactured mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions Sl0 00 ea
Value of Construction In all cases. n value of construction amount should he entered by the applicant. This figure ; ill be re%icwed and is subject
to possible revision by the Permit Center lo comply with current fee schedules.
Expiration of Plan Review Applications for which no permit is issued within I SO day s 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.
1 IIYRE.BY CERTIFY TIIAT I HAVE READ AND EXAMINED T11IS APPLICATION AND KNOW THE SAME. TO BE TRt1E 11NI)1R
PENALTY OF PERM TRY BY 'HIE LAWS OF THE STAID. OF WASHINGTON. AND AM Al iTHORI EI TO APPLY FOR Tl1IS PERMIT
BUILDING G OWNER OR ELECTRICAL CON "I RACI-OR:
Signature: `� � Dais: - - - -- / / /`��,-
206 z yy -y-_a
■• _,tai 76P-
Print Name: ifjef/L(C /C /4-/,L'y
I)an Telephone:
Mailing Address: ���z- r Y sTo
Cta
State Lip
Dale Application Accepted: Date Application Expires:
Staff Initials:
II Airy *i..tli�.. k.mu.- Apph.nh' phi err t _ini rlivhwJ i \s-r 1. \��pl is as iL�c
Pap; 7 of 2
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.: 0780000085
Address: 11125 50 AV S TUKW
Suite No:
Applicant: KELLY RESIDENCE
RECEIPT
Permit Number: EL08 -1419
Status: PENDING
Applied Date: 11/06/2008
Issue Date:
Receipt No.: R08 -03707
Payment Amount: $50.00
Initials: WER Payment Date: 11/06/2008 03:57 PM
User ID: 1655 Balance: $0.00
Payee: PATRICK KELLY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3925 50.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.0 50.00
Total: $50.00
rinr.: RArAint -OR
PrintAd. 11- OR -2nnR
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION `�-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 67
Project: I l! /
K
Type of Inspection:
2.100
\,.:
Address:
1111-
` ,
5-N4.
<
- -
Date Called:
Special Instructions:
Date Wanted:
i� 17
a
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
i
COMMENTS:
(Data\ 044) t1MDf
OK
Inspector:
Date:
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V9-`
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 6141 g(s .
Type of Inspection:
7003
11115 50P4 .
Date Called:
alk, . loJ(A,a IA)
Special Instructions:
'2 GAO)' \ PRI‘)
Date Wanted:
1 f Ito
p.m.
Requester:
r_Qc JP5ic1/4.a.5 GftcJftt
Phone No:
- ‘` /4 Us(" P ,i&gi,E c_046-K.
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
r
alk, . loJ(A,a IA)
,0'r 5
- - 0 c ( S ekmak is Jl ri,60
r_Qc JP5ic1/4.a.5 GftcJftt
- ‘` /4 Us(" P ,i&gi,E c_046-K.
RE wi up E( a 001Z. OJTLCT-
Inspector:
3E4Af61\
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: () E 10 la
Receipt No.:
Date:
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (2o6) 431-3670 FAX (2o6) 431-3665
E -mail: tukplanPci.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)
COUNTY OF KING
ss.
PERMIT NO: t LOS- 19 ( 1
?.4-PzIcK ,(tee Ct Y , states as follows:
[please print]
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. / 2 , 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 perform5onstructio ' work.
`N•\""` "Itii,
A. '011,
� 5 �oN 4 / �i� Signed and sworn to before me this
-
sis - D R'' ?PN G day of /V4 ✓T , 20 vim,
s
Ittl"11%%M%\‘‘ OF W • "7
er /Owner's Agent
q "j"
PUBLIC in and for the State of Washington
Residing at
K(/)9.
/ , County
Name as commissioned: e
My commission expires: 05/--0W-/O
18.27.090 Exemptions. The registration provisions o
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. Pubic utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their
own business;
q. 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
f this chapter do not apply to:
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.