HomeMy WebLinkAboutPermit EL10-0038 - TOWNE & COUNTRY SUITESTOWNE & COUNTRY SUITES
14800 INTERURBAN AV S
EXPIRED
07 -19 -10
EL1O-0038
Parcel No.: 3597000005
Address:
Suite No:
City* Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
14800 INTERURBAN AV S TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0038
01/20/2010
07/19/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor License No:
TOWN & COUNTRY SUITES
14800 INTERURBAN AV S , TUKWILA WA
KRUSSEL ROBERT H +ARLENE C
18107 NORMANDY TER SW , NORMANDY PARK WA
LORI PRALL
14800 INTERURBAN AV S , TUKWILA WA
OWNER AFFIDAVIT - LORI PRALL
Phone:
Phone: 206 246 -2323
Phone:
Expiration Date:
DESCRIPTION OF WORK:
MOVE LIGHT SWITCH
Value of Electrical:
Type of Fire Protection:
NRES: $15.00
RES: $0.00
AUTO FIRE ALARM
Electrical Service provided by:
Permit Center Authorized Signatur
I hereby certify that I have read an
governing this work will be compli
PUGET SOUND ENERGY
I
Fees Collected:
National Electrical Code Edition: 2008
$63.00
Date: 0401 tO
ned this permit and know the same to be true and correct. All provisions of law and ordinances
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 performance of work. I am thorized jnd obtain this electrical permit.
Signature:
Print Name:
idu)o'kr-0(
4R01-3,erV
Date: /— lb— /0
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
EL10 -0038
Printed: 01 -20 -2010
Parcel No.: 3597000005
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
14800 INTERURBAN AV S TUICW
TOWN & COUNTRY SUITES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0038
ISSUED
01/20/2010
01/20/2010
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:
ecto00., d' C 0 _kv-k--5
Date: / -2d — /0
doc: Cond -Elec
ELI 0-0038 Printed: 01 -20 -2010
CITY OF TUKWIL.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httt . //www. ci. tukwila. wa. us
IecfricaliPermit
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 Address: /17 906.�Lf) erur,japi girt S
Tenant Name:
King Co Assessor's Tax No.: / U tD 3 150--
pr.. No
Suite Number:
Property Owners Name: EC% 4 t'1 (eh �i JJ..1(/oot lit e)
Mailing Address: i % tl d0 Yl f erut )1 i1- -C� S
Name: Lori P ai //
Mailing Address: 1 'L% goo 71 i ,er/j r 1 a i - e 5
E -Mail Address: 10(1 pra113J9- Ii1S4` �Dh1
New Tenant:
Floor:
El Yes
City
State
Zip
Day Telephone: At361 ib i3 a3
wtic. w 9e /6 r
City State Zip
Fax Number: 9 bb -at/6- 7 9 vz
ELECTRICAL CONTRACTOR INFORMATI
r _ • N6(2- Xre10 ANI t/f
Company Name:
Mailing Address:
State
Contact Person:
E -Mail Address:
Contractor Registration Number:
City
Day Telephone:
Fax Number:
Expiration Date:
Zip
Valuation of Project (contractor's bid price): $ / 5 op ( _
Scope of Work (please provide detailed information): r w ire_ 1 L� �; l cu) l +G1/1
Will service be altered? ❑ Yes t No
Type of Use:
Type of work:
❑
New ❑ Addition
Adding more than 50 amps? ❑ Yes ❑ No
Pro
Low Voltage ❑ Generator
Served b •
uget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
IDate Application Accepted:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
PERMIT - APPLICATION NOTE
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 OWN y;n R ELECT CAL CONTRACTOR:
Signature:
Print Name:
Lb r v I Irk` ` /
Mailing Address: 1 yKeUD 1&rur bq`t
•
ockwi tip
Date:
1 -z'/Q
Day Telephone: gob-alb- o"t 3a-3'
7-1AL I v I 1 C. ice IA-
City State Zip
Date Application Expires:
Staff Initia r
H:\Applications\Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Ci 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. tukw ila. wa. us
SET RECEIPT
RECEIPT NO: R10 -00081
Initials: JEM
Payment Date: 01/20/2010
User ID: 1165 Total Payment: 171.45
Payee: TOWNE & COUNTRY SUITES
SET ID: S000001332 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
D10 -011
EL10 -0038
TOTAL:
Amount
108.45
63.00
108.45
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3859 171.45
TOTAL: 171.45
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
BUILDING - NONRES
ELECTRICAL PERMIT - NONR
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
000.322.100
000.322.101.00.0
000.345.830
640.237.114
63.00
63.00
40.95
4.50
TOTAL: 171.45
PAYMENT
RECEIVED
06 -01 -2010
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
LORI PRALL
14800 INTERURBAN AV S
TUKWILA WA 98168
RE: Permit No. EL10 -0038
14800 INTERURBAN AV S 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 withink 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 07/19/2010 , 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,
--OdP
Bill Rambo
Permit Technician
xc: Permit File No. ELI 0 -0038
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
1
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -3670 FAX (206) 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
PERMIT NO: ) 0 _D1,
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
Lbrt Py4)/
[please print name]
, 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 number I' , 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 may be waiving certain rights that I might therwise have under state law in any decision
to engage an unregistered contractor to perform constructioyork.
Owner /owner's Agent*
Q. B�Qy� �N
�a�ail I
N
co
A a = _ l 11 day of �) �. b , 201 . gle. ,,y ,....'', 7 19-x, :' = J�
Signed and sworn to before me this
NOTARY PUBLIC in and for the State of Washington
Residing at
Name as commissioned:
My commission expires:
unty
\()-11-400