HomeMy WebLinkAboutPermit EL10-0440 - FEUERBORN RESIDENCEFEUERBORN RESIDENCE
15121 51 AV S
EL1 0-0440
Parcel No.:
Address:
Suite No:
City okukwila
•
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: / /www.ci.tukwila.wa.us
0042000420
ELECTRICAL PERMIT
Permit Number: EL10 -0440
Issue Date: 06/14/2010
Permit Expires On: 12/11/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
FEUERBORN RESIDENCE
15121 51 AV S , TUICWILA WA
FEUERBORN GARY
FEUERBORN CINDY , 21220 SE PETROVITSKY RD
GARY FEUERBORN
21220 SE PETROVITSKY RD , MAPLE VALLEY WA
OWNER AFFIDAVIT - GARY FEUERBORN
Address:
Contractor License No:
Phone:
Phone: 253 - 347 -6863
Phone:
Expiration Date:
DESCRIPTION OF WORK:
TEMPORARY POWER POLE FOR SINGLE FAMILY RESIDENCE
Value of Electrical:
Type of Fire Protection:
NRES: $0.00
RES: $0.00
UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$63.00
National Electrical Code Edition: 2008
Date: bi— 11+1 0
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 th • erformance of work. I am authorized to sign and obtain this electrical permit.
Signature: � ./daii Date:
dr
r 6-d
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.
Print Name:
doc: EL -4/07
EL10 -0440 Printed: 06 -14 -2010
•
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.: 0042000420
Address:
Suite No:
Tenant:
FEUERBORN RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0440
ISSUED
06/14/2010
06/14/2010
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:
6i r i f;_t{. e e4Ov
Date: "' — (e)
doc: Cond -Elec
EL10 -0440 Printed: 06 -14 -2010
CITY OF TUKWILAO
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 Address: /37c2 2 / r( `J / A ✓e
King Co Assessor's Tax No.: 60y ,20 ' 0 44,20
Suite Number: Floor:
❑ Yes
Tenant Name:
Property Owners Name: aL, rO
Mailing Address: 02 /ac"� -� -
-? e,- -60("1
vriJ/`
New Tenant:
❑ .. No
a
City
State
Zip
Name: (�Gt r R-em e/17Dt/Yl Day Telephone: �.5.-.7' y ? — 6cP6
/� /
Mailing Address: a• (a ?-0 5.- f . (•G�4 Vi f "Ck l nU • l�' r�le. UGC U/G �j [[l��rr����( 9PD,�'
Got / L City ( State Zip
E -Mail Address: Got r 1 ' 1 (era 0 ✓ VI /ti t 0r/ar l GGY' Fax Number:
ELECTRICAL CONTRACTOR' INFORMATIO
Company Name:
Mailing Address:
State
City
Contact Person: Day Telephone:.
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Zip
Valuation of Project (contractor's bid price): $ MO, 06 p /
Scope of Work (please provide detailed information): eTe. --r or ' Pei war PO k A r-
" I.e 11 ire (C/6-lC,e
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
(- New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
g_ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Appl;cation.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$152.85
$81.90 ea
$59.85 ea
❑ Low voltage systems
(alarm, furnace thermostat)
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)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
lig 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
Date:
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.
1 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 OWNE R ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
1 111 �f-tter-born
a I ca-10 5-4 frolfr k c. pk VA. l /erg
6'79-70
Day Telephone: 25j -- fy / - 6PC?
�a • /P o? 8
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
• •
�J��ira wq� 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.: 0042000420
Address:
Suite No:
Applicant: FEUERBORN RESIDENCE
RECEIPT
Permit Number: EL10 -0440
Status: PENDING
Applied Date: 06/14/2010
Issue Date:
Receipt No.: R10 -01053
Payment Amount: $63.00
Initials: WER Payment Date: 06/14/2010 02:45 PM
User ID: 1655 Balance: $0.00
Payee: GARY FEUERBORN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4293 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
PAYMENT
RECEIVED
doc: Receipt-06 Printed: 06 -14 -2010
INSPECTION RECORD
t,100 r 1
4u
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING: DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 �- (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project�GVt,f0J114) ke5
Type of Inspection:
(Od
Address:
'070 5.15 -51
Date Called:
Special Instructions:
Date Wanted:
a.m.�
.
Requester:
Phone No:
KIApproved per applicable codes. a Corrections required prior to approval.
COMMENTS:
Inspector:
-rtf■\41./
n REINSPECTION FEE REQUIRED. Prior to next inspection: fee.must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule "reinspection..
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(6
Pro ect:
j CS
�K�� ` •
Type of Inspection:
DDI
Address:
!S /Da s/
Date Called:
Special Instructions:
Date Wanted:
/�
a:m:
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval. t
QOMMENTS:
flaCX10/■13 r\NiX
6126
Inspector: . Date: 04 �6 Jv
1
❑ $60.00 REINS ECTION FEE RE UIRED. 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
PERMIT NO.
('5
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: � _ /n k,._,
r„.
Type of Inspection: 7 2-.
/
Address:
15700 p Av.
Date Called:
Special Instructions:
Date Wanted:
// "
a.m.
P.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
- K.o. sue. KaJiati>
-
geeoa ?R01141J PrIBBLf. Cfln
Inspector: _
7t/ A/
Date: D!
❑ $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:
r`.'k''1 -�;'! - v".�.'`.. r...�`i _r"�':1^- :.t- n�- •.,..�.�..5 �.�� � .:.f w't �-! �.. ..r.�w- .- -._�f�z:c.tx•�'.�lr^'� nrn �_.
05 -02 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
GARY FEUERBORN
21220 SE PETROVITSKY RD
MAPLE VALLEY WA 98038
RE: Permit No. EL10 -0440
4870 S 152 ST 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 Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 06/10/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 06/10/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0440
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
ity of Tukwiia
epar
December 7, 2010
Gary Feuerborn
21220 SE Petrovitsky RD
Maple Valley, WA 98038
ent of Community
RE: Request for Extension
Electrical Permit EL10 -0440
Feuerborn Residence - 4870 S 152 St
Dear Mr. Feuerborn,
Jim Haggerton, Mayor
evelopment Jack Pace, Director
This letter is in response to your written request for an extension to Permit Number EL10 -0440.
The Building Official has reviewed your letter and considered your request to extend the above
referenced permit. The City of Tukwila Building Division will be extending your permit an
additional 180 days from the date of expiration, through June 10, 2011, as requested.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
ifer Marshall
it Technician
File:
Permit No. ELI0 -0440
W:\Permit Center\Extension Letters 'Permits\2010\EL10 -0440 Permit Extension.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Dear Mr. Benedicto,
Nov. 26, 2010
This letter pertains to a letter I was sent on 11 -01 -10 in regards to permit number EL 10-
0440. The address at this site is 4870 S. 152 "d St., Tukwila, WA. I would like to request
a 180 day extension on my permit. I initially received my building permit late in the
year and was able to get the foundation finished. However, I decided to wait until
February to start building again due to the slope of the hill where the drain field has to be
installed. I've pushed back the building date so the septic drain field will be installed in
the late spring /early summer months when it is dryer.
Thank you for your consideration.
Sincerely,
Gary Feuerborn
11, (4%' I e
/Z- OZ- &0/
R-10
OW 0(4 lulu
11 -01 -2010
City of TukWlla
Department of Community Development
GARY FEUERBORN
21220 SE PETROVITSKY RD
MAPLE VALLEY WA 98038
RE: Permit No. EL10 -0440
4870 S 152 ST TUKW
Jim Haggerton, Mayor
Jack Pace, Director
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 Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/13/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 12/13/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
ifer Marshall
it Technician
File: Permit File No. ELIO -0440
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206-431-3665
i
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431 -367o FAX (206) 431 -3665
E -mail: tukplanc 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
aar F,l.ef -,4 b on
please print name]
, states as follows:
PERMIT NO: E. Li 0 °M I-0
1. 1 have made application for a permit from the City of Tukwila, Washington
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 requirem nt of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number j(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 perform construction work.
Signed and sworn to before me this
)(71 day of \ lane , 20 /0 .
OT
Y PUBLIC in and for the State of Washington
Residing at /'1 / n 9 kaq , County
Name as commissioned:
e W(1074'
My commission expires: r7$- 9 - /
18.27.090 Exemptions. The regiktion provisions of this chapter do not apply.
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;
Loy
18. ' An entity who; holds a valid`eteetrical contractor's
license under chapter l9.28.RCWYthat employs a certified
journeyman electrician, a certified' residential specialty
electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW toperform plumbing
work that is incidentally, directly, and immediately
appropriate to thelike-in -kind replacement of a household
appliance or other small'household utilization equipment
that requires limited'electife power and limited waste
and /or water connections. Ari 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.