HomeMy WebLinkAboutPermit EL11-0010 - SEMINOFF RESIDENCESEMINOFF
RESIDENCE
12252 45 AV S
EL1 1 -0010
Parcel No.:
Address:
Tenant Name:
City likr 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
0179000755
12252 45 AV S TUKW
SEMINOFF RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL11 -0010
Issue Date: 01/06/2011
Permit Expires On: 07/05/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
STEINBERG HARRY J +ARLENE M
12252 45TH AVE S , SEATTLE WA 98178
WAYNE SEMINOFF Phone: 425 643 -7780
PO BOX 956 , KIRKLAND WA 98083
N/A - SAFETY INSPECTION ONLY Phone:
Address:
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION
Value of Electrical Work:
NRES: $50.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xa
wit
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date: (ON(
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 pr • e 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 authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
Dater —/q — tt
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 -9/09
EL11 -0010 Printed: 01 -14 -2011
PERMIT CONDITIONS
Permit No. EL11 -0010
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
ELI 1-0010 Printed: 01 -14 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwatukwila.wa.us
Electrical Permit No. -L`' -DOI
Project No.
(For office use on())
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:
King Co Assessor's Tax No.:
4 ►"7
L2-5'‘(
Suite Number: —
Tenant Name: i1ie 1130 Sc
Property Owners Name: t 1 t
Mailing Address: ?C) 'SZ , K-t -`. 5 iO&
0 0-7 5-5-0
Floor:
New Tenant: ❑ Yes ❑ .. No
City
Staff:
'Lip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Nance: '.60"> Day Telephone: #(4.-2 C�42 V3 r 77 If t
Mailing Address:
City State Zip
E -Mail Address: Lii- )AtiLe) (S0 ki3O t ier g CO)v\ Fax Number: yz.SL 9 t /S.
ELECTRICAL CONTRACTOR INFORMATION
Company Name: KVA-
Mailing Address:
City State Zip
Contact Person: Day Telephone:_
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): /.05,p(?, -n DA)
Will service be altered? ❑ Yes
Addilrg more tha 50 amps?
Type of Use:
Tvpe of work:
❑ New ❑ Addition Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
Hi A ppticationslronus- ApplIca ions On Line \2010 Apptications\7 _ht a - Electrical Permit Apphemum.duc
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Page 1 of
❑ Yes t6o
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
•
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.55
(including an attached garage)
❑ Garages, pools, spas and outbuildings $8L90 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 559.85
(alarm, furnace thermostat)
MULTI - FAMILY AND CUiMMERCIAL
Fees are based on the valuation of the cicdtrical contract.
MISCELLANEOUS FEES
Temporary service (residential) S63.00
❑ Temporary service (generator) 575.75
❑ Manufactured/mobile home service 584.00
(excluding garage or outbuilding)
❑ Carnivals i 578.75
Number of concessions) S 10.50 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 Phut 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 1 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 1 R ELECTRICAL TRACTOR:
Signature: 1.1
Print Name:
Mailing Address:
S fLJ
Day Telephone:
«d
60193
IDate Application Accepted: 0) 'I O 1 n f I I I Date Application Expires:
IVApptieations` Forms-Applications On Linet1010 Applications \' .2010 - Electrical Permit A pplicaiioo.doc
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Page 2 of 2
City
Date; /— -.'o //
yL5"bV3 7780
State Zip
(Tit octl
Staff initials:
•
J�`Nt�A w 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.: 0179000755
Address: 12252 45 AV S TUKW
Suite No:
Applicant: SEMINOFF RESIDENCE
RECEIPT
Permit Number: EL11 -0010
Status: APPROVED
Applied Date: 01/06/2011
Issue Date:
Receipt No.: R11 -00025
Payment Amount: $63.00
Initials: JEM Payment Date: 01/06/2011 03:34 PM
User ID: 1165 Balance: $0.00
Payee: WAYNE SEMINOFF COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1427 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 01 -06 -2011
INSPECTION RECORD
Retain a copy with permit
IALSEECTION NO. ERMIT NO.
CITY OF TUKWILA BUILDIN.G DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: Sevinjorr eti,6
Type of Inspection:
Address: Aee ,,
/207/c2. K-i-
Date Called:
Special Instructions:.
Date Wanted:
.m
Requester:
Phone No
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
etrifizice45 tivt)t
❑ REINSPECTION FEE REQUIRED$Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
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INSPECTION RECORD
Retain a copy with permit
- INSPECTION NO. PERMIT NOi
CITY.OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 =2451
Project: .5m 6
Type of Inspection:
•
/
Address:
Date Called:
Special Instructions:
Date Wanted:
1
a.m.
.m.
Requester:
.
Phone No:
EIApproved per applicable codes.
L'
Corrections required prior to approval-8
COMMENTS:
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'Inspector:
Date: o j O 1 1,
El 1---1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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INSPECTION 'NO.
1 NSPECTI ' RECORD
Retain a 'copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
•
Permit Inspection Request Line (206) 431 -2451
Project:
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Type of Inspection:
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Address: U
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Date Called:
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Special Instructions:
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Date Wanted:
% :122Y-1,/
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval:
COMMENTS:
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Date: /
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❑ REIN PECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
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•
INSPECTION RECORD
Retain a copy with permit
INS ECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request tine (206) 431 -2451
le-x/A21)
Project:
J.l%d ECrt
Type of Inspection:
..5"Ai " yr 1
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Address: ��..yr��
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Date Called :
Special Instructions: -
' ,
Date Wanted:
/ -07 y- j/
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.. .d
COMMENTS:
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Inspect
Fogile Ybp'
RE 1 TIOP FEE REQUIRED. Prio
Date:
r to next inspection. fee must be
'paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: