HomeMy WebLinkAboutPermit EL11-0210 - JIMERSON RESIDENCEJIMERSON RESIDENCE
12203 47 AV S
EL1 1-0210
Parcel No.:
Address:
Tenant Name:
Citylkf 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: / /www.ci.tukwila.wa.us
001 doll oo
12203 47 AV S TUKW
JIMMERSON RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0210
03/14/2011
09/10/2011
Owner:
Name:
Address:
Ul AA Elf-3* 1'QtrNN`(
t -203 40 k,! S , - rt~ILwlt,k w#t emit
Contact Person:
Name: JOHNNY JIMERSON
Address: 12203 47 AV S , TUKWILA WA 98178
Contractor:
Name: NOT APPLICABLE - SAFETY INSPECTION ONLY
Address:
Contractor License No:
Phone: 206 484 -6044
Phone:
Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION (REQUESTED BY SEATTLE CITY LIGHT)
Value of Electrical Work: NRES:
$0.00 Fees Collected:
RES: $0.00
Type of Fire Protection: SMOKE DETECTORS
Electrical Service Provided by: G (/1.(? t1
Permit Center Authorized Signature:
$63.00
National Electrical Code Edition: 2008
Date: 011141 ( I
I hereby certify that I have read and = a 'ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied wit 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 authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name: h '/ \ ' vl e_y _s(-3
Date:
This permit shall become null end 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
E L 11 -0210 Printed: 03 -14 -2011
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PERMIT CONDITIONS
Permit No. EL11-0210
* *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
EL11-0210 Printed: 03 -14 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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 LOCATION
y� King Co Assessor's Tax No.•
Site Address: Z2t�3 r ve Suite Number: Floor:
Tenant Name: �7�
Property Owners Name: t.1C1/1 h l�
Mailing Address:
New Tenant: ❑ Yes
❑..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
Day Telephone:
D3 S.
City
E -Mail Address:
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: N/A
Mailing Address:
City
Contact Person: N/A Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
State
Zip
Valuation of Project (contractor's bid price): $ 0
Scope of Work (please provide detailed information): safety inspection (required by Seattle City Light)
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes 0 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
El Seattle City Light
H:\Applications\Forms. Applications On Lme\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
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 CHANCES
❑ 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
❑ 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
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.
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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: <]
Mailing Address:
1011111-4-44111.. t�
Day Teleto_ne:
5o
Date Application Accepted:
City
Date:
State
Zip
Date Application Expires:
Staff Initials:
H: Applications\Forms- Applications On Line \2010 Applicationsl7 -2010 - Electrical Permit Application. doc
bh
Page 2 of 2
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C City of Tukwila
0
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.:
Address: 12203 47 AV S TUKW
Suite No:
Applicant: JIMMERSON RESIDENCE
RECEIPT
Permit Number: EL11 -0210
Status: APPROVED
Applied Date: 03/14/2011
Issue Date:
Receipt No.: R11 -00490
Payment Amount: $63.00
Initials: JEM Payment Date: 03/14/2011 04:51 PM
User ID: 1165 Balance: $0.00
Payee: JOHNNY JIMERSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Cash
Authorization No.
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
doc: Receipt -06 Printed: 03 -14 -2011
7.74147414K-vtriltrzr47-rtiert,eamor.-747
• • , ;41
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r4
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
64 -al 0
Project:1;i tiZS6 Ai
Type of Inspection:
7,i00
Address: / 203
2 La 4.
Date Called:
Special Instructions:
Date Wanted:
3//c
cal..kl.
Requester:
Phone No:
Approved per applicable codes. OCorrections required prior to approval.
l
COMMENTS:
Inspector: 6144 61\
'Date:
0 VI
REINSPECTION EE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspRction.
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