HomeMy WebLinkAboutPermit EL12-0153 - GLIDDEN RESIDENCEGLIDDEN RESIDENCE
12410 50 PL S
EL12 -0153
Parcel No.:
Address:
City ATukwila M
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
0179002685
12410 50 PL S TUKW
Project Name: GLIDDEN RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0153
02/16/2012
08/14/2012
Owner:
Name:
Address:
GLIDDEN DONALD L +TERESA L
17659 SE 192ND DR , RENTON WA
Contact Person:
Name: DONALD GLIDDEN
Address: 17659 SE 192 DR , RENTON WA
Contractor:
Name: N/A - SAFETY INSPECTION ONLY
Address:
Contractor License No:
Phone: 425 226 -4493
Phone:
Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION
Value of Electrical: NRES: $0.00
RES: $50.00
Type of Fire Protection: SMOKE DETECTORS
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
Fees Collected: $0.00
National Electrical Code Edition: 2008
Date:
'fled 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
construction or a performance of work.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
00/v4/0/ / (l , %/Z /v
Date: 2- - /6 —�Z
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 -4/10
EL12 -0153 Printed: 02 -16 -2012
0 411/
PERMIT CONDITIONS
Permit No. EL 12 -0153
* *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 -4/10
EL12 -0153 Printed: 02 -16 -2012
CITY OF TUKW4rij
Community Developm )epartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: /iwww.TukwilaWA.gov
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 ss: 12///o ai -5�
Tenant Name: (,Li Oda =—..t 'n) a id L
Valuation of Project (contractor's bid price): $
NIA
King Co Assessor's Tax No ` 0 0-- 2_L t j
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
Company Name:
Address:
N
City:
State: Zip:
Phone:
Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Scope ofWork (please provide detailed information): Fc,( IA/5p 7 ,0 ,v
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 Seattle City Light
H: \Applications\Forms- Applications On Line \2011 Applicat��tio"`ns\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
Name: L. l rn F,n/
Dam 618
L
Address:
12667 ?667 ...5.r
/2N2 Z)
7ilef pa_
City
1�P!Ii✓
State:
(JA
9
Zip
7
Valuation of Project (contractor's bid price): $
NIA
King Co Assessor's Tax No ` 0 0-- 2_L t j
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
Company Name:
Address:
N
City:
State: Zip:
Phone:
Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Scope ofWork (please provide detailed information): Fc,( IA/5p 7 ,0 ,v
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 Seattle City Light
H: \Applications\Forms- Applications On Line \2011 Applicat��tio"`ns\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
Name:
(..-k 1 92 rcµi,>✓A
( a/
Address: l'� �l SG
(
7ilef pa_
City:
Stat1:
g/ip:
Phone:
Fax:
Email:
Valuation of Project (contractor's bid price): $
NIA
King Co Assessor's Tax No ` 0 0-- 2_L t j
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
Company Name:
Address:
N
City:
State: Zip:
Phone:
Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Scope ofWork (please provide detailed information): Fc,( IA/5p 7 ,0 ,v
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 Seattle City Light
H: \Applications\Forms- Applications On Line \2011 Applicat��tio"`ns\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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)
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW1R OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Date: /le -- /7
Day Telephone: 294' 9355 rQ.
Mailing Address:
City
H:WpplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised. August 2011
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State Zip
Page 2 of 2
0 0
r - City of Tukwila
�Z Department of Community Development
6300 Southcenter Boulevard, Suite #100
/O Tukwila, Washington 98188
/2
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 0179002685
Address: 12410 SO PL S TUKW
Suite No:
Applicant: GLIDDEN RESIDENCE
RECEIPT
Permit Number: EL12 -0153
Status: PENDING
Applied Date: 02/16/2012
Issue Date:
Receipt No.: R12 -00688
Initials: JEM
User ID: 1165
Payment Amount: $63.00
Payment Date: 02/16/2012 03:21 PM
Balance: $0.00
Payee: DONALD GLIDDEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02518C
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 02 -16 -2012
INSPECTION `RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
fla-01C3
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 R (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: `fooi -5 •
Type of Inspection:
..7
Addressy t(, •, 5-0 a-
Date Called:
Special Instructions:
641A, f c eriri (
Date Wanted:.
1 7
a.m.
p.m.
Requester:
Phone No:
0 Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
of-.40
Inspector: __Jodi
Date: 021,1 I
n REINSPECTION FEE REQUIREIi. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.