HomeMy WebLinkAboutPermit EL12-0452 - FOREMAN RESIDENCEFOREMAN RESIDENCE
3914 S 113 ST
EL1 2-0452
City oul'ukwila
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
Parcel No.: 3351400205
Address: 3914 S 113 ST TUKW
Project Name: FOREMAN RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL12 -0452
Issue Date: 05/15/2012
Permit Expires On: 11/11/2012
Owner:
Name: FEDERAL HOME LOAN MORTGAGE
Address: 5000 PLANO PKWY , CARROLLTON TX
Contact Person:
Name: JOHN FOREMAN Phone: 206 - 369 -3032
Address: 1219 142 PL NE , MILL CREEK WA
Contractor:
Name:
Address:
Contractor License No:
Phone:
Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION
Value of Electrical:
NRES: $0.00
RES: $100.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$0.00
National Electrical Code Edition: 2008
Date: - I.S"'
`)N
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
rized to sign and obtain this electrical permit.
construction or the perf•rmance of work. I am a
Signature.
Print Name:
00 ea< fl-7/4& rte/
Date: /
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 -0452 Printed: 05 -15 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -0452
* *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 -0452 Printed: 05 -15 -2012
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. —L_ I a: D
Project No
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL PERNIIT 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
King Co Assessor's Tax No.:
3 Site Address: 7 ') 9 - .. ) 3 s S i "1—v7 k K-t4Suite Number: Floor:
Tenant Name:
PROPERTY OWNER
Name: Jo T6 e . .0YZe h-2 e4 t-
Address: )-4
) 1 } P- n e j S
City: ).l2 + Lti
cwee,.,), State: e _ (^ Zip:pif0 $ Z
CONTACT PERSON - person receiving all project
communication
Name:
J C�f f)
Address:
, Z S U O .s- 2 a 2 ty PL.
City:
xff"../ State: j, fA Zip: G 8d3 f
7
Phone:
z 0'- 9 51_,01 0 Fax:
Email:
nt , to S �, C h'1
ceocw.t7eS19AdS G 0� o
p& s-)04)
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
/aJ s f 'fro s-)
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:Wpplications\Fonns- Applications On Line \2011 Applications\Eleclrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
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 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
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 he requested in writing
and justifiable cause demonstrated.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI -IIS 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 CONTRA TOR:
Signature: iii
Print Name: -6 1- Y G R(CY T /4» Day Telephone:
Mailing Address: ) Z S 9 1'J 2 ,2/ re.
City
H:\ApplicationsWorms- Applications On Line\2011 Applications\Electrical Permit Application Revised 11-9- 11.docx
Revised: August 2011
bh
Date:
Z0(9. -3 -3a3Z
h%9 '780)
State Zip
Page 2 of 2
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.Rov
Parcel No.: 3351400205
Address: 3914 S 113 ST TUKW
Suite No:
Applicant: FOREMAN RESIDENCE
RECEIPT
Permit Number: EL12 -0452
Status: PENDING
Applied Date: 05/15/2012
Issue Date:
Receipt No.: R12 -01592 Payment Amount: $63.00
Initials: WER Payment Date: 05/15/2012 02:08 PM
User ID: 1655 Balance: $0.00
Payee: JOHN FOREMAN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3684 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 05 -15 -2012
tI INSPECTION RECORD 641-01152°
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 367
Permit Inspection Request Line (206) 431 -2451
Project: 44 ifs
Type of Inspection:0
Address: 37/11 3 • it5 5r.
Date Called:
Special Instructions:
Date Wanted:.
']f
/t�1 j
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
4,;(.45 pniye
(N) A/A-10-
Inspector:
ri
%11. d
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 07/1f
INSPECTION RECORD �gd
'✓ Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: ,:' 1.447/k,„
Type of Inspection:
� f
Address
3- 113 Sr
Date Called:
Special Instructions:
Date Wanted:.
a.m
Requester:
tt
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval:
COMMENTS:
• vV Q•041
Md-55
- geom.,/ A-4D PizbviN Acce--5,5-
Inspector:
REINSPECTION FEE REQUIRE D. Prior to next inspection fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule:. r•einspection'
INSPECTION NO.
INSPECTIOIV�= RECORD
Retain a copy with permit
6,12 otai
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 lT., (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451.
Project: f1\7J V
Type of Inspection:
Address:
3'Tt 1 5 . U3 5r
Date Called:
Special Instruction §:
Date Wanted:.
6
7,)?
p..
Requester:
Phone No:
jApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
- 056 uitftc 51441 t c ,A5 46146 ,1(
6i, czko hf
zo,./D GI-j
poi L7(A""€ 144 (140$p &,,D.
Inspector:
Date: 04 Zg h
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
-. vL a -t-
6t2-oli521
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO: PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t . (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: "'° ' 45
orj
Type of Inspection: 2 `a)
Address: • .;
i tf .5 // Yr-
Date Called:
Special Instructions:
Date Wanted:. ,
Requester:
Phone No
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
eke : eaNmPt5 Alot `) coR,
Pit etc 1F-W i Ktc
[ 5 4t1 a rt t 4siti -K-194-144-11)45
A4 tWri - ast r cofn.364,0
plivEetattrc gtosioNbINM. tArsTyik, ammo
Inspector:
Date: 1„5/24.1,1....,....
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
I— paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.