HomeMy WebLinkAboutPermit EL13-0128 - PEERY RESIDENCE - REMODELPEERY RESIDENCE
4411 S 148 ST
EL13-0128
City oPi'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.: 0042000035
Address: 4411 S 148 ST TUKW
Project Name: PEERY RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0128
Issue Date: 02/05/2013
Permit Expires On: 08/04/2013
Owner:
Name: PEERY MARGO
Address: 4410 S 148TH ST , TUKVVILA WA 98168
Contact Person:
Name: MARGO PEERY
Address: 4410 S 148 ST , TUKWILA WA, 98168
Phone: 206-439-9620
Contractor:
Name: OWNER AFFIDAVIT - MARGO PEERY Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
INSTALL DESIGNATED CIRCUITS FOR TWO BASEBOARD HEATERS, ONE CEILING BATHROOM
VENT, SIX RECESSED LIGHTS, TWO AUXILLARY CIRCUITS AND A BATHROOM OUTLET.
02-11-13 REVISON #1 TO ADD 4 MORE CIRCUITS TO SCOPE OF WORK FORA TOTAL OF 10
CIRCUITS ALTERED. WER
Value of Electrical: NRES: $0.00
RES: $450.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
$92.85
2008
Date: b 13
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 the performance of work. I am , thorized to sign and obtain this electrical permit.
Signature:
Print Name: / 1a 1 • Pe,
ThisP ermit shall become null and void if the wqr& 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.
Date: %/ll//3
doc: EL -4/10
EL13-0128 Printed: 02-11-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0128
**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
EL13-0128 Printed: 02-11-2013
City Of 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.: 0042000035
Address: 4411 S 148 ST TUKW
Project Name: PEERY RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0128
Issue Date: 02/05/2013
Permit Expires On: 08/04/2013
Owner:
Name: PEERY MARGO
Address: 4410 S 148TH ST , TUKVVILA WA 98168
Contact Person:
Name: MARGO PEERY
Address: 4410 S 148 ST , TUKWJLA WA, 98168
Phone: 206-439-9620
Contractor:
Name: OWNER AFFTDAVIT - MARGO PEERY Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
INSTALL DESIGNATED CIRCUITS FOR TWO BASEBOARD HEATERS, ONE CEILING BATHROOM
VENT, SIX RECESSED LIGHTS, TWO AUXILLARY CIRCUITS AND A BATHROOM OUTLET.
Value of Electrical: NRES: $0.00
RES: $450.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$62.25
2008
Date: 4' S— 3
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 the performance of work. I authorized to sign and obtain this electrical permit.
Signature: v r a/V�`1 V �t � Date: 2- VZ.D/ 3
Print Name: 141 Q
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
EL13-0128 Printed: 02-05-2013
• PERMIT CONDITIONS •
Permit No. EL13-0128
**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
EL13-0128 Printed: 02-05-2013
CITY OF TUKWI01.4
Community Developme Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup:"www.TukVV ilaWA.2ov
0044
Electrical Pe► .it No.
Project No.
Date Application Accepted:
Date Application Expires:
{For office use only)
r3 01.E-8
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
King Co Assessor's Tax No.:
/tel/
Site Address: % `7' // c cO, ��/ I7 56 -e -e/
%zzrrg," o Peery e4 p6ez I
Tenant Name:
PROPERTY OWNER
Name: /vizir O Pe.eicp
Address: SO/� </Z,-e.e
/
City: ���6 of/4_State: kw.
J, Zip: q8/,G
CONTACT PERSON — person receiving all project
communication
Name: 1, i 0 Per/
Address:
ja'me its Ober
City: State: Zip:
Phone: Fax:
Email:
Suite Number: Floor:
eC?1 New Tenant: 9 Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: se /r,
Address:
,,l/n e ds Orrt/r ec eoiiii?az
City: State: Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1716-0,
Scope of tWork (please/C'Lprovide detailed information): 1,i 5 l a
basen/eard /1ers-1 oil ? ce. din G7t
s _au x; t
as e it ce t fS
dost` Atmel c//r-aGci 4 A- 714,vp
YDdl2'2 Vei4-- 5;
/..l'l/1/ a l‘i lz/-e)e/yi
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
9 New 9 Addition 9 Service Change 9 Remodel 9 Tenant Improvement
0 Low Voltage 0 Generator 9 Fire Alarm 0 Telecommunication 0 Temporary Service
Adding more than 50 amps? ❑ Yes teNo
Property Served by:
❑ Puget Sound Energy Seattle City Light
H \Applications\Forms-Applications On Line \2011 A lications\Electrical 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 $1 1.55 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 STAKE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: G �� '1 _ Date: Z`6 // 3
Print Name: �'/ a/- 1, Peery '� Day Telephone: (zoo') 1131 q 6 Z -U
City State Zip
Mailing Address:
H.\Applications \Forms -Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 doca
Re%ised August 2011
bh
Page 2 of 2
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.TukwilaWA.gov
Parcel No.: 0042000035
Address: 4411 S 148 ST TUKW
Suite No:
Applicant: PEERY RESIDENCE
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL13-0128
ISSUED
02/05/2013
02/05/2013
Receipt No.: R13-00782
Initials:
User ID:
WER
1655
Payment Amount:
Payment Date:
Balance:
$30.60
02/11/2013 03:00 PM
$0.00
Payee:
MARGO PEERY
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Credit Crd MC
Authorization No. 565879
ACCOUNT ITEM LIST:
Description
30.60
Account Code
Current Pmts
ELECTRICAL PERMIT - RES 000.322.101.00.00
Total: $30.60
30.60
na
Printari• n7-11_9011
• •
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.TukwilaWA.gov
Parcel No.: 0042000035
Address: 4411 S 148 ST TUICW
Suite No:
Applicant: PEERY RESIDENCE
RECEIPT
Permit Number: EL13-0128
Status: PENDING
Applied Date: 02/05/2013
Issue Date:
Receipt No.: R13-00731
Payment Amount: $62.25
Initials: WER Payment Date: 02/0S/2013 02:38 PM
User ID: 1655 Balance: $0.00
Payee: MARGO PEERY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 459070
ACCOUNT ITEM LIST:
Description
62.25
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 62.25
Total: $62.25
d....• Dnnninf_f1A
Printed: 02-05-2013
2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. 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: t%LeA i 1,(....5
Type of Inspection: -760/3/200
Address:
I'S /`%g5,
Date Called:
Special Instru�ions:
Date Wanted:. a.
3 a�
Requester:
Phone No:
'i"' Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Cr.7a,J.5 riA
. (Ayeu5
foal; 6 '�t,C-tr
f
HAMti
j7:'//1‘56%/1
Date: 03 /
REINSPECTION FEE REQUIRED.' Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
INSPECTION' RECORD
Retain a copy with permit
INSPECTION NO. 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: .42„,,, '
" vp gf45
Type of Inspection:
or mitaAA
- Ro-prkc.,A w f `%lf I N to reef c
Address: Ft: 711
:
111I1s.;�?sT.
Date Called:
"
- 6r*Pii Rogk IA1144ini aZ" f 6oY A4
Special Insti•u tions:
Date Wanted:.
2. -ZZ
•m.
Requester:
- elnuP &AI Di IVS,
Phone No:
ElApproved per applicable codes.
;Corrections required prior to approval.
COMMENTS:
IQ- Cib ti 6 b (Ahem' foR, tdcPee.froi
or mitaAA
- Ro-prkc.,A w f `%lf I N to reef c
A-4 tl S kA a (Ai/kV./ SPIce ( g i I
-*12 11 oI %tc-c> 24)k 6a4r
- (Irc,i ► b 9t melPaJLesycork4r
- 6r*Pii Rogk IA1144ini aZ" f 6oY A4
6611 git/l fi(--iir'
... 0/Jais) f Artfcc t
- ,j t iFidls* 611 kefrM tf
fs£ (4 Lt / m4(\ ��I s�� r
- ozok p mr-rtt .. 5
- elnuP &AI Di IVS,
Date:
62.112113
fda6S
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
City Of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: ,./„A
❑ Response to Incomplete Letter #
O Response to Correction Letter #
'0, Revision # 1 after Permit is Issued
O Revision requested by a City Building Inspector or Plans Examiner
Project Name:eer Res/ (,� 4 e ei
�D
Plan Check/Permit Number: 2E4, / 3
Project Address: q / o (y/44-
1 z O
y/44- v re/-,
Contact Person: �(,l Or)f Peal? --/Y
Summary of Revision:
(/0)
�
Phone Number/Z-66)473/4e.(O Z D
41)
o7'_
filECEIVE'ti
YOF TUKWILA
FEB .11-2 i3
PERMIT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revisio
Received at the City of Tukwila Permit Center by:
Er -Entered in Permits Plus on
HAApplications\Forms-Applications On Line \2010 Applications \7-2010 - Revision Submittal.doc
Revised: May 2011
•
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanPci.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)
COUNTY OF KING
ss.
/largo G-,/e"�
c} [please print nar
, states as follows:
PERMIT NO: L L" l3 ^ O,'
1. I have made application for a permit from the City of Tukwila, Washington.
2. 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 requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number 2J , 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.
0
is Agent*
Signed and sworn tobeforeme this
day of ��(9i' 4_ /' ,20 !3 .
JYi-(-)f
Le
Y PUBLIC in and for the State of Washington
Residing at
(4q) , County
Name as commissioned: (/�/1 !9 ,/e
My commission expires:
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
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;
18. An entity who holden valid el&ct'rical contractor's
license under chapt rg8aRCW=t`lt,,,eriploys a certified
journeyman electr�ci-,learcertife'd��resiflenlialspecialty
electrician, or an."1 1 trainee-meock--eJing tzhe
requirements of iaptex 19.28 RCW to�]i'erform plumbing
work that is inc4nt 1y, directly, and immediately
� � d � y
appropriate to th li in-kirid >;eplacemerlt of a household
appliance or othe11-,household'utilizaton equipment
that requires limite'dsel�� �ti_ippq„w,er^and?lirhited waste
and/or water connect s7Ai le"ctQ isalltrainee must be
supervised by a certified efetffiiian while performing
plumbing work.
• Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.