HomeMy WebLinkAboutPermit EL13-0433 - NGUYEN RESIDENCE - REMODELNGUYEN RESIDENCE
3735 S 160 ST
EL1 3-0433
City o"I'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.Tukwila WA .gov
Parcel No.: 0041000544
Address: 3735 S 150 ST TVKW
Project Name: NGUYEN RESIDENCE
ELECTRICAL PERMIT
Permit Number: EL13-0433
Issue Date: 05/08/2013
Permit Expires On: 11/04/2013
Owner:
Name: KHUN SAMAY
Address: 13218 MILITARY RDS , TUKWILA WA 98168
Contact Person:
Name: ADAM NGUYEN
Address: 3735 S 150 ST , TUKWILA WA, 98188
Contractor:
Name: NOT REQUIRED - SAFETY INSPECTION
Address: ,
Contractor License No:
Phone: 206-288-3737
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:
-0--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 pe • • -s not pres e to give authori o violate or cancel the provisions of any other state or local laws regulating
construction or the pe am authorized • sign and obtain this electrical permit.
Signature:
Print Name:
Date: 4 /Z / /3
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
EL13-0433 Printed: 05-08-2013
• PERMIT CO •
NDITIONS
Permit No. EL13-0433
**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
EL13-0433 Printed: 05-08-2013
CITY OF TUKWai
Community Developmfflridlepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tukw i IaW A.gov
Electrical Pe
Project No.
Date Application Accepted:
Date Application Expires:
.(For office use only)
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 Address:
Tenant Name:
31-3 5
/t114 4/6-0
PROPERTY OWNER/•
Name: L
/ NO y ;# L,
Name: 4.13 4 / A A/ -1pT _ /
�
.- .
Address: 7�', C CO/ s
CJ
City: -r4 I< i/1% t Lit' State: IAA_
Zip: /l}0 le
CONTACT.PERSON — pe rsbn receiving all project
communication"
Name: L
/ NO y ;# L,
13/7Q
Address: - £ (cv s
City:-TW
l (J/ State: Zip: 01l8
Phone: -2,4)._ 2. D i :3 .
Email:-4.0fi"iV%/ V frzi_,Ye-/-if E cAT oc
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: 5' Yes ❑.. No
ELECTRICAL,CONTRACTOR•INFORMATION ...
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
.Com
Valuation of Project (contractor's bid price): $
(D0oo
Scope of Work
ese provide detailed information):
11/---/7- _1 -7 -Iv CPETI o 1\I
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy Seattle City Light ,1
(p3_OU
Page 1 of 2
H:\Applications\Forms-Applications On Line \20I I Applications\Electncal Permit Application Revised 8-9-I l.docx
Revised: August 2011
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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
D 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 OWNE
Signature: 16- q /�
Print Name: .4 / --r-// D T 1 h 2 a C 2 32 7 3 7
Mailing Address:
L CONTRACTOR.
Date:
c/
ay e ep one:
S 1 )/ �'l, S �-T L -�- ��1��'
City State Zip
H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised August 2011
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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.: 0041000544
Address: 3735 S 150 ST TUKW
Suite No:
Applicant: NGUYEN RESIDENCE
RECEIPT
Permit Number: EL13-0433
Status: PENDING
Applied Date: 05/08/2013
Issue Date:
Receipt No.: R13-01548
Payment Amount: $63.00
Initials: WER Payment Date: 05/08/2013 09:52 AM
User ID: 1655 Balance: $0.00
Payee: ADAM NGUYEN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 185024
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 63.00
Total: $63.00
Prinforl• n'_nR_9n14
INSPECTION NO.
INSPECTION 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: tekA LIQS . •
Type of Inspection:
Address: 373175 - /co 5r
Date Called:
Special Instructions:
Date Wanted:.
(j7�
a.m.
p.m.
Requester:
[
Phone No:
ciApproved per applicable codes. D Corrections required prior to approval. ,_
COMMENTS:
A
ettioAct
1✓'
Inspector: .I
64tkic
Date:
1
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.