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Permit EL14-0191 - NHI VAN RESIDENCE - RELOCATION
NHI VAN RESIDENCE 14658 46 AVE S EXPIRED 12/16/2014 EL14-0191 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No: 0040000699 Permit Number: EL14-0191 Address: 14658 46 AVE S Issue Date: 3/6/2014 Permit Expires On: 9/2/2014 Project Name: NHI VAN RESIDENCE Owner: Name: VAN UYEN-NHI Address: 14658 46TH AVE S, TUKWILA, WA, 98168 Contact Person: Name: BILL ALDRICH Phone: (206) 25-8968 Address: 14658 46 AVE S , TUKWILA, WA, 98168 Contractor: Name: OWNER AFFIDAVIT ON FILE Phone: Address: 1/I License No: Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: MOVE ELECTRIC METER, SOX, AND MAST. ALTER ONE CIRCUIT. Valuation of single family: $1,500.00 Valuation of mf/comm: $0.00 Type of Work: REMODEL Fees Collected: $71.66 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer Distric: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: I hearby 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 authorized to sign and obtain this development permit andanagree to the conditions attached to this permit. Signature: '1(--Th liL ' u� Print Name: \A..) Date: : (6 /, This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: <NONE> PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. LL..k 0 l" I Project No. Date Application Accepted: 029\ �ItJ 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 LOCATION ocMoob b ( Site Address: I ct(2 S y19- S Tenant Name: 1( / 3ki Veld/L.- PROPERTY OWNER Name: „ _ i l 1 /l Address: ` /n s'-2 lib,T t S City: /L✓�i%,,, ( State: ,I ,r Zip: ,n / 6 / CONTACT PERSON - person receiving all project communication Z_ Name: / c Addy,, C Address: / i b S tie T� 3 "State: City: -TU f .W 11 ik.. tAA_ Zip: 0 161� / Phone: z6 zz s c, 6 Fax: Email: s// _ �-►� ,04 votttdd • Cr King Co Assessor's Tax No.: Z?qet Suite Number: Floor: New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: City: e: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ L /.5730 Scope of Work (please provide detailed information): ilia �t , Gq,r�,-- rim G 1 Kt./Ai Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes I -N Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms-Applications On Line\2014 Apptications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $152.85 (including an attached garage) O Garages, pools, spas and outbuildings $81.90 ea O Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 0 Service change or alteration $81.90 (no added/altered circuits) Service change with added/altered circuits $81.90 0 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) V$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) $65.00 O Temporary service (generator) $80.90 O Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: U --'&V u� u � V % Mailing Address: I 1111 Day Telephone: Date: sNILi 2J0 zKz 5ss rn,k.,N 1 WAS ci s(lb City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $188.74 EL14-0191 Address: 14658 46 AVE S Apn: 0040000699 $71.66 ELECTRICAL $68.25 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 $68.25 TECHNOLOGY FEE $3.41 TECHNOLOGY FEE R000.322.900.04.00 $3.41 PG14-0033 Address: 14658 46 AVE S Apn: 0040000699 $117.08 PLUMBING $111.50 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 $32.50 PERMIT FEE R000.322.100.00.00 $79.00 TECHNOLOGY FEE $5.58 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R1402 R000.322.900.04.00 $5.58 $188.74 Date Paid: Thursday, March 06, 2014 Paid By: WILLIAM ALDRICH Pay Method: CHECK 1416 Printed: Thursday, March 06, 2014 1:09 PM 1 of 1 CR SYSTEMS INSPECTION RECORD Retain a copy with permit INSPE TION 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: /VII ( !K �•f Type of Inspection: w i4� Address: /11651( we Date Called: Special Instructions: Date Wanted: f. 6 /r Requester: i f Phone No: /`c i774,7 E—JApproved per applicable codes. Corrections required prior to approval. COMMENTS: — 0.(CA 1 <FrAC.1 "ZU ge Lr5UJ 7t 4 Rf f s I A-:47' (JR) )- /l W S t sTi4-47- - Ai./ A641 Rkf I ct 5 ro RF &C. RE-9---A . - gii-cc-4-1-r-r) KE+:. "ACa-'S 70 f L=��I i tPE1. PstSr \ r - , A2KL,t1 .i> Zi-Qui Fok `l% ovill-t''- - gK‹ e -. A t 9 Ta 86 ge-PIA- -€.-o. ui riot &'7P.e ( ii16.- sc t'ut 6 Inspector: Date: 01,hi�/'7 t 1 I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 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: 14 t ,/iCNI K f - Type of Inspection: A Address: , r“s, 11(0 n/ J` Date Called: Special Instructions: Pk%a Date Wanted: 5- fff Ca�wmy p.m. Requester: l nrw Phone No: U (L'e 22 Approved per applicable codes. L Corrections required prior to approval. COMMENTS: (tioiii . I.14 S To S /t cx conitat Inspector:.4"16,,tdpits Date: 040(1 bi REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 64-0r7, 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 64-0fit Project: _j 1j 14 I j J �I Type of Inspection: 7 15oc/ A/ Address:too Date Called: Date Wanted:5/0 qn.4., Special Instructions: t© V 1 W Pk \ Requester: 9 /f `� Phone No: ,i / C 87418 EtApproved per applicable codes. Corrections required prior to approval COMMENTS: , / f' 0,,J46& k r 1 bkit r k%1 c cz5 rie (wAi-0 w) r t4E bAu •' ` ., c J 5ei> tr- N c.`A I g -aJ i k. mils t - f kC-f -r t gg ! 83 - Pi ` At_ )(f S 1\) f ( cnu % U-4,�h - /Jo ,lam Ji 3 t,C5 P &i A l L e F-r .'( itikrilAiti Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be paid at 6300 Southcenter Blvd , Suite 100. CaIL to schedule reinspection. 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��i c Y ) • K Type of Inspection: 1,f , r / nj Address: Plw i�nq �l4✓ Date Called: r Special Instructions: Date Wanted: 3/ a.m , (// p.m. Requester: Phone No: Approved per applicable codes. n Corrections requi ed prior to approval. COMMENTS:., idcitr5Nor UJ(IL ! Q-o/G' / -- se-Nta mkS i vDot aki) To 3E 2. 'Lv t. nl h 4C. OL 5 T U g( WO' k 10 ' 2/0 hfk ZooP . - (Ddr . -ot5 76 R( 6,4P1,64-6,1 5- riNAJlP - /L,fn1 p d c 69AI b JL 4 E t 4u Tz> “14-tY-k.5 c4cc , as gaNip+ Attie 4t/PF14--it 'r t,. j n4 64o0^11) iZo b — 5y5 3 tAicI1ifi1pe- j5u 2Ft %ffk ocP0s -ice RA-14. Sr0,Juvu ae- Iicvroft0) id PPt o411A)1414 Inspector: \sift./ fi‘ Date: 0 /z f REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Department of Community Development 11/3/2014 BILL ALDRICH 14658 46 AVE S TUKWILA, WA 98168 RE: Permit No. EL14-0191 NHI VAN RESIDENCE 14658 46 AVE S Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/16/2014. Based on the above, you are hereby advised to: 1) Ca11 the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need toextend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/16/2014, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, ,cv4c; r Marshall Technician File No: EL14-0191 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 CITY OF TUKWILA Department of Community Development 630o Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 E-mail: tukplanPci.tukwila.wa.us Permit Center/Building Division 206 431-367o Public Works Department 206 433-0179 Planning Division 206 431-367o AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) COUNTY OF KING ss. i Lliav 7kUr;c1-\. [please print name] , states as follows: PERMIT NO: EtAb\ 41 Qi\t\- 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 18.27.09o. 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 11-, 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. Owner/Owner's Agent* Signed and sworn to before me this Lliaday of G , 20 tt._ . NOTARY PUBLIC in and for the State of Washington Residing at VLJ , County Name as commissioned: S a So 7 C-` My commission expires: 1 0 R Of' )-6) 15 18.27.090 Exemptions. The re. ration provisions of this chapter do not apply 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 46.7o RCW who shall warranty service and repairs under chapter 46.7o 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 holds a valid electrical contractor's license under chapter 19.28 RCW that'employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical' trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in -kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and/or water connections. An electrical trainee must be supervised by a certified electrician 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.