HomeMy WebLinkAboutPermit EL15-0862 - BAYARRA RESIDENCE - SAFETY INSPECTIONBAYARRA RESIDENCE
1222144 TH AVE SE
EL15-0862
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 0179000410
Permit Number: EL15-0862
Address: 1222144TH AVE S
Issue Date: 10/7/2015
Permit Expires On: 4/4/2016
Project Name: BAYARRA RESIDENCE
Owner:
Name, GREENE DIANE
Address: 1222144TH AVE S , SEATTLE, WA,
98178
Contact Person:
Name: SURNAIZAR BAYARAA
Phone:
Address: 5022164TH ST SW, EDMONDS, WA,
98026
Contractor:
Name: N/A - SAFETY ONLY
Phone:
Address:
License No:
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
SAFETY INSPECTION ONLY
Valuation of single family: $1.00
Fees Collected: $68.25
Valuation of mf/comm: $0.00
Type of Work:
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: w kym Datei d
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 and agree to the conditions attached to this permit.
Signature: Date d
Print Name: A
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:
1: 'ELECTRICAL PERMIT CONDITIONS'
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
S: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100
ELECTRICAL FINAL
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$68.25
EL15-0862 Address: 1222144TH AVE S Apn: 0179000410
$68.25
ELECTRICAL
$65.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R6353
R000.322.900.04.00 0.00
$3.25
$68.25
Date Paid: Wednesday, October 07, 2015
Paid By: SURNAIZAR BAYARAA
Pay Method: CREDIT CARD 014513
Printed: Wednesday, October 07, 2015 10:47 AM 1 of 1
SYSTEMS
CITY OF TUKW- I
Community Development Department
Permit Center
• 6300 Southeenter- Blvd., Suite 100
Tukwila, WA 98188
bUV://www.TukwilaWA.gov
Electrical Permit No. W�-o
�t('
Project No.
Date Application Accepted:
Date Application Expires: _
use
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 / 2 2 2 ` yyr i 4-V67 E 72" KiJi'l-4 W 14 c?hW
King Co Assessor's Tax No.:
Site Address: 2 2 % //(t5= Z= V'F Q ��t%an, 'A14 Suite Number: Floor:.
Tenant Name: New Tenant: ❑ ..... Yes VNo
PROPERTY OWNER
Name:
Address: �'Z 2 �� `1 S f s
City: ���WS State: ,,4 Zip:9,f V2
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: State: Zip:
Phone.. Fax:
Email:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:Wpplicationsfforms-Applications On Line\2014 ApplicationsTicarical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
City: State: Zip:
Phone: Fax:
Contr Reg NO.: Exp Date:
Tukwila Business License No.;
Adding more than 50 amps? ❑ Yes [:1 No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page] 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)
PERMIT APPLICATION NOTES -
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑
Temporary service (residential) ..................................
$65.00
❑
Temporary service (generator) ...................................
$80.90
❑
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***
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 OWNER OR ELECTRICAL CONTRACTOR:
Print
Mailing
Date:
Day Telephone: 2 O G
city
State
Zip
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
!INSPECTION RECORD
Retain a copy with permit �r
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., 4100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of I cti n:
Address: 2-i
r/.
Date Called:
Special Instructions:
Date Wanted: a.
/Ol p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD /
Retain a copy with permit -D�j
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: IVss��
is -
Type of Inspection:
/V"
Address: A[
Date Called:
Special Instructions:
Date Wanted: a.m.
�O O�
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
% 5 c �-(� f� '&Jfk-izamj Id 60ko o
vrLA
IInspector: C —Av"� IUate: I
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.