HomeMy WebLinkAboutPermit EL17-1005 - CABIAO ADULT FAMILY HOME - TEMPORARY POWER AND FIRE ALARMCABIAO ADULT FAMILY
HOME
15854 42ND AVE S
EXPIRED
11/10/18
ELI 7-1005
Parcel No:
Address:
0
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 OTC PERMIT
8108600582 Permit Number: EL17-1005
15854 42ND AVE 5
Project Name: CABIAO ADULT FAMILY HOME
Issue Date: 12/12/2017
Permit Expires On: 6/10/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
CABIAO LEONARD F+LUZVIMINDA
15854 42ND AV 5 , TUKWILA, WA,
98188
LEONARD F CABIAO
19010 112TH PL SE , RENTON, WA,
98188
Contractor:
Name: OWNER AFFIDAVIT
Address:
License No:
Lender:
Name:
Address:
/11
Phone: (206) 856-5211
Phone:
Expiration Date:
DESCRIPTION OF WORK:
TEMPORARY PWER FROM THE STREET TO THE HOUSE, LOW VOLTAGE FIRE ALARM
Valuation of single family: $500.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $209.43
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: HIGHLINE
Sewer District: NONE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
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:
Print Nark(
Date ? `i /?
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 and the Washington Cities Electrical Code.
5: 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
CITY OF TUKWP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. a\1to
o9--
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 LOCATION C ( LA N /A S {4pt g 1 (�
j� ,Q j�King Co Assessor's (Taax No.:
Site Address: ( 4 a`"`-'1 AY 3 114'w 11 (4 W uite Ii�Yi U Floor:
Tenant Name:
PROPERTYfOWNER
Name: LeoN A 4? F - ij f 44
Name: te0 (y
I.
p r' ' Q./413/
Phone: r1) , ^ ZS ��P 5a- f rax:
�C
Address: q 0 �D
kf k+C& fL '
1
City: Q ,t pt
State: n ,t / /`
Zip: I go 1
CONTACT PERSON — person receiving all project
communication
Name: LeoN A 4? F - ij f 44
Address: (9 0 10 ((a' K F L S (-
City: gt:::: NtState: W 4_ Zip: i g
_l �i
Phone: r1) , ^ ZS ��P 5a- f rax:
�C
Email: u Q vtv\ LA `�' G (th , 0 lig( Cl.0 t. C
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (�``
(7'(
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):
Will service be altered? ❑ Yes
Type of Use:
Type of work:
New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
o Adding more than 50 amps? 0 Yes
❑ Service Change
❑ Fire Alarm
W:\Permit Center\Applications-Handouts\Permit Applications \Word\Hlectrical Permit Application Revised I-I-2017.docx
Revised: January 2017
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❑ Remodel
O Telecommunication
O Tenant Improvement
❑ Temporary Service
Page 1 of 2
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
[ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
•14 Low voltage systems
t (alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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.
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:
Signature.
Print Name:
Date:
Leo (Y Y IF, CA -VA() Day Telephone:
Mailing Address: ( l (0 `( a±k 7L S g TV t/ q " ctk O
City State
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised t-1-2017.docx
Revised: January 2017
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Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
I QUANTITY
PAID
$209.43
EL17-1005 Address: 15854 42ND AVE 5
Apn: 8108600582
$209.43
Credit Card Fee
$6.10
Credit Card Fee
R000.369.908.00.00
0.00
$6.10
ELECTRICAL
$193.65
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$127.35
PERMIT FEE MISCELLANEOUS
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$9.68
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R13007
R000.322.900.04.00
0.00
$9.68
$209.43
Date Paid: Tuesday, December 12, 2017
Paid By: LEONARD F CABIAO
Pay Method: CREDIT CARD 08757F
Printed: Tuesday, December 12, 2017 12:19 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: /1
t( j'
Type of Inspection:�
�
Address: / c
/" Al
Date Called:
Special Instructions:Date
÷ /L
/
Wanted:lifip
m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
gib
' TH1P a✓6\,14-E*�
,5924,11c‘
Inspector:
Date: 051t1
REINSPECTION =EE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
RMI NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project:
t (1/
Type of Inspection:
_5'—
o�dt:c
Address: r
r/ ! /4"
Date Called:
Special Instruction :
't Paid9L
Date Wanted:
,!!•_
Requester:
Phone No:
)APPr( per applicable codes.
oved0 Corrections required prior to approval.
COMMENTS:
Date:
0370 CA
REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
10/1/2018
City of Tukwila
Department of Community Development
LEONARD F CABIAO
19010 112TH PL SE
RENTON, WA 98188
RE: Permit No. EL17-1005
CABIAO ADULT FAMILY HOME
15854 42ND AVE S
Dear Permit Holder:
Allan Ekberg, 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 11/10/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or fmal 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 to extend 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 11/10/2018, 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 thmatter.
Sincere y,
achelle Ripley
Permit Technician
File No: EL17-1005
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-3670 FAX (206) 431-3665
E-mail: tukplan@ci.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
PERMIT NO: (01/-
\ O (/ -
STATE OF WASHINGTON)
COUNTY OF KING )
ss.
L cN-A.r q) t,4
[please print name]
, states as follows:
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 (2), and will therefore
not be performed by a registered contractor.
5. 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.
1111\\\\\‘\••
ner/Owner's Agent*
Signed and sworn to before me this
day of Pt c , 2011 .
�ji[/)IVNOTARY P Y BLIC,in aid for thState of Washington
VI\
Residing at
Name as commissioned: QA,0
My commission expires: 1)-.
U- ► NO
6\i
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;
,ilii-!.r,'r
18. An entity who holds a valid electrical°cnntfactor's
license under chapter 19.28�RCW that eniplo"ys a certified
journeyman electrician; a certified residential "specialty
electrician, or an electrical trainee meeting the Z.
requirements of chapter 19.28 RCW tb perform plumbing
work that is incidentally, directly, and immediately;
appropriate to the like -iii -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.