HomeMy WebLinkAboutPermit EL19-0476 - EZZEDDINE RESIDENCE - SAFETY INSPECTION FOR ELECTRIC PANEL.EZZEDDINE RESIDENCE
SAFETY INSPECTION
4010 S 150 ST
EXPIRED
12/01/19
ELI 9-0476
Parcel No:
Address:
CityProject Name:
of Tukwila
t of Community Development
63OUSouthoenuerBoulevard, Suite #zOO
Tukwila, Washington 98188
Phone: 206-431'3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
0041000283
4VlOS15UTHSTBLDG l
ELECTRICAL OTC PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EZZEDDINE RESIDENCE - SAFETY INSPECTION
EL19-0476
6/4/2019
12/1/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
EZZEDD|NEKxOMAMAD
lZ822NE7UTMPL'K|RKLAND'WA,
98033
MOHAMAD EZZEDDINE
4OlO5I5OTM5T'TUKVV|LA,WA,
98188
Contractor:
Name: OWNER AFFIDAVIT OKSANA
GUR|NnvA
Address:
License No:
Lender:
Name:
Address:
''^
Phone: (425) 623-4232
Phone:
Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION FOR ELECTRIC PANEL.
Valuation of single family: $100.00
Valuation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $64.89
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwlla:
nternational Buliding Code Edition:
lnternational Residential Code Edition:
lnternational Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
Permit Center Authorized Signatu e:
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u��Azx.�o��� '~ ���^�_���� Date � wp- -' y
I hearby certify that | 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 ofwork. 1 am authorized to sign and obtain this
development permit and agre o the conditions attached to this permit.
Signature:
Print Name:
Date:
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: ***[LE[TR|CALPERMIT [ONDOlONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
lnspector 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 accordarice 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 buliding, 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
docurnentation 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 REQIJIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. a./ 1-.? 7(o
Project No.
Date Application Accepted: 62 Date Application 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
King Co Assessor's Tax No.:
Site Address: 4/ 4O 8011 3--k Suite Number: Floor:
New Tenant: 0 .....Yes 0 „No
Tenant Name:
PROPERTY OWNER
Name: Mdiva masjk E andok vuz___,
Name: Ako tAcultkota 2
,
Address:4040 5 4 .5 0 .114
S4.
City: ' 1 i
12 t La_ State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Mdiva masjk E andok vuz___,
Address: 40 fo S 4 6-ro 4, S—J
City: Iik StateW.A__ Zip:
Phone: 4,2,6 be3 /./2.3ap_
Email:, -P-22-
111.43' viaAl. e,
(AA
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
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
--7[KI Ca /
Will service be altered? E1 Yes )(No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0. Remodel
El Low Voltage 01 Generator 0 Fire Alarm 0 Telecommunication
Adding more than 50 amps? ED Yes
Property Served by:
O Puget Sound Energy Seattle City Light
W:Wermit Center \Applications -Handouts Permit Applications \PDFs1Electrical Permit' Application Revised 1-17-19.docx
O Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $180.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $120.00 ea
❑ Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $120.00
(no added/altered circuits)
❑ Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $60.00
(up to 5 circuits)
❑ Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
❑ Meter/mast repair $80.00
❑ Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
❑ Carnivals$100.00
Number of concessions 511.00 ea
Each ride and generator truck $11.00 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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY 13Y 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: 06 /
Day Telephone:
Mailing Address:
City
W:tPermit CenterlApplications-Handouts',Pemtit ApplicationstPDFAElectricd Permit Application Revised I-I7.19.dou
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R17801
DESCRIPTIONS
PermitTRAK
ACCOUNT
1 QUANTITY I
PAID
$64.89
EL19-0476 Address: 4010 5 150TH ST BLDG 1
Apn: 0041000283
$64.89
Credit Card Fee
$1.89
Credit Card Fee
R000.369.908.00.00
0.00
$1.89
ELECTRICAL
$60.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$60.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17801
R000.322.900.04.00
0.00
$3.00
$64.89
Date Paid: Tuesday, June 04, 2019
Paid By: MOHAMAD EZZEDDINE
Pay Method: CREDIT CARD 065515
Printed: Tuesday, June 04, 2019 12:56 PM 1 of 1
YSTEMS
CO0
TUKWILA ETRAKIT
6208 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0817348808802374404500
Date: 06/84/2019 12:55:26 PM
CREDIT CARD SALE
VISA
CARD NUMBER: +***+*9851 K
TRAN AMOUNT: $64.89
APPROVAL CD: 065515
RECORD #: 000
CLERK ID: kandace
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
11/1/2019
City of Tukwila
Department of Community Development
MOHAMAD EZZEDDINE
4010 S 150TH ST
TUKWILA, WA 98188
RE: Permit No. EL I9-0476
EZZEDDINE RESIDENCE - SAFETY INSPECTION
4010 S 150TH ST
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 12/1/2019.
Based on the above, you are hereby advised to:
1) CaII 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 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 12/1/2019, 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,
Bill Rambo
Permit Technician
File No: ELI9-0476
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) 431-367o 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
PERMIT NO:ki49—'17 (.0
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
0KSO0A0,- G14:1 AO , states as follows:
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2, 1 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 requiremnIt of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under numberl..3, 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.
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3 Cal 3 I
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11/11110, P WAS04
'111%tioNoNO"
Owner/0 er's Agent*
Signed and sworn to before me this
04i day of
14, Vit-/ , 20 a.
w`t
Y PUBLIC in and for the State of Washington
, County
Residing at
Name as commissioned: /tcatc),e.41/1,/eK1(
My commission expires: 511(a\a-,
18.27.090 Exemptions. The registration provisions of this
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 46.70 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
�.l
chapter do not apply to:
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.