HomeMy WebLinkAboutPermit EL19-0567 - MATEVOSOV RESIDENCE - HOME REMODEL, ADDING NEW OUTLETS, FANS AND CEILING LIGHTS.MATEVOSOV RESIDENCE
12091 44T" PL S
ELI 9-0567
Parcel No:
Address:
City of Tukwila
a
ent of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 2O6'438 -935O
Web site: http://www.TukwilaWA.gov
3347401475
12091 44TH PL S
;ELECTRICAL OTC PERMIT
Project Name: MATEVOSOV RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
EL19-0567
7/9/2019
1/5/2020
Owner:
Name:
Address:
MATEVOSOV MATEVOS+SEDA MATE
1ZU9l44THPLS'TUKVV|U\WA,
98178
Contact Person:
Name: SEDA MATEVOSOV
Address: 12U9l44THP1S,TUKVV|U\WA,
98178
Contractor:
Name: OWNER AFFIDAVIT 'SEDA
MATEVOSOVA
Address:
License No:
Lender:
Name:
Address:
'''
Phone: P06) 755-7598
Phone:
Expiration Date:
DESCRIPTION OF WORK:
HOME REMODEL, ADDING NEW OUTLETS, FANS AND CEILING LIGHTS.
Valuation of single family: $0.00
VaIuaton of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $173.04
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA
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:
2017
20172017
2015
d, e 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 per . it and agree to- condi 'o s attached to this permit.
Signature: � Date: 7
Print Name:
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. Lig c57 7
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
King Co Assessor's Tax No.:
Site Address: /.)6 AP/°J-s Suite Number: Floor:
Tenant Name: I n 41_,Le VaSth,/ re SI ihitc -e New Tenant: ....Nes D..No
PROPERTY OWNER
Name: M AT EVos VI PT aSPO V
Address: / A 0 g f
Li 1.1 P1' soce4-tt
City: Tu.vav I
State: Zip9sS 17
CONTACT PERSON — person receiving all project
communication
Name: S' En /4 M A- T 1:-: (10 so V 4"
Address: /2 0 9 1 L1 (,/ f Sou -/-1,1
Zip: g 30
City: Luz ut , 14 (a, State: k' [J
phone:006)
Emaii:redat_ itta4vi, 0 „cc ti_ct., /23 cct?
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Q4-1
Valuation of Project (contractor's bid price): $
t>0
Scope of Work (please prov'de detailed information):
Ore_ Yel/na/91
Olt /Ss e -Ft cee 3 0-00,
)
/(9-179_
Will service be altered? El Yes Adding more than 50 amps? CI Yes _..No
Type of Use:
Tvpe of work:
New 0 Service Change ,'Remodel
O Low Voltage 0 Fire Alarm 0 Telecommunication
O Addition
O Generator
Propertv Served by:
O Puget Sound Energy Seattle City Light
WAPermit CenterkApplications-HandoutsTermit ApplicationsTDFs \ Electrical Permit Application Revised I -17-19c
El Tenant Improvement
0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O 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
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
715- (ivp 3
5 sw 71/ 7L/4-2,--712,
/) 0154 Cell flj 4.09 149)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
O Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
lECHNOLOGY 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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE OR ELECT CONTRACTOR:
Signature:
Print Name:
Mailing Address:
UI / W/i-
W:Temit ContenApplications-HandoutsTarmit ApplicationskPIDFskE tact rical Permit Application Ravised I-17-19.6am
Date:
Day Telephone:
City
State
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$173.04
EL19-0567 Address: 12091 44TH PL S
Apn: 3347401475
$173.04
Credit Card Fee
$5.04
Credit Card Fee
R000.369.908.00.00
0.00
$5.04
ELECTRICAL
$160.00
PERMIT FEE SINGLE FAMILY
R000.322.10L00.00
0.00
$160.00
TECHNOLOGY FEE
$8.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18078$173.04
R000.322.900.04.00
,
0.00
$8.00
Date Paid: Tuesday, July 09, 2019
Paid By: SEDA MATEVOSOV
Pay Method: CREDIT CARD 06524A
Printed: Tuesday, July 09, 2019 12:26 PM 1 of 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206'433'1870
CITY OF TUKWILA
Date: 07/09/2019 I2:25:50 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********5555 K
THAN AMOUNT: S173.04
APPROVAL CD: 06524A
RECORD #: 000
CLERK ID: kandace
Thank you!
Customer Copy
INSPECTION RECORD
Retain a copy with permit
INSP • TION NO. P ' IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431
Permit Inspection Request Line (206) 438-9350
Project:
r
Type o Inspection:
Address:,�
Date Coiled:
Special Instructions:
Date Wanted:
p.m.
Requester:
Phone No:
Approved per applicable codes.
0MIEi'NT
Corrections required prior to approval.
nspecto
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Coit to schedule reinspection.
City of Tukwila
Allan Ekberg, Mayor
Department of Community Development - Jack Pace, Director
January 2, 2020
Matevos Matevosov
12091 44 PI S
Tukwila, WA 98178
RE: Request for Extension #1
Permit Number EL19-0567
Dear Matevos Matevosov,
This letter is in response to your written request for an extension to Permit EL19-0567. The Building
Official, Jerry Hight, has reviewed your letter and considered your request to extend the above
referenced permit. It has been determined that the City of Tukwila Building Division will be granting an
extension to the permit through July 8, 2020.
If you should have any questions, please contact our office at (206) 431-3670.
Sincerely,
Bill Rambo
Permit Technician
File: Permit No. EL19-0567
Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov
\9O7
dov
et4-rivos
e/ 1 cR
r2aCc(-( 5 u)c
o -f-
ovr aoires-
TJ
RECEIVED
CITY OF TUKWILA
DEC 2 4 2019
PERMIT CENTER
Request for Extensim #
Currenr Expiration Date: 1—g
Extension Request:
Approved for days
rH Denied (provide cxplanarion)
Signature
12/3/2019
City of Tukwila
Allan Ekberg, Mayor
Department of Community Development
SEDA MATEVOSOV
12091 44TH PL S
TUKWILA, WA 98178
RE: Permit No. EL19-0567
MATEVOSOV RESIDENCE
12091 44TH PL ST
Dear Permit Holder:
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 1/8/2020.
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 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 1/8/2020, 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: ELI9-0567
6300 Southcenter Boulevard Suite 11100 • Tu ila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CITY 0 TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (2o6) 431-3670 FAX (206) 431-3665
E-mail: tukplanRci.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 REGISTRAIJON
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
SEA MA7EVas01/4
[please print name]
, states as follows:
PERMIT NO:
1
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 requireme t of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number JL, 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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/Owner's Agent*
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Signed and sworn to befo
day of
e me this
NO ARY PUBL
(e_JiAls
he State of Washington
Residing at L3S-11-3 3051 1" ,County
Name as commissioned:
My commission expires'