HomeMy WebLinkAboutPermit EL19-0759 - SOUTHCENTER COMMUNITY BAPTIST CHURCH - REPLACE KNOB, TUBE WIRE AND ALUMINUM WIRE WITH 12 GAUGE ROMEX WIRESOUTHCENTER COMMUNITY
BAPTIST CHURCH
14742 MACADAM RD S
7661600211
EXPIRED
E L19-0759
City of Tukwila
a
Department of Community Development
630OSowthcenterBoulevard, Suite #lOO
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No: 7661600211 Permit Number: EL19'0758
Address: 14742 MACADAM RD S Issue Date: 9/17/2019
Permit Expires On: 3/15/2020
Project Name: SOUTCENTER COMMUNITY BAPTIST CHURCH
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TUKWILA BAPTIST CHURCH
l474ZMACADAM RD5'TUKVV|LA,
WA, 98188
JEREMY SHORT Phone: (206) 618-6075
S42Z16TMAVE Sw,SEATTLE, WA,
98106
OWNER AFFIDAVIT -JEREMY SHORT Phone:
'''
Expiration Date:
DESCRIPTION OF WORK:
REPLACE KNOB AND TUBE WIRE AND ALUMINUM WIRE WITH 12 GAUGE ROMEX WIRE.
Valuation of single family: $1,0000
Vauation of mf/comm: $0.00
Type of Work: REMODEL
Fees Collected: $6I00
Electrical Servfte Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
Interriational Residential Code Edition:
Iriternational Mechanical Code Edition:
Uniform Plumbing Code Edition:
2015International Fuel Gas Code:
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature:
oacto .A,4J
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 pe
state or local laws re
development per
t does not presume to give authority to violate or cancel the provisions of any other
ing construction or the performance of work. I am authorized to sign and obtain this
d agree to the conditions attached to this permit.
Signature: '♦ /./ Date:
Print Na
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. E2_19 075
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: /q 71/ 2 fikicAoion Ro Suite Number: Floor:
Tenant Nanrie:SOUTMCETSTER. OADMIMAIS 11-4 BAPTIST ettkl Re H New Tenant: D .....Yes ..No
PROPERTY OWNER
Name
CENrEit ammispore BOUT eifiata4
Address: iti 7 41,2 Age 4004, RD E
City: TuKt414.4 State: (A) A Zip: cis14 g
CONTACT PERSON — person receiving all project
communication
Name: .—r-
4 elzernY Silo ar
Address: 5f 21 /4 nd AV,- c tt/
City: s State: w p Zip: ?km,
Phone: zo 1 4, 1 •
Email: N ill SoillJOa Li Y a 6 001 L. . com
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): $ /j CO 0
Scope of Work (please provide detailed information): KaPt-ACE" 1'b 1.3 nage- wige IlLUMIA14),71
WIfie tidtTh 12- 6UAG 1ZO1 t r me"
Will service be altered? Yes No Adding more than 50 amps? 0 Yes XI No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change RI Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
El Puget Sound Energy Vq• Seattle City Light
W: \Permit CenteMpplications-Handouts \Pennit AppIicationsAPDFAElectrical Permit Application Revised I-17-19.docx
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
0 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/aftered circuits $100.00
number of added circuits ....„,.„ .... .„....$10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
0. 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)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 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%
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 BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNE ELECTRIC CONTRACTOR:
Signature:
Print Na Ege Yttorel
Mailing Address: 54/2/ /4 yive-
17- /
Date:
Day Telephone: 2O6-61f-Co7.5"
ATri-e-- WIN 9 t0c,
City Statc Zip
W3Permit CenterVipplications-HendoutsTerrna Applications1PDFAElectrical Permit Application Revised 1-1.7-19.clocx
Page 2 of 2
Cash Register Receipt Receipt Number
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY : PAID
PerrnitTRAK $843.79
D19-0288 Address: 14742 MACADAM RD S Apn: 7661600211 $397.07
DEVELOPMENT $378.47
PERMIT FEE
R000.322.100.00.00
0.00
$371.97
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$6.50
TECHNOLOGY FEE $18.60
TECHNOLOGY FEE
R000.322.900.04,00
0.00
$18,60
EL19-0759 Address: 14742 MACADAM RD S Apn: 7661600211 $63.00
ELECTRICAL $60.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$60.00
TECHNOLOGY FEE $3.00
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.00
M19-0156 Address: 14742 MACADAM RD S Apn: 7661600211 $104.42
‘
.
MECHANICAL 99.45
PERMIT FEE
R000.322.100.00.00
0.00
$66.30
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE $4.97
TECHNOLOGY FEE
R000.322.900.04.00
0,00
$4.97
PG19-0129 Address: 14742 MACADAM RD S Apn: 7661600211 $279.30
GAS $103.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$35.00
PERMIT FEE
R000.322.100.00,00
0.00
$68.00
PLUMBING $163.00
PERMIT FEE
R000.322.100.00.00
0.00
$128.00
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$35.00
TECHNOLOGY FEE $13.30
TECHNOLOGY FEE R000.322.900.04.00 0.00 $13.30
TOTAL FEES PAID BY RECEIPT: R18597 :-. T $843.79
Date Paid: Wednesday, September 18, 2019
Paid By: SOUTHCENTER COMMUNITY BAPTIST
Pay Method: CHECK 3001
11111•110MONOVII111•111110,
Printed: Tuesday, September 17, 2019 4:46 PM 1 of 1
YSTEMS
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) 431-3670
Permit Inspection Request Line (206) 438-9350
Project(
, %j" 5
e of Inspection:
( \
Address: /.1 7 ti
Date Called:
Special Instructions:
Date Wanted:
r t
a.m.
P.m.
Requester:
Phone No: 2...66
SC.3' t
Approved per applicable codes. 11 Corrections required prior to approval.
OMMENTS:
inspector:
rq g -34)\16,P\
Date:
(tu0
[� REINSPECTIOt( FEE REQUIRED. Prior to next inspectio . fee must be
l l paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
0-fer e- PI 6\ Ne
please print name]
Sh
states as follows:
PERMIT NO: big
N519- 0 (-2cl
TY) - CAS(a
E1-19 - 015
1. I have made application for a permit from the City ofTukwila, 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 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 9 rwise have under state law in any decision
to engage an unregistered contractor to perform constructio
Agent
Signed and sworn to before me this
I -7 day of
, 2Oj.
Residing at
Name as commissioned:
My commission expires:
, County
-V _it Ai‘C ho
2.5