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Permit EL16-0282 - NYBORG RESIDENCE - THERMOSTAT REPLACEMENT
NYBORG RESIDENCE 1630247 TH PL S EL16-0282 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 Parcel No: 5379800462 Permit Number: EL16-0282 Address: 16302 47TH PL S Issue Date: 3/30/2016 Permit Expires On: 9/26/2016 Project Name: NYBORG RESIDENCE Owner: Name: NYBORG RONALD A+JULIE ANN Address: 16302 47TH PL S, TUKWILA, WA, 98188 Contact Person: 2012 Name: TOM CUNNINGHAM Phone: Address: 4202 AUBURN WAY N #8, AUBURN, 2012 WA, 2014 Contractor: 2012 Name: CITY SHEET METAL Phone: (253) 510-0857 Address: 4202 AUBURN WY NO, #8, AUBURN, 2012 WA, 98002 2012 License No: CITYSM*173JA Expiration Date: 1/1/2010 Lender: Name: Address: Date: DESCRIPTION OF WORK: REPLACE OLD THERMOSTAT WITH NEW. USE EXISTING WIRE. Valuation of single family: $150.00 Fees Collected: $62.84 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGET SOUND ENERGY Water District: HIGHLINE Sewer District: VALLEY VIEW 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 296-468: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: "l 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 constr ction or the performance of work. I am authorized to sign and obtain this developme er ' pncJ�fi'gree the on attached to this permit. Signature:_ Print Name: Date: 6 3 (3e,' (t� 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. 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. tZlls -6ZFZ— 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 t King Co Assessor's Tax No.. 5379800462 Site Address: 16302 47th PL. S. Tukwila Wa. 98188 Suite Number: n/a Floor: n/a Tenant Name: Ron Nyborg New Tenant: ❑..... Yes ®..No PROPERTY OWNER Name: Ron Nyborg Address: 16302 47th PL. S. City: Tukwila State: Wa Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Tom Cunningham Address: 4202 Auburn Way N #8 City: Auburn State: Wa Zip: 98023 Phone: (253) 852-2174 Fax: (253) 852-2252 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: City Sheet Metal Address: 4202 Auburn Way N #8 City: Auburn State: Wa Zip: 98023 Phone: (253) 852-21.74 Fax: (253) 852-2252 Contr Reg No.: CITYSM*004C4 Exp Date: 01/18/201.8 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 150 Scope of Work (please provide detailed information): Replace old thermostat with a new thermostat Use existing wire Will service be altered? ❑ Yes m No Type of Use: Tvoe of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy ❑ Seattle City Light H:Wppliwtions\Form-Applications On Line\2014 Applications0ectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes m No ❑ Tenant Improvement ❑ Temporary Service Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings ................................... $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings ........................$81.90 ea m 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 LAW�,OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Print Mailing Address: CvL.-UL1 141, k-111- t1U HAApplicationsTorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14. do" Revised: January 2014 bh Date: 3o Z41 Day Telephone: (-C W Zip Page 2 of 2 DESCRIPTIONS PermitTRAK • QUANTITY • 1 $272.00 EL16-0282 Address: 16302 47TH PL S Apn: 5379800462 $62.84 ELECTRICAL $59.85 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $59.85 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.99 M16-0050 Address: 16302 47TH PL S Apn: 5379800462 $209.16 MECHANICAL $199.20 PERMIT FEE R000.322.100.00.00 0.00 $166.70 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $9.96 TECHNOLOGY FEE •TAL FEES PAID BY RECEIPT: R8067 R000.322.900.04.00 0.00 $9.96 $272i l Date Paid: Wednesday, March 30, 2016 Paid By: SONDON INC Pay Method: CREDIT CARD 061802 Printed: Wednesday, March 30, 2016 12:15 PM 1 of 1 SYSTEMS INSPECTION RECORD c•�/,,� Retain a copy with permit( INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: W Address:14,;02,17 Date Called: Special Instructions: Date Wanted: a.m L Requester: Phone No: Inspector: Date: ❑ REINSPECTIb FEE REQUIRED. Prior to next inspection, fee Lst be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit��� INSPECTION NO. PERMIT N0. 4 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: A&6A� �e T Inspecti I AIN/ ©c� l Address: 1&30)7—g7 h, Dat'le Called: 11 Special Instructions: 100 V Date Wanted: © a.m. Requester: Phone No: 3?2 o L ElApproved per applicable codes. I Corrections required prior to approval. COMMENTS: 45 tiI 0 V cFTW �t �1L1Al �. CQ�A1 � uW SA-�t P' p, +c5 A T- O'l p6A-4 r alt n1-Uur nn rA L C') Ir r 'JU?C.P pector: ❑ REINSPECTION IFEE REQUIRED.IPrior to next inspection, fee must be paid at 6300 Southcenter Blvd,, Suite 100. Call to schedule reinspection. INSPECTION RECORD "PERMITNO. Retain a copy with permit INSPECTION N0. CITY OF TUKWILA BUILDING D 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request line (206) 438-9350 Project: Type of I _ ection: 4 4 �c uvz kA, W1 ZA-kA-4t,45 Address: (0 Z' y 7 Date Called: 1 Special Instructions: I (� Date Wanted: a.m p.m. Requester: J66 -4 A -r-& P1 Phone No: C)rF IAV t-15 7 -td , '4,. P 14 -r 0 n ElApproved per applicable codes. V Corrections required prior to approval. COMMENTS:-(- �.f Po,Hi �fS60A]4 , ' (.� ~.. �c uvz kA, W1 ZA-kA-4t,45 J.i�9 � mal�= C' 6Oxz J66 -4 A -r-& P1 ►- C)rF IAV t-15 7 -td , '4,. P 14 -r 0 n TA� _ PO C-;-- (Al IJ -CLAW&,E -T-0 , Q t t d F� Aj I UIfrg J5 �Inspector:� Iuate: 0 313 //X- REINSPECTIM FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. CITY SHEET METAL Home Espanol Contact. Safety & Health Claims & Insurance 4nWashington State Department of Labor & Industries CITY SHEET METAL Owner or tradesperson 4202 AUBURN WAY 8 AUBURN, WA98002 Principals 253-852-2174 CUNNINGHAM, PATTI KING County CUNNINGHAM, THOMAS CUNNINGHAM, THOMAS, AGENT Doing business as CITY SHEET METAL WA UBI No. Business type 600 418 453 Corporation Parent company SONDON INC License Page 1 of 2 A -L Index Help MY, Lfil Workplace Rights Trades & Licensing Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ......................._..................................... Meets current requirements. License specialties HVACIRFRG License no. CITYSM*004C4 Effective — expiration 02/2412000— 01/18/2018 Designated_ administrator Active. ANSEN, RUSSELL Meets current requirements. License type License no. Electrical Administrator JENSER*946BO Bond ..._............ OHIO CAS INS CO $4,000.00 Bond account no. 3318649 Effective date 02/22/2000 Expiration date Until Canceled Savings ................. No savings accounts during the previous 6 year period. License Violations ...................................................... No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. https:Hsecure.lnima.gov/verify/Detail.aspx?UBI=600418453&LIC=CITYSM*004C4&SAW= 3/30/2016