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Home My WebLink AboutPermit EL13-0151 - POLL BUILDING - LOW VOLTAGEPOLL BUILDING 3920 S 146 ST EL13-0151 City oftukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 0040000254 Address: 3920 S 146 ST TUKW Project Name: POLL BUILDING ELECTRICAL PERMIT Permit Number: EL13-0151 Issue Date: 02/13/2013 Permit Expires On: 08/12/2013 Owner: Name: POLL TUKWILA LLC Address: 8915 SE 44TH ST , MERCER ISLAND WA 98040 Contact Person: Name: Address: JEREMY MOELLER I Contractor: Name: C F M HEATING & COOLING INC Address: P 0 BOX 3205 , IURIC,AND WA 98083 Contractor License No: CFMHEFM953QT Phone: Phone: 425 821-1293 Expiration Date: 11/30/2013 DESCRIPTION OF WORK: RELOCATE 2 EXISTING THERMOSTATS Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $63.00 2008 Date: ()--` J 3 I hereby certify that I have read and examined this permit and know the sante 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 thi construction o -t Signature: rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating rformance of work. I authorized to sign and obtain this electrical permit. vI,Z-G Print Name: .GG emy xisk„- Date:e% This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL13-0151 Printed: 02-13-2013 • PERMIT CONDITIONS • Permit No. EL13-0151 **ELECTRICAL** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA TO - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL13-0151 Printed: 02-13-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L-1-1 ?j—O l3-1 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 Site Address: �. me tt- &E_ King Co Assessor's Tax No.: OOL(OcC ozjq Tenant Name: til It'._i()C Suite Number: PROPERTY OWNER Name: 0—ere AlUfit Name: Poll TiI6iiu LIC Phone: /55',1 _ 12g3 Fax: 1/25,62/....,43 ,Ba Address: 8gi5— 6e qq 3f Tukwila Business License No.: City: MerCer War, State: I, Q_ Zip: 7 0 Q CONTACT PERSON — person receiving all project communication Name: 0—ere AlUfit f7D , NX o7_o_.- City: c.r ldoiiState: (4 Zip:980k5 Phone: /55',1 _ 12g3 Fax: 1/25,62/....,43 Email: Jere/nyli CFM- H-v4-ciz cDA l` Floor: New Tenant: El Yes A..No ELECTRICAL CONTRACTOR INFORMATION Company Name: crm 1 I Ii. 4(61 C'ca'. Address: Po.Box 32cW City: J�ir /� � �A�d State: t Zip: T ve / _ Phone: y25,6.0_ /Z y3 Fax: �25_ E/—f3y3 Contr Reg No.: CFMNE-Fmyep Date: 00/4.3 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): '12,,A 04e 2 eA;54i' , iiv2)r m054-6? Will service be altered? El Yes El No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change g ❑ Remodel Tenant Improvement X Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H.\Applications\Fors-Applications On Line \201 1 Applications\Electrical Permit Application Revised 8.9-11,docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $81.90 (no added/altered circuits) O Service change with added/altered circuits $81.90 number of added circuits $11.55 ea O Circuits added/altered without service change $54.60 (up to 5 circuits) O Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea O Meter/mast repair $68.25 O Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service.. . $84.00 (excluding garage or outbuilding) O Carnivals $78.75 Number of concessions $10.50 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature�� . Z.Z/G1-' Print Name/ aiceyfrty AicelleK Day Telephone: %.. Mailing Address: PO O . eew H\Applications\Porms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised. August 2011 bh Al City Date: 61.2/ /(53 /-/ 60, C/o8 j State Zip Page 2 of 2 r • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 0040000254 Address: 3920 S 146 ST TIIKW Suite No: Applicant: POLL BUILDING RECEIPT Permit Number: EL13-0151 Status: PENDING Applied Date: 02/13/2013 Issue Date: Receipt No.: R13-00801 Payment Amount: $63.00 Initials: WER User ID: 1655 Payment Date: 02/13/2013 10:53 AM Balance: $0.00 Payee: CFM HEATING AND COOLING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7363 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 Prinfad n9_11_9f 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. • PERMIT NO. CITY OF TUKWILA BUILDING DIVISION - 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670. Permit Inspection Request Line (206) 431-2451 Project: r 6i--Dti - Type of Inspection:- . -� t,00 Address: 312_9 .J /% . Date Called: _ Special Instructions: 1/Slre5 Date Wanted:. �� I� a.rry+ m. Requester: • Phone No: ® Approved per applicable codes. El Corrections required prior to approval. COMMENTS: CpkR!::.. Inspector: J-161)1t>ilkk- Date: 1413 n REINSPECTION FEE REQUIRED. Prior to next inspection.: fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING. DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Jr- - (206).431-3670 Permit Inspection Request Line (206) 431-2451 _ Project: t en, D61- Type of Inspection:. Address: .37,Z0 3 . fq6 51. Date Called: . Special Instructions: Date Wanted:. /,j = /• Cam P.M. Requester: l / Phone No: 0 Approved per applicable codes. Corrections_required prior to approval. /P; COMMENTS: - r. AW g -10 to , 1U -QV r . froRJ PLeAl )r1 . Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. -fee must be - paid at 6300 Southcenter Blvd., Suite 100. Call to schedule, reinspection. Contractors or Tradespeople •ter Friendly Page • Electrical Contractor A business licensed by LEI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name Phone Address Suite/Apt. City State Zip County Business Type Parent Company C F M HEATING Et COOLING INC 4258211293 11447 120Th Ave Ne #200 Kirkland WA 98033 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602361244 Active CFMHEFM953QT Electrical Contractor 11/30/2005 11/30/2013 Hvac/Rfrg Ltd Energy Unused Electrical Administrator INFORMATION License SELLMMA916B6 Name SELLMAN, MICHAEL A Status Active Business Owner Information Name Role Effective Date Expiration Date CLANCY, SHAUN P Agent 11/30/2005 Bond Amount CLANCY, SHAUN P President 11/30/2005 797048C Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 DEVELOPERS SURETY Et INDEM CO 797048C 11/21/2008 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0012/19/2008 $250.00 1 RELIANCE INS CO SRS1008650 11/21/2005 Until Cancelled 01/08/2009 EBOES00512 $4,000.0011 /30/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EMEHU03041 10/26/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 ECHAE00296 12/28/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00511 12/16/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBOES00512 12/16/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbip/Print.aspx 02/13/2013