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HomeMy WebLinkAboutPermit EL14-0005 - MASTERCRAFT - THERMOSTATMASTERCRMT 12628 INTERURBAN AVE S ELi 4-0005 Parcel No: Address: City of Tukwila Department of Community Development 20 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 0004800003 Permit Number: EL14-0005 12628 INTERURBAN AVE S 120 Project Name: MASTERCRAFT Issue Date: 1/29/2014 Permit Expires On: 7/28/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: GATEWAY OLYMPIA INC PO BOX 4900 #207 , SCOTTSDALE, WA, 85261 JEREMY MOELLER PO BOX 3205 , KIRKLAND, WA, 98083 C F M HEATING & COOLING INC P 0 BOX 3205 , KIRKLAND, WA, 98083 CFMHEFM953QT 1,1 Phone: (425) 821-1293 Phone: (425) 821-1293 Expiration Date: 11/30/2015 DESCRIPTION OF WORK: INSTALL 1 NEW THERMOSTAT FOR NEW AC UNIT Valuation of single family: $0.00 Valuation of mf/comm: $200.00 Type of Work: LOW VOLTAGE Fees Collected: $68.25 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Permit Center Authorized Signature: 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 permit and agree to the conditions attached to this permit. Signature: /- Print Name: zrye✓fr y /tael &✓ Date: a -,2-7 /r 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. L' I-t— d eo 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: 12626 Sil f eroyban Ave j Tenant Name: M a646(Cra PROPERTY OWNER Name: ��eUI DIYm G i . / Address: po eoc ypo, .2% I (t State: 112... City: / .11 iede Zip: e526 1 CONTACT PERSON - person receiving all project communication Name: Jeremy meiler Address: � 6), 3ad5 City: 1/ 1r I ,la State: j t ,/� Zip yOot � t�/V_ 1E/,13Y3 U.J Phone: '/2,- g2i /zq3 Fax: t yt Email: �Teamy@ crio "pt%ICzaivi King Co Assessor's Tax No.: 0001 600003 Suite Number: /2D Floor: New Tenant: ® Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: CFM ttt4iifl and coot, Address: �/ 'Po- aitx 3Z05 City: l/l/ Jr/' ^ State: Lull Zip:760 8.3 Phone: 64f-12gi3 Fax: `fis_ef-13Y3 Contr Reg No.:crn fi - y 3 rExp Date: #50//5- Tukwila Business License No.; f3(• . 9n 6 Valuation of Project (contractor's bid price): $ 2co Scope of Work (please provide detailed information): ( .n6tq)) I oew Litter no,s/- `it A9,0 Will service be altered? ❑ Yes IX. No Adding more than 50 amps? ❑ Yes cki No Type of Use: Type of work: ❑ New ❑ Addition E Service Change ❑ Remodel Tenant Improvement X Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: lePuget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-I-13.docs Revised: July 2013 bh 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 ❑ 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) 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 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Maly /tfo d f erg Mailing Address: PO- 56X 33ZP 5 H:\Applications\Fornts-Applications On Line\2013 Applications \Electrical Permit Application Revised 7-1- I3.doex Revised: July 2013 bh Date: u/OZ'! t Day Telephone: (25- 60 l J. i3 City 10,4 / 606 State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $68.25 EL14-0005 Address: 12628 INTERURBAN AVE S 120 Apn: 0004800003 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R555 R000.322.900.04.00 $3.25 $68.25 • Date Paid: Thursday, January 02, 2014 Paid By: CFM HEATING AND COOLING INC Pay Method: CHECK 8066 Printed: Thursday, January 02, 2014 3:52 PM 1 of 1 CR SYSTEMS MOOD( 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 INSPECTION RECORD Retain a copy with permit Project: C� I _ Type of Inspection: �(H` � Address: - �0v/A�,L+/r /24.21�U(V cA Date Called: Special Instructions: 1:-SrlYir Date Wanted: /0 ,ai�m. Requester: Phone No: 5Z1Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 0 I ri Inspector: dm berae.9\ Date: rho / n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. C F M HEATING & COOLING INC Page 1 of 3 ilk Washington State Department of Labor & Industries C F M HEATING & COOLING INC Owner or tradesperson CLANCY, SHAUN P Principals CLANCY, SHAUN P SHAUN CLANCY Doing business as C F M HEATING & COOLING INC WA UBI No. 602 361 244 11447 120TH AVE NE #100 KIRKLAND, WA98033 425-821-1293 KING, County Business type Corporation Governing persons SHAUNCLANCY License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties HVAC/RFRG License no. CFMHEFM953QT Effective — expiration 11/30/2005 —11 /30/2015 Designated administrator Sellman, Michael A License type Electrical Administrator Bond DEVELOPERS SURETY & INDEM CO Bond account no. 797048C Received by L&I 12/19/2008 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. ACTIVE License no. SELLMMA916B6 $4,000.00 Effective date 11/21/2008 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602361244&LIC=CFMHEFM953QT&SAW= 01/29/2014