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
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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
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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