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Home My WebLink AboutPermit EL14-0924 - CLEARSIGN COMBUSTION - DAMPER ACTUATORSCLEARSIGN COMBUSTION 12870 INTERURBAN AVE S EL1 4-0924 Parcel No: Address: Project Name: 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 2716000010 Permit Number: EL14-0924 12870 INTERURBAN AVE S CLEARSIGN COMBUSTION Issue Date: 9/24/2014 Permit Expires On: 3/23/2015 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 STEVE MARX 032 SW 43 ST, RENTON, WA, 98057 GLOBE ELECTRIC INC 232 SW 43RD ST, RENTON, WA, 98057 GLOBEEI121TC Phone: (425) 228-8102 Phone: (425) 228-8102 Expiration Date: DESCRIPTION OF WORK: (2) DAMPER ACTUATORS Valuation of single family: $0.00 Valuation of mf/comm: $2,500.00 Type of Work: ADDITION Fees Collected: $147.21 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2014 2012 Date: ��v'lll(4 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: ,-/"V/A/f-trZ- 44x Date: 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: All electrical work shall be in accordance with NFPA 70 - 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. 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. Project No. U�I-fpgzLf Date Application Accepted: EJ"t I 't ( L"I 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: 12870 Interurban Ave S Tenant Name: ClearSign Combustion PROPERTY OWNER Name: Eproperty Tax Inc Dept # 207 Address: PO Box 4900 City: Scottsdale State: AZ Zip: 85261 CONTACT PERSON — person receiving all project communication Name: Steve Marx Address: 232 SW 43rd St City: Renton State: WA Zip: 98057 Phone: (425) 228-8102 Fax: (425) 277-3967 Email: King Co Assessor's Tax No.: 2—i 6 (l00 -00 ('Ci Suite Number: Floor: 1st New Tenant: ❑ Yes ®..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Globe Electric Inc Address: 232 SW 43rd St City: Renton State: WA Zip: 98057 Phone: (425) 228-8102 Fax: (425) 277-3967 Contr Reg No.: GLOBEEI121TC Exp Date: 09/30/2015 Tukwila Business License No.; 0992969 Valuation of Project (contractor's bid price): $ 2,500 Scope of Work (please provide detailed information): [2] Damper Acutators Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) 0 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATIONNOTES - 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: //1/1.1.<3L r ✓Vim Mailing Address:.312-' SLA) q3'Q30 cT H:\Applications\Forms-Applications On Line\2014 Applications \Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: Day Telephone: `7 Z 5 -2 ton/ City w' sc'2 S7 State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 7.: EL14-09 ddress: 12870 INTERURBAN AVE S Apn: 2716000010 147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3146 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 $140.20 $7.01 $147.21 Date Paid: Wednesday, September 24, 2014 Paid By: DAVID M MARX Pay Method: CREDIT CARD 943621 Printed: Wednesday, September 24, 2014 12:01 1 of 1 PM CRWSYSTEMS 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 6p1-02-11 Project: a s /�� Type of Inspection: �t%4L..— Address: Imo Date Called: .e- Special Instructions: Date Wanted: /v,,� �f a:m. m. Requester: � !` Phone No: 251 7 Oz 7 7 'Approved per applicable codes. Corrections required prior to approval. COMMENTS: (i ry! rl V / rA / r w Inspector: 1i DLvv Date: % /3o REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. GLOBE ELECTRIC INC Page 1 of 2 Chi Washington State Department of Labor & Industries GLOBE ELECTRIC INC Owner or tradesperson MARX, STEPHEN L Principals MARX, STEPHEN L, PRESIDENT MARX, NANCY L, VICE PRESIDENT Marx, Nancy L, AGENT Doing business as GLOBE ELECTRIC INC WA UBI No. 601 033 884 232 SW 43RD ST RENTON, WA98057-4936 425-228-8102 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. GLOBEEI121TC Effective — expiration 02/03/1988— 09/30/2015 Designated administrator MARX, STEPHEN L License type Master Electrician Bond Federated Mutual Ins Co Bond account no. 9304897 Received by L&I 01/04/2013 Bond history Savings Active. Meets current requirements. Active. Meets current requirements. License no. MARX*SL971 PM $4,000.00 Effective date 02/03/2013 Expiration date Until Canceled No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601033884&LIC=GLOBEEI121TC&SAW= 09/24/2014