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Permit EL15-0656 - PLUMB RESIDENCE - HEAT PUMP AND THERMOSTAT
PLUMB RESIDENCE 4646 S 148 ST EL15-0656 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: htto://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No: 0040000680 Permit Number: EL15-0656 Address: 4646 S 148TH ST Issue Date: 7/30/2015 Permit Expires On: 1/26/2016 Project Name: PLUMB RESIDENCE Owner: Name: PLUMB D M Address: 4646 S 148TH ST, SEATTLE, WA, 98168 Contact Person: Name: JANELLE VANDERLIN Phone: (206) 725-7555 Address: 9367 RAINIER AVE S, SEATTLE, WA, 98118 Contractor: Name: ROSSOE ENERGY SYSTEMS INC Phone: (206) 725-7555 Address: PO BOX 18259, SEATTLE, WA, 98118 License No: ROSSOES101LL Expiration Date: 12/10/2016 Lender: Name: Address: DESCRIPTION OF WORK: INSTALLATION OF NEW HEAT PUMP AND THERMOSTAT Valuation of single family: $0.00 Fees Collected: $62.84 Valuation of mf/comm: $0.00 Type of Work: NEW Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: TUKWILA 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 international Fuel Gas Code: 2012 Permit Center Authorized Signature: Date: A 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. Signatu Print M Date: ___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 F: o Permit Center • 6300 Southcenter Blvd., Smite 100 Tukwila, WA 98188 htip:Hwww.TukwilaWA.gov L.'I 11 Electrical Permit No. J 'W` 7�w 11 Project No. Date Application Accepted: Date Application Expires: 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 King Co Assessor's Tax No.: Site Address: 4646 S 148TH ST Suite Number: Floor: Tenant Name: New Tenant: ❑ .....Yes ❑ ..No PROPERTY OWNER Name: TERRY PLUMB Address: 4646 S 148TH ST City: TUKWILA State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: JANELLE VANDERLIN Address: 9367 RAINIER AVE S City: SEATTLE State: WA Zip: 98118 Phone: (206) 725-7555 Fax: (206) 723-3349 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: ROSSOE ENERGY SYSTEMS Address: 9367 RAINIER AVE S City: SEATTLE State: WA Zip: 98118 Phone: (206) 725-7555 Fax: (206) 723-3349 Contr Reg No.: ROSSOES101LL Exp Date: 05/25/2016 Tukwila Business License No.; CUST# 00066718 Valuation of Project (contractor's bid price): $ 8,316 Scope of Work (please provide detailed information): INSTALLATION OF NEW HEAT PUMP AND THERMOSTAT Will service be altered? ❑ Yes m No Type of Use: heat pump & thermostat Type of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: m Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applicalions\Electrical Permit Application Revised 1-1-I4.docr Revised: January 2014 bh Adding more than 50 amps? ❑ Yes m No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page t 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 m 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 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Print Name: JANELLE VANDERLIN Mailing Address: 9367 RAINIER AVE S SEATTLE WA 98118 H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: 07/24/2015 Day Telephone: (206) 725-7555 City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $280.09 EL15-0656 Address: 4646 S 148TH ST Apn: 0040000680 $28.72 ELECTRICAL $25.73 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $25.73 TECHNOLOGY FEE $2.99 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.99 M15-0097 Address: 4646 S 148TH ST Apn: 0040000680 $251.37 MECHANICAL $239.40 PERMIT FEE R000.322.100.00.00 0.00 $206.90 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $11.97 TECHNOLOGY FEE • R000.322.900.04.00 0.00 $11.97 : 1 1 • Date Paid: Thursday, July 30, 2015 Paid By: ROSSOE ENERGY SYSTEMS INC Pay Method: CHECK 72044 Printed: Thursday, July 30, 2015 11:43 AM 1 of 1 f "��SYS7EM5 Date Paid: Thursday, July 30, 2015 Paid By: ROSSOE ENERGY SYSTEMS INC Pay Method: CREDIT CARD 08776D Printed: Thursday, July 30, 2015 11:44 AM 1 of 1 OrwSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: LJe� PC � /�iZ21'1- Address: -�, I Date Called: Special Instructions: Date Wanted: rap.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. !T1111 111�11 IInspector: L /I f /(-k IDate: 07/Q©/(�— REINSPECTION'FEE REQUIREI). Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTION RECORD 16V15:0Retain a copy with permit 0 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: / Address: �. ( � S�. Date Called: Special Instructions: Date Wanted. �p Q a p.m Requester: Phone No: 7 6 D&) o ❑ Approved per applicable codes. T' Corrections required prior to approval. COMMENTS: pector: 0L/0L/t REINSPECTI0N FEE REQUIREb. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cat[ to schedule reinspection. ROSSOE ENERGY SYSTEMS IN' Page I of 2 Home Inicio en PspafioI Contact Safety Washington State Department of Labor & industries ROSSOE ENERGY SYSTEMS INC Search L&I — A-Z .Index Help &ty secure 1 `F-I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 18259 Principals SEATTLE, WA98118 p 206-725-7556 GLATZ, RON N, PRESIDENT KING County WILLIAMS, ROBERT B, VICE PRESIDENT WYMAN, DAVID C, SECRETARY GLATZ, RON N, AGENT Doing business as ROSSOE ENERGY SYSTEMS INC WA UBI No. Business type 600 636 219 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ...................................... _ ....................... Meets current requirements. License specialties HVAC/RFRG License no. ROSSOES964RS Effective — expiration 12/10/2004-12110/2016 Designated administrator Miyamura, Shawn License type Electrical Administrator Bond ................ OHIO CAS INS CO Bond account no. 3177878 Received by L&I 1211012004 Savings No savings accounts during the previous 6 year period. License Violations _........_..._._..._ ......................_..._. No license violations during the previous 6 year period. Workers' comp Active. Meets current requirements. License no. MIYAMS*911 R2 $4,000.00 Effective date 1012911993 Expiration date Until Canceled 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.Ini.wa.gov/verify/Detail.aspx?UBI=600636219&LIC=ROSSOES964RS&SAW= 7/30/2015