HomeMy WebLinkAboutPermit EL16-0061 - CLARK RESIDENCE - THERMOSTATThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL16-0061
CLARK RESIDENCE
16024 51ST AVE S
RECORDSDIGITAL D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # Coda Exemption, � � � I3ri6f Explanatory 6escrlofion, Sfatutte/Ruilo
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DR1
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552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
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CLARK RESIDENCE
16024 51 AVE S
EL16-0061
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
Parcel No: 5379200060 Permit Number: EL16-0061
Address: 16024 51ST AVE S Issue Date: 1/19/2016
Permit Expires On: 7/17/2016
Project Name: CLARK RESIDENCE
Owner:
Name: CLARK ROGER H+PATRICIA B
Address: 16024 51ST AVE S, TUKWILA, WA,
Address: , , ,
DESCRIPTION OF WORK:
THERMOSTAT
Valuation of single family: $119.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Phone: (206) 243-7700
Phone: (206) 243-7700
Expiration Date: 2/14/2016
Fees Collected: $62.84
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
98188
Contact Person:
2014
Name:
DEBRA COONS
Address:
12462 DES MOINES MEMORIAL DR,
International Mechanical Code Edition:
SEATTLE, WA, 98168
Contractor:
2014
Name:
GLENDALE HEATING & A/C
Address:
12462 DES MOINES MEMORIAL DR,
International Fuel Gas Code:
SEATTLE, WA, 98168
License No:
GLENDHAO03CM
Lender:
Name:
Address: , , ,
DESCRIPTION OF WORK:
THERMOSTAT
Valuation of single family: $119.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Phone: (206) 243-7700
Phone: (206) 243-7700
Expiration Date: 2/14/2016
Fees Collected: $62.84
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE
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 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: Date: v/ If
l/
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
�Jatttached to this permit. /
Signature: L 2ye � (�/ � Date: 7 I t�
Print Name: E>a rA'1k
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.
S: 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 TUKRYLA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
" http://www.TukwilaWA.izov
SITE LOCATION
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"
r y� l ,1 — ' J { ho r i , King Co Assessor's Tax No.: ��� z-6 660
Site Address: �ID U d."I
Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes ❑ ..No
Name:
Address: - 61
City: - Ll State: 'PINT
r _
CONTACTsPERSON -person recervmg all project
h
rcoirimunieation _
TM
Name:
i n
f/
i
I
Address:
"
Tukwila Business License No.;
City: ZA
State: IN Zip:t 1�
W�
Phone: �`
Fax: v
Email:
J
J
'IL wyWAL. CONTRACTOR INFORMATION ;
Company Name: 1
Type of Use:
Address:
i n
f/
i
City: State:. Zip:
Phone: _ Fax;
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price)
Scope of Work (please provide detailed information
Will service be altered?
❑ Yes
Type of Use:
Tvne of work:
❑ New
❑ Addition
Low Voltage
P
❑ Generator
0
❑ Service Change
❑ Fire Alarm
ronerly Served_y.
❑ Puget Sound Energy Seattle City Light
KkApplicationsTorms-Applications On LineU014 Applicetions\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Adding more than 50 amps? ❑ Yes
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page] o1`2
DESCRIPTIONS
•
QUANTITY
PAID
PermitTRAK
$261.87
EL16-0061 Address: 16024 51ST AVE S
Apn: 5379200060
$62.84
ELECTRICAL
$59.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$59.85
TECHNOLOGY FEE
$2.99
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$2.99
M16-0012 Address: 16024 51ST AVE S
Apn: 5379200060
$199.03
MECHANICAL
$189.55
PERMIT FEE
R000.322.100.00.00
0.00
$157.05
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$9.48
TECHNOLOGY FEE
TOTAL' 1
R000.322.900.04.00
0.00
$9.48
Date Paid: Tuesday, January 19, 2016
Paid By: GLENDALE HEATING
Pay Method: CHECK 007474
Printed: Tuesday, January 19, 2016 2:18 PM 1 of 1 EmAr
SYSTEMS
I
INSPECTION RECORD
Retain a co with ermit
INSPECTION NO. copy p PER MITN .
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
DIVISION
(206) 431-3670
Project: L- '4�
Type of Inspection. AAL-
AL—
Address: OA�
Date Called:
Special Instructions.
_
Date Wanted: a.m
p.m.
Requester:
Phone No:
u REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
l Retain a copy with per .mit ..
INSPECTION N0, PERMIT Na.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:
U�06L(A
Type of Inspection: ,
r
Address:
617
�T
576�Special
Date Called:
Instructions:
Date Wanted: a.
P.m.
Requester
Phone No:
❑ Approved per applicable codes. 0Corrections required prior to approval.
U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
GLENDALE HEATING & A/C
Homo Inicio en 1'.spanol Contact.
Safety
Washington State Department of
Labor & Industries
GLENDALE HEATING & A/C
Owner or tradesperson
Principals
HOEFER,ARTHUR
HOEFER, GERALD
FULTON, DAVID
HOEFER, ARTHUR, AGENT
Doing business as
GLENDALE HEATING & A/C
WA UBI No.
600 003 167
License
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Claims & Insurance Workplace Rights Trades & Licensing
12462 DES MOINES MEMORIAL DR
SEATTLE, WA98168-2266
206-243-7700
KING County
Business type
Corporation
Governing persons
DAVID
C
FULTON
GERALD A HOEFER;
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.
GLENDHAO03CM
Effective — expiration
02/14/2000— 02/14/2018
Designated administrator
... .............
Fulton, Chadwick T
License type
Master Electrician
Bond
................
No bond accounts during the previous 6 year period.
Savings
...........
(in lieu of bond)
Received by L&I
Release date
N/A
Savings account ID
License Violations
.......................................................
No license violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
FULTOCT903KO
$4,000.00
Effective date
02/10/2000
Impaired date
N/A
https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHAO03CM&SAW= 1/19/2016