HomeMy WebLinkAboutPermit EL16-0548 - HOLSTINE RESIDENCE - POWER WITH NEW FURNACE AND A/CThis 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.
EL16-0548
HOLSTINE RESIDENCE
4251 S 160TH ST
RECORDSDIGITAL D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
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HOLSTINE RESIDENCE
4251 S 160 ST
EL16-0548
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: 5379800070 Permit Number: EL16-0548
Address: 4251 S 160TH ST Issue Date: 6/15/2016
Permit Expires On: 12/12/2016
Project Name: HOLSTINE RESIDENCE
Owner:
Name: HOLSTINE WILLIAM C+ARDIS L
Address: 4251 S 160TH ST, SEATTLE, WA, 98188
Contact Person:
Name: SARAH TURNER Phone: (206) 244-1136
Address: 12462 DES MOINES MEMORIAL DR,
BURIEN, WA, 98168
Contractor:
Name: GLENDALE HEATING & A/C Phone: (206) 243-7700
Address: 12462 DES MOINES MEMORIAL DR,
SEATTLE, WA, 98168
License No: GLENDHAO03CM Expiration Date: 2/14/2018
Lender:
Name:
Address:
DESCRIPTION OF WORK:
LOW VOLTAGE IN CONJUNCTION WITH FURNACE AND AIR CONDITIONER INSTALL (M16-0102)
Valuation of single family: $250.00 Fees Collected: $62.84
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: HIGHLINE
Sewer District: VALLEY VIEW
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
c
Permit Center Authorized Signature:
Date: �`�/j
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 per it anclagrqthexonclitiions attached to this permit.
Signature: Date:
Print Name: l /^^ J
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.Tukwi]aWA.gov
Electrical Permit No. P -Ll &' 05k g
Project No.
Date Application Accepted:
Date Application Expires:
use
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 I
King Co Assessor's Tax No.: 5379800070
Site Address: 4251 S 160th St Tukwila WA 98188 Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes ❑ ..No
PROPERTY OWNER
Name: William Holstine
Address: 4251 S 160th St
City: Tukwila State: WA Zip: 981.88
CONTACT PERSON — person receiving all project
communication
Name: Glendale Heating and Air Conditioning
Address: 1.2462 Des Moines Memorial Dr
City: Burien State: WA Zip: 98168
Phone: (206) 244-1136 Fax: (206) 243-8344
Email: email@glendaleheating.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Glendale Heating and A/C
Address: 1.2462 Des Moines Memorial Dr
City: Burien State: WA Zip: 981.68
Phone: (206) 244-1136 Fax: (206) 243-8344
Contr Reg No.: GLENDHA003CRp Date: 02/14/2018
Tukwila Business License No.; BUS -0993977
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Low voltage in conjunction with furnace and air conditioner
install (see Mechanical Permit for same address) *7 C^ D n
Will service be altered? ❑ Yes [Z] No
Type of Use:
Tvoe of work:
❑
New
❑
Addition
❑ Service Change
m
Low Voltage
❑
Generator
❑ Fire Alarm
Property
Served bv:
Puget Sound Energy
❑
Seattle City Light
H: ApplicationsTor ms -Applications
On Une\2014
Applications\Electrical Permit Application Revised 1-1-14.dot
Revised: January 2014
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Adding more than 50 amps? ❑ Yes m No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 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
Temporary service (generator) ...................................
(no added/altered circuits)
❑
❑
Service change with added/altered circuits .................
$81.90
(excluding garage or outbuilding)
number of added circuits .......................
$11.55 ea
❑
Circuits added/altered without service change ...........
$54.60
Number of concessions .........................
(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 Mth 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:
Date: 06/1.4/2016
Print Name: Sarah Turner Day Telephone: (206) 244-1136
'Mailing Address: 12462 Des Moines Memorial Drive Burien WA 98168
City State Zip
Fl:Wpplications\Forms-Applications On Line\2014 Applicadons\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bb
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$356.42
EL16-0548 Address: 4251 S 160TH ST
Apn: 5379800070
$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
M16-0102 Address: 4251 S 160TH ST
Apn: 5379800070
$293.58
MECHANICAL
$279.60
PERMIT FEE
R000.322.100.00.00
0.00
$247.10
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$32.50
TECHNOLOGY FEE
$13.98
TECHNOLOGY FEE
TOTALPAID BY RECEIPT:R8744
R000.322.900.04.00
0.00
$13.98
$356.42
Date Paid: Wednesday, June 15, 2016
Paid By: GLENDALE HEATING & A/C INC
Pay Method: CHECK 008111
Printed: Wednesday, June 15, 2016 1:32 PM 1 of 1 r "
� SY57EM5
INSPECTION RECORD cc,
Retain a copy with permit ®l
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
DIVISION
(206) 431-3670
A
9 Approved per applicable codes. L: Corrections required prior to approval.
Iinspector: 1,q I— - f ren Iuate: ot, q hf,
REINSPECTION' FEE REQUIRED.lPrior to next inspection, fee must be
paid at 6300 Southcenter Blvd., 5uite 100. Call to schedule reinspection.
GLENDALE HEATING & A/C
Home Pspaiiol Contact
Safety & Health
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
Page 1 of 2
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12462 DES MOINES MEMORIAL DR
SEATTLE, WA 98168.2266
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 Contra .. _.
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.
Savin..gs
...............
(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.
Active.
Meets current requirements.
License no.
FULTOCT903KO
$4,000.00
Effective date
02/10/2000
Impaired date
N/A
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA003CM&SAW= 6/15/2016