HomeMy WebLinkAboutPermit EL17-0007 - SAMSON RESIDENCE - CIRCUIT FOR DUCTLESS HEAT PUMPSAMSON RESIDENCE
14015 35 AVE S
EL1 7-0007
Parcel No:
Address:
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.aov
1523049118
14015 35TH AVE S
Project Name: SAMSON RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: EL17-0007
Issue Date: 1/6/2017
Permit Expires On: 7/5/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SAMSON & CASTELLANOS
14015 35TH AVE S , TUKWILA, WA,
98168
BRANDON DALLUM
PO BOX 1046 , BATTLE GROUND, WA,
98604
AIRCON ELECTRIC LLC
PO BOX 1046 , BATTLE GROUND, WA,
98604
AIRCOEL86006
Phone: (360) 608-5954
Phone: (360) 608-5954
Expiration Date: 9/26/2018
DESCRIPTION OF WORK:
INSTALL CIRCUIT FOR DUCTLESS HEAT PUMP
Valuation of single family: $600.00
Valuation of mf/comm: $0.00
Type of Work: NEW
Fees Collected: $60.22
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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 ., d agree to the conditions attached to this permit.
Signature:
Print Name: /.31251/1i 0-4A fes.
Date: -I
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 TUKW'
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. X1.1 7 0067
Project No. 1,
Date Application Accepted: n //Os h 7
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
King Co Assessor's Tax No.:
Site Address: 1 LID 3c Ave, 3 7 (. )k WA 9b- Suite Number:
Tenant Name: A a {Z•, vi SAY'So-e'‘
PROPERTY OWNER
Name: A
S.ot V (
Address: / LI 0' 3 c Avg
City: Ewe State: Zip:916,g•
CONTACT PERSON - person receiving all project
communication
Name: gmet _1 Do, !ijj 4
Address: pO o X ) 0 1.16
City: g aG Growik State: viA Zip: 7 CO t f
Phone:36 0_60 f.r4Sy Fax:
Emai1:Pmel t.a.rec,, je4.1-4.,a@51-ti4;I.core,
New. Tenant:
Floor:
❑ Yes
0
ELECTRICAL CONTRACTOR INFORMATION
Company Name: • t
AirCO^ EleCfft c LCC.
Address: Po 130x 10 L16
City: garde. Groo,AA State: Li A Zip:) gnat/
Phone: g 0 _‘0 8._ snS t( Fax:
Contr Reg No CAIRCOEigi 06 Exp Date: 2_3
1-16
Tukwila Business License No.;13()5_0116 l 69
Valuation of Project (contractor's bid price): $ ( 0 Jr v 1 ,,11
Scope of Work (please provide detailed information):.i'lS74 /1 C;rC4 - i oc -len /i 10-1 P
Will service be altered? ❑ Yes ®"No Adding more than 50 amps? ❑ Yes No
Type of Use: I--) e GL ' P vK
Type of work:
Kr New 0 Addition ❑ Service Change 0 Remodel
0 Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication
0 Temporary Service
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:1Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised I-1-I4.docx
Revised: July 2013
bh
Page 1 oft
RESIDENTIAL
NEW RESIDENTIAL SERVICE
ID New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings '
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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 AP.P.LICATION 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:
,ff(Iv, P /0
Mailing Address:
Date:
Day Telephone: 0 0 �— ��7 ((
Po IIco G b U^1-
City
H:\ Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
State
p/f60 4
Zip
Page 2 of 2
DESCRIPTIONS
ACCOUNT
QUANTITY
( PAID
$245.05
PermitTRAK
EL17-0007 Address: 14015 35TH AVE S
Apn: 1523049118
$60.22
Credit Card Fee
$1.75
Credit Card Fee
1 R000.369.908.00.00
0.00
$1.75
ELECTRICAL
$55.69
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$55.69
TECHNOLOGY FEE
$2.78
TECHNOLOGY FEE
1 R000.322.900.04.00
0.00
$2.78
M17-0002 Address: 14015 35TH AVE S
Apn: 1523049118
$184.83
Credit Card Fee
$5.38
Credit Card Fee
R000.369.908.00.00
0.00
$5.38
MECHANICAL
$170.90
PERMIT FEE
R000.322.100.00.00
0.00
$137.75
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$8.55
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10312
R000.322.900.04.00
0.00
$8.55
$245.05
Date Paid: Friday, January 06, 2017
Paid By: BRANDON DALLUM
Pay Method: CREDIT CARD 05580G
Printed: Friday, January 06, 2017 8:09 AM 1 of 1
CSYSTEMS
INSPECTION RECORD 61(
Retain a copy with permit 0oo7
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 544, 540j x6.
Type of Inspection:
l•
Address: /1/013(, /
Date Called:
Special Instructions:
"/ ` '' Pote
Ne -i-21
Date Wanted:
2,7 p.m.
Requester:
Phone No: 360
6 Y 5-eicy
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
ector:217/1
REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
AIRCON ELECTRIC LLC
Washington State Department of
Labor & Industries
Home Espanol Contact
Safety & Health
Claims & Insurance
!Search L&I
A-ZIn41.ex Help
Workplace Rights
AIRCON ELECTRIC LLC
Owner or tradesperson
Principals
DALLUM, BRANDON, PARTNER/MEMBER
TAPANI, KENNETH, PARTNER/MEMBER
(End: 09/22/2015)
Doing business as
AIRCON ELECTRIC LLC
WA UBI No.
603 431 746
PO Box 1046
BATTLEGROUND, WA 98604
360-608-5954
CLARK County
Business type
Limited Liability Company
Governing persons
BRANDON
DALLUM
KENNETH ANDREW TAPANI;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
AIRCOEL86006
Effective — expiration
09/26/2014— 09/26/2018
Designated administrator
...................................................._.........
MAKI, ARIC W
License type
Electrical Administrator
Bond
................
International Fidelity Ins Co
Bond account no.
0661544
Received by L&I
09/26/2014
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
MAKI*AW954DT
$4,000.00
Effective date
09/09/2014
Expiration date
Until Canceled
IWorkers' comp
Page 1 of 2
ARL`
My'Itd
Trades & Licensing
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603431746&LIC=AIRCOEL86006&SAW= 1/6/2017
AIRCON ELECTRIC LLC Page 2 of 2
• J
Do you know if the business has employees? It so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
384,861-00
Doing business as
AIRCON ELECTRIC LLC
Estimated workers reported
Quarter 3 of Year 2016 "Less than 1 Workers"
L&I account representative
T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov
Account is current.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
C? Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603431746&LIC=AIRCOEL86006&SAW= 1/6/2017