HomeMy WebLinkAboutPermit EL17-0150 - RENAISSANCE - WALL TEMPERATURE SENSOR FOR ROOFTOP A/C UNITThis 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.
EL17-0150
RENAISSANCE
14220 INTERURBAN AVE S
RECORDSDIGITAL
D-) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES
THE FOLLOWING REDACTED INFORMATION
Pae # Code Exem floe ,
Bdef x lanat6 Descd floe', statute/Rulle
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Personal Information —
numbers are redacted to protect those
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individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
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the PRA records or information exempt or
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statute.
Redactions contain Credit card numbers, debit
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expiration dates, or bank or other financial
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account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
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Redactions contain information used to prove
RCW
DR3
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identity, age, residential address, social security
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& c)
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communications, and RCW 42.56.070(1), which
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RENAISSANCE
14220 INTERURBAN AVE S
UNIT 116
EL1 7-0150
Parcel No:
Address:
vin
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
3365901881 Permit Number: EL17-0150
14220 INTERURBAN AVE S Unit116
Project Name: RENAISSANCE
Issue Date: 3/6/2017
Permit Expires On: 9/2/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BELLTOWN INVESTMENT PARTNER
2505 2ND AVE #520 , SEATTLE, WA,
98121
DANIEL KIM
3132 NE 133 ST, SEATTLE, WA, 98125
PSR -HVAC & MECHANICAL SERVICES
PO BOX 27073 , SEATTLE, WA, 98165
PSRHVMS922NJ
Phone: (206) 676-9346
Phone: (206) 367-2500
Expiration Date: 4/21/2018
DESCRIPTION OF WORK:
INSTALL ONE (1) NEW WALL TEMPERATURE SENSOR FOR ROOFTOP A/C UNIT
Valuation of single family: $0.00
Valuation of mf/comm: $1,740.00
Type of Work: LOW VOLTAGE
Fees Collected: $127.02
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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:* ti
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.
Signaturi?� ��� Date: 3,/ /1 7
Print Name:
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 REQUIRIED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWS
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.`l `% ` CAD
L-
Project No.
Date Application Accepted:
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:
14220 Interurban Ave S
Tenant Name: Fairway Center
PROPERTY OWNER
Name: Daniel Kim
Name: Belltown Investment Partner
City: Seattle State: WA Zip: 98125
Address: 2505 2nd Ave #520
Email: daniel.kim@psrmechanical.com
City: Seattle State: WA
Zip: 98121
CONTACT PERSON — person receiving all project
communication
Name: Daniel Kim
Address: 3132 NE 133rd St
City: Seattle State: WA Zip: 98125
Phone: (206) 676-9346 Fax: (206) 368-6856
Email: daniel.kim@psrmechanical.com
King Co Assessor's Tax No.: 3365901881
Suite Number: 105 Floor: 1
New Tenant: ❑ Yes ® ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Nanie: PSR Mechanical
Address: 3132 NE 133rd St
City: Seattle State: WA Zip: 98125
Phone: (206) 367-2500 Fax: (206) 368-6856
Contr Reg No.: T Exp Date: 04/30/2018
Tukwila Business License No.; BUS -0993498
Valuation of Project (contractor's bid price): $ 1,740
Scope of Work (please provide detailed information): Install one (1) new wall temperature sensor for rooftop ac unit.
Will service be altered? ❑ Yes m No
Type of Use: Low Voltage temperature sensor
Adding more than 50 amps? El Yes IJ No
Type of work:
❑ New 0 Addition ❑ Service Change
® Low Voltage 0 Generator ❑ Fire Alarm
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications\PDP's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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❑ Remodel
❑ Telecommunication
0 Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
O Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O Circuits added/altered without service change $55.69
(up to 5 circuits)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
O Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION 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: /D e KimDay Telephone: (206) 676-9346
Mailing Address: 3132 NE 133rd St, Seattle, WA 98125
Date: 02/24/2017
W:\Permit Center\Applications-Handouts\Pennit Applications \PDF's\Electrical Permit Application Revised I-1-I7.docx
Revised: January 2017
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City
Slate Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$577.70
EL17-0150 Address: 14220 INTERURBAN AVE S Apn: 3365901881
$127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM I
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
R000.322.900.04.00
0.00 •
$6.05
M17-0027 Address: 14220 INTERURBAN AVE S Apn: 3365901881
$450.68
MECHANICAL
$433.35
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
PERMIT FEE
R000.322.100.00.00
0.00
$313.53
PLAN CHECK FEE
R000.322.102.00.00
0.00
$86.67
TECHNOLOGY FEE
$17.33
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10916
R000.322.900.04.00
0.00
$17.33
$577.70
Date Paid: Friday, February 24, 2017
Paid By: PSR MECHANICAL
Pay Method: CHECK 013186
Printed: Friday, February 24, 2017 3:50 PM 1 of 1
CSYSTEMS
INSPECTION RECORD
Retain a copy with permit ait7-015-0
INSPECTION N0.PMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ff_Ty
of spection
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Address: pizza
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Date ailed:
Special Instructions:
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Date Wanted:
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Requester:
Phone No:
71 Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
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17
REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
PSR -HVAC & MECHANICAL SF— `'ICES
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Workplace Rights
PSR -HVAC & MECHANICAL SERVICES
Owner or tradesperson
Principals
Austin, Matthew W, PRESIDENT
CT CORPORATION SYSTEM, AGENT
HOGERTY, REAGEN P, VICE PRESIDENT
(End: 04/23/2012)
O'MALLEY, JAMES J, SECRETARY
(End: 04/23/2012)
MILLER, ROBERT J JR, PRESIDENT
(End: 12/30/2014)
HINTON, BRIAN WILLIS, CHIEF FINANCIAL
OFFICER
(End: 12/30/2014)
Doing business as
PSR -HVAC & MECHANICAL SERVICES
PO BOX 27073
SEATTLE, WA 98165
206-367-2500
KING County
WA UBI No. Business type
602 811 195 Corporation
Parent company Governing persons
PUGET SOUND REFRIGERATION INC CRAIG
STEINKE
INC MSHC;
MATTHEW AUSTIN;
NEIL BAVINS;
SRUN KHOU;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
MAINTENANCE
HVAC/RFRG
License no.
PSRHVMS922NJ
Effective — expiration
04/21/2008— 04/21/2018
Designated administrator
Jackson, William R
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Electrical Administrator JACKSWR897OW
Bond
International Fidelity Ins Co $4,000.00
Bond account no.
Trades & Licensing
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PSR -HVAC & MECHANICAL SEMITES
PSRHSVMS922NJ
Received by L&I Effective date
04/09/2014 03/26/2014
Expiration date
Until Canceled
Savings
(in lieu of bond)
Received by L&I
04/21/2008
Release date
N/A
Savings account ID
License Violations
No license violations during the previous 6 year period.
$4,000.00
Effective date
04/15/2008
Impaired date
NIA
Workers' comp
Do you know if the business has employees? If sa, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
152,899-00
Doing business as
PSR MECHANICAL
Estimated workers reported
Quarter 4 of Year 2016 "31 to 50 Workers"
L&I account representative
T1 / TYRONE COLEMAN (360)902-4807 - Email„ COTI235®Ini.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
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