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HomeMy WebLinkAboutPermit EL17-0231 - SYMONDS 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. EL17-0231 SYMONDS RESIDENCE 1225042 ND 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 The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers 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) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 10 DR2 Financial Information — 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. Personal Information — Redactions contain information used to prove RCW DR3 Driver's License. — RCW identity, age, residential address, social security 42.56.230 (7a 42.56.230 number or other personal information required to & c) 7a & c apply for a driver's license or identicard. Redacted content contains a communication between client and attorney for the purpose of obtaining or providing legal advice exempt from RCW Attorney -Client Privilege — disclosure pursuant to RCW 5.60.060(2)(a), 5.60.060(2)(a); DR4 RCW 5.60.060(2)(a); RCW which protects attorney-client privileged RCW 42.56.070(1) communications, and RCW 42.56.070(1), which 42.56.070(1) protects, under the PRA, information exempt or prohibited from disclosure under another statute. SYMONDS RESIDENCE 12250 42ND AVE S EL17-0231 Parcel No: Address: Project Name: 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 0179000090 Permit Number: EL17-0231 12250 42ND AVE S SYMONDS RESIDENCE Issue Date: 3/24/2017 Permit Expires On: 9/20/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SYMONDS KELLE S 12250 42ND AV S , TUKWILA, WA, 98168 DEBRA COONS 12462 DES MOINES MEMORIAL DR , SEATTLE, WA, 98168 GLENDALE HEATING & A/C 12462 DES MOINES MEMORIAL DR , SEATTLE, WA, 98168 GLENDHA003CM Phone: (206) 243-7700 Phone: (206) 243-7700 Expiration Date: 2/14/2018 DESCRIPTION OF WORK: INSTALL THERMOSTAT Valuation of single family: $361.00 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Fees Collected: $64.10 Electrical Service Provided by: SEATTLE CITY LIGHT 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: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 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 and agree to the conditions attached to this permit. Signature: (/'d/ 1I& k„,1--exi) 11VI, Date: Print Name: � ���" wv� J'VIJ' 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.TukwilaWA.gov electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For,ofca. 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: Tenant Name: King Co Assessor's Tax No.: PROPERTY OWNER Name: � � ot ��d i Y -1/1nj Q 11 �C Company Name: '1,2 \ trA6 \ e, %,t,A, Name: V. ^' l t ' n y City: State: Address:) --)\--x D _ 4 4vi a _ b A LI �, City - j41,i a (A., State: ll',a Zip. 'Ii. V CONTACT PERSON — person receiving all project communication Name: � � ot ��d i Y -1/1nj Q 11 �C Company Name: '1,2 \ trA6 \ e, %,t,A, Address: 4 av+t ` Wiz% IIl i � 6 +� 6 it ,iiiOy City: State: Zip:r Z \b Phone:-40ki _iv- ,1I A p Fax: �.E) 66 IQ U a _ b A LI �, Email:( rp,\ >c, 1 iI1 tell rA. et )(Y-‘ 1 0\1goD bbatZ� Suite Number: Floor: New Tenant: ❑ Yes .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: '1,2 \ trA6 \ e, %,t,A, Address: i 1411 _ l f)/,) 11,0 1 Aincl�Y id i) i City: 6)i State: v el Zip: NI I Phone: x , A-5 _ --mo Fax: -)so otp lu 1 Contr Reg No.: 6 LI N w, hvii Exp Date: 2 l - Tukwila Business License No.; a 6- Q°ICI Ciir1 Valuation of Project (contractor's bid price): $ 5(jr ) Scope of Work (please provide detailed information): tt Will service be altered? ❑ Yes [ No Adding more than 50 amps? ED Yes I No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication Property erved b : Puget Sound Energy 0 Seattle City Light W:t Center Applications -Handouts \Pennit Applications\PDFs\Electrical Permit Application Revised 1-1-17. docx Revised: January 2017 bh ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑, Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ 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*** 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: Mailing Address: State Zip Date: Day Telephone: City W:\Pctmit CenterUpplic tions-Handoufs\Pennit Applications \PDFs\Electrical Permit Application Revised 1-1-17.doca Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $342.01 EL17-0231 Address: 12250 42ND AVE S Apn: 0179000090 $64.10 ELECTRICAL $61.05 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 I 0.00 I $61.05 TECHNOLOGY FEE $3.05 TECHNOLOGY FEE R000.322.900.04.00 1 0.00 I $3.05 M17-0040 Address: 12250 42ND AVE S Apn: 0179000090 $277.91 MECHANICAL $264.68 PERMIT FEE R000.322.100.00.00 0.00 $231.53 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $13.23 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11141 R000.322.900.04.00 0.00 $13.23 $342.01 Date Paid: Friday, March 24, 2017 Paid By: GLENDALE HEATING & A/C INC Pay Method: CHECK 009377 Printed: Friday, March 24, 2017 11:22 AM 1 of 1 C( SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PNRMIT NO. CITY OF TUKWILA BUILDING DIVISION fi," _42-3� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Type of Inspection: Address: p50 I/Z4Date tellai Called: Special Instructions: I:51-1W Date Wanted: 6 , �Vt i. / �/ ca.rh. Requester: . Phone No: 01 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 Date: 01/14 REINSPECT! ' N FEE REQUIRED. Prior to next inspection, fee must be, paid at 6300 outhcenter Blvd.. Suite 100. Call to schedule reinspection. GLENDALE HEATING & A/C Horne Espariol Contact Safety & Health Washington State Department of Labor & industries Claims & Insurance Page 1 of 2 [Search L&I A -Z Index Workplace Rights GLENDALE HEATING & A/C Owner or tradesperson Principals HOEFER, GERALD, PRESIDENT FULTON, DAVID, SECRETARY Hoefer, Gerald A, AGENT HOEFER, ARTHUR (End: 06/22/2016) HOEFER, ARTHUR, AGENT (End: 06/22/2016) Doing business as GLENDALE HEATING & A/C WA UBI No. 600 003 167 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; 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. GLENDHA003CM Effective — expiration 02/14/2000— 02/14/2018 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600003167&LIC=GLENDHA003 CM&SAW= 3/24/2017 GLENDALE HEATING & A/C Designated administrator Fulton, Chadwick T License type Master Electrician accounts during the previous 6 year period. Savings (in lieu of bond) Received by L&I Release date N/A Savings account ID Bond No bond Active. Meets current requirements. License Violations No license violations during the previous 6 year period. License no. FULTOCT903K0 $4,000.00 Effective date 02/10/2000 Impaired date N/A Page 2 of 2 Workers' comp 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 153,339-00 Account is current. Doing business as GLENDALE HEATING & AIR COND Estimated workers reported Quarter 4 of Year 2016 "11 to 20 Workers" L&I account representative T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. © 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=600003167&LIC=GLENDHA003 CM&SAW= 3/24/2017