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HomeMy WebLinkAboutPermit EL17-0399 - DATE RESIDENCE - THERMOSTAT AND ELECTRICAL TO HEAT PUMPDATE RESIDENCE 4103 S 130 ST ELI 7-0399 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 7340600821 4103 S 130TH ST DATE RESIDENCE ELECTRICAL OTC PERMIT Permit Number: EL17-0399 Issue Date: 5/25/2017 Permit Expires On: 11/21/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: DATE BRIAN + VICKIE 4103 S 130TH , SEATTLE, WA, 98168 KATRINA SIMONSON 1813185 ST E , BONNEY LAKE, WA, 98391 GREEN CITY HTG & A/C INC 948 INDUSTRY DR , TUKWILA, WA, 98188 GREENCH838CH Phone: (206) 227-6616 Phone: (206) 227-6616 Expiration Date: 2/8/2019 DESCRIPTION OF WORK: RUN ELECTRICAL TO A NEW HEAT PUMP FROM THE PANEL. LOW VOLTAGE FOR NEW THERMOSTAT Valuation of single family: $800.00 Valuation of mf/comm: $0.00 Type of Work: REMODEL Fees Collected: $122.58 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date: ��—� I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development p$rmit and agree to the conditions attached to this permit. SignattCe Date: L Print Na A'l(\ �9\. l V1.10�v'_ or\ 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 TUKWlLA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No. ti --1 7 -03?? 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 A c King Co Assessor's Tax No.: `13 14 O La 0(1)$ 1 Site Address: 41®`, • `7 , 13014V ST Suite Number: Floor: Tenant Name: V a- 1 d 1:3Y1 C. Y \ e. New Tenant: ❑ Yes ❑ ..No PROPERTY OWNER Name: Address: j,. v.. G C i vv 6 Name: V 1(VA 4- Qrl0..1ti. W .S Phone:26&, z,A GA,' ax: Address: 4\ 03 s. t30-4.. o s..s city:-T0,4...w\ v0� State:w � ZiP:q gt Lois CONTACT PERSON — person receiving all project communication Name: Address: j,. v.. G C i vv 6 City: `iLLnstat . t..4. JA Zip: Q/ O .S Phone:26&, z,A GA,' ax: Email: Qrecn C ( f1 va c 0 soma( I .co ELECTRICAL CONTRACTOR INFORMATION Company Name �' re„v. eA- vv_ • _ sbY7� Address:CT1 �doksA6e:p.3.1/4 City. `i�1C\J.�y IlitMC Phone: ZQci• 2..1:1 , 66 IFG: Contr Reg No.:G 2LEI4c s3stx ate: 2--(c Tukwila Business License No.;Bos0cr7i _ Ti cyC.7 CE CC.. cr'l Valuation of Project (contractor's bid price): $ 0 . _1 Scope of Work (please provide detailed information): ` 2.k.J_t\ JL9.. [_4/ CGt� 40Q ne 1)1u vvv ` 1 kQ Ct,L1' • tau Vii t�`ia'' T S`f Will service be altered? ❑ Yes No Adding more than 50 amps? CI Yes No Type of Use: Type of work: 0 New Addition 0 Service Change 0 Remodel 0 Tenant Improvement ', Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:\Pchmit Ccntcr\Applications-Handouts\Pcrnit Applications\PDFs\Electrical Permit Application Revised I-1-17.doca Revised: January 2017 bh 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'4'mge 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, furnaceermostat) 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 ELECTRICAL CONTRACTOR: Signatur~ PrintName:1�11 %V"Lk l nir SOY Mailing Address: q --N. I o,uS Day Telephone: Date: i 11 266.2277 -(oto t L W:\Pe[mit Center lAppli®tions-Hm d uts\Pcrmit Applications \PDFs\Plectrical Permit Application Revised 1- I-17.docx Revised: January 2017 bh City state Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $368.21 EL17-0399 Address: 4103 S 130TH ST Apn: 7340600821 $122.58 ELECTRICAL $116.74 PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00 0.00 $116.74 TECHNOLOGY FEE $5.84 TECHNOLOGY FEE 1 R000.322.900.04.00 0.00 $5.84 M17-0074 Address: 4103 S 130TH ST Apn: 7340600821 $245.63 MECHANICAL $233.93 PERMIT FEE R000.322.100.00.00 0.00 $200.78 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 TECHNOLOGY FEE $11.70 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11578 R000.322.900.04.00 0.00 $11.70 $368.21 Date Paid: Thursday, May 25, 2017 Paid By: GREEN CITY HTG & A/C INC Pay Method: CHECK 6558 Printed: Thursday, May 25, 2017 3:31 PM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit 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:,DRre- ges. Type of Inspection: 0 Address: ��®� �" /S� Date Called: Special Instructions: Date Wanted: b 111 PATI. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior toapproval. COMMENTS: 6Wr--1-1,DJ5 1.*3-6 o pry Inspector: Date: 0 0,7/17 REINSPECT 1 N FEE REQUIRED. Prior to next inspectin, fees't be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. P:RMIZ NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA. 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project:per' 4,5 4— -H aoi 6 Rck .7a boto oil/ Type of Inspection: - u ill i p Uo l s ._.. 4D/5A Address:t �% O3 CJs / sr Date Called: DI SCA) (i MiZekby 4ti- r4l6- 4.- Special Instructions: _ p� �% Date Wanted: S3I ca5.71. m. Requester: Phone No: Approved per applicable codes. ixjCorrections required prior to approval. COMMENTS: 4— -H aoi 6 Rck .7a boto oil/ 30A.eip 2g6I-Kf-& se- * ( - u ill i p Uo l s ._.. 4D/5A k/ r - CSG1-"LrnL1E CJ0`� DI SCA) (i MiZekby 4ti- r4l6- 7f ode A -r' rr PviP -,5 MM -P SCAtiik14-r- kr 6 13c 0) Inspector:Jeei'J 6k Date: 0573,1 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Green City HTG & A/C INC I -tome Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 2 A -Z Index Help My 1.:&I Workplace Rights Trades & Licensing Green City HTG & NC INC Owner or tradesperson Principals SIMONSON, JEFFREY 0, PRESIDENT SIMONSON, KATRINA M, SECRETARY SIMONSON, JEFFREY 0, AGENT Doing business as Green City HTG & A/C INC WA UBI No. 603 363 739 948 INDUSTRY DR TUKWILA, WA 98188 206-227-6616 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties RESIDENTIAL License no. GREENCH838CH Effective — expiration 02/08/2017— 02/08/2019 Designated administrator CLARKE, DAMIAN P Active. Meets current requirements. License type License no. Electrical Administrator CLARKDP940P5 Bond ._......_...... RLI Ins Co Bond account no. LSM0962657 Received by L&I 02/08/2017 Savings No savings accounts during the previous 6 year period. License Violations ..........._..................................__..... No license violations during the previous 6 year period. $4,000.00 Effective date 02/08/2017 Expiration date Until Canceled 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 Account is current. 224,216-01 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603363739&LIC=GREENCH838CH&SAW= 5/25/2017 Green City HTG & A/C INC Doing business as GREEN CITY HEATING & AIR CONDI Estimated workers reported Quarter 1 of Year 2017 "11 to 20 Workers" L&I account representative T4 / NIKKI BUTLER (360)902-4918 - Email: BUTQ235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © 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=603363739&LIC=GREENCH838CH&SAW= 5/25/2017