HomeMy WebLinkAboutPermit EL17-0676 - VERDI 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.
EL17-0676
VERDI RESIDENCE
1491346 TH 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
9
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.
VERDI RESIDENCE
14913 46 AVE S
ELI 7-0676
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
0042000060 Permit Number:
14913 46TH AVE S Issue Date:
Permit Expires On:
VERDI RESIDENCE
EL17-0676
9/6/2017
3/5/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
VERDI CAROL A
14913 46TH AVE 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:
T -STAT
Valuation of single family: $10,573.62
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $64.10
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:
Permit Center Authorized Signature:
Date:
2014
2014
2014
2015
ce( n
r\
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:
Print Name: �()'d' U v[(
Date:6 gEP/ 17
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 TU LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TuicwilaWA.gov
Electrical Permit No. 0A1 VBG I(f
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:
1aqM - lbw'' So
King Co Assessor's Tax No.: O)2D D - ONDD
Suite Number: Floor:
Tenant Name: New Tenant: 0 Yes ❑..No
PROPERTY OWNER
• 1
Name: tp�1
Name: l Y8 l
f
11 i P Ir
A
Address: CI is -
SCD
A,,, SD
City: I WI'l110 Ilk
State: WA Zip:(\9 la
Zip:61?1(/?
State: IA )00
CONTACT PERSON — person receiving all project
communication
• 1
Name: tp�1
, ., `} I
ROI.
1r, -"
1 111'.10 rIIi
Address:) (D )` '
jj
r/'
'0.0 miwi �Y 1(i d U r
City: A.
)
State: WA Zip:(\9 la
Phone:ID(D `a
:IAD Fax: -)s. ip V 2 j
IL "1 - �?j i, `1
Email: e 4l 4
t'C I/ l P i i I • C1) W
ELECTRICAL CONTRACTOR INFORMATION
Company Name: j `
, ., `} I
ROI.
Address: I \ � f k , r ,I ��I`1�1/1r 1� O�/
j
City: 61 rll
State: v�� Zip: (jg i
Phone: I, - a.; ,1ib0 Fax: mit),1 -)t,
Contr Reg No.: G LE0 0 otAe Exp Date. A . 11 1_12
l
Tukwila Business License No.;
614 ` .6 113
6113 / I I
Valuation of Project (contractor's bid price): $ i%
Scope of Work (please provide detailed information):
-5�(6 Job
Will service be altered? ❑YesNo Adding more than 50 amps? ❑ Yes No
Type of Use: /
Tuve of work:
❑ New 0 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 Seattle City Light
W:\Pamit Ce nteUpphcations-amdoao\Pemit AppliceconsTDP \Electricd Permit Application Revised 1-1- 7 docx
Revised: lannay 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAI„SERV1CF,
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
Low voltage systems
(alarm, fumace thermostat)
$155.91
$83.54 ea
$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
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 CONTRAjtivaOR:
Signature:
Print Name:
Mailing Address: "7\ k) I yG�f R/) YO
W:\Pe mB t ApplicatioastPD0' \Elavical Permit Application Revised 1-1-17.docx
Revised: Jemmy 2017
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Day Te
City
Date:
ephone: w �)—
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$342.01
EL17-0676 Address: 14913 46TH AVE S Apn: 0042000060 $64.10
ELECTRICAL $61.05
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$61.05
TECHNOLOGY FEE $3.05
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.05
M17-0123 Address: 14913 46TH AVE S Apn: 0042000060 $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 R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R_2262
$13.23
$342.01
Date Paid: Wednesday, September 06, 2017
Paid By: GLENDALE HEATING & A/C
Pay Method: CHECK 010132
Printed: Wednesday, September 06, 2017 11:10 1 of 1
AM
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit 1(4
PERMIT NO.
CITY OF TUKVVILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspgction Request Line (206) 438-9350 t
Project: !��`g..
—`�1
Type of Inspection:
�� , 1,
I l/v''
U
Address: 11713 kt0 "►v..
Date Called:
Special Instructions:
J
Date Wanted:
M
d
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
r7 � edJo\
Date: o7 /o1 17
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
GLENDALE HEATING & A/C
1-lome Espanol Contact:
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
A -Z Index Help
Page 1 of 2
Workplace Rights Trades & Licensing
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
Designated administrator
_........._........_......................_.........
Fulton, Chadwick T
License type
Master Electrician
Active.
Meets current requirements.
License no.
FULTOCT903K0
Bond
................
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond) $4,000.00
Received by L&I Effective date
02/10/2000
Release date Impaired date
N/A N/A
Savings account ID
Help us improve
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GLENDALE HEATING & A/C
License Violations
No license violations during the previous 6 yearperiod.
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.
153,339-00
Doing business as
GLENDALE HEATING & AIR COND
Estimated workers reported
Quarter 2 of Year 2017 "11 to 20 Workers"
L&I account contact
T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@lni.wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
.......................................................
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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