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Home My WebLink AboutPermit EL17-0998 - ALZHEIMER'S ASSOCIATION - WALL SENSORS RELOCATIONALZHEIMER'S ASSOCIATION 635 ANDOVER PARK W 200 ELI 7-0998 Parcel No: Address: Project Name: U City of Tukwila C 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 2623049143 635 ANDOVER PARK W 200 ALZHEIMER'S ASSOCIATION Permit Number: Issue Date: Permit Expires On: EL17-0998 12/11/2017 6/9/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SOUTHCENTER CORPORATE SQUAR 635 ANDOVER PARK W #107 , TUKWILA, WA, 98188 JEREMY MOELLER PO BOX 3205 , KIRKLAND, WA, 98083 C F M HEATING & COOLING INC 11447 120TH AVE NE #100 , KIRKLAND, WA, 98033 CFMHEFM953QT Phone: (425) 821-1293 Phone: (425) 821-1293 Expiration Date: 11/30/2019 DESCRIPTION OF WORK: RELOCATE 4 EXISTING WALL SENSORS FOR EXISTING HVAC SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $250.00 Type of Work: LOW VOLTAGE Fees Collected: $71.71 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: 2017 2017 2017 2015 Permit Center Authorized Signature: (Ai 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: !/ Print Name: Date: /21F/7 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 and the Washington Cities Electrical Code. 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 1 aLbk Electrical Permit No. 0l ' oopi 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: (35 Pin ouc{ T arL. W King Co Assessor's Tax No.: 4230 C(9 (ct 3D8 Suite Number: 2c0 Floor: 2n \ Tenant Name: AIzk\e m.e./5 A SSOCi di on New Tenant: E3 Yes ..No PROPERTY OWNER Name: -j(�e `( Roe.'b Name: /� 50u cf et( Co . Svaf€ Phone: q25 _(}-,H2.52 Fax: ezi_ If3g3 Address: Tukwila Business License No.; Ons_ O co 1 LI 07 City: State: Zip: CONTACT PERSON - person receiving all project communication Name: -j(�e `( Roe.'b Address: i. D . CJOX 32-05- 205 City: City: �/' • �I✓^ �,,(�/ State: Wl 1O Zip:g6003 f�\'� l W Ull �/ / Phone: q25 _(}-,H2.52 Fax: ezi_ If3g3 Email: T'e<e,mu/@ CFM_ "voCQ . C0Nk ELECTRICAL CONTRACTOR INFORMATION Company Name: CFM !• t,{.;t15 occ\ Cotor Address: D 0. 16 01( 3 20 5 JJ City: K, CI \ 04.)c) State: w Zip: 06063 Phone: Los._ (34 _ IZ j Fax: 821- / 343 43 Contr Reg No.:C0M xp Date: ///30/(e�• II Tukwila Business License No.; Ons_ O co 1 LI 07 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): fe lQ-4 ex;g1=,,3 (Ada ti Ser ot. Tar eK5 n5 'kvA c sL pketrn 250 Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes k No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light W:\Permit Center \ Applications -Handouts \Permit Applications\PDF's\EIectrical Permit Application Revised I-1-17.docx Revised: January 2017 bh Page 1 of 2 rd� 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*** 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: Mailing Address: [may Mod ki- P- o - box 3 ids Date: /2-66'- / 7 Day Telephone: '125-621- /273 K.fkIctitct wA 79(13 W:\Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised I-1-17,docx Revised: January 2017 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY PAID $157.65 EL17-0998 Address: 635 ANDOVER PARK W 200 Apn: 2623049143 $71.71- Credit Card Fee $2.09 Credit Card Fee R000.369.908.00.00 I 0.00 $2.09 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE R000.322.900.04.00 I 0.00 $3.32 EL17-0999 Address: 16300 CHRISTENSEN RD 350 Apn: 2523049078 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908.00.00 I 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12992 R000.322.900.04.00 0.00 $3.97 $157.65 Date Paid: Monday, December 11, 2017 Paid By: JEREMY MOELLER Pay Method: CREDIT CARD 111151 Printed: Monday, December 11, 2017 9:15 AM 1 of 1 CRWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERi4'7ofl'S IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: A ilks- `11� Type of Inspection: FA i- Address: 63c / w a - Date Called: Special instructions: f� t t - eoef f tel/ Date Wanted: I a.m p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: e r & Date: / l t (t7 REINSPECTI N FEE REQUIRED. Prior to next inspection, fee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. C F M HEATING & COOLING INC Hone Espanol Contact Search L&I Page 1 of 2 AfiCH: A--ZIndexx Help My IAA Safety & Health Claims & Insurance Workplace Rights Trades & Licensing CWashington State Department of AP Labor & Industries C F M HEATING & COOLING INC Owner or tradesperson Principals CLANCY, SHAUN P, PRESIDENT CLANCY, SHAUN P, AGENT Doing business as C F M HEATING & COOLING INC WA UBI No. 602 361 244 11447 120TH AVE NE #100 KIRKLAND, WA 98033 425-821-1293 KING County Business type Corporation License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties HVAC/RFRG License no. CFMHEFM953QT Effective — expiration 11/30/2005-11/30/2019 Designated administrator Sellman, Michael A License type Electrical Administrator Bond ..._.......... DEVELOPERS SURETY & INDEM CO Bond account no. 797048C Active. Meets current requirements. Active. Meets current requirements. License no. SELLMMA916B6 $4,000.00 Received by L&I Effective date 12/19/2008 11/21/2008 Expiration date Until Canceled Savings ................. No savings accounts during the previous 6 year period. License Violations Infraction no, EDUNY00242 Issue date 05/31/2012 Violation city KIRKLAND Type of violation Satisfied ............._.......... RCW/WAC 19.28.101 RCW Violation amount $250.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602361244&LIC=CFMHEFM953QT&SAW= 12/11/2017 C F M HEATING & COOLING INC ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. 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 061,078-00 Doing business as CFM HEATING AND COOLING INC Estimated workers reported Quarter 3 of Year 2017 "21 to 30 Workers" L&I account contact T5 / BETTY WHALN (360)902-5137 - Email: VABE235@Ini.wa.gov Account is current. 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 O 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=602361244&LIC=CFMHEFM953QT&SAW= 12/11/2017