HomeMy WebLinkAboutPermit EL18-0367 - TUKWILA VILLAGE / BUILDING E - INSTALL 8 THERMOSTATS FOR A MIXED USE BUILDINGTUKWILA VILLAGE BLDG E
4450 S 144T" ST
ELI 8-0367
Parcel No:
Address:
City of Tukwila
O
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: htta://www.TukwilaWA.Rov
ELECTRICAL OTC PERMIT
0040000180 Permit Number:
4450 S 144TH ST Issue Date:
Permit Expires On:
Project Name: TUKWILA VILLAGE BLDG E
EL18-0367
4/18/2018
10/15/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TUKWILA CITY OF
6200 SOUTHCENTER BLVD, TUKWILA,
WA, 98188
JEREMY MOELLER
PO BOX 3205 , KIRKLAND, WA, 98083
C F M HEATING & COOLING INC
(ELECT)
11447 120TH AVE NE #100 ,
KIRKLAND, WA, 98033
CFMHEFM953QT
1,,
Phone: (425) 821-1293
Phone: (425) 821-1293
Expiration Date: 11/30/2019
DESCRIPTION OF WORK:
INSTALL 8 THERMOSTATS FOR A MIXED USE BUILDING
Valuation of single family: $0.00
Valuation of mf/comm: $1,500.00
Type of Work: LOW VOLTAGE
Fees Collected: $130.83
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:
Date
2017
2017
2017
2015
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:
77aA4A �y�{ A Date: C7 16?
Print Name:J P -F
y
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 TUKWA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 1
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:
� L 6 (u King Co Assessor's Tax No.:
c�{lD II /'1 `T 1 S+ Suite Number: Floor:
Tenant Name: Tok 14 V'I I 05 v v 1 e: New Tenant: J Yes ❑..No
PROPERTY OWNER
Name: Too �"u,, (� f �G V *, ll �tc�c. auv- GieiNcA 1l i$,A46 21-4
Address: 20127`4.1 Avei
State: State: w„4q Zip: /63-74
City: n441)
CONTACT PERSON — person receiving all project
communication
Name: ' re Mod,W
Address: f
a. (3ox 32 -0 -
City: Kt r Iwo State: LA Zip9b0,3
Phone:111ll7_5 624, /7.43 Fax: Gig- _iv- 13('3
Email: Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: co Necci I
n5 cam: co)It nJ
Address: P O 504 3205-
205City:
City:1/ . i d _ _ f State: 1. ,� Ztp�eobs
1� t ctt"q MV
Phone: y25' 82/' /213 Fax: 4.(25-,601- /5(./3
Contr Reg No.:C0 /iE0415-30TExp Date: +l 130/'G
I
Tukwila Business License No.; (,/0S - oii., q07
Valuation of Project (contractor's bid price): $ Ov
Tr1514 II 8 'I%lefr) 00-q cdr
Scope of Work (please provide detailed information):
ked o6c 6(.0 C nor
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes Igj No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
Ig Puget Sound Energy 0 Seattle City Light
W:\Permit Center \ Applications -Handouts \Rermit Applications \PDF's\Electrical Permit Application Revised I-1-17.docx
Revised: January 2017
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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***
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:
eXe my M col �✓
P 0. gy 3zo5
W:\Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Date: OCHS 16
Day Telephone: z/25- 6Z) -i213
KrieLIAJ Vth ) f0t3
City State Zip
Page 2 of 2
DESCRIPTIONS
permitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY PAID
230.83
EL18-0367
Address: 44502 S 144TH ST.
in: 0040000180
130.a
Credit Card
Fee
$3.81
Credit Card Fee
R000.369.908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14282
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Wednesday, April 18, 2018
Paid By: JEREMY MOELLER
Pay Method: CREDIT CARD 218185
Printed: Wednesday, April 18, 2018 10:58 AM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
Project: ,..1
tiL kliM...Aidi
Type of Inspection:
Address:
iNco 5- it-ki
Date Called:
Date Wanted:
a. .
Special Instructions:
p.m.
Requester:
Phone No:
OMMENTS:
Approved per applicable codes. Corrections required prior to approval.
Inspector:
4
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project:
fir
Type of Inspection;'
OAt 4 I/4
Address:
<, j
Date Called:
Special Instructions:
-T---- 5r
Date Wanted:
"gil it
a.m.
p.m.
Requester:
Phone No:
LJApproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
C REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
C F M HEATING & COOLING INt
Washington State Department of
Labor & Industries
H M11 e Ftipa 1)01 (onlact
Safety & Health Claims & Insurance
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Workplace Rights Trades & Licensing
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
11447 120TH AVE NE #100
KIRKLAND, WA 98033
425-821-1293
KING County
WA UBI No Business type
602 361 244 Corporation
License
Verify the contractor's 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
RCWANAC
19.28.101 RCW
Violation amount
$250.00
Help us improve
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C F M HEATING & COOLING IN
ELECTRICAL CITATION
Description
Falling 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 workerscomp premiums.
L&I Account ID
061,078-00
Doing business as
CFM HEATING AND COOLING INC
Estimated workers reported
Quarter 4 of Year 2017 "21 to 30 Workers"
L&I account contact
T5 / BETTY WHALIN (360)902.5137 - Email: YABE235@lni.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
Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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