The URL can be used to link to this page

Home My WebLink AboutPermit EL18-0672 - EXAMWORKS - RELOCATE THERMOSTATEXAMWORKS 16300 CHRISTENSEN RD 350 EL18-0672 Parcel No: Address: c 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: httD://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT 2523049078 Permit Number: EL18-0672 16300 CHRISTENSEN RD 350 Issue Date: 8/1/2018 Permit Expires On: 1/28/2019 Project Name: EXAMWORKS Owner: Name: Address: TALON RIVERVIEW PLAZA LLC 720 OLIVE WAY STE 1020 , SEATTLE, WA, 98101 Contact Person: Name: JEREMY MOELLER Address: PO BOX 3205 , KIRKLAND, WA, 98083 Contractor: Name: C F M HEATING & COOLING INC (ELECT) Address: 11447 120TH AVE NE #100 , KIRKLAND, WA, 98033 License No: CFMHEFM953QT Lender: Name: Address: Phone: (425) 821-1293 Phone: (425) 821-1293 Expiration Date: 11/30/2019 DESCRIPTION OF WORK: RELOCATE 1 EXISTING THERMOSTAT Valuation of single family: $0.00 Valuation of mf/comm: $150.00 Type of Work: TENANT IMP Fees Collected: $71.71 Electrical Service Provided by: PUGET 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 Permit Center Authorized Signature:V/ I g lv 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: Print Name: Date: dt .° I -18 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 0.N CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98/88 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For of ice use onl 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: WOO CtIr :Au) Tenant Name: EA Y'S PROPERTY OWNER Name: Fir5+ Avier ; can C)YIk2 / g /6 Address: 77c °\W_ Local 60;* 10Z.0 City: &ale State: WI Zip: 700/ CONTACT PERSON — person receiving all project communication Name: Teceol4 tv\ o e, t VW Address: p 0 ‘ (3,, K 3205 - City: K i 4, wagx( State: wA Ziplsob3 Phone: q25-- ez,_ izi3 Fax: ez i_ 13,13 Email: ..-6,,e,m16 cfm_twAcg. tom King Co Assessor's Tax No.: 2523 Oci/ 07 8 Suite Number: 3 5 5 Floor: rc New Tenant: j Yes LJ .No ELECTRICAL CONTRACTOR INFORMATION Company Name: c F. tik t44,,,,i,05 odo ccottn3 Address: f). 0. .6,,,, 3205. City: K4 id ctio State: WA Zip:/a0ti3 Phone: '-/ 25 62,1. 12q3 Fax: 6ZI- 13`43 Contr Reg No.: c pi 14E0053 4T Exp Date: 0 /30//, Tukwila Business License No.; Valuation of Project (contractor's bid price): $ ge 10 CA Scope of Work (please provide detailed information): ex; 54415 444er-fl10 Will service be altered? Type of Use: Type of work: Ej New [73 Addition [X] Low Voltage El Generator Property Served by: [K] Puget Sound Energy Yes No C cowl c Adding more than 50 amps? CD Yes E No LJ Service Change C] Fire Alarm El Seattle City Light W: \Venni' Cenief,Applications-liandpuisTemlit ApplicationssP0Fs'Elecirical Permit Application Revised 1-1-17.docx Revisni January 2017 1.,11 ID Remodel El Telecommunication E Tenant Improvement • Temporary Service Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $155.91 (including an attached garage) 0 Garages, pools, spas and outbuildings $83.54 ea O Low voltage systems (alarm, furnace thermostat) $6L05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 0 Service change or alteration $83.54 (no added/altered circuits) O Service change with added/altered circuits $83.54 number of added circuits $12.00 ea LI Circuits added/altered without service change $55.69 (up to 5 circuits) Ej Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O Meter/mast repair $69.62 O Low voltage systems $6 1.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES 0 Temporary service (residential) $66.30 O Temporary service (generator) $82.52 O Manufactured/mobile home service $87,98 (excluding garage or outbuilding) O 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: Moaer 3205 - WArcrInii CentcrtAprilications-HamlowsTermit ApplicationstPDFCTlectrical Permit Application Revised I -I - 17.docx Revised: January NI 1,11 Day Telephone: 1<1* 00X1 City Date: 06-oi- le 1117- 621-/243 wi 98o63 Slate Zip Page 2 of 2 Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/01/2018 02:53:54 PM CREDIT CARD SALE VISA CARD NUMBER: *'********7881 K TRAN AMOUNT: $71.71 APPROVAL CD: 611035 RECORD #: 000 CLERK ID: Rachelle {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTran... 8/1/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 08/01/2018 02:53:54 PM CREDIT CARD SALE VISA CARD NUMBER: **********7881 K TRAN AMOUNT: $71.71 APPROVAL CD: 611035 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTran... 8/1/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $71.71 EL18-0672 Address: 16300 CHRISTENSEN RD 350 Apn: 2523049078 $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 I $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R15070 0.00 $3.32 $71.71 Date Paid: Wednesday, August 01, 2018 Paid By: JEREMY MOELLER Pay Method: CREDIT CARD 611035 Printed: Wednesday, August 01, 2018 2:54 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD (, Retain a copy with permit Lti'-a012- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 6 Project: 0( LA-kg..5 Type of Inspection: 6-sAiht,- Address: SW Date Called: Special Instructions: l j 3- S r. Date Wanted: r �a rry p.m. Requester: / Phone Na: go SCH Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 Inspector: Date: REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. C F M HEATING & COOLING IN904, I lame Safety & Health Claims & Insurance Washington State Department of % Labor & Industries [Search Lill A -'l, ndex Help Page 1 of 2 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 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 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. CFMHEFM953QT Effective — expiration 11/30/2005-11/30/2019 Designated administrator Stillman, Michael A 1 [cense type Electrical Administrator Bond DEVELOPERS SURETY & INDEM CO Bond account no 797048C Received by L&I 12/19/2008 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. SELLMMA916B6 $4,000.00 Effective date 11/21/2008 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 061,078-00 Account Is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602361244&LIC=CFMHEFM953QT&SAW= 8/1/2018 C F M HEATING & COOLING INC.,,, Doing business as CFM HEATING AND COOLING INC " Estimated workers reported Quarter 2 of Year 2018 "21 to 30 Workers" L&I account contact T5 / BETTY WHALIN (360)902-5137 - Email: VABE235@Ini.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 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= 8/1/2018