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HomeMy WebLinkAboutPermit EL19-0611 - HOMEGROWN - ADD 1 THERMOSTATHOMEGROWN 841 SOUTHCENTER MALL ELI 9-0611 Parcel No: Address: City of Tukwila a Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98180 Phone: 206-431-3670 Inspection Request Line: 206'438-9350 Web site: http://www.TukwiIaWA.gov ELECTRICAL OTC PERMIT 9302470010 Permit Number: EL19-0611 841 SOUTHCENTER MALL Project Name: HOMEGROWN Issue Date: 7/31/2019 Permit Expires Orr 1/27/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WESTFIELD PROPERTY TAX DEPT POBOX I3094O'[ARLSBAD.WA, 92013 JEREMY MOELLER PO BOX 3205 , KIRKLAND, WA, 98083 C F M HEATING & COOLING INC (ELECT) ll447I2OTHAVE NE#lOO' KIRKLAND, WA98033 [FN1HEFM953OT Phone: (425) 821-1293 Phone: (425) 821-1293 Expiration Date: 11/30/2019 DESCRIPTION OF WORK: INSTALL 1 NEW THERMOSTAT. Valuation of single family: $0.00 Valuation of mf/comm: $250.00 Type of Work: LOW VOLTAGE Fees Collected: $71J1 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila; Iriternational Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: nternationaf Fuel Gas Code: Permit Center Authorized Signa 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: OP� -_ P. � Date: 2017 2017 2017 2015 6.! 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: ;! l�%./14-, Date: 67%3/19 Print Name: L)ecem y Poefkr 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 /INN Electrical Permit No. _E-2. -0(9 J Project No. Date Application Accepted: —7 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: soc46cei1kr Mal( King Co Assessor's Tax No.: T2oz(1-1 ooi (.9 Suite Number: NS 331. Floor: itt Tenant Name: Horc.0 PROPERTY OWNER Name: 7Q•Ce(11 N1 e.,[tQr Name: \kiksk,tie,\(\ ac Address: Fo. pvx.. 321),..) Address: 2600 5litiv.:644, AA I\ CitY: 4c r LW State: wil City: T , State: (A 14 Zip: 5189 CONTACT PERSON — person receiving all project communication Name: 7Q•Ce(11 N1 e.,[tQr Address: p. 0, 130)( 32-o Address: Fo. pvx.. 321),..) Phone:475-- 021- 1745 Fax: -t2»5 - Bzr - /8"0 CitY: 4c r LW State: wil Zip: 9603 z Fax: Phone i , 17A3 Email: c FR - rtvAcK . f©M New Tenant: [R] .....Yes D ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: CO0 ( ten Address: p. 0, 130)( 32-o City: Ki c kitiN4 State: Zip: 180,3z Phone:475-- 021- 1745 Fax: -t2»5 - Bzr - /8"0 Contr Reg No. Fitt 1.1 c. em,55 6— Exp Date: tt /50/ iq Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Z50 Scope of Work (please provide detailed information): 1 \ et,t ) Will service service be altered? D Yes O. No Adding more than 50 amps? C] Yes IK] No Type of Use: COPOM etc Type of work: 0 New 0 Addition 0 Service Change 0 Remodel Tenant Improvement a Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 54 Puget Sound Energy 0 Seattle City Light WAPerrnit Center Applications-HandocitskPennit Applications \PDFs \Electrical Permit Application Revised I -17-19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $180.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $120.00 ea ❑ Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $ 120.00 (no added/altered circuits) ❑ Service change with added/altered circuits $100.00 number of added circuits .....................$10.00 ea ❑ Circuits added/altered without service change $60.00 (up to 5 circuits) ❑ Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea ❑ Meter/mast repair $80.00 ❑ Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service $100.00 (excluding garage or outbuilding) ❑ Carnivals $100.00 Number of concessions $11.00 ea Each ride and generator truck $11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% 1ECHN©LOGY 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 1 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: 130A 3z©S W:Wermit CenterlApplicetions-Handouts\ Permit Applications \PDFskElectricel Permit Applieetion Revised 1.17-19.doc, Date: Cri Day Telephone: I Z5 624-1z, )(4,-14-0e1 1 A "I 8063 cityState Zip Page 2 of 2 • Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $71.71 EL19-0611 Address: 841 SOUTHCENTER MALL Apn: 9202470010 $71.71 Credit Card Fee $2.09 Credit Card Fee R000.369.908.00.00 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 TOTAL FEES PAID BY RECEIPT: R18220 R000.322.900.04,00 0.00 $3,32 $71.71 Date Paid: Wednesday, July 31, 2019 Paid By: JEREMY MOELLER Pay Method: CREDIT CARD 211371 Printed: Wednesday, July 31, 2019 10:18 AM 1 of 1 I"SYSTEMS COc 0 TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206'433-1870 CITY OF TUKWILA Date: 07/3I/20I9 10:I7:53 AM CREDIT CARD SALE VISA CARD NUMBER: **********9056 K TRAN AMOUNT: $71.71 APPROVAL CD: 2I137I RECORD #: 000 CLERK ID: kandace Thank you! Customer Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of nspec on: , . Address: Date Called: Spec al Ins u on : - Date Wanted: fa. . p.m. Requester: Phone No: El!MMENTS: Approvedper applicable codes. Corrections required prior to approval. ns pector. REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule rein pection. 0 Etipan Contac Safety & Health Claims & Insurance Washington State Department of Labor & Industries A -Z Index Help My L/d 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 Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. icense 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 Sellman, Michael A License type Electrical Administrator Bond DEVELOPERS SURETY & INDEM CO Bond account no. 797048C Received by L&I 12/19/2008 Sayings 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 Help us improve Workers' comp Public Works Requirements Workplace safety and health st, thittethengton State Dept et- Lestber& ndushies.. Use 01 this site is 0001001 thi the taws of this state et tiettstengten Help us improve