HomeMy WebLinkAboutPermit EL19-0717 - GODWIN RESIDENCE - LOW VOLTAGE THERMOSTATGODWIN RESIDENCE
15827 42ND AVE S
ELI9-0717
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 2V6'438 -g350
Web site: http://www.TukwilaWA.gov
8108600703
15827 42ND AVE S
Project Name: GODWIN RESIDENCE
ELECTRICAL OTC PERMIT
Permit Number: [LI9'0717
Issue Date: 9/4/2019
Permit Expires On: 3/2/2020
Owner:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
GODWIN CLIFFORD P
73l9BOVVLYNPLACE S.SEATTLE, WA,
98118
DEBRA COONS
1Z46ZDES MOINES MEMORIAL UR,
SEATTLE, WA, 98168
GLENDALE HEATING & A/C
Address: lZ462DES MOINES MEMORIAL DR'
SEATTLE, WA, 98168
License No: GLEND*x0O3C,N
Address:
'''
Phone: (206) 243-7700
Phone: (206) 243-7700
Expiration Date: 2/14/2020
DESCRIPTION OF WORK:
LOW VOLTAGE THERMOSTAT
Valuation of single family: $75.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $63.00
Electricai Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City �f 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
20152015
2015
2015
LoS
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Da
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.
C -- � 9
Signature: V c� Date:
Print Name: S (.haat ) L YY\J-1/
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
Electrical Permit No. E I. -0 7 7
Project No.
Date Application Accepted:
Date Application Expires:
or of Ice use on
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan reviiew.
Applications will not be accepted through the mail or by fax.
**Please Print**
TE LOCATION
\ King Co Assessor's Tax No.: I U (0D - 0104
Site Address: �� )\ - a� N1 Co Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ..No
PROPERTY OWNER
Name: 61
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City: h, State: Zip: Dig
kiii
Name:
D t el
Phone:1 q'�1 ! it _Tits
W Fax.
lP ,,.13
' / 41
Address:
City:I
W.l \
State: OA
Zip:
lig Q
CONTACT PERSON — person receiving all project
communication
Name: 61
i i V1`l/or1id i
City: h, State: Zip: Dig
kiii
Address: ix bk.. V44 I tiiru 1 ivi3!
1
City: p State: ,n` k Zip: f� J III_Q
II V °tg
Phone:1 q'�1 ! it _Tits
W Fax.
lP ,,.13
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Email: e, (J11 lM a V to i hA. P.1A"r
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Addres/s:1 �) W�� AV4 Jt 1 ru I9'Yh Dy
City: h, State: Zip: Dig
kiii
/ i
Phone: U _,� 5 u� 0 Fax: �J� 4)"15 ,/ ,�1,i
Contr Reg No.: ( tt'nh, I p nD� A
Exp Date: 4,, ii.)., AD
Tukwila Business License No.; 0 U` -D105611) D102rt1
`1 l
Valuation of Project (contractor's bid price): $ I(!'
Scope of Work (please provide detailed information):
UN) f ft 1
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes
Type of Use: lffV��
Tune of work;
❑ New ❑ Addition
Low Voltage 0 Generator
Property Served by:
❑ Puget Sound Energy '� f Seattle City Light
W:1Petmit Cana \Applications-Handouls\PcmtitApplica�ous`1PDFs\Electrical Pamir Application Revised 1.1-17.docx
Revised: January 2017
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❑ Service Change
❑ Fire Alarm
O Remodel
❑ Telecommunication
O Tenant Improvement
O Temporary Service
Page 1 of 2
RTSIDENTIAL
NEW RESIDENTIAL SERVICE
ID New single family dwellings
(including an attached garage)
0 Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$61,05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O 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
O Circuits added/altered without service change ...... $55.69
(up to 5 circuits)
ID 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 $61.05
(alarm, furnace thermostat)
muun-FAMILY
RCLAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $66.30
0 Temporary service (generator) $82.52
0 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
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.
J3UILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: 12
Print Name:
Mailing Address:
Gob -06
4.1)-14 hyyloya) )1/
W:Wermit CentesiApidassions-HendoutaPermit Applications PDFAElectrical Permit Application Revised I -I -17.docs
Revised: January 2017
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Date: ) 9
Day Telephone: ),0 - at13-)tiO
City
vi)A DMA
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt: Number
DESCRIPTIONS
ACCOUNT
QUANTITY
' PAID
PerrnitTRAK
$276.33
EL19-0717 Address: 15827 42ND AVE S
Apn: 8108600703
$63.00
ELECTRICAL
$60.00
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$60.00
TECHNOLOGY FEE
$3.00
TECHNOLOGY FEE
R000.322,900.04,00
0.00
$3.00
M19-0146 Address: 15827 42ND AVE S
Apn: 8108600703
$213.33
MECHANICAL
$203.17
PERMIT FEE
R000.322.100.00.00
0.00
$170.02
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$10.16
TECHNOLOGY FEE
R000.322,900.04.00
0.00
$10.16
.rr
TOTAL FEES PAID BY RECEIPT: R18485
$276.33
Date Paid: Wednesday, September 04, 2019
Paid By: GLENDALE HEATING & A/C INC
Pay Method: CHECK 013192
Printed: Wednesday, September 04, 2019 2:02 1 of 1
PM
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter 8Ivd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: /
CIO .
"type of InsPec ion:
Address:
Date Called:
Special Instruction.
Date Wanted:
a. .
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
REINSPECTION EE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
GLENDALE HEATING & A/C
IUIT1Espanol Contact
Safety & Health Claims & Insurance
4
WashingtonaStaitenDdepuartsntireniet ofs
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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
FULTON
GERALD A HOEFER;
1 Cerifications & Endorsements
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
02114/2000— 02/14/2020
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.
Sayingl
(in lieu of bond) $4,000.00
Received by L&I Effective date
02/10/2000
•
Release date Impaired date
NIA N/A
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