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Home My WebLink AboutPermit EL12-0925 - BELAYNEH RESIDENCEBELAYNEH RESIDENCE 3741 S 152 ST EL1 2-0925 wq City ofukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.Tukwila WA .gov Parcel No.: 0043000157 Address: 3741 S 152 ST TUKW Project Name: BELAYNEH RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0925 Issue Date: 10/03/2012 Permit Expires On: 04/01/2013 Owner: Name: BELAYNEH SISAY Address: WONDIMU BERHANE , 3741 S 152ND ST 98168 Contact Person: Name: ALEX BURKHART Address: 727 S KENYON ST , SEATTLE WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST , SEATTLE WA 98108 Contractor License No: EVERGRL882JB Phone: 206 763 -1744 X 247 Phone: (206)763 -1744 Expiration Date: 04/02/2014 DESCRIPTION OF WORK: INSTALLATION OF (2) CIRCUITS Value of Electrical: NRES: $0.00 RES: $500.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and ex governing this work will be complied wi e w $54.60 2008 Date: i V l " this permit and know the same to be true and correct. All provisions of law and ordinances ether 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 electrical permit. Signature: Print Name: Date: lD l (V2 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0925 Printed: 10 -03 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0925 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL12 -0925 Printed: 10 -03 -2012 CITY OF TUKWI Community DevelopmenTDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. tLH12 Project No. tt Date Application Accepted: l Ol 027 l 1- 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 �� w� Site Address: -5-7 � 5 � 54- Tenant Name: S 3 Ow 1:2,e10-/ Yre l King Co Assessor's Tax No.: Db 1.1' 3b(:) 1 5 Suite Number: Floor: New Tenant: ❑ Yes ❑..No PROPERTY OWNER Name: Ail., &veyt Name: S 3 n _ 10,1 vu,t,, City: <,,e_c State: \14 A Zip: «(, Address: 3i �, 1 50,"x` i r- —1 -, Email: 4tAtot. 1 e 2 ,ymy,kvz.c..cb1^.. City: l V kW i to State: \A A Zip: (1,g i ,38 CONTACT PERSON - person receiving all project communication Name: Ail., &veyt Address: tin Sv „'`1 5t- , City: <,,e_c State: \14 A Zip: «(, Phone: Zpc= lc- 3_l -1y`f " Fax: xs=-7(:)--5,-Z�,1 Email: 4tAtot. 1 e 2 ,ymy,kvz.c..cb1^.. ELECTRICAL CONTRACTOR INFORMATION Company Name: _very , frRys ti Address: ---7,2,1 5 L,t a- , City: see., State: Wk Zip: 4V Lo Phone: .74C, .7 ‘r.,).... rici 4 Fax: -lab 16} -23X`1 Contr Reg No.: e,R fry— g $ 2- 6 Exp Date: 4,'2 %i (4, Tukwila Business License No.: t3 u s— oft 2 9 7 7 Valuation of Project (contractor's bid price): $ SD D -0 b Scope of Work (please provide detailed information): W, w-, - +eao Will service be altered? ❑ Yes dNo Adding more than 50 amps? ❑ Yes I2/No Type of Use: Type of work: Lew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \2011 Apphcattons\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea 152 Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Ut w Print Name: Mailing Address: 7 " 7 5),t-k "` `'fig , Day Telephone: Date: 2DG 7 - L? y g e t. 2M 7 City H:\Applications \Forms - Applications On Line \2011 Applications\Electncal Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh State Zip Page 2 of 2 OP of Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: httn: //www. ci. tukwila. wa. us SET RECEIPT Copy Reprinted on 10 -03 -2012 at 11:12:22 10/03/2012 RECEIPT NO: R12 -02753 Initials: JEM Payment Date: 10/03/2012 User ID: 1165 Total Payment: 231.70 Payee: EVERGREEN REFRIGERATION, LLC SET ID: S000001802 SET NAME: Temporary Set SET TRANSACTIONS: Set Member EL12 -0925 M12 -151 TOTAL: Amount 54.60 177.10 54.60 TRANSACTION LIST: Type Method Description Amount Payment Check 005644 231.70 TOTAL: 231.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.0 MECHANICAL - RES 000.322.102.00.0 54.60 177.10 TOTAL: 231.70 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6ANT yi PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206)'431 =3670 Permit Inspection Request Line (206) 431 -2451 /_' Project/1 NI— 1 4 Type of Inspection: C Address: 37ti s . t51 S1' Date Called: Special Instructib s: Date Wanted:. �� a.m. Requester: Phone No: [gi)Approved per applicable codes. COMMENTS: Corrections required prior to approval. A I� • ' �-�rrJq� i /1 ►� - n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: Date: a3ZZ1 INSPECTION RECORD. Retain a copy with'permif INSPECTION NO. ``PERMIT NO. CITY OF TUKWILA BUILDING.DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 . „ (206) 431 = 3670 Permit Inspection Request Line (206) 431 -2451 Project: i(k%S Type of Inspection: - Address: 3 7Lt t s -P9-2._ Date Called: Special Instructions: Date Wanted:. a:m. Requester: Phone No: Approved per applicable codes. • •Corrections required prior to approval.` COMMENTS: -A10 Apdsc &octt/ Pkok I-( A- -5 5 Inspector: Pi deAl n REINSPECTION FEE REQUIRED. Prior to next inspection'..fee:must he paid at 6300 Southcenter Blvd.. Suite 100. Call t� schedule reinspection.:. • Date:--6,3 X3:1/3 1 Jrrri Haggetion; .11%Iayor 03 -05 -2013 ALEX BURKHART 727 S KENYON ST SEATTLE WA 98108 epai'tment of Community .Development Jack Pace, .Director RE: Permit No. EL12 -0925 BELAYNEH RESIDENCE 3741 S 152 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 04/01/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 04/01/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Marshall echnician File: ermit File No. ELI2 -0925 630,0'Southcenter B Dine arcl; Suite #1.00;• Tukwila, Washington' 98188 • Phone ?06431 -3b70 • Pax 206 931 3665 Contractors or Tradespeople Prater Friendly Page Electrical Contractor A business licensed by LEI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company EVERGREEN REFRIGERATION LLC 2067631744 727 S Kenyon St Seattle WA 98108 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602512953 Active EVERGRL882JB Electrical Contractor 4/2/2012 4/2/2014 General Unused Other Associated Licenses Specialty Specialty 2 Effective Expiration Status EVERGRL915LR EVERGREEN Electrical Residential Hvac /Rfrg 6/12/2009 6/12/2013 Re- REFRIGERATION LLC Contractor Ltd Energy Licensed Electrical Administrator INFORMATION License DUCHAGC910CR Name DUCHARME, GEOFFREY C Status Active Business Owner Information Name R Role E Bond Account Number Effective Date E Expiration Date PATTON, DOUGLAS P Partner /Member 0 04 / /02/2012 2 PATTON, ROGER P Partner /Member 0 04 / /02/2012 PATTON, MATTHEW P Electrical Administrator INFORMATION License DUCHAGC910CR Name DUCHARME, GEOFFREY C Status Active Business Owner Information Name R Role E Bond Account Number Effective Date E Expiration Date PATTON, DOUGLAS P Partner /Member 0 04 / /02/2012 2 PATTON, ROGER P Partner /Member 0 04 / /02/2012 PATTON, MATTHEW P Partner /Member 0 04 / /02/2012 Travelers Cas & Surety Co PATTON, ADAM P Partner /Member 0 04/02/2012 08/04/2012 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 Merchants Bonding Co (Mutual) WA31802 04/07/2012 Until Cancelled $4,000.0007/10/2012 1 Travelers Cas & Surety Co 105264448 08/22/2009 Until Cancelled 08/04/2012 $4,000.0004/02/2012 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ESHA000627 5/4/2012 19.28.101 RCW ELECTRICAL CITATION Not satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 10/03/2012 https: // fortress .wa.gov /lni/bbip/Print.aspx 10/03/2012