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Home My WebLink AboutPermit EL07-338 - RIVERTON TERRACERIVERTON TERRACE 14410 41 AV S ELO7-338 Parcel No.: 0040000205 Address: 14410 41 AV S TUKW Suite No: Tenant: Name: RIVERTON TERRACE Address: 14410 41 AV S , TUKVVILA WA Owner: Name: KING CO HOUSING AUTHORITY Phone: Address: 600 ANDOVER PARK W , SEATTLE WA Contact Person: Name: SHAWN LEHMAN Phone: 253 627 -3794 Address: 3215 S 12 ST , TACOMA WA Contractor: Name: EVERGREEN FIRE ALARMS LLC Phone: 253 627 -3794 Address: 3215 S 12 ST , TACOMA WA Contractor License No: EVERGFA0000LG Expiration Date: 06/08/2008 DESCRIPTION OF WORK: NEW LOW VOLTAGE FIRE ALARM Value of Electrical: $28,444.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied rich, 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 e rmance of wor I authorized to sign and obtain this electrical permit. Signature: ' Date: j2 / Print Name: V) *Y i I LE 14 t doc: EL -4/07 City-sf Tukwila Department of Community Development • 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us ELECTRICAL PERMIT Permit Number: EL07 -338 Issue Date: 07/26/2007 Permit Expires On: 01/22/2008 $557.60 Date: ailte tC ed this permit and know the same to be true and correct. All provisions of law and ordinances 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. EL07 -338 Printed: 07 -26 -2007 Parcel No.: 0040000205 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 1441041AVS RIVERTON TERRACE City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -338 ISSUED 07/26/2007 07/26/2007 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. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: doc: Cond -Elec SktAt,3 - L( LE (4 f'-k14Q Date: EL07 -338 Printed: 07 -26 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us 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 Address: Tenant Name: lyy/D y / ST AJE So., leivERr:374 '7 e_ E -Mail Address: Company Name: E4 P&E EFiJ Mailing Address: 32) 6cni -r 4 )2 Th ST Contact Person: 61 4 A t . J /.. EF4 tt Adtl E -Mail Address: SL&4(AIJ a € .!-neE . CoLK Contractor Registration Number: W E2& FAGo 4:2r L61 H:V►pplications\Forms. Applications On une\4 -2007. Electrical Permit Appliation.doc bit King Co Assessor's Tax No.: City - TACOMA COMA City Day Telephone: Fax Number: Suite Number: Floor: / New Tenant: El Yes V.. No Property Owners Name: 4 hid rau ,.1 r9 14ouSnJd Ak m o2. rr ( Mailing Address: Expiration Date: pcc{D10-02& State State Zip CONTACT - PERSON Who do we contact when your permit is ready to be issue Name: Day Telephone: Mailing Address: City Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION A 55 yoS State Zip 253 -627— 379 ti 253 -d 27 -7607 Valuation of Project (contractor's bid price): $ 28, J L I . 60 Scope of Work (please provide detailed information): A/Et,J LC2.m. QbcTA&E" ReE AzAer -t Will service be altered? ❑ Yes $ No Adding more than 50 amps? ❑ Yes 14 No Type of Use: Type of work: El New ❑ Addition El Service Change El Remodel El Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm El Telecommunication ❑ Temporary Service Property Served by: El Puget Sound Energy 0 Seattle City Light Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) PERMIT APPLICATION,-NOT 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: fr.!5eCtkh-n■ Print Name: CSFW• L.E Mailing Address: 32LS So 1 2.'4- ZT I Date Application Accepted: H:Upplications\Forms- Applications On Line\4 -2007 - Electrical Permit Appliation.doe bh MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea Day Telephone: J L4 6 City MISCELLANEOUS FEES Date: 7 / 2 3/ 61 2S3 62.7 -3)9Ll 1aA 9g �IaS State Zip Staff Initials: Date Application Expires: Page 2 of 2 Parcel No.: 0040000205 Address: 14410 41 AV S TUICW Suite No: Applicant: RIVERTON TERRACE Receipt No.: R07 -01501 Payee: EVERGREEN FIRE ALARMS TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Initials: JEM Payment Date: 07/26/2007 01:26 PM User ID: 1165 Balance: $0.00 Amount Payment Check 13672 557.60 Account Code Current Pmts 000.322.101.00.0 557.60 Total: $557.60 Permit Number: ELO7 -338 Status: PENDING Applied Date: 07/26/2007 Issue Date: Payment Amount: $557.60 0751 07/26 9710 TOTAL 557.60 dor.: Rmawint -OR Printed 07 -26-7007 Pr ect: ivMrw C Ift Type of Inspection: /� Address: sl - Date Called: Special Instructions: Date Wanted: / / a.m. P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 .-- 21? PERMIT NO. (6)431 -3670 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspect jL l I///o7 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 1 Receipt No.: 'Date: Project: nvixr;� ifR� 6— Type of Inspection: 7003 A dress: Address — Y/ Date Called: Special Instructions: Date Wanted: / (a� Vim. Requester: Phone No: (toy INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ' 6300 S outhcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0 El Approved per applicable codes. Corrections required prior to approval. COMMENTS: GE In1 CA/EREI &I P/ UGC / e 77 N i n / r, -- SUZ of T s f- cr7,r/ ( gu 71A..5 m // (Date: / / Is / $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: .� ♦4 .. _.ter. ^'�iY COMMENTS: Type of Inspection: \.J Address: S H — 0 -9- 4/ VE4 — Special Instructions: Date Wanted: // //6 • • Requester: Phone No: ii/U4 77 W,7 ///fGe, 7 - 7) 11-4 ROW A/E-‘,65 7 6 ' , 6 f 5 94 Project: g I a 72AI 7'4'i 4 Type of Inspection: \.J Address: S H — 0 -9- 4/ Date Called: Special Instructions: Date Wanted: // //6 • • Requester: Phone No: f INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION V- 6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3 7 pproved per applicable codes. El Corrections required prior to approval. Inspecn 1: 5 ) 077 , 44/7ffe . # 'Date: El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. r eceipt No.: 'Date: ) -.- '' ' • . -:. ; • 10 jaPe' C ' 4 . ...''' ."'. f. '''.. ' ' - ',' ...-- e'l . . , 7 ,`,' ...- '-' % ' - ',1-i ,.. r., .: . ..'-',.. i.. •,,,,::" ... • 4 ....1 ''' ' Pr c �: :ss �JA^^ �y`�N �1'�i� Type of Inspection: �t �� e /� �] // �j A) / `/, S7 /"L c Date Called: Special Instructions: Date Wanted: _�� 2 a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43} -3:70 COMMENTS: 0/Z - oi6 /1- fN /ti/E._ fru ( _&k/,Ilioi✓ 1,/ 4/1/67 ' w ( S4if // I 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: 1 ' roved per applicable codes. Corrections required prior to approval. y• � - .n.ef� < s : • r -... ee. ». _j Project: Ai/ - t - cni -7-404c____ Type of Inspectio Type Address: c T Date Called: Special Instructions: Date Wanted: J� / p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 J lnspe � INSPECTION RECORD Retain a copy with permit 40? -3 3 r (206)431 -3 K teproved per applicable codes. El Corrections required prior to approval. COMMENTS: 00X / 41 L & J $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: `Date: Business Owner Information Name Role Effective Date Expiration Date BURGESS, JOHN OWNER 01/01/1980 PADDOCK, TROY OWNER 01/01/1980 FORSLIN, JONN JR OWNER 01/01/1980 GARRIGUS, FOREST OWNER 01/01/1980 04/25 /2004 Look Up a Contractor, Electri " =In or Plumber License Detail Page 1 of 2 sew Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License EVERGFA000LG EVERGREEN FIRE ALARMS LLC ELECTRICAL CONTRACTOR 602036117 LIMITED LIABILITY COMPANY 3215 S 12Th ST TACOMA PIERCE WA 98405 2536273794 ACTIVE LIMITED ENERGY HVAC/RFRG LTD ENERGY 6/8/2000 6/8/2008 KEITHJC977JP Master Electrician Information License Name Status KEITHJC977JP KEITH, JOHNNY C ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= EVERGFA000LG 07/26/2007