The URL can be used to link to this page

Home My WebLink AboutPermit EL07-717 - LAZY BOYLAZY BOY 17305 SOUTHCENTER PY ELO7-717 Parcel No.: 2623049024 Address: 17305 SOUTHCENTER PY TUKW Suite No: Tenant: Name: LA Z BOY Address: 17305 SOUTHCENTER PY , TUKVVILA WA Owner: Name: TR5 LLC Phone: Address: 117 E LOUISA ST #230 , SEATTLE WA Contact Person: Name: KEO TORRE Phone: 206- 763 -1744 Address: 727 S KENYON ST , SEATTLE WA Contractor: Name: EVERGREEN REFRIGERATION LLC Phone: 206 763 -1744 Address: 727 S KENYON ST , SETTLE WA Contractor License No: EVERGRL957R9 Expiration Date: DESCRIPTION OF WORK: RELOCATE 2 THERMOSTATS Value of Electrical: $280.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby 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 's permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t ; performa4ce of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: doc: EL -4/07 \`-'4 ruv' City\..A 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 Lat-R,,„d, Fees Collected: Permit Number: EL07 -717 Issue Date: 11/27/2007 Permit Expires On: 05/25/2008 Date: Date: $62.00 I t---r)--10 7 1[(2? 0 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 -717 Printed: 11 -27 -2007 Parcel No.: 2623049024 Address: 17305 SOUTHCENTER PY TUKW Suite No: Tenant: LA Z BOY 1: ** *ELECTRICAL * ** 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: EL07 -717 Status: ISSUED Applied Date: 11/27/2007 Issue Date: 11/27/2007 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 Date: 1) / EL07 -717 Printed: 11 -27 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwila. wa. us Tenant Name: LA —1- WI) Property Owners Name: r (-LC Mailing Address: I 11 F t f ot Si"' • z 3 Name: PAY' om" _ �,` Mailing Address: '1' S- �"`7 E -Mail Address: Company Name: ran Pkwnrry 1f Mailing Address: 1 S 1(.4 "IA H: Applications\Fonns- Applications On Line44-2007 - Electrical Permit Appltcation.doc bh t City 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 ** i C a� King Co Assessor's Tax No.: 2 4911 014 4 0 L ti Site Address: 113 d $ �L '"rrl Gln�'� r`rf") Suite Number: Floor: 1 Expiration Date: New Tenant: 171....Yes ❑ ..No x''19- q 6 . State Zip CONTACT PERSON Who`do wecontact when our perm is ready''to be issued Day Telephone: - qzki City State Zip Fax Number: 74,6- 7 ci City State Zip Contact Person: `t' Day Telephone: X — I1 t 9 E -Mail Address: Fax Number: 140 —71 7 Contractor Registration Number: 'l V 0•1Z- 1 'T 5 1 (L 0 Valuation of Project (contractor's bid price): $ ' 7r4 0 • a Scope of Work (please provide detailed information): pt/(0 004, k '7 - 1r's-HT S 116 10 Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Propdrty Served by: ❑ Puget Sound Energy ❑ 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) 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: I Date Application Accepted: ¥x Mailing Address: --1,til h-1kh C4- H:\Applications\ Forms - Applications On Line \4.2007 - Electrical Permit Applicabon.doc bh MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ 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 Date: Day Telephone: lAk —14,- -11 IJIAA4 Cept- 41/ 01 City State Zip Date Application Expires: Staff Initials: Page 2 of 2 ACCOUNT ITEM LIST: Description Payee: EVERGREEN REFRIGERATION ELECTRICAL PERMIT - NONR 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 RECEIPT Parcel No.: 2623049024 Permit Number: EL07 -7 1 7 Address: 17305 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/27/2007 Applicant: LA Z BOY Issue Date: Receipt No.: R07 -02585 Payment Amount: $62.00 Initials: WER Payment Date: 11/27/2007 11:49 AM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 2797 62.00 Account Code Current Pmts 000.322.101.00.0 62.00 Total: $62.00 5394 11/27 9710 TOTAL 62.00 doc: Receiot -06 Printed: 11 -27 -2007 Project: comb 411 /A Type of Inspection • � n v Address: � 47te Special Instructions: ' Date Wanted: a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 //11 .:*oved per applicable codes. Corrections required prior to approval. / Inspector INSPECTION RECORD Retain a copy with permit ALL 14 (r` '/enteit 1 Date /3//, El $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: Project: C2/)1M A Type of Inspection: V 3 A Address: 1730 .. S cNi? 1 (..fi01-ll /Oa/ Date Ca Special Instructions: Date Wanted ` 21 7 a.m. p.m. Requester: Phone No: 1 FL® 2 _7/7 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t . 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 0 MMENTS: ` /f / off) Inspe Date / 7/U El $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: roved per applicable codes. INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. License Information License EVERGRL957R9 Licensee Name EVERGREEN REFRIGERATION LLC Licensee Type ELECTRICAL CONTRACTOR UBI 602512953 Ind. Ins. Account Id 42245602 Business Type LIMITED LIABILITY COMPANY Address 1 727 S KENYON ST Address 2 City SEATTLE County KING State WA Zip 98108 Phone 2067631744 Status ACTIVE Specialty 1 HVAC/RFRG LTD ENERGY Specialty 2 UNUSED Effective Date 1/15/2006 Expiration Date 1/15/2008 Suspend Date Separation Date Parent Company Previous License EVERGRI005CS Next License Associated License PATTOM *937LQ Business Owner Information Name Role Effective Date Expiration Date PATTON, RODGER PARTNER/MEMBER 12/29/2005 PATTON, DAVID A PARTNER/MEMBER 01/15/2006 PATTON, Look Up a Contractor, Electrician or Plumber License Detail Sme 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. Electrical Administrator Information License Name Status PATTOM *937LQ PATTON, MATHEW ACTIVE Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= EVERGRL957R9 11/27/2007