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Home My WebLink AboutPermit EL09-0814 - LAMPS PLUSLAMPS PLUS 16839 SOUTHCENTER PY EXPIRED 07 -21 -10 ELO9-0814 Cityllf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /wtivw.ci.tukwila.wa.us Parcel No.: 2623049068 Address: 16839 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0814 Issue Date: 12/29/2009 Permit Expires On: 06/27/2010 Tenant: Name: LAMPS PLUS Address: 16839 SOUTHCENTER PY , TUKWILA WA Owner: Name: MATSUMI LLC % ROBERT SCHOFI Phone: Address: 4212 HUNTS POINT DR , BELLEVUE WA Contact Person: Name: MATT BROOKS Phone: 206 679 -3137 Address: 727 S KENYON ST , SEATTLE WA Contractor: Name: EVERGREEN REFRIGERATION LLC Phone: 206 763 -1744 Address: 727 S KENYON ST , SEATTLE WA Contractor License No: EVERGRL915LR Expiration Date: 06/12/2011 DESCRIPTION OF WORK: INSTALL (2) T -STATS Value of Electrical: NRES: $12,000.00 Fees Collected: $284.80 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUMD ENERGY Permit Center Authorized Signature: Date: \24,tM kfk I hereby certify that I have read and e '�' ed tlus permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , 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 electrical permit. Signature: Print Name: Stud k S Date: IZ�Z 9 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 -4/07 EL09 -0814 Printed: 12 -29 -2009 Parcel No.: 2623049068 Address: Suite No: Tenant: • 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 16839 SOUTHCENTER PY TUKW LAMPS PLUS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0814 ISSUED 12/21/2009 12/29/2009 1: ** *ELECTRICAL * ** 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: Becks Date: /2/21/3 7 doc: Cond -Elec EL09 -0814 Printed: 12 -29 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa. us Electrical Permit No Project No. (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 ] /, G King Co Assessor's Tax No.: ! Site Address: & 3 q Sow-fie eJ er Pk1. L4' Suite Number: Tenant Name: Let rips PI LA_ s (/ Property Owners Name: )6474 4 St,..nv►i LLC Mailing Address: L/ 2 12 i-L4`t-S 1Poi a"f Dr. claig Floor: New Tenant: ❑ Yes .. No l33(le✓ae- City State /%O0 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: )./4.1e- " 1' rc A 5 Mailing Address: 77 - S Ke,n `0 E -Mail Address: { l 41 t) tuUer eeexli ✓. c . 60,«. Day Telephone: _2C6-6f - 3137 City Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: EvERalz.L 15 12 q J re-#,- 12e-Cr; e r Jt a r— Ali -- Btio k s' 5e City Day Telephone: 204 3 - / 7 ei Y Fax Number: Expiration Date: b/A 9$Jo,Y State Zip 1/ 5/1 Valuation of Project (contractor's bid price): $ / .2� 000 Scope of Work (please provide detailed information): (2) fwd 7 sf s 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 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Proaerlw Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \I -2009 - Elecmcal Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change 552.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (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) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Camivals $75.00 Number of concessions $10.00 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 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: flick it— Zkew is Mailing Address: 72 7" 5. k c.. S IDate Application Accepted: \ �/G' 1 01 Date Application Expires: II: \Applications \Forms- Applications On Line \I -2009 - Electrical Permit Application.doc bh Date: izAt Day Telephone: sip ` e G. 4A 9:8-mg City State Zip Staff Initials: Page 2 of 2 • 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.: 2623049068 Permit Number: EL09 -0814 Address: 16839 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 12/21/2009 Applicant: LAMPS PLUS Issue Date: Receipt No.: R09 -02061 Initials: User ID: Payee: JEM 1165 Payment Amount: $284.80 Payment Date: 12/29/2009 01:38 PM Balance: $0.00 EVERGREEN REFRIGERATION, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 004056 284.80 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 284.80 Total: $284.80 PAYMENT RECEIVED doc: Receiot -06 Printed: 12 -29 -2009 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (67-dell PERMIT NO. CITY OF TUKWILA BUILDING DIVISION e- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: L 41P5 Ka, Type of Inspection: 2/00 Address: 1633 , . Date Called: CAE) API5 F^LASf4 1411 Special lnstructiod, s : Date Wanted: 1 /Z2—• a P.. Requester: loJ5 Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: r - r."..5-r-A--r VJ i 0 Fi A1 era) CAE) API5 F^LASf4 1411 R .r}b / Mp g )14 45& --T' w IQ -Itk/C 44 loJ5 Inspector: Date: of /22// 0 to inspection, fe ust b r7 $60.00 REINSI'ECTION FEE REQUIRED. Prior p be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Department of Community Development MATT BROOKS 727 S KENYON ST SEATTLE WA 98108 RE: Permit No. EL09 -0814 16839 SOUTHCENTER PY TUKW Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director 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 07/21/2010. 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 1 80 day period. -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 07/21/2010, 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, Bill Rambo Permit Technician File: Permit File No. EL09 -0814 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Untitled Page • M Page 1 of 2 Electrical Contractor A business licensed by Litt 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 EVERGREEN REFRIGERATION LLC 2067631744 727 S KENYON ST SEATTLE WA 98108 KING Business Type Limited Liability Company Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602512953 ACTIVE EVERGRL915LR ELECTRICAL CONTRACTOR 6/12/2009 6/12/2011 RESIDENTIAL HVAC /RFRG LTD ENERGY Other Associated Licenses License Name Type yp Specialty 1 p y Specialty 2 Effective Date Expiration Date Status EVERGRL957R9 EVERGREEN REFRIGERATION LLC ELECTRICAL CONTRACTOR HVAC /RFRG LTD ENERGY UNUSED 1/15/2006 1 /15/2010 SUSPENDED ADMINISTRATOR INFORMATION License DUCHAGC910CR Name Ducharme, Geoffrey C Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date PATTON, DAVID PARTNER /MEMBER 06/12/2009 PATTON, RODGER PARTNER /MEMBER 06/12/2009 PATTON, MATTHEW A PARTNER /MEMBER 06/12/2009 https: // fortress .wa.gov /lni/bbip /Dctail.aspx 12/29/2009