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Home My WebLink AboutPermit EL08-0157 - ALSIDE SUPPLYALSIDE SUPPLY 6701 S GLACIER ST S ELO8-1 57 Cit,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 Parcel No.: 7888900091 Address: 6701 S GLACIER ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -157 Issue Date: 02/15/2008 Permit Expires On: 08/13/2008 Tenant: Name: ALSIDE SUPPLY Address: 6701 S GLACIER ST , TUKWILA WA Owner: Name: GRUBMAN PATRICIA & WILLIAM Phone: Address: 9536 WILSHIRE BLVD #310 , BEVERLY HILLS CA Contact Person: Name: KEN HODSON Phone: 425 742 -4200 Address: 15103 50 AV W , EDMONDS WA Contractor: Name: EVERGREEN ELECTRICAL SRVCS INC Phone: 425 742 -4200 Address: 15103 60 AV W , EDMONDS WA Contractor License No: EVERGES039KF Expiration Date: 05/06/2009 DESCRIPTION OF WORK: ADD (4) NEW CIRCUITS AND RELOCATE EXISTING LIGHTING /EXITS. RELOCATE 45 KVA X -F 10 FEET. Value of Electrical: $2,000.00 Fees Collected: $104.00 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 e �A Date: / ed this 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 t construction „r t .' performance of wor Signature permit does not pres e to giv authority to violate or cancel the provisions of any other state or cal laws regulating a h 1 ' ed to sign and obtain this electrical permit. Date. / 0 Print Name: 4 This permit shall become null aiQd 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 EL08 -157 Printed: 02 -15 -2008 Parcel No.: 7888900091 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 6701 S GLACIER ST TUKW ALSIDE SUPPLY PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -157 ISSUED 02/15/2008 02/15/2008 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 cons ction or the performance of work. • Signatur Print Name: Date: doc: Cond -Elec EL08 -157 Printed: 02 -15 -2008 CITY OF TUKWIL7� Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http :AW ww. ci. tkwila. wa. us • Electrical Permit No. ttxi- 61- 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 Site Address: Tenant Name: Property Owners King Co Assessor's Tax No.: 6701 s GliacLet' Sir AI aitcoe. ^Sc R c1) Name: ��,\ V r(i�� Suite Number: Mailing Address: C\ 5 3 I �� 1 '✓lv City r New Tenant: Floor: ❑ Yes X,.No 0-� \\s cal iF goZtZ State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 1 �(■ (). or\ Mailing Address: E -Mail Address: 14.ex\ e Day Telephone: L125-11 4 [�— J U.05\ ZO r, Nt✓�- City Fax Number: State Zip 7`—)Z Addm -2 -I ELECTRICAL CONTRACTOR INFORMATION Company Name: (�'- \ �>C°rl��t l f l hC c/� / Mailing Address: 1 i7\ �I ��% d`/ O�\ V v tDitro �j 4, 6,62, j/ y� City State Zip Contact Person: r eX\ \4o �� , ` Day Telephone: 4M), 14Z ( Fax Number: 1-475). 1-475). " ri Z.— 2212Q 8 Expiration Date: E -Mail Address: Contractor Registration Number: Valuation of Project (contractor's bid price): $ 2%000 Sco of v�ork (please provide deta ed in ration)• u) L�rLVI\ AG) tec■ 5 Will service be al` Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: .)g( Puget Sound Energy ❑ Seattle City Light No Addy No mor- . . n 50 amps? ❑ Yes No -JAY} U■C5 \k-\PAs ❑ Service Change ❑ Fire Alarm HAApplications \Forms- Applications On Line \42007 - Electrical Permit Application.doc bh Xlemodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page I 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) 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 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 PERJUR BY Tlt AWS 0 THE. S ATE OF WASHINGTON, AND I AM AUTHORIZED 7'O APPLY FOR THIS PERMIT. BUILDING OWNE R ELEC CAI CTOR: Signature: Print Name: Mailing Address: Date: i -.113;S Day Telephone: City State Zip Date Application Accepted: t, a(b Date Application Expires: Staff Initials: HA\Applicatinns \Forms - Applications On Line\4 -2007 - Elecmcal Pemni Application doc bh 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 Parcel No.: 7888900091 Address: 6701 S GLACIER ST TUKW Suite No: Applicant: ALSIDE SUPPLY RECEIPT Permit Number: EL08 -157 Status: PENDING Applied Date: 02/15/2008 Issue Date: Receipt No.: Initials: User ID: R08 -00453 JEM 1165 Payment Amount: $104.00 Payment Date: 02/15/2008 03:09 PM Balance: $0.00 Payee: EVERGREEN ELECTRICAL SERVICES, INC. TRANSACTION LIST: Type Method Description Amount Payment Check 20801 104.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 104.00 Total: $104.00 3794 02/19 0710 TOTAL 104.00 doc: Receiot -06 Printed: 02 -15 -2008 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 • Pro��--yy��ffct: ,4),. ' eta Jf!.�fr! Y Tyree off II nn ecti 7o : �7 Iv (! A dLgss . " G/ -4 T Date Called: Special Instructions: Date Wanted: f' (a.m Requester: Phone No: proved per applicable codes. Corrections required prior to approval. .0M M ENTS: 694- _ (21- %L_.14i6- Inspec D $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: INSPECTION NO. INSPECTION RECORD Retain a copy with permit If PERMIT NO. CITY OF TUKWILA BUILDING DIVISION kr- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36V0 Project: fiG v /1 a1� %i Type of Inspection: ` \ // vi Address: 670/ .. 64.11 61, S-r Date Called: Special Instructions: Date Wanted: ?-.7..:- 0 Requester: Phone No: roved per applicable codes. Corrections required prior to approval. OMMENTS: ji4 74iri � Vf.J%/f'i4 nsp 67-4112-46/9"C/1 Dated -A0/Or 0 $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electtan or Plumber License Detail 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 EVERGES039KF Licensee Name EVERGREEN ELECTRICAL SRVCS INC Licensee Type ELECTRICAL CONTRACTOR UBI 601788846 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 15103 60TH AVE W Address 2 04/24/2001 City EDMONDS County SNOHOMISH State WA Zip 98026 Phone 4257424200 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 5/6/1997 Expiration Date 5/6/2009 Suspend Date Separation Date Parent Company Previous License EVERGES066QB Next License Associated License GISEBJR975RJ Master Electrician Information License GISEBJR975RJ Name GISEBURT, JOE R Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date JACKSON, MIKE AGENT 04/24/2001 GISEBURT, JOE R PRESIDENT 01/01/1980 HINES, JOHN AGENT 01/01/1980 04/24/2001 HINES, JOHN TREASURER 01 /01 /1980 04/24/2001 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= EVERGES039KF 02/15/2008