HomeMy WebLinkAboutPermit EL08-0656 - SMILES AT SOUTHCENTERSMILES AT
SOUTHCENTER
15425 53 AV S
ELO8-656
CityIllf 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.: 1157200033
Address: 15425 53 AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -656
Issue Date: 06/18/2008
Permit Expires On: 12/15/2008
Tenant:
Name: SMILES AT SOUTHCENTER
Address: 15425 53 AV S , TUKVVILA WA
Owner:
Name: QUESTAR PARTNERSHIP Phone:
Address: PO BOX 98210 , LAKEWOOD 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:
INSTALL (1) T-STAT - CONTROLS FOR THE VVT ZONE DAMPER
Value of Electrical: $800.00 Fees Collected: $82.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
at(11 Date: (9-( 6 V (\
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 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:
ir
1,6pU
Date: kl f 6
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
EL08 -656 Printed: 06-18 -2008
Parcel No.: 1157200033
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
15425 53 AV S TUKW
SMILES AT SOUTHCENTER
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -656
ISSUED
05/29/2008
06/18/2008
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 construction or the performance of work.
Signature:
Print Name:
Date: l t 4 (45'6
doc: Cond -Elec
EL08 -656 Printed: 06-18 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd.. Suite 100
Tukwila. WA 98188
•
Electrical Permit No.
Project No.
(For 1, / /ice use unto
ELECTRICAL PERMIT APPLICATION
Applications and plans must he complete in order to he accepted for plan review.
Applications will not he accepted through the mail or b) fax.
* *Please Print **
SITE LOCATION
Site Address: + 5 915— 514 Ave- S •
"Tenant Name: c 4 lie S
�
Property Owners Name: O "J +' If f �p 4 rT L I - p( f 1 ' e
Mailing Address: 1°° ip, W r'f $Z
King Co Assessor's Tax No.: I' S-7 Z 00 0 7 )
Floor: f
Yes ❑ .. No
Suite Numher:
New Tenant:
14kei -lid
CH}
14
Slate
tip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:(' eo l d Ye- Day Telephone: '2,b )--- Ziv-7 r / --Iy y
Mailing Address: ffi Z 1 S. Ail -fe-3 S.--1G G-HA- LA 01 7(' X
E -Mail Address: Vie() tivr" . CUM
City Slate
Lip
Fax Number: Z(l V —i b - 2 1
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Vef011-411 ge, 611-4.10f, en
Mailing Address: 72,1 S. j(t' 1 ') SJ
ntact Person:
E -Mail Address:
Contractor Registration Number:
�V i S""( '1
City
Day Telephone:
Fax Number:
State Lip
-zRAa- 2le — !77'�`J
Expiration Date: \ /1 5 / / 0
Valuation of Project (contractor's bid price): $ LL
Scope of Work (please provide detailed information): -I-1^ Y I1 `I' 7` 5)- h r ton f vv% j inV -1*-
1/v 71, n -e. 1
Gv
Will service he altered'' ❑ Yes ❑ No
"type of l :se:
Type of v. ork:
❑ New ❑ Addition ❑ Set, ice Change
''Low Voltage 111 Generator ❑ Fire Alarm
Property Served hy:
❑ Puget Sound Energy
Seattle City Light
11 ‘19.1“ I..r.11. 111111. 1:IIII- 11111111111'1•.1111
1111
Adding more than 50 amps'? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ •Temporary Service
Page 1 012
• •
RESIDENTIAL
NEW RF:SIDENTRI. SERVICE
❑ Ncw single family dm el hugs 5140.011
(including an attached garage)
❑ ( iarages, pools. spas and outbuildings 575.00 ca
❑ Lom v oblige systems
(alarm. furnace thermostat) 555.00 ca
RESIDENTIAL REMODEI. AND SERVICE CHANCES
❑ Sen ice change or alteration $75.00
(no added altered circuits)
❑ Scry ice change vv ith added'altered circuits S75.00
number of added circuits S 1(1.00 ea
❑ Circuits added' altered without service change Si0.00
(up to 5 circuits)
❑ Circuits added altered without sery ice change 550.00
((i or more circuits) 57.00 ca
❑ Meter'mast repair S65.00
❑ Low voltage systems 555.00
(alarm. furnace thermostat)
N1LLTI- FA\1ILY AND ('ONEEIER('IAI.
Fees are based on the valuation of the electrical contract.
NIIS('ELI.ANEOI'S FEES
❑ Temporary sen ice (residential) S58.011
❑ I cmporary sery ice (generator) S75.00
❑ Manufactured mobile home service 51{11.00
(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 ('enter to comply with current fee schedules.
Expiration of Plan Review Applications for which no permit is issued within 11(0 days following the dale 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 he requested in writing
and justifiable cause demonstrated.
1 IIERF.13Y CERTIFY'1'1IAT 1 IIAVE: READ AND EXAMiNEiD THiS APPLICATION ANi) KNOW THi? SAME TO BE TRLII{ UNDER
PENALTY OF PERJURY BY I'HI: LAWS OF 'DIE SPATE OF WASIIINGTON. AND I AM AUTHORIZED IY) APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Nanie:
Mailing Address:_
Date: 51 2-47 < '91°'?
TL tA-/� I)ay Telephone: --Z-C/49 S /7 6411
—7/77 5, r/w. '--t /l. 0 ,
iDate Application Accepted:
it%
Suer /;p
Date Application Expires:
2.0.11.7-b
Staff Initials:
11 v,q,ri, in.m, I .,8111. 1i.;.14 n., n, ■,, 1 Feu; o I ;„ ...a rvin, \l»l'1 .own
g--
Page 2 of
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
SET RECEIPT
RECEIPT NO: R08 -01854
Initials: JEM Payment Date: 05/29/2008
User ID: 1165 Total Payment: 679.50
Payee: EVERGREEN REFRIGERATION, LLC
SET ID: S000001038 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
E,L0.8�655 82.00
M08 -156 597.50
TOTAL: 679.50
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 003111 679.50
TOTAL: 679.50
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.101.00.0 82.00
000.322.102.00.0 478.00
000/345.830 119.50
TOTAL: 679.50
3023 05/30 9711 TOTAL 679.50
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Crag_ 6)56
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 17.'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
1
r
Type of Inspection:
Address:
/5-725- S3.5
Date Called:
Special Instructions:
Date Wanted:
tops
a.m
.m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
'COMMENTS:
OK. - ri441.
Inspector...Si jetz
0 EI ECTION FEE
Date:
%1 o'
r7 $6 .00 REINSPECTION EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
•-r -__..K _- _-alnin`- e'galeat
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. /
CITY OF TUKWILA BUILDING DIVISION it fv
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
rug- C5-,
Project: i 5
Type of Inspection: 7 )
Ad
s3
Date Called:
Date
Special Instructions:
Date Wanted:
1/27/ caik.n.
Requester:
Phone No:
41 Approved per applicable codes.
❑ Corrections required prior to approval.
COMMENTS:
R .
CA U Wit 5
Ko %IC U (A)
Date: 01 22 a-Nr
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
etea4e.444*94 6. �cndr' �� e••r• -t
Look Up a Contractor, Electrician or Plumber License Detail
III
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
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
1/15/2010
Suspend Date
Separation Date
Parent Company
Previous License
EVERGRI005C5
Next License
Associated License
PATTOM *937LQ
Electrical Administrator Information
License
PATTOM *937LQ
Name
PATTON, MATHEW
Status
ACTIVE
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,
•
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