HomeMy WebLinkAboutPermit EL10-0139 - CONDON RESIDENCELONDON RESIDENCE
15618 44 AV S
EL1O-0139
Parcel No.: 8108600183
Address:
Suite No:
City* 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: / /www.ci.tukwila.wa.us
15618 44 AV S TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0139
02/26/2010
08/25/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
CONDON RESIDENCE
1561844AVS,TUKWILAWA
CONDON FLORENCE L
15618 44TH AVE S , SEATTLE WA
Contact Person:
Name: MATT BROOKS
Address: 727 S KENYON ST , SEATTLEW A
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA
Contractor License No: EVERGRL915LR
Phone:
Phone: 206 763 -1744
Phone: 206 763 -1744
Expiration Date: 06/12/2011
DESCRIPTION OF WORK:
ADD (3) CIRCUITS: 60 AMP, 30 AMP, AND 40 AMP
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and ex
governing this work will be complied
Fees Collected: $54.60
National Electrical Code Edition: 2008
Date: Uh
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pres
construction or the ormance of work.
Signature:
to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
Date: Z,/a6:7;
Print Name: /(16#
73 (R)a ks
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
EL10 -0139 Printed: 02 -26 -2010
Parcel No.: 8108600183
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
15618 44 AV S TUKW
CONDON RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0139
ISSUED
02/26/2010
02/26/2010
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: Z/2 -7/o
doc: Cond -Elec
EL10 -0139 Printed: 02 -26 -2010
CITY OF TUKWILA
Community Development Department.
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httpl/www.cLtukwila.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
King Co Assessor's Tax No.: 810860018300
Site Address: 15618 44th Ave S
Tish Condon
Tenant Name:
Property Owners Name: Tish Condon
Mailing Address: 15618 44th Ave S
Suite Number: Floor:
New Tenant: ❑ Yes ® .. No
Tukwila
WA 98188
City
State
Zip
CONTACT PERSON- Who do we contact when your permit is ready to be issued,
Name: Matt Brooks
Day Telephone: (206) 763 -1744
Mailing Address: 727 S Kenyon ST Seattle WA 98108
E -Mail Address: mattb @evergreenhvac.com
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Evergreen Refrigeration
Mailing Address:
727 S Kenyon ST
Seattle WA 98108
City State Zip
Contact Person: Matt Brooks Day Telephone: (206) 763 -1744
E -Mail Address: mattb @evergreenhvac.com Fax Number:
Contractor Registration Number: EVERGRL915LR Expiration Date: 01/06/2012
Valuation of Project (contractor's bid price): $ 162 /7°C)
Scope of Wok (please provide detailed information):_,
,' -fire (3) Crrc;,Lif f a i) �v,6ip , 3o Amp , ) ` -10.4 °
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ® Yes ❑ No
Type of Use: Heat Pump
Type of work:
® New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
Seattle City Light
H:Wpplications\Forms- Applications On Line \I -2009 - Electrical 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
XCircuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(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)
❑ 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 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: Matt Brooks
Date:
Day Telephone: (206) 763 -1744
Mailing Address:
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: \Applications\Forms- Apphcattons On Line \I -2009 - Electncal Permit Apphcanon.doc
bh
Page 2 of 2
CA? of Tukwila,
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 20 6- 431 -3665
Web site: http: //www. ci. tukwila. wa. us
SET RECEIPT
RECEIPT NO: R10 -00337
Initials: JEM
Payment Date: 02/26/2010
User ID: 1165 Total Payment: 246.90
Payee: EVERGREEN REFRIGERATION, LLC
SET ID: S000001350 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL10 -0139
M10 -026
TOTAL:
Amount
54.60
192.30
54.60
TRANSACTION LIST:
Type Method Description Amount
Payment Check 004169 246.90
TOTAL: 246. 90
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
MECHANICAL - RES 000.322.102.00.0
54.60
192.30
TOTAL: 246.90
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
,
Cl/to -ot 371
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
� • .
Project:cpod RL
Type of Inspection:
vv
2/�
Address: 1 5411
ell A
Date Called:
Special Instructions:
Date Wanted:
t�
0,
l:67:
Requester:
Phone No:
'Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
K.
Inspector:
x;1,4_
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 0 3 /0,7 /10
Receipt No.:
Date:
_..ti.. _._
Contractors or Tradespeople Per Friendly Page
•
Page 1 of 1
Electrical Contractor
A business licensed by LEtI 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 Evergreen Refrigeration Llc UBI No. 602512953
Phone 2067631744 Status Active
Address 727 S Kenyon St License No. EVERGRL915LR
Suite /Apt. License Type Electrical Contractor
City Seattle Effective Date 6/12/2009
State Wa Expiration Date 6/12/2011
Zip 98108 Suspend Date
County King Specialty 1 Residential
Business Type Limited Liability Company Specialty 2 Hvac /Rfrg Ltd Energy
Parent Company
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGRL957R9Evergreen
Refrigeration Llc
Electrical
Contractor
Hvac/Rfrg Ltd
Energy
Unused
1/15/2006
1/15/2010
Expired
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
Bond
Amount
Patton, Rodger
Partner /Member
06/12/2009
105264448
Patton, Matthew A
Partner /Member
06/12/2009
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
TRAVELERS CAS
Et SURETY CO
105264448
05/22/2009
Until
Cancelled
$4,000.0006/12/2009
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
https://fortress.wa.gov/lni/bbip/Print.aspx
02/26/2010