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Home My WebLink AboutPermit EL10-0158 - CONDON RESIDENCECONDON RESIDENCE 15618 44 AV S EL1O-0158 Parcel No.: Address: Suite No: Citylikf 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 8108600183 1561844AVSTUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0158 03/03/2010 08/30/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: CONDON RESIDENCE 1561844AVS,TUKWILAWA CONDON FLORENCE L 15618 44TH AVE S , SEATTLE WA MATT BROOKS 727 S KENYON ST , SEATTLE WA EVERGREEN REFRIGERATION LLC 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: INSTALL (1) TSTAT Value of Electrical: Type of Fire Protection: NRES: $0.00 RES: $0.00 UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: a� Fees Collected: National Electrical Code Edition: 2008 $59.85 Date: 071 D9)1 I hereby certify that I have read and xa ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie 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 p jrformmaance of work. I am authorized to sign and obtain this electrical permit. Signature: i /'�` " ✓.J�ozl�� Date: 3/'3/ Print Name: 3roo / -s 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 ELI 0-0158 Printed: 03 -03 -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 TUICW CONDON RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0158 ISSUED 03/03/2010 03/03/2010 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: 14•/1/ Date: d doc: Cond -Elec EL10 -0158 Printed: 03 -03 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us SITE LOCATION 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 Address: 15618 44th AVE S Tenant Name: Tish Condon Property Owners Name: Tish Condon Mailing Address: 15618 44th AVE S King Co Assessor's Tax No.: 810860018300 Suite Number: Floor: New Tenant: ❑ Yes El ..No Tukwila City WA State 98188 Zip CONTACT PERSON- Who do we contact when your permit is ready to be issued[, Name: Matt Brooks Mailing Address: 727 S Kenyon ST E -Mail Address: mattb @evergreenhvac.com Day Telephone: Seattle City Fax Number: (206) 763 -1744 WA 98108 State Zip ELECTRICAL CONTRACTOR INFORMATION' Company Name: Evergreen Refrigeration Mailing Address: 727 S Kenyon ST Seattle WA 98108 Contact Person: same as above contact E -Mail Address: Contractor Registration Number: City Day Telephone: Fax Number: Expiration Date: State Zip Valuation of Project (contractor's bid price): $ % 50 Scope of Work (please provide detailed information): Install one (1) t -stat 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 j Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ® Seattle City Light H:\ Applications\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 ❑ Circuits 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 IA 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)LECTRICAL CONTRACTOR: Signature: f / / Date: 3/31 Print Name: Matt Brooks Mailing Address: 727 S Kenyon ST IDate Application Accepted: Day Telephone: (206) 763 -1744 Seattle WA 98108 031031t0 City State Zip Date Application Expires: H:\Applications\Forms- Applications On Line \I -2009 - Electrical Permit Application.doc bh Staff Initials: \....— Page 2 of 2 I 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.: 8108600183 Address: 15618 44 AV S TUKW Suite No: Applicant: CONDON RESIDENCE RECEIPT Permit Number: EL10 -0158 Status: PENDING Applied Date: 03/03/2010 Issue Date: Receipt No.: R10 -00372 Initials: User ID: Payee: JEM 1165 Payment Amount: $59.85 Payment Date: 03/03/2010 10:15 AM Balance: $0.00 EVERGREEN REFRIGERATION, LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 004189 59.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 59.85 Total: $59.85 PAYMENT RECEIVED doc: Receiot -06 Printed: 03 -03 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit /JL 6LiO —oi5' PERMIT NO. Project: /r 6p)o J (/ Type of Inspection: �roO Address: is-oN t y 4. Date Called: Special Instructions: si A/ / ,T ' Date Wanted: 3 /0)7 p. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: Li[si Date: Oy/i 0 ❑ $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: �a 4�rr�:.tc�- F��.r.�. c� .c•.stv:� g'` r��" �. v� .::�r"�,.'�� °�.f++.��,�H,.t... Contractors or Tradespeople liter Friendly Page • Page 1 of 1 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Evergreen Refrigeration Llc 2067631744 727 S Kenyon St Seattle Wa 98108 King Limited Liability 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 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 & 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 03/03/2010