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Home My WebLink AboutPermit EL11-0435 - BAGWELL RESIDENCEBAGWELL RESIDENCE 12632 35 AV S EL1 1 -0435 Parcel No.: Address: Tenant Name: 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 7345600850 12632 35 AV S TUKW BAGWELL RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -0435 Issue Date: 05/16/2011 Permit Expires On: 11/12/2011 Owner: Name: WOOTTON HILLARY L +BAGWELL M Address: 12632 35TH AVE S , TUKWILA WA 98168 Contact Person: Name: DAIMIAN BINGHAM Phone: 206 - 763 -1744 Address: 727 KENYON ST , SEATTLE WA 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST , SEATTLE WA 98108 Contractor License No: EVERGRL915LR Phone: 206 763 -1744 Expiration Date: 06/12/2011 DESCRIPTION OF WORK: RELOCATE THERMOSTAT Value of Electrical Work: NRES: $0.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $59.85 National Electrical Code Edition: 2008 Date: c -(6-11 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 and agree to the conditions on the back of this permit. Signature: /// , .10#.;// Imo/ Date: -CZ/6/ /7 Print Name: j/YJ/ /7. // ffi Tani This permit shall become null and void if t e 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 -9/09 ELI 1-0435 Printed: 05 -16 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0435 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 EL11 -0435 Printed: 05 -16 -2011 CITY OF TUKWIL. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. t LI 1 — 0 Li 3 Project No. 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.: 7345600850 Site Address: 12632 35th Ave. S. Suite Number: Floor: Tenant Name: Michael Bagwell Property Owners Name: Michael Bagwell Mailing Address: 12632 35th Ave S. New Tenant: ❑ Yes ® .. No Tukwila WA 98168 City State Zip CONTACT PERSON Who do we contact when your permit is ready to be issued Name: Daimian Bingham Day Telephone: (206) 763 -1744 Mailing Address: 727 S. Kenyon St. Seattle WA 98108 City E -Mail Address: Daimian @EvergreenHVAC.com State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Evergreen Refrigeration Mailing Address: 727 S. Kenyon St. Seattle WA 98108 Contact Person: Daimian Bingham E -Mail Address: Daimian @EvergreenHVAC.com Contractor Registration Number: EVERGRL915LR City State Day Telephone: (206) 763 -1744 Fax Number: Expiration Date: 06/12/2011 Zip Valuation of Project (contractor's bid price): $ 400 Scope of Work (please provide detailed information): Relocated Thermostat 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 Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applicalions\Fonns- Applications On Line \1 -2009 - Electrical Pcnnit 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 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: Daimian Bingham Mailing Address: 727 S. Kenyon St. Date: S / /g/// Day Telephone: (206) 763 -1744 Seattle WA 98108 City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: 1 HAApplications\Fonns- Applications On Line \t -2009 - Electrical Permit Application.doc bh Page 2 of 2 • • 0 �J�vJ1,LA wqs City of Tukwila 190a Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.zov Parcel No.: 7345600850 Address: 12632 35 AV S TUKW Suite No: Applicant: BAGWELL RESIDENCE RECEIPT Permit Number: EL11 -0435 Status: PENDING Applied Date: 05/16/2011 Issue Date: Receipt No.: R11 -00992 Payment Amount: $59.85 Initials: WER Payment Date: 05/16/2011 02:13 PM User ID: 1655 Balance: $0.00 Payee: EVERGREEN REFRIGERATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 004844 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 doc: Receiot -06 Printed: 05 -16 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: >'`1 1 45 - Type of Inspection: ov Address: 32-.35 Date Called: Special Instructions: -` s k r Date Wanted:. / 0/ a:m� Requester: Phone No: per applicable codes. a Corrections required prior to approval. VIApproved -a COMMENTS: 'Date: 10/1 l ❑ REINSPECTION FEE REQUIR . Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: ..._. .Al2 ... ...�...�.,,s.. - - _.. • City of Tukwila Department of Community Development DAIMIAN BINGHAM 727 KENYON ST SEATTLE WA 98108 RE: Permit No. EL11 -0435 BAGWELL RESIDENCE 12632 35 AV S 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 11/12/2011. 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 180 day period, provided the inspection shows progress. -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 11/12/2011, 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. ELI 1 -0435 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Pfn„ter Friendly Page • Electrical Contractor A business licensed by LEI 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 Specialty 1 Specialty 2 Effective Date Expiration Date Status EVERGRL957R9 EVERGREEN REFRIGERATION LLC Electrical Contractor Hvac /Rfrg Ltd Energy Unused 1/15/2006 1/15/2010 Expired Electrical 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 9/1/2010 PATTON, RODGER Partner /Member 06/12/2009 $250.00 PATTON, MATTHEW A Partner /Member 06/12/2009 ELECTRICAL CITATION Bond Information Page 1 of 1 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 $4,000.00 06/12/2009 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 Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJORP04024 9/1/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EBERA00341 4/4/2011 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBERA00340 4/4/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 05/16/2011