HomeMy WebLinkAboutPermit EL11-0989 - CORT FURNITURECORT FURNITURE
1230 ANDOVER PK E
EL1 1 -0989
City ofkukwila
•
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.gov
Parcel No.: 3523049069
Address: 1230 ANDOVER PK E TUKW
Project Name: CORT FURNITURE
ELECTRICAL PERMIT
Permit Number: EL11 -0989
Issue Date: 11/01/2011
Permit Expires On: 04/29/2012
Owner:
Name: GRAY CAT COLLECTIVE LLC
Address: 5430 45TH AVE W , SEATTLE WA
Contact Person:
Name: ADAM LYONS
Address: 727 KENYON ST , SEATTLE WA
Contractor:
Name: EVERGREEN REFRIGERATION LLC
Address: 727 S KENYON ST , SEATTLE WA
Contractor License No: EVERGRL915LR
Phone: 206 - 763 -1744
Phone: 206 763 -1744
Expiration Date: 06/12/2013
DESCRIPTION OF WORK:
INSTALL THERMOSTAT FOR EXISTING HEAT PUMP
Value of Electrical: NRES: $500.00
RES: $0.00
Fees Collected:
$75.60
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
n
Date: 1 1` I- 1 I
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 qr the1performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: AA am_
Lys
Date: 11- 1 - Za l
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 -4/10
EL11 -0989 Printed: 11 -01 -2011
PERMIT CONDITIONS •
Permit No. EL 11 -0989
* *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 -4/10
EL11-0989 Printed: 11 -01 -2011
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
i
Electrical Permit No. G T—
L-t � -O 9 gq
Project No.
DateApplication Accepted:
Date Application Expires:
(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.: 3523049069
Site Address: 1230 Andover Park E. Suite Number: Floor:
Tenant Name:
CORT Furniture Rental
PROPERTY OWNER
Name: Adam Lyons
Name: Gray Cat Collective LLC
City: Seattle State: WA Zip: 98108
Address: 5430 45th Ave W
Email: AdamL @EvergreenHVAC.com
City: Seattle State: WA
Zip: 98199
CONTACT PERSON'— person receiving all project .
communication
Name: Adam Lyons
Address: 727 S. Kenyon St.
City: Seattle State: WA Zip: 98108
Phone: (206) 763 -1744 Fax: (206) 763 -2389
Email: AdamL @EvergreenHVAC.com
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Evergreen Refrigeration LLC
Address: 727 S. Kenyon St.
City: Seattle State: WA Zip: 98108
Phone: (206) 763 -1744 Fax: (206) 763 -2389
Contr Reg No.: EVERGRL915LR Exp Date: 06/12/2013
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ —500
Scope of Work (please provide detailed information):
Install new duct work and diffusers for existing heat pump. Install thermostat.
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes No
Type of Use: Warehouse
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:\Applicntions \Forms- Applications On Line\2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 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 OWNE>}J OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Adam ors Day Telephone: (206) 763 -1744
Mailing Address: 727 S. Kenyon St. Seattle WA 98108
Date: 1 1 — 2 (
City
H:\ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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State Zip
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.TukwilaWA.gov
Parcel No.: 3523049069
Address: 1230 ANDOVER PK E TUKW
Suite No:
Applicant: CORT FURNITURE
RECEIPT
Permit Number: EL11 -0989
Status: PENDING
Applied Date: 11/01/2011
Issue Date:
Receipt No.: R11 -02387 Payment Amount: $75.60
Initials: WER Payment Date: 11/01/2011 03:04 PM
User ID: 1655 Balance: $0.00
Payee: EVERGREEN REFRIGERATION LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 005091 75.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
N33e19 ?3A3
doc: Receiot -06 Printed: 11 -01 -2011
r _•
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1-74. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: Cos- phoirroa
Type of Inspection:
�D0
Address:' lag
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Date Called:
Special Instructions:
Date Wanted:.
A'm
p•
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval. 5.
COMMENTS:
Inspector: fri
{ (Date: r43
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prater 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
6/12/2013
Residential
Hvac /Rfrg Ltd Energy
d 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 11/01/2011