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Home My WebLink AboutPermit EL11-1150 - ENCKE RESIDENCEENCKE RESIDENCE 13537 52 AV S EL1 1 -1150 City olkukwila 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.: 0003000054 Address: 13537 52 AV S TUKW Project Name: ENCKE RESIDENCE ELECTRICAL PERMIT Permit Number: EL11 -1150 Issue Date: 12/29/2011 Permit Expires On: 06/26/2012 Owner: Name: ENCKE JEFFREY Address: 4913 SW CANADA DR , SEATTLE WA Contact Person: Name: REID BERO Address: 727 S 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: ADDING ONE CIRCUIT FOR NEW HEAT PUMP Value of Electrical: NRES: $0.00 Fees Collected: $54.60 RES: $500.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: National Electrical Code Edition: 2008 uit 1/N Date: 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 prmance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: S4uq +sm4 Date: 1W �(l1 / 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 EL11-1150 Printed: 12 -29 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -1150 * *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 -1150 Printed: 12 -29 -2011 CITY OF TUKWI Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. r L. 11-115 Project No. — Date Application 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 Site Address: 112S )i7 '5a1%1A Avi 3 Tenant Name: ,Lt.ff `tihC�k -e, King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ] ..No 0o6 "500005-1 -- PROPERTY OWNER Name: wok ok t �� Name: dwiti `CA's _ 1., ' City: ', V\i Zip: O . Address: 4115 15 S vo cl , ^ oy Email: Y,tiOkg (44..AI VIA CrCAM City: So n.l l t State: wp- Zip. l01 CONTACT PERSON — person receiving all project communication Name: wok ok t �� Address: a1- s `� 2.�1/State: ( City: ', V\i Zip: O . Phone: IN . -(P it if Fax: 26 (P • 7 (P3r 23m Email: Y,tiOkg (44..AI VIA CrCAM U ELECTRICAL CONTRACTOR INFORMAON - Company Name: Address :1? -1 s City:R.el a l'l r. State: 1 ' ZtperO w0 Phone: �_ .7 (031 74 Fax: ca (0- -7 (o 5 a �R'l Contr Reg No.: y�' Ex Date: it3 g ��1�F.Q��..,� p �1�� Tukwila Business License No.: W56 11 aEr 1 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Acid G; r ...)r . r new—' 4e` - po r.r Will service be altered? ❑ Yes 3] 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:\Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I .docx Revised. August 2011 bh 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 (no added/altered circuits) rvic ch e with added /altered circuits $81.90 number of added circuits $11.55 ea X 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 $8 L90 (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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: J..(IWMM/\ J (- U AA S (�1 Mailing Address: H:V+pplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11 docx Revised. August 2011 bh Date: Day Telephone: _ . O; 1(01).1744 City 1Rt S 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.: 0003000054 Address: 13537 52 AV S TUKW Suite No: Applicant: ENCKE RESIDENCE RECEIPT Permit Number: EL11 -1150 Status: PENDING Applied Date: 12/29/2011 Issue Date: Receipt No.: R11 -02804 Initials: TLS User ID: 1670 Payment Amount: $54.60 Payment Date: 12/29/2011 08:59 AM Balance: $0.00 Payee: EVERGREEN REFRIGERATION LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 005167 54.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current ELECTRICAL PERMIT - RES 000.322.101.00.00 Total: $54.60 City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1136301 -1 12/29/2011 BR1 T121 Thu Dec29,2011 09 :07AM Trans #1 -3 Name: EVERGREEN REFRIGERATION LLC EVER Addr: 727 S KENYON ST SEATTLE,WA 98108 1 $67.00 BUSLCN - Business Licenses Customer #: 00057108 Activity #: 00006887 2 $54.60 DCDGEN - DCD Permits Plus - General Fund ID: EVERGREEN REFRIGERATION PERMIT EL1 1150 3 $167.70 DCDGEN - DCD Permits Plus General Fund ID: EVERGREEN REFRIGERATION PERMIT Mil 182 3 ITEM(S): TOTAL: $289.30 Check (005167) PAID $289.30 www.tukwilawa.gov 206 - 433 -1835 INSPECTION RECORD ' SR) Retain a copy with permit 1 INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 z_ (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: t4co k Type of Inspection: 7.100 `� Address: /3537 sz iiii . Date Called: Special Instructions: a�'r bF C/ Q-••\ • Fait T1P16 Date Wanted: . (Ay � Requester: Phone No: Approved per applicable codes. [j Corrections required prior to approval: /8 COMMENTS: i\ • Inspector: c...lirinedisicA Date: Ov (yy//2_ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prier Friendly Page 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 6/12/2013 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 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 S250.00 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 S250.00 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 12/29/2011