HomeMy WebLinkAboutPermit EL12-1030 - WEAVER RESIDENCEWEAVER RESIDENCE
3202 S 137 ST
ELi 2-1030
City ofiI'ukwila
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.: ',,8864000385
Address: `3202 S 137.ST TUKW.
Project Name: WEAVER RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -1030
10/29/2012
04/27/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
WEAVER DOUGLAS D
3202 SOUTH 137TH , SEATTLE WA 98168
ALEX BUR.KHART
727 SOUTH KENYON ST , SEATTLE WA, 98108
EVERGREEN REFRIGERATION LLC
727 S KENYON ST , SEATTLE WA 98108
Contractor License No: EVERGRL882JB
Phone: (206)763 -1744 X 247
Phone: (206)763 -1744
Expiration Date: 04/02/2014
DESCRIPTION OF WORK:
INSTALLATION OF TWO (2) CIRCUITS
Value of Electrical:
NRES: $0.00
RES: $500.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
WA-4
Date:
$54.60
2008
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.
Signature:
Print Name:
IN`s' �--
Date:
4)/1.4./
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
EL12 -1030 Printed: 10 -29 -2012
PERMIT CONDITIONS 0
Permit No. EL12 -1030
* *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
EL12 -1030 Printed: 10 -29 -2012
CITY OF TUKWS
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
� � -
Electrical Permit No. EA/ ono
Project No.
Date Application Accepted: I0/*/
Date Application Expires: 01/6/9
(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: -32-0 v (.11-6- Si/1'44A-
Tenant Name: VOu5 ! 110661 Weetv-v
King Co Assessor's Tax No.: 8 01 ODD-3 g S
Suite Number: Floor:
New Tenant: ❑ Yes ❑..No
PROPERTY OWNER
Name:
Address: -l-2,? 5ov'i'1,‘ keti , $4_,
Name: Dovi, elt,v x.,
Phone: o6 _-16) ^ 11 (4,12_4'6'4-Tax: l,r —i,- — 2-5 Y °t
Email:�T ,�ne � .,,,hvA4 _Gow.
Address: --2o Z 5044,1
"3---0.-1—' �
---
City: --rvkv.
State: ��
Zip: &
CONTACT PERSON — person receiving all project
communication
Name:
Address: -l-2,? 5ov'i'1,‘ keti , $4_,
City: sus 41c State: W Zip: qg 1 o$
Phone: o6 _-16) ^ 11 (4,12_4'6'4-Tax: l,r —i,- — 2-5 Y °t
Email:�T ,�ne � .,,,hvA4 _Gow.
ELECTRICAL CONTRACTOR INFORMATION
Company Name: I3- r I 72y t
Address: 12"1 $0, _,4-t- vto,, S - .
City: 5e„„ -t State: v4 Zip: (zi,bi<
Phone:2pc, _ ? , -- IT (4c4 Fax: 226 = 1 (3- -- 2;36,i,
Contr Reg No.: ' vaa_ - L,. g 9 2 Exp Date: vi. / i it ct
Tukwila Business License No.: tUS _ 0 et 1 jg 77
Valuation of Project (contractor's bid price): $ Sam -
Scope of Work (please provide detailed information):
CC- 4" L2- t:b1/4r6t,��
Will service be altered? ❑ Yes o Adding more than 50 amps? ❑ Yes DZNo
Type of Use:
Type of work:
❑ view ❑ 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\201 I Applications\Electncal Permit Application Revised 8- 9- 11.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
gCircuits 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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
RiiyOuTA-
Mailing Address: 127 SO-+ kze,i0,1
H:\Applications \Forms - Applications On Line\201 I Applications\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date: 13 / ( ( Z
Day Telephone: C 1 Cop — 2 y 4
So./ etkiag
City 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.: 8864000385
Address: 3202 S 137 ST TUKW
Suite No:
Applicant: WEAVER RESIDENCE
RECEIPT
Permit Number: EL12 -1030
Status: PENDING
Applied Date: 10/29/2012
Issue Date:
Receipt No.: R12 -02990 Payment Amount: $54.60
Initials: LAW Payment Date: 10/29/2012 01:49 PM
User ID: 1632 Balance: $0.00
Payee: EVERGREEN REFRIGERATION LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 005606 54.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 54.60
Total: $54.60
(inn. Racpint -OR
Printed. 1n -79 -7017
INSPECTION RECORD
Retain a copy with permit 1 U2- I050
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: (N11946\
Type of Inspection:
f
Address:
32-0 L .5,13°1 S%
Date Called:
Special Instructions: '
Date Wanted:.
It
a.air
p.m.
Requester:
Phone No:
giApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
t<
(J-
InsPector:J(\
11
Date:
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 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
EVERGRL882JB
Electrical Contractor
4/2/2012
4/2/2014
General
Unused
iated Licenses
Specialty Specialty 2 Effective Ex Date Date on Status
EVERGRL915LR EVERGREEN Electrical Residential Hvac /Rfrg 6/12/2009 6/12/2013 Re
REFRIGERATION LLC Contractor Ltd Energy Licensed
Electrical Administrator INFORMATION
License DUCHAGC910CR
Name DUCHARME, GEOFFREY C
Status Active
Business Owner Information
Name R
Role E
Effective Date E
Expiration Date
PATTON, DOUGLAS P
Partner /Member 0
04/02/2012
Bond Amount
PATTON, ROGER P
Partner /Member 0
04/02/2012
WA31802
PATTON, MATTHEW P
Partner /Member 0
04/02/2012
Electrical Administrator INFORMATION
License DUCHAGC910CR
Name DUCHARME, GEOFFREY C
Status Active
Business Owner Information
Name R
Role E
Effective Date E
Expiration Date
PATTON, DOUGLAS P
Partner /Member 0
04/02/2012
Bond Amount
PATTON, ROGER P
Partner /Member 0
04/02/2012
WA31802
PATTON, MATTHEW P
Partner /Member 0
04/02/2012
PATTON, ADAM P
Partner /Member 0
04/02/2012
Travelers Cas &
Surety Co
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
2
Merchants Bonding Co
(Mutual)
WA31802
04/07/2012
Until Cancelled
$4,000.00
07/10/2012
1
Travelers Cas &
Surety Co
105264448
08/22/2009
Until Cancelled
08/04/2012
$4,000.0004/02/2012
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
ESHA000627 5/4/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00
https:// fortress .wa.gov /lni/bbip /Print.aspx
10/29/2012
https:// fortress .wa.gov /lni/bbip /Print.aspx
10/29/2012