Loading...
HomeMy WebLinkAboutPermit EL13-0366 - NORMED - LOW VOLTAGENORMED 4320 S 131 PL EL1 3-0366 City o0Tukwila • 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.: 7349200095 Address: 4320 S 131 PL TIIKW Project Name: NORMED ELECTRICAL PERMIT Permit Number: EL13-0366 Issue Date: 05/06/2013 Permit Expires On: 11/02/2013 Owner: Name: NORMED SHAW PTN Address: PO BOX 3644 , SEATTLE WA 98124 Contact Person: Name: ALEX BURKHART Address: 727 S KENYON ST , SEATTLE WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST , SEATTLE WA 98108 Contractor License No: EVERGRL882JB Phone: 206 763-1744 Phone: (206)763-1744 Expiration Date: 04/02/2014 DESCRIPTION OF WORK: INSTALLATION OF (6) THERMOSTATS Value of Electrical: NRES: $900.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $92.40 2008 Date: 6 I hereby certify that I have read and e ami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th, hether 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: Date: 5(/f3 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 EL13-0366 Printed: 05-06-2013 41 • PERMIT CONDITIONS Permit No. EL13-0366 **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 EL13-0366 Printed: 05-06-2013 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Oci VI t 3 Date Application Expires: 10 l 1 (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.: 1 3 4'i Z dD 0 al. 5 Site Address: 4 3 Z b 5. 13 ` r t , Suite Number: Floor: Tenant Name: ,Nos Alk.CAA PROPERTY OWNER Name: dj,,,, Brk- Name: ► forww61 stuw pili City: S State.• lipc Zip: etiltyll Address: v • C}v* 3cA `I Email: !t,(G-,„be 2v,4.o,,,I.,v4-4... lib t.- . City: szejik.State: U/ik Zip: 6j7(-/ CONTACT PERSON - person receiving all project communication Name: dj,,,, Brk- Address: -NA, Su A' k V ,,i \ 54' , City: S State.• lipc Zip: etiltyll Phone: Vb_-1.63- ii44 4Tax: X6_"1(,.3, 2,-)8`I Email: !t,(G-,„be 2v,4.o,,,I.,v4-4... lib t.- . New Tenant: ❑ Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: 2eTY7t);15ti, Address: -j2-/ stA.4, ks„4,.tcv, STt City: Se,A, . State: ubc Zip: t Phone: 7..ob-70 - IZg4 Fax: 1.06_?c3- Z3x`1 Contr Reg No.: v rz,. 6.12. L s 32:sExp Date: ,14 z k 4 Tukwila Business License No.: BUS - Dot A 2 $'T `7 Valuation of Project (contractor's bid price): $ 1 01)/ Scope of Work (please provide detailed information): Will service be altered? ❑ Yes [ /No Adding more than 50 amps? ❑ Yes ["No Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement [vrLow Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑i Puget Sound Energy 0 Seattle City Light H:\Applications\Eorms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.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 $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. 1 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: Date: / ° /II 3 Print Name: /kk� B -,,t4 `Day Telephone: 1— Ny V 4S la Mailing Address: T2;7 �' "`ice"% H:\Applications\Fors-Applications On Lute\2011 Apphcattons\Electncal Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Secy City State Zip Page 2 of 2 Cit 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 SET RECEIPT RECEIPT NO: R13-01367 Initials: JEM Payment Date: 04/19/2013 User ID: 1165 Total Payment: 899.31 Payee: EVERGREEN REFRIGERATION, LLC SET ID: S000001967 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount EL13-0366 92.40 M13-072 710.31 PG13-057 96.60 -TOTAL : TRANSACTION LIST: Type Method Description Amount Payment Check 005901 899.31 TOTAL: 899.31 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR GAS - NONRES MECHANICAL - NONRES PLAN CHECK - NONRES 000.322.101.00.0 000.322.103.00.0 000.322.102.00.0 000.345.830 92.40 96.60 568.25 142.06 TOTAL: 899.31 INSPECTION RECORD 2 Retain a copy with permit 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: ! vq Type of Inspection: z' aQ Address: 2 2 J Date Called: Special Instructions: ?; Date Wanted: 7 15-- (... p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: /1) Inspector: Date: ©? Lc/ 1 ,3 REINSPECTIOt4 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 6,15-44 INSPECTION RECORD Retain a copy with permit 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: i jamType of Inspection: AC?..3 Address: _ t31 Vi, Date Called: Special Instructions: St Date Wanted: 4 07 am Requester: - Phone No: pApproved per applicable codes. Corrections required prior to approval. COMMENTS: (,) v 11 LA1 044/ C Inspector: Date: 04 (97/0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: http://www.TukwilaWA.gov Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 5 169 (13 Plan Check/Permit Number: V- L13 03 C‘ Response to Incomplete Letter # Response to Correction Letter # Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: Novr/Ae.A Project Address: 4')2-0 5. 13t5-1--- P1, Contact Person: , l- Br Summary of Revision: Phone Number: i" --7C5 -1 i L114E • 2-f 7 (c) fREIVED rr TuwwkA MAY 0 6 2013 PERMIT CENTER Sheet Number(s): /14-2- (!'t 1) "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: Entered in Permits Plus on OG -10(0( (t. HAApphcattons\Forms-Appltcattons On Lme\2010 Apphcattons\7-2010 - Revtston SubmittaLdoc Revised: May 2011 Contractors or Tradespeople Iter 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 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 Other Associated Licenses License Name Type Specialty Specialty 2 Effective Expiration on Status EVERGRL915LR EVERGREEN REFRIGERATION LLC Electrical Contractor Residential Hvac/Rfrg Ltd Energy 6/12/2009 6/12/2013 Re Licensed Electrical Administrator INFORMATION License DUCHAGC91OCR Name DUCHARME, GEOFFREY C Status Active Business Owner Information Name Role Effective Date Expiration Date PATTON, DOUGLAS Partner/Member 04/02/2012 Bond Amount PATTON, ROGER Partner/Member 04/02/2012 WA31802 PATTON, MATTHEW Partner/Member 04/02/2012 PATTON, ADAM Partner/Member 04/02/2012 Travelers Cas E 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 E Surety Co 105264448 08/22/2009 Until Cancelled 08/04/2012 $4,000.00 04/02/2012 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 httns://fortress.wa.gov/lni/bbin/Print.asnx 05/06/2013