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Home My WebLink AboutPermit EL15-0958 - ROMER RESIDENCE - CIRCUITEDNAROMERO 4455 S 148 ST EL15-0958 City of Tukwila • Department of Community Development * 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone:206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT Parcel No: 0042000057 Address: 4455 S 148TH ST Project Name: EDNA ROMERO Owner: Name: ROMERO EDNA L Address: 4455 S 148TH , TUKWILA, WA, 98188 Contact Person: Name: VICTORIA GLOVER Address: 727 S KENYON ST, SEATTLE, WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Address: 727 S KENYON ST, SEATTLE, WA, 98108 License No: EVERGRL882JB Lender: Name: Address: DESCRIPTION OF WORK: INSTALL (1) 20 AMP CIRCUIT Valuation of single family: $0.00 Valuation of mf/comm: $0.00 Type of Work: ADDITION Permit Number: EL15-0958 Issue Date: 11/3/2015 Permit Expires On: 5/1/2016 Phone: (206) 763-1744 Phone: (206) 763-1744 Expiration Date: 4/2/2016 Fees Collected: $57.33 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: ��' Fo 1 Date: I hearby 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 development,.Wrr}xit and agree to the conditions attached to this permit. Signature: Print Name: Date: l ( s This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 'ELECTRICAL PERMIT CONDITIONS' 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tulavila, 111A 98188 " http://www.Tukwi]aWA..aov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: _ use 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. t "Please Print" SITE LOCATION King Co Assessor's Tax No.: 004200005- Site Address: 4455 S 148th St Suite Number: Floor: Tenant Name: NA New Tenant: ❑ .....Yes O..No PROPERTY OWNER Name: Edna Romero Address: 4455 S 148th St City: Tukwila State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Evergreen Refrigeraion LLC - �CXIG Address: 727 S Kenyon St City: Seattle State: WA Zip: 98108 Phone: (206) 763-1744 Fax: (206) 763-2389 �J 1 der ELECTRICAL CONTRACTOR INFORMATION Company Name: Evergreen Refrigeraion LLC Address: 727 S Kenyon St City: Seattle State: WA Zip: 98108 Phone: (206) 763-1744 Fax: (206) 763-2389 Contr Reg No.: Exp Date: 0 f96 l 6 Tukwila Business License No.; buf0992877 Valuation of Project (contractor's bid price): $ 500 Scope of Work (please provide detailed information): Install(]) 20Amp Circuit Will service be altered? ❑ Yes m No Type of Use: TVDe of work: ❑ New 0 Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\Fmms-Applications On Linc\2014 ApplicationsTlectrical Permit Application Revised 1.1.14.docr Revised: January 2014 bh Adding more than 50 amps? ❑ Yes m No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page] 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 0 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) PERMIT APPLICATION NOTES - MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) ................................. $65.00 ❑ Temporary service (generator) ................................... $80.90 ❑ Manufactured/mobile home service ........................... $86.25 (excluding garage or outbuilding) ❑ Carnivals.................................................................... $80.60 Number of concessions ......................... $10.80 ea Each ride and generator truck ............... $10.80 ea * "EFFECTIVE JANUUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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 OW R OR ELECTRICAL CONTRACTOR: Signature. Date: Print Name: Victoria Glover Day Telephone: (206) 763-1744 Mailing Address: Evergreen Refrigeration LLC Attn: Victoria Glover 727 S Kenyon St Seattle WA 98108 H:WpplicationslForrns-Applications On Line@014 ApplicationsTlecuical Permit Application Revised 1-1-14.do" Rcvised: January 2014 bh City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $277.04 EL15-0958 Address: 4455 S 148TH ST Apn: 0042000057 $57.33 ELECTRICAL $54.60 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $54.60 TECHNOLOGY FEE $2.73 TECHNOLOGY FEE R000.322.900.04.00 0.00 $2.73 M15-0146 Address: 4455 S 148TH ST Apn: 0042000057 $219.71 MECHANICAL $209.25 PERMIT FEE R000.322.100.00.00 0.00 $176.75 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $10.46 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6567 R000.322.900.04.00 0.00 $10.46 $277.04 Date Paid: Tuesday, November 03, 2015 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 007505 Printed: Tuesday, November 03, 2015 10:14 AM 1 of 1 / LI L1 U JRSYS7EM5 INSPECTION RECORD �p Retain a copy with permit fi, INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3670 / Project: fj1bt- 6)1, �, Type of I Rn.� ;. Address: Date Ca led: Special Instructions: Date Wanted: / k / a.m. O Requester: _ / Phone No: - Approved per applicable codes. Corrections required prior to approval. nspector: ❑ REINSPECTION OEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION T T.0 Page 1 of 3 Horne I.nicio en .t?spauol Contact. Safety 4114 Washington State Department of kjLabor & Industries EVERGREEN REFRIGERATION LLC Search L&I A-'Z, Index Help My Secure L8:I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 727 S KENYON ST Principals SEATTLE, WA98108 p 206-763-1744 PATTON, DOUGLAS, PARTNER/MEMBER KING County PATTON, ROGER, PARTNER/MEMBER PATTON, MATTHEW, PARTNER/MEMBER PATTON, ADAM, PARTNER/MEMBER Doing business as EVERGREEN REFRIGERATION LLC WA UBI No. Business type 602 512 953 Limited Liability Company Governing persons DAVID A PATTON MATTHEW PATTON; RODGER PATTON; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. .............................................................. Meets current requirements. License specialties GENERAL License no. EVERGRL882JB Effective — expiration 04/02/2012— 04/02/2016 Designated administrator ................... _...... . Active. Jones, Anthony.... Meets current requirements. License type License no. Electrical Administrator JONESA`909RC Bond ................ Merchants Bonding Co (Mutual) $4,000.00 Bond account no. WA31802 Received by L&I Effective date 07/10/2012 04/07/2012 Expiration date Until Canceled Bond history Savi..ngs ..................... No savings accounts during the previous 6 year period. License Violations _.............................. ............. ..... https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 11/03/2015