The URL can be used to link to this page

Home My WebLink AboutPermit EL16-0319 - MONTEJANO RESIDENCE - CIRCUIT AND THERMOSTATMONTFJANO RESIDENCE 4310 S 122 ST EL16-0319 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.eov ELECTRICAL OTC PERMIT Parcel No: 3347400400 Permit Number: EL16-0319 Address: 4310 S 122ND ST Issue Date: 4/12/2016 WA Cities Electrical Code: 2014 Permit Expires On: 10/9/2016 Project Name: MONTEJANO RESIDENCE 2014 Owner: 2012 WA State Energy Code: Name: MONTEJANO JOSE+MANDEE K 2012 Address: 4310 S 122ND ST, TUKWILA, WA, 98178 Contact Person: Name: VICTORIA GLOVER Phone: (206) 763-1744 Address: 727 S KENYON ST, SEATTLE, WA, 98108 Contractor: Name: EVERGREEN REFRIGERATION LLC Phone: (206) 763-1744 Address: 727 S KENYON ST, SEATTLE, WA, 98108 License No: EVERGRL882JB Expiration Date: 4/2/2018 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL (1) 20 AMP CIRCUIT AND (1) LOW VOLTAGE FOR STAT Valuation of single family: $0.00 Fees Collected: $120.17 Valuation of mf/comm: $0.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA 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 296-468: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: Mal N M Dater 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 p rmi and agree to the conditions attached to this permit. Signature: Date: Z Print Name: M.(Iob 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 Tukwila, WA 98188 htti)://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: or office use onl 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.: 3347400400 Site Address: 4310 S 122nd St Tukwila WA 98178 Suite Number: Floor: Tenant Name: New Tenant: ❑ .....Yes ®..No PROPERTY OWNER Name: Mandee & Jose Montejano Address: 4310 S 122nd St City: Tukwila State: WA Zip: 98178 CONTACT PERSON — person receiving all project communication Name: Victoria Glover Address: 727 S Kenyon St City: Seattle State: WA Zip: 98108 Phone: (206) 763-1744 Fax: (206) 763-2389 Email: victoriag@evergreenhvac.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Evergreen Refrigeratin LLC Address: 727 S Kenyon St City: Seattle State: WA Zip: 98108 Phone: (206) 763-1744 Fax: (206) 763-2389 Contr Reg No.: EVERGRL954R: Exp Date: 01/30/2017 Tukwila Business License No.; BUS0992877 �z uL v�Y L 96-L Valuation of Project (contractor's bid price): $ 500 Scope of Work (please provide detailed information): Install (1) 20amp Circuit &(1) Low Voltage for Stat Will service be altered? ❑ Yes m No Type of Use: Type of work: 0 New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light HAApplicationsWorms-Applications On Line\2014 ApplicationsWectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes 10 No ❑ Tenant Improvement ❑ Temporary Service Pagel of 2 RESIDENTIAL I MULTI -FAMILY AND COMMERCIAL 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) $80.90 ❑ 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) $10.80 ea ❑ Circuits added/altered without service change ........... $54.60 (6 or more circuits) ............................................... $7.65 ea ❑ Meter/mast repair ....................................................... $68.25 JZ Low voltage systems ................................................. $59.85 (alarm, furnace thermostat) PERMIT APPLICATION NOTES - 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 JANUARY 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. 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. Print Name: Victoria Glover Mailing Address: 727 S Kenyon St Seattle WA 98108 H:Wpplications\Forms-Applications On Line\2014 Applications\Elcdrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: '�' �A \ Q Day Telephone: (206) 763-1744 City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $329.33 EL16-0319 Address: 4310 S 122ND ST Apn: 3347400400 $120.17 ELECTRICAL $114.45 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $114.45 TECHNOLOGY FEE $5.72 TECHNOLOGY FEE R000.322.900.04.00 0.00 $5.72 M16-0052 Address: 4310 S 122ND ST Apn: 3347400400 $209.16 MECHANICAL $199.20 PERMIT FEE R000.322.100.00.00 0.00 $166.70 PERMIT ISSUANCE BASE FEE 13000.322.100.00.00 0.00 $32.50 TECHNOLOGY FEE $9.96 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R000.322.900.04.00 0.00 $9.96 Date Paid: Tuesday, April 12, 2016 Paid By: EVERGREEN REFRIGERATION LLC Pay Method: CHECK 7839 Printed: Tuesday, April 12, 2016 9:49 AM 1 of 1 SYSTEMS INSPECTION RE INSPECTION N0. Retain a copy with CITY OF TUKWILA BUIL 6300 Southcenter Blvd., #100, Tukwila. WA Permit Inspection Request Line (206) 438-93 CORD WUIG r��i permit PERMIT N0. DING DIVISION 98188 (206) 431-3670 50 Inspection: Project: dZ)jTf ��5 Type of ij Address: z Date Called: Special Instructions: Date Wanted: a. qN-- p.m. Requester: Phone No: rUlApproved per applicable codes. Corrections required prior to approval. LAJ M MENTS: �Inspector:� / r �uate: 1) q/Wl( REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. EVERGREEN REFRIGERATION r T C Washington State Department of Labor cit Industries Page 1 of 5 Home I spa hol Contact Search L&I ( :k -L, hidex Help My t.,&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing EVERGREEN REFRIGERATION LLC Owner or tradesperson 727 S KENYON ST Jones, Anthony SEATTLE, WA 98108 Principals 206-763-1744 PATTON, DOUGLAS, PARTNER/MEMBER KING County PATTON, ROGER, PARTNER/MEMBER PATTON, MATTHEW, PARTNER/MEMBER $4,000.00 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— 04/02/2018 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 Savings .................. . .... No savings accounts during the previous 6 year period. License ....en...se Violations ...................................... https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602512953&LIC=EVERGRL882JB&SAW= 4/12/2016