HomeMy WebLinkAboutPermit EL17-0347 - CHARLES ROBERT RESIDENCE - VOLTAGE LINE FOR THERMOSTATCHARLES ROBERT
RESIDENCE
14926 57 AVE S
ELI 7-0347
Parcel No:
Address:
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.gov
1157200402
14926 57TH AVE S
ELECTRICAL OTC PERMIT
Project Name: CHARLES ROBERT RESIDENCE
Permit Number:
Issue Date:
Permit Expires On:
EL17-0347
5/10/2017
11/6/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ROBERT CHARLES B
14926 57TH AVE S , TUKWILA, WA,
98168
JENNIFER KARACIC
727 KENYAN ST S , SEATTLE, WA,
98108
EVERGREEN REFRIGERATION LLC
727 S KENYON ST, SEATTLE, WA,
98108
EVERGRL882JB
Phone: (206) 763-1744
Phone: (206) 763-1744
Expiration Date: 4/2/2018
DESCRIPTION OF WORK:
ADD (1) 240V/25A (1) 115V/15A AND (1) LOW VOLTAGE LINE FOR STAT
Valuation of single family: ' $500.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $122.58
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
i
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
prAl
Date:
2014
2014
2014
2015
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 permit and agree to the conditions attached to this permit.
Signature:
Print Name:
NAViJEi /(9- ic
Date: J-%
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
http://www.TukwilaWA.gov
Electrical Permit No. 11.i1' O9?tI1
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order tobe;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.:
Site Address: 14926 57th. Ave S. Tukwila WA 98168
Tenant Name: Charles Robert
1157200402
Suite Number: Floor:
PROPERTY OWNER
Name: Jennifer Karacic
Name: Charles Robert
City: Seattle State: WA zip: 98108
Address: 14926 57th. Ave S.
Email: jenniferk@evergreenhvac.com
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Jennifer Karacic
Address: 727 S Kenyon St.
City: Seattle State: WA zip: 98108
Phone: (206) 763-1744 Fax:
Email: jenniferk@evergreenhvac.com
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Evergreen Home Heating & Energy
Address: 727 S Kenyon St.
City: Seattle State: WA Zip: 98108
Phone: (206) 763-1744 Fax:
Contr Reg No.>G'r G J +,+r `exp Date: Li 124 (S
-License
Tukwila Business Mo.; bus0992877
Valuation of Project (contractor's bid price): $ 500
Scope of Work (please provide detailed information): Add (1)-240v/25a (1) 115v/15a & one low voltage line for stat.
Will service be altered? D Yes m No Adding more than 50 amps? ID Yes ® No
Type of Use:
Type of work:
Pj New 0 Addition 0 Service Change 0 Remodel
0 Tenant Improvement
j Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by:
E Puget Sound Energy 0 Seattle City Light
W:\Permit CenteMpplications-Handouts\Pemit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
® Service change with added/altered circuits $83.54
2 number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
O Meter/mast repair $69.62
® Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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:
ennifer Karacic
Mailing Address: 727 S Kenyon St. Seattle WA 98108
Date: 05/08/2017
Day Telephone: (206) 7634 744
City
W:\Permit Cente?Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1.17.docx
Revised: January 2017
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State Zip
Page 2 of 2
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•
Cash Register Receipt
City of Tukwila
Receipt'` Number
R11451
DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY .:
PAID
$346.68
EL17-0347 Address: 14926 57TH AVE S
Apn: 1157200402
$122.58`
ELECTRICAL
$116.74
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$116.74
TECHNOLOGY FEE
$5.84
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$5.84
M17-0062 Address: 14926 57TH AVE S
Apn: 1157200402
$224.10
MECHANICAL
$213.43
PERMIT FEE
R000.322.100.00.00
0.00
$180.28
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
0.00
$33.15
TECHNOLOGY FEE
$10.67
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11451
R000.322.900.04.00
0.00 $10.67
$346.68
Date Paid: Wednesday, May 10, 2017
Paid By: EVERGREEN REFRIGERATION LLC
Pay Method: CHECK 08684
Printed: Wednesday, May 10, 2017 10:37 AM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PrRMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project:�J�
(::(4
Type of Inspection: N
Address
miup
Date Called:
Special Instructions:
!
Date Wanted:
5 2-
p.m.
Requester:
Phone No:
;13 ? / , y j
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
4,16 Niikk
Date:
of 311
REINSPECT! t N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
EVERGREEN REFRIGERATION T T
Home Espanol Convict
Safety & Health Claims & Insurance
01164
Washington State Department of
Labor & Industries
410
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Workplace Rights Trades & Licensing
EVERGREEN REFRIGERATION LLC
Owner or tradesperson
Principals
PATTON, DOUGLAS, PARTNER/MEMBER
PATTON, ROGER, PARTNER/MEMBER
PATTON, MATTHEW, PARTNER/MEMBER
PATTON, ADAM, PARTNER/MEMBER
Doing business as
EVERGREEN REFRIGERATION LLC
WA UBI No.
602 512 953
727 S KENYON ST
SEATTLE, WA 98108
206-763-1744
KING County
Business type
Limited Liability Company
Governing persons
DAVID
A
PATTON
RODGER PATTON;
MATTHEW PATTON;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
EVERGRL882JB
Effective — expiration
04/02/2012— 04/02/2018
Designated administrator
.................
Jones, Anthony
License type
Electrical Administrator
Bond
Merchants Bonding Co (Mutual)
Bond account no.
WA31802
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.•
JONESA'909RC
$4,000.00 ,
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.
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EVERGREEN REFRIGERATION I T C
License Violations
Infraction no.
ELE0000368
Issue date
02/15/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failure of the electrical contractor to
accurately verify electrical training hours on
an Affidavit of Experience.
Infraction no.
FCHMA01034
Issue date
05/24/2016
Violation city
SEATTLE
Type of violation
FAS INFRACTION
Description
Failure to correct alteration violations to a
mobile home or manufactured home as
required.
Infraction no.
EHICQ00243
Issue date
06/19/2015
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Satisfied
RCW/WAC
19.28.161(6) RCW
Violation amount
$250.00
Satisfied
.................._....
RCW/WAC
43.22.435 RCW
Violation amount
$200.00
Satisfied
........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Infraction no.
EDORN00330 Satisfied
is.... d
RCW/WAC
Issue date
01/15/2015
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
Failure of the electrical contractor to ensure
the assigned electrical administrator/master
electrician is a member of the firm or a full
time supervisory employee of the firm as
required. For the 4th quarter of 2012.
Infraction no.
EDORN00333
Issue date
01/15/2015
Violation city
19.28.061 RCW
Violation amount
$250.00
Satisfied
...........................
RCW/WAC
19.28.061 RCW
Violation amount
$250.00
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