HomeMy WebLinkAboutPermit EL12-0718 - BEST BUY - MOBILEBEST BUY MOBILE
17250 SOUTHCENTER PY
sun1E 116
EL12 -0718
Parcel No.:
Address:
City oftukwila
•
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
7888920020
17250 SOUTHCENTER PY TUKW
Project Name: BEST BUY MOBILE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0718
08/01/2012
02/09/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA 98006
ALEX BURKHART
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 X 247
Phone: (206)763 -1744
Expiration Date: 04/02/2014
DESCRIPTION OF WORK:
INSTALLATION OF (1) THERMOSTAT
Value of Electrical:
NRES: $180.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Fees Collected:
National Electrical Code Edition:
Date:
$63.00
2008
D�I VII �Z
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pre
construction or the performance of work.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
Date: /(3/1/1-
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 -0718 Printed: 08 -13 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0718
* *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 -0718 Printed: 08 -13 -2012
City okukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 7888920020
Address: 17250 SOUTHCENTER PY TUKW
Project Name: BEST BUY MOBILE
ELECTRICAL PERMIT
Permit Number: EL12 -0718
Issue Date: 08/01/2012
Permit Expires On: 01/28/2013
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA 98006
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 X 247
Phone: (206)763 -1744
Expiration Date: 04/02/2014
DESCRIPTION OF WORK:
INSTALLATION OF (4) THERMOSTATS, (4) TEMPERATURE SENSORS, AND (4) CO2 SENSORS.
Value of Electrical:
NRES: $2,048.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Date:
$136.50
2008
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr e 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: At" 13 1
Date: 11 (/2
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 -0718 Printed: 08 -01 -2012
• •
PERMIT CONDITIONS
Permit No. EL 12 -0718
* *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 -0718 Printed: 08 -01 -2012
CITY OF TUKWL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. L L\ O 1 1
Project No
Date Application Accepted:
Date Application Expires:
(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:
Tenant Name: 13c54- I / 3, k
King Co Assessor's Tax No.: 1 g
Suite Number:
PROPERTY OWNER
Company Name: a„„,,` - 12, CrL-t ri.-,
Name: f G po)(xri_i e s LL C
C.,_
Address: q ( vs q -rte p) S E
Address: 72,-7 5.jct.\
City: iLtilittuu_c State: \.. / A.
Zip: 1860c,
CONTACT PERSON — person receiving all project
communication
Company Name: a„„,,` - 12, CrL-t ri.-,
Name: A 4 is ,v.. tio"
C.,_
Phone:?ib(,-7G3 _ 17 1,_-i Fax: 7i1;,C1 --763• -23 .2 1
Address: 72,-7 5.jct.\
, s
City: scAtivrk
State: v1 A_ Zip:
Phone:' 6 -7) - 11 ,4 1
Fax: 74) fc, —763 — 1.3
X3`1
Email: catif Jo e c
,d-v .. _ lac
Floor:
New Tenant: ❑ Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: a„„,,` - 12, CrL-t ri.-,
Address: 7.-227 �„/ lam, „, S'
City: :Ric. State: QA, Zip: q 3 i OX
Phone:?ib(,-7G3 _ 17 1,_-i Fax: 7i1;,C1 --763• -23 .2 1
Contr Reg No.: avp,t2C_t%E-w2-:Stxp Date: 0 j y /1 It
Tukwila Business License No.: bus s _ pot el 7 7
Valuation of Project (contractor's bid price): $ 2_ 10 q" 3 • t5t
Scope of Work (please provide detailed information):
3; v,s u % w v114 3174 pv,r- - , t „ezAh —c S)- -v1sov'S ,
Co z
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes o
Type of Use:
Type of work:
❑ ew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Ai Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications \Forms- Applications On Line \2011 Applications \Electrical 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
❑ 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: o J / 1
Print Name: f'C tJ-)4 Day Telephone: 6 —1 " y 147
Mailing Address: -72-7 50.514,
H:\Applications \Forms - Applications On Line \2011 Applcations\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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City
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State Zip
Page 2 of 2
COP 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
Copy Reprinted on 08 -01 -2012 at 12:17:14 08/01/2012
RECEIPT NO: R12 -02257
Initials: JEM
Payment Date: 08/01/2012
User ID: 1165 Total Payment: 414.95
Payee: EVERGREEN REFRIGERATION, LLC
SET ID: 0801 SET NAME: Temporary Set
SET TRANSACTIONS:
Set Member
EL12 -0718
EL12 -0719
M12 -081
TOTAL:
Amount
136.50
63.00
215.45
215.45
TRANSACTION LIST:
Type Method Description Amount
Payment Check 005497 414.95
TOTAL: 414.95
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
MECHANICAL - NONRES 000.322.102.00.0
TOTAL:
199.50
215.45
414.95
INSPECTION RECORD
Retain a copy with permit'
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION y`
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206):431 =3670:
Permit Ins ction Request Line (206) 431 -2451
Project:
6.5
ri n
Type of Inspection:::
Address:
r7�0
' t
6 -e-
Date Called:
Special Instructions:
-1-‘51
Date Wanted:.
O
�
ern':
. (p : l
Requester:
Phone No:
ETApproved per applicable codes.
COMMENTS:
Inspector:
Corrections required prior -to approval.
n REINSPECTION FEE REQUIRED. Prior to next inspection;:fee ; must.be'
paid at 6300 Southcenter Blvd.. Suite 100. Call to: schedulereinspection.
INSPECTION RECORD::
Retain a copy with permit"
INSPECTION NO. :PERMIT • N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 '(206) 431 -367
Permit Inspection Request Line (206) 431 -2451 .'
Project: /
081a,
Type of Inspection:,
2
Address: /71 , V J 5! j •
(
Pt.
Date Called:
Special Instructions:
"1;5 r 4/1
Date Wanted:.
=
�Q /m/`
1
Requester:
!J
Phone No:
MApproved per applicable codes.
COMMENTS:
ElCorrections required prior to approval.'
Inspector:
d6\ Date:
n REINSPECTION FEE REQUIRED. Prior to next Inspection fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedulereinspection:
Jennifer Marshall
From: Jennifer Marshall
Sent: Tuesday, September 18, 2012 3:18 PM
To: 'alexb @evergreenhvac.com'
Subject: Permits EL12 -0718 and EL12 -0719
Good afternoon Alex,
On August 1, 2012 the two above referenced permits were issued for Best Buy Mobile and Beverages & More.
On August 12,2012 you came in to switch the scopes of work due to a mix up at the time of completing the applications.
At this time the valuations as well as the descriptions were swapped for these permits. As a result there is a balance
owing on the Beverages and More permit. There is a balance of $73.50 owing on this permit and it will need to be paid
prior to additional inspections being conducted. There is also a refund owed to you for Best Buy Mobile. The amount to
be refunded is also $73.50.
I unfortunately am unable to transfer money between permits in our system and we will need to have the balance paid
and the refund processed. Once I receive payment the payment of $73.50 for EL12 -0719 I will get the refund process
started for EL12 -0718. Payment can be taken as cash, check, or credit card (MasterCard or Visa only). Please note that
we are able to accept credit card payments over the phone if that would be more convenient. The refund will be given
in the form of a check mailed to your attention.
Thank you for your cooperation,
Jennifer Marshal(
Permit Technician, City of Tukwila
T: 206 431 -3670, F: 206 431 -3665
jennifer.marshall @tukwilawa.gov
1
Citytf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: g 3 2- Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: 0654"
Project Address: t125v 56v1-11 �✓- p��
Contact Person: MAL 5w4-L4--
Summary of Revision:
Eli- 12—D:I:F$'
Phone Number: 74)G -- ?CO3 — 17' /q Z`l
1/ a "Tn,ST�''L -f ,1a 6v'e_ (() +)<I VVLSS JT--+ ,• Y
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Cen er by:
[:-X Entered in Permits Plus on al
V�J
vfr
H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Revision Submittal.doc
Revised: May 2011
Contractors or Tradespeople Peer 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
Other Associated Licenses
License
Name
Type
Specialty
Specialty 2
Effective
Ex Date on Status
Bond Amount
EVERGRL915LREVERGREEN
REFRIGERATION LLC
Electrical
Contractor
Residential
Ltd
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 Et
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
$4,000.0007/10/2012
1
Travelers Cas Et
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
Not satisfied
$250.00
https://fortress.wa.gov/lni/bbip/Print.aspx
08/01/2012